从福柯到弗莱雷再经由脸书:迈向移动健康综合理论

From Foucault to Freire Through Facebook: Toward an Integrated Theory of mHealth.

作者信息

Bull Sheana, Ezeanochie Nnamdi

机构信息

University of Colorado Denver, Aurora, CO, USA

University of Colorado Denver, Aurora, CO, USA.

出版信息

Health Educ Behav. 2016 Aug;43(4):399-411. doi: 10.1177/1090198115605310. Epub 2015 Sep 17.

Abstract

OBJECTIVE

To document the integration of social science theory in literature on mHealth (mobile health) and consider opportunities for integration of classic theory, health communication theory, and social networking to generate a relevant theory for mHealth program design.

METHOD

A secondary review of research syntheses and meta-analyses published between 2005 and 2014 related to mHealth, using the AMSTAR (A Measurement Tool to Assess Systematic Reviews) methodology for assessment of the quality of each review. High-quality articles from those reviews using a randomized controlled design and integrating social science theory in program design, implementation, or evaluation were reviewed. Results There were 1,749 articles among the 170 reviews with a high AMSTAR score (≥30). Only 13 were published from 2005 to 2014, used a randomized controlled design and made explicit mention of theory in any aspect of their mHealth program. All 13 included theoretical perspectives focused on psychological and/or psychosocial theories and constructs. Conclusions There is a very limited use of social science theory in mHealth despite demonstrated benefits in doing so. We propose an integrated theory of mHealth that incorporates classic theory, health communication theory, and social networking to guide development and evaluation of mHealth programs.

摘要

目的

记录社会科学理论在移动健康(mHealth)文献中的整合情况,并探讨整合经典理论、健康传播理论和社交网络以生成适用于移动健康项目设计的相关理论的机会。

方法

对2005年至2014年间发表的与移动健康相关的研究综述和荟萃分析进行二次审查,使用AMSTAR(一种评估系统评价质量的测量工具)方法评估每项综述的质量。对那些采用随机对照设计并在项目设计、实施或评估中整合社会科学理论的高质量综述文章进行审查。结果:在170篇AMSTAR评分较高(≥30)的综述中,有1749篇文章。2005年至2014年间仅13篇发表,采用随机对照设计,并在其移动健康项目的任何方面明确提及了理论。所有13篇都包含专注于心理和/或社会心理理论及结构的理论观点。结论:尽管社会科学理论在移动健康中有已证实的益处,但在移动健康中的应用非常有限。我们提出一种移动健康整合理论,将经典理论、健康传播理论和社交网络纳入其中,以指导移动健康项目的开发和评估。

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