行为决定因素和数字行为改变的有效性 预防性传播感染和艾滋病毒的干预措施:系统性审查的概述
Giuliano Duarte-Anselmi1,2, Susana Sanduvete-Chaves3, Salvador Chacón-Moscoso3,4
1Facultad de Psicología, Universitat de Barcelona, Barcelona, Spain.
Journal of medical Internet research
|January 29, 2026
概括
数字行为改变干预措施对增加性传播感染/艾滋病毒检测和提高知识充满希望. 然而,一致的避孕套使用和生物学结果仍然是混合的,这凸显了需要更有针对性的数字战略的需要.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 不安全的性行为是一个重大的全球健康负担,每天有超过一百万个新的性传播感染 (STIs).
- 虽然有生物医学的进步,但一致的避孕套使用和定期测试是预防性病和艾滋病毒的关键行为策略.
- 数字行为改变干预 (DBCI) 提供了可扩展的工具,但其有效性和组件的证据是分散的.
研究的目的:
- 综合和批判性地评估关于DBCI在预防性病和艾滋病毒方面的有效性证据.
- 识别用于DBCI安全性行为的行为改变技巧 (BCT) 和理论领域框架 (TDF) 构造,用于DBCI安全性行为.
主要方法:
- 在2025年11月12日之前,对多个数据库 (MEDLINE,Cochrane,Epistemonikos,PsycINFO) 进行了全面的搜索.
- 包括检查DBCI用于STI/HIV预防或风险降低的系统性审查 (SRs).
- 数据提取和质量评估 (AMSTAR-2) 是由两位独立审查员进行的,他们遵守PRIOR和PRISMA-S指南.
主要成果:
- 23个SR,包括514项研究和129,481名参与者,符合标准;大多数干预措施使用短信,移动应用程序或网络平台.
- DBCI 持续改善了 STI / HIV 测试的普及率和与性健康服务的接触,避孕套使用和生物结果的结果各不相同.
- 艾滋病毒知识和自我有效性等认知因素的改善是常见的,但只有四篇评论详细介绍了BCT/TDF应用 (例如,目标设定,反).
结论:
- 通过加强测试和支持降低风险的认知决定因素,DBCI显示了增强性传播感染/艾滋病毒预防的潜力.
- 一致的避孕套使用和生物学结果需要进一步调查,以及在DBCI中报告行为机制.
- 这一概述以独特的方式将有效性与BCT/TDF的机制重点映射相结合,指导制定更有效,更定制和更公平的数字预防策略.
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