Personalized interventions for behaviour change: A scoping review of just-in-time adaptive interventions

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-11-14 DOI:10.1111/bjhp.12766

Ting-Chen Chloe Hsu, Pauline Whelan, Julie Gandrup, Christopher J. Armitage, Lis Cordingley, John McBeth

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引用次数: 0

Abstract

Purpose

Examine the development, implementation and evaluation of just-in-time adaptive interventions (JITAIs) in behaviour change and evaluate the quality of intervention reporting.

Methods

A scoping review of JITAIs incorporating mobile health (mHealth) technologies to improve health-related behaviours in adults. We searched MEDLINE, Embase and PsycINFO using terms related to JITAIs, mHealth, behaviour change and intervention methodology. Narrative analysis assessed theoretical foundations, real-time data capturing and processing methods, outcome evaluation and summarized JITAI efficacy. Quality of intervention reporting was assessed using the template for intervention description and replication (TIDieR) checklist.

Results

Sixty-two JITAIs across physical activity, sedentary behaviour, dietary behaviour, substance use, sexual behaviour, fluid intake, treatment adherence, social skills, gambling behaviour and self-management skills were included. The majority (71%) aimed to evaluate feasibility, acceptability and/or usability. Supporting evidence for JITAI development was identified in 46 studies, with 67% applying this to develop tailored intervention content. Over half (55%) relied solely on self-reported data for tailoring, and 13 studies used only passive monitoring data. While data processing methods were commonly reported, 44% did not specify their techniques. 89% of JITAI designs achieved full marks on the TIDieR checklist and provided sufficient details on JITAI components. Overall, JITAIs proved to be feasible, acceptable and user-friendly across behaviours and settings. Randomized trials showed tailored interventions were efficacious, though outcomes varied by behaviour.

Conclusions

JITAIs offer a promising approach to developing personalized interventions, with their potential effects continuously growing. The recommended checklist emphasizes the importance of reporting transparency in establishing robust intervention designs.

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改变行为的个性化干预措施：对适时适应性干预措施的范围审查。

目的：研究行为改变方面的及时适应性干预（JITAIs）的开发、实施和评估，并评估干预报告的质量：方法：对采用移动医疗（mHealth）技术改善成人健康相关行为的即时适应性干预进行范围界定。我们使用与JITAIs、移动医疗、行为改变和干预方法相关的术语对MEDLINE、Embase和PsycINFO进行了检索。叙事分析评估了理论基础、实时数据采集和处理方法、结果评估以及 JITAI 的疗效总结。干预报告的质量采用干预描述和复制模板（TIDieR）清单进行评估：共纳入了 62 项 JITAI，涉及体育锻炼、久坐行为、饮食行为、药物使用、性行为、液体摄入、坚持治疗、社交技能、赌博行为和自我管理技能。大部分（71%）旨在评估可行性、可接受性和/或可用性。在 46 项研究中发现了开发 JITAI 的支持性证据，其中 67% 将其用于开发定制的干预内容。半数以上（55%）的研究仅依靠自我报告数据进行定制，13 项研究仅使用被动监测数据。虽然普遍报告了数据处理方法，但 44% 的研究没有具体说明其技术。89% 的 JITAI 设计在 TIDieR 核对表中获得满分，并提供了有关 JITAI 组成部分的足够详细信息。总体而言，在不同的行为和环境下，综合技援方案被证明是可行的、可接受的和用户友好的。随机试验表明，量身定制的干预措施是有效的，尽管结果因行为而异：结论：JITAIs 为开发个性化干预措施提供了一种前景广阔的方法，其潜在效果正在不断增强。建议的清单强调了报告透明度在建立健全的干预设计中的重要性。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.