Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review.

Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review.
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DOI:
10.2196/mhealth.6837
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发表时间:
2017-04-19
影响因子:
5
通讯作者:
Kuhns, Lisa M
Kuhns, Lisa M
中科院分区:
医学2区
文献类型:
--
作者:
Badawy, Sherif M;Kuhns, Lisa M

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背景:许多可预防的行为导致青少年死亡率和发病率。不遵守预防措施是一项挑战,并与这一人群中较差的健康结果有关。电子通信技术在青少年中的广泛使用,特别是短信(短消息服务)和手机的使用,为风险和预防性风险行为的干预提供了新的机会,但对其有效性知之甚少。目的:本研究旨在系统地评估短信和手机应用程序干预对青少年预防行为的有效性的证据,并描述干预方法,为干预发展提供信息。方法:本综述涵盖1995至2015年间发表的文献。搜索包括PubMed、Embase、CENTORY、QicINFO、CINAHL、InSpec、Web of Science、Google Scholar和其他数据库。搜索策略寻求关于短信和手机应用程序与遵守或合规相结合的文章,以及青少年和青年。另外,还在《医学互联网研究杂志》上进行了相关主题的手工搜索。两名审查员独立筛选标题和摘要,评估全文文章,并从符合纳入标准的文章中提取数据。纳入的研究反映了原创研究-通过短信或手机应用程序干预的试验性或试验性前设计-目标是在青少年(12-24岁)中遵守预防性行为。结果:在1454条记录中,19条符合纳入标准,包括短信(n=15)和手机应用(n=4)。研究针对诊所就诊、避孕药使用、口腔健康、体力活动和体重管理、防晒、人类乳头瘤病毒(HPV)疫苗接种、戒烟和性健康。大多数研究是在美国进行的(47%,9/19),包括更年轻的青少年(63%,12/19),并有样本量
BACKGROUND: Many preventable behaviors contribute to adolescent mortality and morbidity. Non-adherence to preventive measures represents a challenge and has been associated with worse health outcomes in this population. The widespread use of electronic communication technologies by adolescents, particularly the use of text messaging (short message service, SMS) and mobile phones, presents new opportunities to intervene on risk and preventive risk behavior, but little is known about their efficacy.OBJECTIVE: This study aimed to systematically evaluate evidence for the efficacy of text messaging and mobile phone app interventions to improve adherence to preventive behavior among adolescents and describe intervention approaches to inform intervention development.METHODS: This review covers literature published between 1995 and 2015. Searches included PubMed, Embase, CENTRAL, PsycINFO, CINAHL, INSPEC, Web of Science, Google Scholar, and additional databases. The search strategy sought articles on text messaging and mobile phone apps combined with adherence or compliance, and adolescents and youth. An additional hand search of related themes in the Journal of Medical Internet Research was also conducted. Two reviewers independently screened titles and abstracts, assessed full-text articles, and extracted data from articles that met inclusion criteria. Included studies reflect original research-experimental or preexperimental designs with text messaging or mobile phone app interventions-targeting adherence to preventive behavior among adolescents (12-24 years old). The preferred reporting items of systematic reviews and meta-analyses (PRISMA) guidelines were followed for reporting results, and findings were critically appraised against the Oxford Centre for Evidence-based Medicine criteria.RESULTS: Of 1454 records, 19 met inclusion criteria, including text messaging (n=15) and mobile phone apps (n=4). Studies targeted clinic attendance, contraceptive use, oral health, physical activity and weight management, sun protection, human papillomavirus (HPV) vaccination, smoking cessation, and sexual health. Most studies were performed in the United States (47%, 9/19), included younger adolescents (63%, 12/19), and had sample size