Mobile eHealth interventions for obesity: A timely opportunity to leverage convergence trends

Mobile eHealth interventions for obesity: A timely opportunity to leverage convergence trends
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DOI:
10.2196/jmir.7.5.e58
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发表时间:
2005-01-01
影响因子:
7.4
通讯作者:
Karras, BT
Karras, BT
中科院分区:
医学2区
文献类型:
--
作者:
Tufano, JT;Karras, BT

文献摘要

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肥胖症通常被认为是美国最普遍的慢性健康状况和最优先的公共卫生问题。有一个有限的,但越来越多的证据表明,移动的电子健康行为干预,如果设计得当,可能是有效的促进和维持成功的减肥和体重维持行为的变化。本文回顾了目前的文献成功和失败的公共卫生,供应商管理,自我管理的行为健康干预减肥。健康行为改变的流行理论进行了讨论,从这个角度如何知识可以作为一个证据基础,告知移动的电子健康减肥干预措施的设计。量身定制的信息干预,这在最近几年,已被证明是最有效的形式的常规健康行为干预减肥,进行了讨论。从conventifional量身定制的信息干预和桌面计算机辅助自助体重管理干预的早期成功的成功经验教训,是社会认知理论和社会营销模型建议的设计原则。相关的计算和通信技术的融合趋势也进行了讨论。最近的趋势,快速发展,融合,和公众采用的网络功能的蜂窝电话和无线个人数字助理(PDA)设备提供了及时的机会,提供大规模定制的能力,达到和互动所需的发展,管理,并通过有效的人口水平的电子健康定制的信息干预肥胖。
Obesity is often cited as the most prevalent chronic health condition and highest priority public health problem in the United States. There is a limited but growing body of evidence suggesting that mobile eHealth behavioral interventions, if properly designed, may be effective in promoting and sustaining successful weight loss and weight maintenance behavior changes. This paper reviews the current literature on the successes and failures of public health, provider-administered, and self-managed behavioral health interventions for weight loss. The prevailing theories of health behavior change are discussed from the perspective of how this knowledge can serve as an evidence base to inform the design of mobile eHealth weight loss interventions. Tailored informational interventions, which, in recent years, have proven to be the most effective form of conventional health behavior intervention for weight loss, are discussed. Lessons learned from the success of convenfional tailored informational interventions and the early successes of desktop computer-assisted self-help weight management interventions are presented, as are design principles suggested by Social Cognitive Theory and the Social Marketing Model. Relevant computing and communications technology convergence trends are also discussed. The recent trends in rapid advancement, convergence, and public adoption of Web-enabled cellular telephone and wireless personal digital assistant (PDA) devices provide timely opportunities to deliver the mass customization capabilities, reach, and interactivity required for the development, administration, and adoption of effective population-level eHealth tailored informational interventions for obesity.