Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis.

Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis.
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DOI:
10.1007/s13142-016-0453-1
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发表时间:
2017-06
影响因子:
3.6
通讯作者:
Michie S
Michie S
中科院分区:
医学3区
文献类型:
--
作者:
Perski O;Blandford A;West R;Michie S

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与数字行为改变干预措施(DBCI)的“接触”被认为对其有效性很重要。因此,评估参与是一个优先事项;然而,缺乏对如何有效地将参与概念化的共同理解。本综述旨在综合文献的参与,以确定关键的概念化,并制定一个综合的概念框架,涉及潜在的直接和间接的参与和参与和干预效果之间的关系的影响。2015年11月检索了4个电子数据库(奥维德MEDLINE、PsycINFO、ISI Web of Knowledge、ScienceDirect)。我们确定了117篇符合纳入标准的文章:采用实验或非实验设计的研究,其中成年参与者明确或暗示地涉及与DBCI,数字游戏或技术的接触。数据合成使用的原则,从关键的解释性合成。与DBCI的合作是从经验和行为两个方面来概念化的。提出了一个概念框架,其中与DBCI的参与是由DBCI本身(内容和交付),上下文(设置中使用的DBCI和人口使用它)和行为,DBCI的目标。背景和“作用机制”可能会缓和DBCI对敬业度的影响。参与,反过来,缓和的影响,DBCI对这些机制的行动。在研究文献中,与DBCI的接触已经从经验和行为两个方面进行了概念化,并处于一个复杂的系统中,涉及DBCI、使用背景、DBCI的作用机制和目标行为。本文的在线版本(doi:10.1007/s13142-016-0453-1)包含补充材料,可供授权用户使用。
“Engagement” with digital behaviour change interventions (DBCIs) is considered important for their effectiveness. Evaluating engagement is therefore a priority; however, a shared understanding of how to usefully conceptualise engagement is lacking. This review aimed to synthesise literature on engagement to identify key conceptualisations and to develop an integrative conceptual framework involving potential direct and indirect influences on engagement and relationships between engagement and intervention effectiveness. Four electronic databases (Ovid MEDLINE, PsycINFO, ISI Web of Knowledge, ScienceDirect) were searched in November 2015. We identified 117 articles that met the inclusion criteria: studies employing experimental or non-experimental designs with adult participants explicitly or implicitly referring to engagement with DBCIs, digital games or technology. Data were synthesised using principles from critical interpretive synthesis. Engagement with DBCIs is conceptualised in terms of both experiential and behavioural aspects. A conceptual framework is proposed in which engagement with a DBCI is influenced by the DBCI itself (content and delivery), the context (the setting in which the DBCI is used and the population using it) and the behaviour that the DBCI is targeting. The context and “mechanisms of action” may moderate the influence of the DBCI on engagement. Engagement, in turn, moderates the influence of the DBCI on those mechanisms of action. In the research literature, engagement with DBCIs has been conceptualised in terms of both experience and behaviour and sits within a complex system involving the DBCI, the context of use, the mechanisms of action of the DBCI and the target behaviour. The online version of this article (doi:10.1007/s13142-016-0453-1) contains supplementary material, which is available to authorized users.
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