青少年参与移动健康多重健康行为改变干预 (LIFE4YOUth):混合方法和定性比较分析
Anna Seiterö1, Pontus Henriksson1, Kristin Thomas1,2
1Department of Health, Medicine, and Caring Sciences, Linköping University, Linköping, Östergötland, Sweden.
JMIR mHealth and uHealth
|March 12, 2026
概括
移动卫生干预措施在参与方面遇到了困难. 这项研究发现,瑞典高中生有多种风险行为,如果他们认为没有必要改变行为,就不会参与LIFE4YOUth,这凸显了移动健康干预的关键挑战.
科学领域:
- 青少年健康 青少年健康
- 行为科学是一种行为科学.
- 数字健康干预措施 数字健康干预措施
背景情况:
- 基于移动的行为改变干预往往受到低用户参与的影响.
- 青少年,特别是那些有多种风险行为的人,对干预设计提出了独特的挑战.
- 了解导致参与度低的因素对于提高移动健康有效性至关重要.
研究的目的:
- 探索影响瑞典高中学生参与基于移动的LIFE4YOUth干预的因素.
- 专门调查低参与多种行为改变计划的原因.
- 识别与低参与度相关的心理社会和行为特征.
主要方法:
- 一个连续的解释混合方法设计,整合了定量使用数据和定性焦点小组/访谈.
- 对377名高中学生的使用数据进行分析,以确定参与模式.
- 定性数据的诱导性内容分析 (n=20) 和定性比较分析 (QCA),以确定低参与度的配置.
主要成果:
- 大多数 (67%) 的参与者对LIFE4YOUth干预措施的参与度很低.
- 影响参与度的关键因素包括行为变化,用户体验和环境的感知重要性.
- 鉴定出了低参与度的三种不同概况:缺乏动机的高需求者,有动机的低需求者和不满意的需求者.
结论:
- LIFE4YOUth干预未能让高中生满足于他们目前的生活方式,并低估了行为变化.
- 积极的用户体验,如感觉得到确认和鼓励,可能会推动混合行为学生的参与.
- 未来的移动健康干预应考虑量身定制目标行为数量,以提高青少年的参与度和结果.
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