对动态定制的eHealth干预措施的系统审查,针对慢性疾病中的身体活动和健康饮食
E A G Hietbrink1,2, C Lansink3,4, G D Laverman3,4
1University of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands. e.hietbrink@zgt.nl.
NPJ digital medicine
|November 19, 2025
概括
本次对61项用于慢性疾病管理的电子健康干预措施的审查发现,定制通常集中在体力活动和营养上. 虽然有希望,但对对照组的好处的证据仍然不确,需要更强大的研究方法.
科学领域:
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
- 改变行为干预措施
背景情况:
- 电子健康干预措施为慢性疾病管理提供了动态定制.
- 现有的审查缺乏关于定制策略及其有效性的综合.
研究的目的:
- 系统地审查和综合动态定制的电子健康干预措施,用于慢性疾病管理.
- 确定共同的定制策略,交付方法和理论基础.
主要方法:
- 对117篇论文的系统审查,综合了61项电子健康干预措施.
- 调整范围,复杂性,目标行为,测量方法和交付平台的分析.
- 定制方法的分类 (基于规则的与数据驱动的).
主要成果:
- 大多数干预措施针对体育活动 (87%) 和营养 (43%),整合了各种个人变量.
- 对身体活动 (60%) 的客观测量是常见的,但饮食摄入量是自我报告的 (100%).
- 基于规则的定制 (74%) 占主导地位,新兴的数据驱动方法 (13%);疾病特定的生物反很少.
结论:
- 动态定制的电子卫生干预措施显示出潜力,但需要多学科的发展和透明的报告.
- 需要创新的评估设计来评估多组件干预措施,并确认对控制的好处.
- 加强方法论基础对于推进慢性疾病护理中的定制生活方式支持至关重要.
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