Behavior Change Techniques Used in Digital Behavior Change Interventions to Reduce Excessive Alcohol Consumption: A Meta-regression.
Behavior Change Techniques Used in Digital Behavior Change Interventions to Reduce Excessive Alcohol Consumption: A Meta-regression.
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DOI：
10.1093/abm/kax029
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发表时间：
2018-05-18
期刊：
影响因子：
--
通讯作者：
Michie S
中科院分区：
文献类型：
--
作者：
Garnett CV;Crane D;Brown J;Kaner EFS;Beyer FR;Muirhead CR;Hickman M;Beard E;Redmore J;de Vocht F;Michie S
数字行为改变干预措施（DBCI）似乎可以减少酒精消费，但需要对其作用机制有更深入的了解。描述DBCI中使用的行为改变技术（BCT），并检查单个BCT、包含更多BCT或更多控制理论一致的BCT是否与有效性增加相关。从科克伦关于酒精减少DBCI的综述中提取了41项随机对照试验，并使用已建立且可靠的方法对多达93项BCT进行编码。进行随机效应未调整和调整后的荟萃回归模型，以评估BCT和干预有效性之间的关联。干预平均使用9.1个BCT（范围1-22），在4项或更多试验中使用了23个不同的BCT。使用“行为替代”的试验（-95.112克/周[gpw]，95%CI：-162.90，-27.34），“解决问题”（−45.92 gpw，95% CI：−90.97，−0.87）和“可信来源”（-32.09 gpw，95%CI：-60.64，-3.55）与没有这些BCT的试验相比，与更大的酒精减少显著相关。“行为替代”的结果应该被视为初步的，因为它只在四个试验中被报道，其中三个是由同一个研究小组进行的。98%的试验（n = 41）使用了“反馈”;其他控制理论一致的BCT使用频率较低：例如，“目标设定”43%（n = 18）和“自我监控”29%（n = 12）。“行为替代”、“解决问题”和“可靠来源”与更大的酒精减少有关。许多BCT在DBCI中很少使用，包括在其他领域（如“自我监控”和“目标设定”）中具有有效性证据的BCT。使用“行为替代”、“解决问题”和“可靠来源”的数字行为改变干预措施与酒精减少量比不使用这些干预措施的干预措施更大。
Digital behavior change interventions (DBCIs) appear to reduce alcohol consumption, but greater understanding is needed of their mechanisms of action. To describe the behavior change techniques (BCTs) used in DBCIs and examine whether individual BCTs, the inclusion of more BCTs or more Control Theory congruent BCTs is associated with increased effectiveness. Forty-one randomized control trials were extracted from a Cochrane review of alcohol reduction DBCIs and coded for up to 93 BCTs using an established and reliable method. Random effects unadjusted and adjusted meta-regression models were performed to assess associations between BCTs and intervention effectiveness. Interventions used a mean of 9.1 BCTs (range 1–22), 23 different BCTs were used in four or more trials. Trials that used “Behavior substitution” (−95.112 grams per week [gpw], 95% CI: −162.90, −27.34), “Problem solving” (−45.92 gpw, 95% CI: −90.97, −0.87) and “Credible source” (−32.09 gpw, 95% CI: −60.64, −3.55) were significantly associated with greater alcohol reduction than trials without these BCTs. The “Behavior substitution” result should be treated as preliminary because it was reported in only four trials, three of which were conducted by the same research group. “Feedback” was used in 98% of trials (n = 41); other Control Theory congruent BCTs were used less frequently: for example, “Goal setting” 43% (n = 18) and “Self-monitoring” 29%, (n = 12). “Behavior substitution,” “Problem solving,” and “Credible source” were associated with greater alcohol reduction. Many BCTs were used infrequently in DBCIs, including BCTs with evidence of effectiveness in other domains, such as “Self-monitoring” and “Goal setting.” Digital behaviour change interventions for alcohol that used “Behaviour substitution”, “Problem solving” and “Credible source” were associated with greater alcohol reduction than those interventions without them.
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影响因子：
6
作者：
Cunningham, John A.;Wild, T. Cameron;Humphreys, Keith
通讯作者：
Humphreys, Keith
影响因子：
5.9
作者：
Blankers, Matthijs;Koeter, Maarten W. J.;Schippers, Gerard M.
通讯作者：
Schippers, Gerard M.
DOI：
10.1080/14639230600552601
发表时间：
2006-03-01
期刊：
MEDICAL INFORMATICS AND THE INTERNET IN MEDICINE
影响因子：
--
作者：
Bates, Benjamin R.;Romina, Sharon;Hopson, Danielle
通讯作者：
Hopson, Danielle
影响因子：
3.4
作者：
Butler, Leon H.;Correia, Christopher J.
通讯作者：
Correia, Christopher J.
影响因子：
4.4
作者：
CUNNINGHAM, JA;SOBELL, LC;TONEATTO, T
通讯作者：
TONEATTO, T