Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Philips Research, Eindhoven, Netherlands.
JMIR Mhealth Uhealth. 2019 Dec 13;7(12):e13311. doi: 10.2196/13311.
BACKGROUND: Research on digital technology to change health behavior has increased enormously in recent decades. Due to the interdisciplinary nature of this topic, knowledge and technologies from different research areas are required. Up to now, it is not clear how the knowledge from those fields is combined in actual applications. A comprehensive analysis that systematically maps and explores the use of knowledge within this emerging interdisciplinary field is required. OBJECTIVE: This study aims to provide an overview of the research area around the design and development of digital technologies for health behavior change and to explore trends and patterns. METHODS: A bibliometric analysis is used to provide an overview of the field, and a scoping review is presented to identify the trends and possible gaps. The study is based on the publications related to persuasive technologies and health behavior change in the last 18 years, as indexed by the Web of Science and Scopus (317 and 314 articles, respectively). In the first part, regional and time-based publishing trends; research fields and keyword co-occurrence networks; influential journals; and collaboration network between influential authors, countries, and institutions are examined. In the second part, the behavioral domains, technological means and theoretical foundations are investigated via a scoping review. RESULTS: The literature reviewed shows a clear and emerging trend after 2001 in technology-based behavior change, which grew exponentially after the introduction of the smartphone around 2009. Authors from the United States, Europe, and Australia have the highest number of publications in the field. The three most active research areas are computer science, public and occupational health, and psychology. The keyword "mhealth" was the dominant term and predominantly used together with the term "physical activity" and "ehealth". A total of three strong clusters of coauthors have been found. Nearly half of the total reported papers were published in three journals. The United States, the United Kingdom, and the Netherlands have the highest degree of author collaboration and a strong institutional network. Mobile phones were most often used as a technology platform, regardless of the targeted behavioral domain. Physical activity and healthy eating were the most frequently targeted behavioral domains. Most articles did not report about the behavior change techniques that were applied. Among the reported behavior change techniques, goal setting and self-management were the most frequently reported. CONCLUSIONS: Closer cooperation and interaction between behavioral sciences and technological areas is needed, so that theoretical knowledge and new technological advancements are better connected in actual applications. Eventually, this could result in a larger societal impact, an increase of the effectiveness of digital technologies for health behavioral change, and more insight in the relationship between behavioral change strategies and persuasive technologies' effectiveness.
背景:近几十年来,数字技术改变健康行为的研究呈指数级增长。由于这个主题的跨学科性质,需要来自不同研究领域的知识和技术。到目前为止,尚不清楚这些领域的知识是如何在实际应用中结合起来的。需要进行全面分析,系统地绘制和探索这个新兴跨学科领域内的知识应用。
目的:本研究旨在概述设计和开发数字技术以改变健康行为的研究领域,并探讨趋势和模式。
方法:使用文献计量分析提供该领域的概述,并进行范围综述以确定趋势和可能的差距。该研究基于过去 18 年中与说服技术和健康行为改变相关的出版物,这些出版物索引自 Web of Science 和 Scopus(分别为 317 篇和 314 篇文章)。在第一部分中,研究了基于地域和时间的出版趋势;研究领域和关键词共现网络;有影响力的期刊;以及有影响力的作者、国家和机构之间的合作网络。在第二部分中,通过范围综述研究了行为领域、技术手段和理论基础。
结果:综述的文献表明,2001 年后出现了一个明显的、新兴的基于技术的行为改变趋势,在 2009 年左右智能手机推出后,该趋势呈指数级增长。来自美国、欧洲和澳大利亚的作者在该领域发表的论文数量最多。三个最活跃的研究领域是计算机科学、公共卫生和职业卫生以及心理学。最活跃的三个关键词是“移动健康”、“身体活动”和“电子健康”。总共发现了三个强大的合著者群。报告的论文总数中近一半发表在三种期刊上。美国、英国和荷兰的作者合作度最高,机构网络也很强。移动电话是最常用的技术平台,无论针对的行为领域如何。身体活动和健康饮食是最常针对的行为领域。大多数文章没有报告所应用的行为改变技术。在报告的行为改变技术中,目标设定和自我管理报告最多。
结论:需要加强行为科学和技术领域之间的合作与互动,以便更好地将理论知识与新技术进步应用于实际应用中。最终,这将带来更大的社会影响,提高数字技术在健康行为改变方面的有效性,并更深入地了解行为改变策略与说服技术有效性之间的关系。
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