Using Mobile Apps to Promote a Healthy Lifestyle Among Adolescents and Students: A Review of the Theoretical Basis and Lessons Learned.
Using Mobile Apps to Promote a Healthy Lifestyle Among Adolescents and Students: A Review of the Theoretical Basis and Lessons Learned.
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DOI：
10.2196/mhealth.3559
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发表时间：
2016-05-05
影响因子：
5
通讯作者：
Breda J
中科院分区：
文献类型：
--
作者：
Dute DJ;Bemelmans WJ;Breda J
欧洲青少年和学生的体力活动水平往往较低，吃不健康的食物，超重和肥胖的患病率增加，这对公共卫生构成了挑战。移动应用在他们的日常生活中扮演着重要的角色，这表明它们有可能被用于促进健康的战略。这篇综述旨在探索移动应用程序如何有助于促进青少年和学生的健康营养、体育活动和预防超重。对于确定的应用程序，审查描述了内容、应用的理论机制和吸取的经验教训。检索数据库Scope us、MEDLINE、EMBASE和PECHINFO，检索词为英语，从2009年1月到2013年11月。研究包括以下情况：(1)干预的主要组成部分涉及APP；(2)干预的目标是健康营养、体力活动或超重预防；(3)目标群体包括青少年或学生(12-25岁)。共有15项研究，描述了12个独特的应用程序。其中10款应用程序用作监测工具，用于评估饮食摄入量或体力活动水平。其他应用程序使用一个基于网络的平台来挑战用户锻炼，并允许用户列出并拍摄他们的问题食物。对于5款应用，支持其开发的行为理论得到了明确的说明。频繁使用的行为改变技术正在促进对行为的自我监控，并提供对绩效的反馈。应用程序可以独立运行，但它们中的大多数都被用作治疗的一部分或加强学校项目。从10岁起，用户可能就能使用应用程序了。只有4款应用程序是专门为青少年开发的。所有应用程序都是在小范围和短时间内进行测试的。尽管年轻人有很大的潜力和大量的使用，但针对青少年的应用程序和健康促进方面的研究有限。作为一种监测工具，应用程序似乎是一种很有前途的健康促进策略。应用程序可以让用户设定目标，增强自我监控，并提高意识。有三款应用程序集成了社交功能，使它们成为“社交媒体”，但几乎没有任何证据表明它们的潜力。
European adolescents and students tend to have low levels of physical activity and eat unhealthy foods, and the prevalence of overweight and obesity has increased, which poses a public health challenge. Mobile apps play an important role in their daily lives, suggesting their potential to be used in health-promoting strategies. This review aimed to explore how mobile apps can contribute to the promotion of healthy nutrition, physical activity, and prevention of overweight in adolescents and students. For the apps identified, the review describes the content, the theoretical mechanisms applied, and lessons learned. The databases Scopus, MEDLINE, Embase, and PsycINFO were searched for English-language publications from January 2009 to November 2013. Studies were included if (1) the primary component of the intervention involves an app; (2) the intervention targets healthy nutrition, or physical activity, or overweight prevention; and (3) the target group included adolescents or students (aged 12-25 years). A total of 15 studies were included, which describe 12 unique apps. Ten of these apps functioned as monitoring tools for assessing dietary intake or physical activity levels. The other apps used a Web-based platform to challenge users to exercise and to allow users to list and photograph their problem foods. For 5 apps, the behavioral theory underpinning their development was clearly specified. Frequently applied behavior change techniques are prompting self-monitoring of behavior and providing feedback on performance. Apps can function self-contained, but most of them are used as part of therapy or to strengthen school programs. From the age of 10 years users may be capable of using apps. Only 4 apps were developed specifically for adolescents. All apps were tested on a small scale and for a short period. Despite large potential and abundant usage by young people, limited research is available on apps and health promotion for adolescents. Apps seem to be a promising health promotion strategy as a monitoring tool. Apps can enable users to set targets, enhance self‐monitoring, and increase awareness. Three apps incorporated social features, making them “social media,” but hardly any evidence appeared available about their potential.