Behavior science in the evolving world of digital health: considerations on anticipated opportunities and challenges.
Behavior science in the evolving world of digital health: considerations on anticipated opportunities and challenges.
复制标题
不断发展的数字健康世界中的行为科学：对预期机遇和挑战的考虑。
DOI：
10.1093/tbm/ibaa034
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发表时间：
2021
影响因子：
3.6
通讯作者：
Diefenbach,MichaelA
中科院分区：
文献类型：
--
作者：
Sucala,Madalina;Cole-Lewis,Heather;Arigo,Danielle;Oser,Megan;Goldstein,Stephanie;Hekler,EricB;Diefenbach,MichaelA
数字健康承诺增加对一系列行为健康结果的干预范围和有效性。行为科学家有一个独特的机会，可以将他们的专业知识注入数字健康干预的所有阶段，从设计到实施。这项研究的目的是评估行为科学家对数字健康努力的兴趣和需求，并收集专家对行为科学在数字健康发展中的作用的见解。这项研究使用了两个阶段的方法：(A)调查行为科学家目前对数字健康努力的需求和兴趣(n=346)；(B)对数字健康利益攸关方进行一系列访谈，以了解他们对健康领域演变的专家见解(n=15)。就目前的需求和兴趣而言，绝大多数接受调查的行为科学家(77%)已经参与了数字健康项目，而在那些还没有参与的人中，大多数(65%)表示打算在未来这样做。就数字卫生领域的预期演变而言，受访的利益攸关方预计会发生一些变化，从总体格局变化到不断演变的报销模式，再到更重要的监督和监管。这些发现为行为科学家在卫生保健和公共卫生中使用技术的当前需求、障碍和态度提供了及时的洞察。结果还可能突显出行为科学家可以利用他们的专业知识来增强数字健康改善健康的潜力，以及防止在医疗保健中扩大技术使用可能出现的潜在意外后果的领域。
Digital health promises to increase intervention reach and effectiveness for a range of behavioral health outcomes. Behavioral scientists have a unique opportunity to infuse their expertise in all phases of a digital health intervention, from design to implementation. The aim of this study was to assess behavioral scientists’ interests and needs with respect to digital health endeavors, as well as gather expert insight into the role of behavioral science in the evolution of digital health. The study used a two-phased approach: (a) a survey of behavioral scientists’ current needs and interests with respect to digital health endeavors (n= 346); (b) a series of interviews with digital health stakeholders for their expert insight on the evolution of the health field (n= 15). In terms of current needs and interests, the large majority of surveyed behavioral scientists (77%) already participate in digital health projects, and from those who have not done so yet, the majority (65%) reported intending to do so in the future. In terms of the expected evolution of the digital health field, interviewed stakeholders anticipated a number of changes, from overall landscape changes through evolving models of reimbursement to more significant oversight and regulations. These findings provide a timely insight into behavioral scientists’ current needs, barriers, and attitudes toward the use of technology in health care and public health. Results might also highlight the areas where behavioral scientists can leverage their expertise to both enhance digital health’s potential to improve health, as well as to prevent the potential unintended consequences that can emerge from scaling the use of technology in health care.