Kelders Saskia M, Oinas-Kukkonen Harri, Oörni Anssi, van Gemert-Pijnen Julia E W C
University of Twente, Centre for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, Enschede, The Netherlands.
University of Oulu, Oulu Advanced Research on Service and Information Systems, Oulu, Finland.
Int J Med Inform. 2016 Dec;96:3-10. doi: 10.1016/j.ijmedinf.2016.06.022. Epub 2016 Jul 1.
As research on Health Behavior Change Support Systems (HBCSS) proliferates, meaningful management of the different findings is becoming a challenge. We argue that for the field to evolve, it is important to establish the study of HBCSSs as an independent research area, which means that instead of only applying theories from related disciplines to HBCSSs, we need to significantly extend and adapt these theories, or develop new theories, to explain the phenomena that are encountered. Current research in HBCSSs is carried out in different disciplines, with a different approach in each of these disciplines. However, both the CeHRes roadmap and the Persuasive System Design Model show that HBCSSs are complex and the development and evaluation of these systems need to deal with this complexity to be successful. Therefore, an integrative approach is needed to study the combination of content, system, and context. Although research into the separate areas has yielded important findings that are discussed in this paper, we argue that an integrated approach of HBCSSs is useful. We discuss two examples to show how a truly integrative approach can be utilized to enhance the field involving tailoring, personalization, and support. In conclusion we present three practical and relatively easy-to-implement recommendations for researchers who want to contribute to this discipline: Avoid the black box, be specific about the terms used, and look past the borders of one's own discipline.
随着对健康行为改变支持系统（HBCSS）的研究不断增多，对不同研究结果进行有意义的管理正成为一项挑战。我们认为，为了该领域的发展，将HBCSS的研究确立为一个独立的研究领域很重要，这意味着我们不仅要将相关学科的理论应用于HBCSS，还需要对这些理论进行大幅扩展和调整，或者开发新的理论，以解释所遇到的现象。目前关于HBCSS的研究是在不同学科中进行的，每个学科都有不同的方法。然而，CeHRes路线图和说服性系统设计模型都表明，HBCSS很复杂，这些系统的开发和评估需要应对这种复杂性才能取得成功。因此，需要一种综合方法来研究内容、系统和背景的结合。虽然对各个单独领域的研究已经产生了本文中讨论的重要发现，但我们认为HBCSS的综合方法是有用的。我们讨论两个例子，以展示如何利用真正的综合方法来推动涉及定制、个性化和支持的领域发展。最后，我们为希望为该学科做出贡献的研究人员提出三条实用且相对容易实施的建议：避免黑箱操作，明确所用术语，突破自身学科的界限。
