Technology-mediated just-in-time adaptive interventions (JITAIs) to reduce harmful substance use: a systematic review.
Technology-mediated just-in-time adaptive interventions (JITAIs) to reduce harmful substance use: a systematic review.
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DOI：
10.1111/add.15687
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发表时间：
2022-05
期刊：
影响因子：
--
通讯作者：
Businelle MS
中科院分区：
文献类型：
--
作者：
Perski O;Hébert ET;Naughton F;Hekler EB;Brown J;Businelle MS
试图停止或减少有害物质使用时的失效风险是特殊的、动态的和多因素的。即时适应性干预（JITAIs）旨在在需要或机会的时刻提供量身定制的支持。我们的目的是综合决策点、裁剪变量、干预方案、决策规则、研究设计、用户参与和技术介导的JITAIs减少有害物质使用的有效性方面的证据。对任何设计的实证研究进行系统的回顾，并进行叙述综合。我们检索了Ovid MEDLINE、Embase、PsycINFO、Web of Science、ACM数字图书馆、IEEE数字图书馆、ClinicalTrials.gov、ISRCTN register和dblp，使用了与物质使用/移动健康/JITAIs相关的术语。结果是用户参与度和干预效果。使用移动健康证据报告和评估清单评估研究质量。我们纳入了14项独特研究的17份报告，包括两项随机对照试验。JITAIs的目标是酒精（S=7, n=120,520）、烟草（S=4, n=187）、大麻（S=2, n=97）以及酒精和非法药物的组合使用（S=1, n=63），主要依靠主动测量和静态（即时不变）决策规则，为情绪或冲动的微观变化提供量身定制的支持。两项研究使用了先前参与者的数据，四项研究利用理论来设计决策规则。对现有JITAIs的参与程度为中高，有效性的证据参差不齐。由于研究设计和评估的结果变量存在很大的异质性，因此未进行meta分析。许多研究报告在JITAI基础设施、内容、开发成本和数据安全性方面缺乏详细信息。当前用于减少有害物质使用的即时适应性干预（JITAIs）的实施依赖于主动测量和静态决策规则，以提供针对情绪或冲动的微观变化量身定制的支持。对JITAI有效性的研究还很缺乏。
Lapse risk when trying to stop or reduce harmful substance use is idiosyncratic, dynamic and multi-factorial. Just-in-time adaptive interventions (JITAIs) aim to deliver tailored support at moments of need or opportunity. We aimed to synthesise evidence on decision points, tailoring variables, intervention options, decision rules, study designs, user engagement and effectiveness of technology-mediated JITAIs for reducing harmful substance use. Systematic review of empirical studies of any design, with a narrative synthesis. We searched Ovid MEDLINE, Embase, PsycINFO, Web of Science, the ACM Digital Library, the IEEE Digital Library, ClinicalTrials.gov, the ISRCTN register, and dblp using terms related to substance use/mHealth/JITAIs. Outcomes were user engagement and intervention effectiveness. Study quality was assessed with the mHealth Evidence Reporting and Assessment checklist. We included 17 reports of 14 unique studies, including two randomised controlled trials. JITAIs targeted alcohol (S=7, n=120,520), tobacco (S=4, n=187), cannabis (S=2, n=97) and a combination of alcohol and illicit substance use (S=1, n=63), and primarily relied on active measurement and static (i.e. time-invariant) decision rules to deliver support tailored to micro-scale changes in mood or urges. Two studies used data from prior participants and four drew on theory to devise decision rules. Engagement with available JITAIs was moderate-to-high and evidence of effectiveness was mixed. Due to substantial heterogeneity in study designs and outcome variables assessed, no meta-analysis was performed. Many studies reported insufficient detail on JITAI infrastructure, content, development costs, and data security. Current implementations of just-in-time adaptive interventions (JITAIs) for reducing harmful substance use rely on active measurement and static decision rules to deliver support tailored to micro-scale changes in mood or urges. Studies on JITAI effectiveness are lacking.
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
通讯作者：
Shah, Dhavan
DOI：
10.1111/add.15382
发表时间：
2021-07
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Kwasnicka D;Boroujerdi M;O'Gorman A;Anderson M;Craig P;Bowman L;McCann M
通讯作者：
McCann M
影响因子：
7.4
作者：
Businelle MS;Ma P;Kendzor DE;Frank SG;Wetter DW;Vidrine DJ
通讯作者：
Vidrine DJ
影响因子：
2.3
作者：
Businelle, Michael S.;Lam, Cho Y.;Kendzor, Darla E.;Cofta-Woerpel, Ludmila;McClure, Jennifer B.;Cinciripini, Paul M.;Wetter, David W.
通讯作者：
Wetter, David W.
影响因子：
9.3
作者：
Hekler, Eric B.;Klasnja, Predrag;Sim, Ida
通讯作者：
Sim, Ida