Old-Fashioned Technology in the Era of "Bling": Is There a Future for Text Messaging in Health Care?
Old-Fashioned Technology in the Era of "Bling": Is There a Future for Text Messaging in Health Care?
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DOI：
10.2196/16630
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发表时间：
2019-12-20
影响因子：
7.4
通讯作者：
Whittaker, Robyn
中科院分区：
文献类型：
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作者：
Willcox, Jane C.;Dobson, Rosie;Whittaker, Robyn
在寻求发现下一个高科技解决方案来解决许多健康问题的过程中，经过验证的成熟技术往往被忽视，而更倾向于“技术先进”的系统，这些系统尚未充分探索其适用性以支持行为改变理论，或被消费者使用。短信或SMS是消费者仍在使用的成熟技术的一个例子，但作为移动的健康（mHealth）工具箱的一部分，它经常被忽视。本文的目的是描述短信作为健康促进方式的好处，并倡导更广泛地实施有效的短信计划。短信以无处不在的实时交流方式到达消费者手中，这与应用程序和可穿戴设备所需的多步主动参与形成了鲜明对比。它仍然是最广泛采用和最便宜的移动的电话功能。作为一种干预方式，短信为研究人员提供了关于量身定制的交互式健康沟通的大量经验教训;接触和参与，特别是在低资源环境中;以及将行为改变模型嵌入数字健康。它支持行为改变技术，如强化，提示和线索，目标设定，绩效反馈，支持和进度审查。消费者提供的反馈表明，短信可以为他们提供有用的信息，增加感知的支持，增强健康行为改变的动机，并提供参与健康行为的提示。大量证据支持短信单独作为移动健康工具箱的一部分或与健康服务结合使用对于支持健康行为改变的有效性。系统性综述一致报告了短信干预对健康行为改变和疾病管理的积极影响，包括戒烟，药物依从性和长期状况和健康的自我管理，包括糖尿病和减肥。然而，很少有短信干预措施得到大规模实施。从投资于短信传递研究中仍然有很多东西要学。当一种方式被认为是有效的，我们应该从大规模实施中学习。目前，许多其他技术存在长期参与度差、社会内部存在数字鸿沟以及用户健康和技术素养低的问题。投资并整合大规模短信干预的经验教训将加强我们在寻求最终数字化交付行为改变模型方面的前进方向。
In the quest to discover the next high-technology solution to solve many health problems, proven established technologies are often overlooked in favor of more "technologically advanced" systems that have not been fully explored for their applicability to support behavior change theory, or used by consumers. Text messages or SMS is one example of an established technology still used by consumers, but often overlooked as part of the mobile health (mHealth) toolbox. The purpose of this paper is to describe the benefits of text messages as a health promotion modality and to advocate for broader scale implementation of efficacious text message programs. Text messaging reaches consumers in a ubiquitous real-time exchange, contrasting the multistep active engagement required for apps and wearables. It continues to be the most widely adopted and least expensive mobile phone function. As an intervention modality, text messaging has taught researchers substantial lessons about tailored interactive health communication; reach and engagement, particularly in low-resource settings; and embedding of behavior change models into digital health. It supports behavior change techniques such as reinforcement, prompts and cues, goal setting, feedback on performance, support, and progress review. Consumers have provided feedback to indicate that text messages can provide them with useful information, increase perceived support, enhance motivation for healthy behavior change, and provide prompts to engage in health behaviors. Significant evidence supports the effectiveness of text messages alone as part of an mHealth toolbox or in combination with health services, to support healthy behavior change. Systematic reviews have consistently reported positive effects of text message interventions for health behavior change and disease management including smoking cessation, medication adherence, and self-management of long-term conditions and health, including diabetes and weight loss. However, few text message interventions are implemented on a large scale. There is still much to be learned from investing in text messaging delivered research. When a modality is known to be effective, we should be learning from large-scale implementation. Many other technologies currently suffer from poor long-term engagement, the digital divide within society, and low health and technology literacy of users. Investing in and incorporating the learnings and lessons from large-scale text message interventions will strengthen our way forward in the quest for the ultimate digitally delivered behavior change model.