Bendtsen Marcus, Bendtsen Preben, Henriksson Hanna, Henriksson Pontus, Müssener Ulrika, Thomas Kristin, Löf Marie
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Medical Specialist, Motala, Sweden.
JMIR Res Protoc. 2020 Apr 20;9(4):e14894. doi: 10.2196/14894.
Clustering of multiple lifestyle risk behaviors has been associated with a greater risk of noncommunicable diseases and mortality than one lifestyle risk behavior or no lifestyle risk behaviors. The National Board of Health and Welfare in Sweden reported in 2018 that it is important to provide additional support to individuals with multiple lifestyle risk behaviors, as risks from these behaviors are multiplicative rather than additive. However, the same report emphasized that there is a lack of knowledge regarding interventions that support changes to unhealthy lifestyle behaviors.
The MoBILE (Mobile health Multiple lifestyle Behavior Interventions across the LifEspan) research program has brought together two Swedish research groups supported by international collaborators. Through this collaboration, we aim to design and evaluate a number of novel and tailored mobile health (mHealth) multiple lifestyle behavior interventions across the life span of different health care populations. In addition, the MoBILE research program will extend ongoing research to include mHealth interventions for migrant pregnant women and children.
Each project within the MoBILE program will focus on a specific group: pregnant women, preschool children, high school and university students, and adults in primary and clinical care. All the projects will follow the same 4 phases: requirements, development, evaluation, and implementation. During the requirements phase, implementers and end users will aid the design of content and functionality of the interventions. In the development phase, findings from the first phase will be synthesized with expert domain knowledge and theoretical constructs to create interventions tailored to the target groups. The third phase, evaluation, will comprise randomized controlled trials conducted to estimate the effects of the interventions on multiple lifestyle risk behaviors (eg, alcohol, nutrition, physical activity, and smoking). The final phase will investigate how the interventions, if found effective, can be disseminated into different health care contexts.
The research program commenced in 2019, and the first results will be available in 2020. Projects involving pregnant women, preschool children, and high school and university students will be completed in the first 3 years, with the remaining projects being planned for the program's final 3 years.
The development of evidence-based digital tools is complex, as they should be guided by theoretical frameworks, and requires large interdisciplinary teams with competence in technology, behavioral science, and lifestyle-specific areas. Individual researchers or smaller research groups developing their own tools is not the way forward, as it means reinventing the wheel over and over again. The MoBILE research program therefore aims to join forces and learn from the past 10 years of mHealth research to maximize scientific outcomes, as well as the use of financial resources to expand the growing body of evidence for mHealth lifestyle behavior interventions.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/14894.
与单一生活方式风险行为或无生活方式风险行为相比，多种生活方式风险行为的聚集与更高的非传染性疾病风险和死亡率相关。瑞典国家卫生与福利委员会在2018年报告称，为有多种生活方式风险行为的个体提供额外支持很重要，因为这些行为带来的风险是相乘的而非相加的。然而，同一份报告强调，对于支持改变不健康生活方式行为的干预措施缺乏了解。
移动健康跨生命周期多种生活方式行为干预（MoBILE）研究项目汇集了两个由国际合作者支持的瑞典研究小组。通过此次合作，我们旨在设计和评估一系列针对不同医疗保健人群生命周期的新颖且量身定制的移动健康（mHealth）多种生活方式行为干预措施。此外，MoBILE研究项目将把正在进行的研究扩展到包括针对移民孕妇和儿童的mHealth干预措施。
MoBILE项目中的每个项目将专注于一个特定群体：孕妇、学龄前儿童、高中生和大学生，以及初级和临床护理中的成年人。所有项目将遵循相同的4个阶段：需求、开发、评估和实施。在需求阶段，实施者和最终用户将协助设计干预措施的内容和功能。在开发阶段，第一阶段的研究结果将与专家领域知识和理论架构相结合，以创建针对目标群体的干预措施。第三阶段，即评估阶段，将包括进行随机对照试验，以估计干预措施对多种生活方式风险行为（如饮酒、营养、身体活动和吸烟）的影响。最后阶段将研究如果干预措施被证明有效，如何将其推广到不同的医疗保健环境中。
该研究项目于2019年启动，首批结果将于2020年公布。涉及孕妇、学龄前儿童以及高中生和大学生的项目将在前3年完成，其余项目计划在该项目的最后3年进行。
基于证据的数字工具的开发很复杂，因为它们应以理论框架为指导，并且需要由技术、行为科学和特定生活方式领域的专业人员组成的大型跨学科团队。个别研究人员或较小的研究小组自行开发工具并非可行之道，因为这意味着要一次又一次地重复发明轮子。因此，MoBILE研究项目旨在联合各方力量，借鉴过去10年的移动健康研究经验，以实现科学成果最大化，并合理利用财政资源来扩充越来越多的移动健康生活方式行为干预证据。
国际注册报告识别码（IRRID）：PRR1-10.2196/14894
