The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature.
The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature.
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DOI：
10.2196/medinform.4514
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发表时间：
2016-01-21
影响因子：
3.2
通讯作者：
Jones JF
中科院分区：
文献类型：
--
作者：
Sawesi S;Rashrash M;Phalakornkule K;Carpenter JS;Jones JF
信息技术(IT)的进步及其日益无处不在的性质扩大了患者参与医疗保健过程的能力，并促使健康行为发生变化。我们的目标是系统地回顾(1)用于促进患者参与并影响健康行为和健康结果的IT平台的影响，(2)作为开发这些干预措施的基础的行为理论或模型及其对健康结果的影响，(3)衡量健康结果的不同方法，(4)这些技术在患者中的可用性、可行性和可接受性，以及(5)实施IT平台以有效影响患者参与和健康结果的挑战和研究方向。检索PubMed、Web of Science、CogcINFO和Google Scholar，检索2000年至2014年12月发表的研究。两名审查员评估了纳入论文的质量，并根据预先确定的纳入标准检索和评估了可能相关的研究。共有170篇文章符合纳入标准，并进行了详细审查。总体而言，88.8%(151/170)的研究显示对患者行为有积极影响，82.9%(141/170)的研究报告患者敬业度有较高程度的改善。只有47.1%(80/170)的人参考了特定的行为理论，只有33.5%(57/170)的人评估了IT平台的可用性。大多数研究使用间接方法来衡量健康结果(65.9%，112/170)。总体而言，审查表明，IT平台可以提高患者的参与度，改善健康结果。很少有研究讨论这些干预措施的可用性，没有使用特定行为理论的原因尚不清楚。需要进一步的研究来澄清这些重要的问题。此外，对这些类型的干预措施的评估应该基于一个共同的框架，使用各种测量方法；这些测量方法应该包括与健康行为改变的动机、长期坚持、支出、满意度和健康结果相关的那些。
Advancements in information technology (IT) and its increasingly ubiquitous nature expand the ability to engage patients in the health care process and motivate health behavior change. Our aim was to systematically review the (1) impact of IT platforms used to promote patients’ engagement and to effect change in health behaviors and health outcomes, (2) behavior theories or models applied as bases for developing these interventions and their impact on health outcomes, (3) different ways of measuring health outcomes, (4) usability, feasibility, and acceptability of these technologies among patients, and (5) challenges and research directions for implementing IT platforms to meaningfully impact patient engagement and health outcomes. PubMed, Web of Science, PsycINFO, and Google Scholar were searched for studies published from 2000 to December 2014. Two reviewers assessed the quality of the included papers, and potentially relevant studies were retrieved and assessed for eligibility based on predetermined inclusion criteria. A total of 170 articles met the inclusion criteria and were reviewed in detail. Overall, 88.8% (151/170) of studies showed positive impact on patient behavior and 82.9% (141/170) reported high levels of improvement in patient engagement. Only 47.1% (80/170) referenced specific behavior theories and only 33.5% (57/170) assessed the usability of IT platforms. The majority of studies used indirect ways to measure health outcomes (65.9%, 112/170). In general, the review has shown that IT platforms can enhance patient engagement and improve health outcomes. Few studies addressed usability of these interventions, and the reason for not using specific behavior theories remains unclear. Further research is needed to clarify these important questions. In addition, an assessment of these types of interventions should be conducted based on a common framework using a large variety of measurements; these measurements should include those related to motivation for health behavior change, long-standing adherence, expenditure, satisfaction, and health outcomes.