Acceptability of digital health interventions: embracing the complexity.
Acceptability of digital health interventions: embracing the complexity.
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DOI：
10.1093/tbm/ibab048
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发表时间：
2021-07-29
影响因子：
3.6
通讯作者：
Short CE
中科院分区：
文献类型：
--
作者：
Perski O;Short CE
可接受性是数字健康的核心概念。现有的框架没有明确说明研究人员、从业人员和政策制定者可能希望研究可接受性概念的原因和方式。在这里，我们旨在讨论(I)可接受性可能不同于密切相关概念的方式，包括用户参与度；(Ii)可接受性概念在数字健康研究和实践中的效用；(Iii)影响可接受性的社会和文化规范；以及(Iv)在研究过程内外衡量可接受性的实用手段。我们的目的不是为这些悬而未决的问题提供解决方案，而是在数字健康社区内引发一场辩论。我们对文献中的理论和实证实例进行了叙事性回顾。首先，我们认为，可接受性可能被认为是复杂的、适应性的交互组件(例如，情感态度、信念)系统的紧急属性，这反过来又影响用户参与(并受其影响)。其次，可接受性很重要，因为它能够预测和解释感兴趣的关键结果，包括用户参与度和干预有效性。第三，人们认为可以接受的恰恰是与普遍的社会和文化规范密切相关并相互关联的。因此，理解和设计此类规范(例如，通过借鉴以用户为中心的设计原则)是关键。最后，缺乏标准的可接受性衡量标准和门槛。星级评分与自由文本回复相结合，可能会提供一种获取可接受性的实用手段。可接受性是一个多方面的概念，可以用复杂性科学的视角进行有益的研究。数字健康干预措施的可接受性是一个多方面的概念，可以用复杂性科学的视角进行有用的研究。
Acceptability is a core concept in digital health. Available frameworks have not clearly articulated why and how researchers, practitioners and policy makers may wish to study the concept of acceptability. Here, we aim to discuss (i) the ways in which acceptability might differ from closely related concepts, including user engagement; (ii) the utility of the concept of acceptability in digital health research and practice; (iii) social and cultural norms that influence acceptability; and (iv) pragmatic means of measuring acceptability, within and beyond the research process. Our intention is not to offer solutions to these open questions but to initiate a debate within the digital health community. We conducted a narrative review of theoretical and empirical examples from the literature. First, we argue that acceptability may usefully be considered an emergent property of a complex, adaptive system of interacting components (e.g., affective attitude, beliefs), which in turn influences (and is influenced by) user engagement. Second, acceptability is important due to its ability to predict and explain key outcomes of interest, including user engagement and intervention effectiveness. Third, precisely what people find acceptable is deeply contextualized and interlinked with prevailing social and cultural norms. Understanding and designing for such norms (e.g., through drawing on principles of user centered design) is therefore key. Finally, there is a lack of standard acceptability measures and thresholds. Star ratings coupled with free-text responses may provide a pragmatic means of capturing acceptability. Acceptability is a multifaceted concept, which may usefully be studied with a complexity science lens. Acceptability of digital health interventions is a multifaceted concept, which may usefully be studied with a complexity science lens.
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影响因子：
2.4
作者：
Dario, Claudio;Luisotto, Elena;Saccavini, Claudio
通讯作者：
Saccavini, Claudio
影响因子：
4.4
作者：
Bassett, S. M.;Cohn, M.;Moskowitz, J. T.
通讯作者：
Moskowitz, J. T.
影响因子：
7.3
作者：
DAVIS, FD
通讯作者：
DAVIS, FD
影响因子：
1.7
作者：
Hallingberg B;Turley R;Segrott J;Wight D;Craig P;Moore L;Murphy S;Robling M;Simpson SA;Moore G
通讯作者：
Moore G
影响因子：
3.6
作者：
Chevance G;Perski O;Hekler EB
通讯作者：
Hekler EB