What's the ‘Secret Sauce’?: A Systematic Review of the Characteristics of Effective Digital Health Behaviour Change Interventions for Children and Adolescents

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2025-05-08 DOI:10.1002/hpja.70051

Kavaish Krishna, Linda Portsmouth, Courtenay Harris, Marina Ciccarelli

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引用次数: 0

Abstract

Issue Addressed

Few previous reviews have identified the characteristics of effective digital health behaviour change interventions for children and/or adolescents. This systematic review aimed to identify and report the characteristics, including the theoretical bases and the incorporated behaviour change techniques (BCTs).

Methods

CINAHL Ultimate (EBSCO), MEDLINE (Ovid), PubMed, ProQuest, and Web of Science were searched to identify intervention studies published in international academic peer-reviewed journals between January 2002 and May 2024 inclusive. Only studies that used a randomised controlled trial (RCT) study design to evaluate interventions were eligible for inclusion in this review. Studies were reviewed independently by two researchers to assess the risk of bias and extract data.

Results

There were 17 study articles that met the eligibility criteria for inclusion. Twenty interventions were evaluated in the 17 articles. Ten interventions were considered to be effective and incorporated one or more of the following BCTs: (1) shaping knowledge, (2) goals and planning, (3) feedback and monitoring, (4) social support, and (5) reward. Eight effective interventions were based on one or more of the following behaviour change theories: (1) Social Cognitive Theory, (2) Theory of Planned Behaviour, (3) Transtheoretical Model–Stages of Change, (4) I-Change Model, and (5) Health Action Process Approach.

Conclusions

Effective interventions incorporated one or more BCTs and most were based on behaviour change theories.

So What?

Findings can inform the selection of appropriate behaviour change theories and techniques in the development of future interventions for children and/or adolescents.

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“秘方”是什么？对儿童和青少年有效的数字健康行为改变干预措施特征的系统回顾

以前的审查很少确定儿童和/或青少年有效的数字卫生行为改变干预措施的特征。本系统综述旨在识别和报告这些特征，包括理论基础和纳入的行为改变技术（bct）。方法检索CINAHL Ultimate （EBSCO）、MEDLINE （Ovid）、PubMed、ProQuest和Web of Science，检索2002年1月至2024年5月间发表在国际学术同行评议期刊上的干预研究。只有使用随机对照试验（RCT）研究设计来评估干预措施的研究才有资格纳入本综述。研究由两名研究人员独立审查，以评估偏倚风险并提取数据。结果17篇研究文章符合入选标准。在17篇文章中评估了20种干预措施。10项干预措施被认为是有效的，并纳入了以下一项或多项btc:(1)形成知识，(2)目标和计划，(3)反馈和监测，(4)社会支持，(5)奖励。八种有效的干预措施基于以下一种或多种行为改变理论：(1)社会认知理论，(2)计划行为理论，(3)跨理论模型-变化阶段，(4)I-Change模型，(5)健康行动过程方法。结论有效的干预包括一个或多个bct，大多数基于行为改变理论。那又怎样?研究结果可以为今后为儿童和/或青少年制定干预措施时选择适当的行为改变理论和技术提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.