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手机短信在临床和健康行为干预中的应用综述。

A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions.

机构信息

Healthcare Innovation and Technology Lab, 3960 Broadway, Room 410, New York, NY 10032, USA.

出版信息

J Telemed Telecare. 2011;17(1):41-8. doi: 10.1258/jtt.2010.100322. Epub 2010 Nov 19.

DOI:10.1258/jtt.2010.100322
PMID:21097565
Abstract

We reviewed the literature on the use of text messaging for clinical and healthy behaviour interventions. Electronic databases were searched in December 2009 using keywords related to text messaging and health interventions. The final review included 24 articles. Of those, seven covered medication adherence, eight discussed clinical management and nine reported on health-related behaviour modification. Sixteen were randomized controlled trials (RCT), five were non-controlled pre-post comparison studies and three were feasibility pilots not reporting a behavioural outcome. The frequency of messaging ranged from multiple messages daily to one message per month. Among the 16 RCTs, 10 reported significant improvement with interventions and six reported differences suggesting positive trends. Text messaging received good acceptance and showed early efficacy in most studies. However, the evidence base is compromised by methodological limitations and is not yet conclusive.

摘要

我们回顾了有关使用短信进行临床和健康行为干预的文献。 2009 年 12 月,使用与短信和健康干预相关的关键字搜索了电子数据库。最终的综述包括 24 篇文章。其中,有 7 篇涉及药物依从性,8 篇讨论临床管理,9 篇报告与健康相关的行为改变。有 16 项是随机对照试验(RCT),5 项是无对照前后比较研究,3 项是未报告行为结果的可行性试验。消息的频率从每天多条消息到每月一条消息不等。在 16 项 RCT 中,有 10 项报告干预措施有显著改善,有 6 项报告差异表明有积极趋势。短信在大多数研究中都得到了很好的接受,并显示出早期的效果。然而,由于方法学上的局限性,证据基础并不完整,结论尚不确定。

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