Department for Information and Communication Technologies, Centre for e-Health, University of Agder, Grimstad, Norway.
Department of Health and Nursing Science, Centre for e-Health, University of Agder, Grimstad, Norway.
J Med Internet Res. 2021 Nov 17;23(11):e26931. doi: 10.2196/26931.
Digital interventions have tremendous potential to improve well-being and health care conveyance by improving adequacy, proficiency, availability, and personalization. They have gained acknowledgment in interventions for the management of a healthy lifestyle. Therefore, we are reviewing existing conceptual frameworks, digital intervention approaches, and associated methods to identify the impact of digital intervention on adopting a healthier lifestyle.
This study aims to evaluate the impact of digital interventions on weight management in maintaining a healthy lifestyle (eg, regular physical activity, healthy habits, and proper dietary patterns).
We conducted a systematic literature review to search the scientific databases (Nature, SpringerLink, Elsevier, IEEE Xplore, and PubMed) that included digital interventions on healthy lifestyle, focusing on preventing obesity and being overweight as a prime objective. Peer-reviewed articles published between 2015 and 2020 were included. We used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and a framework for an evidence-based systematic review. Furthermore, we improved the review process by adopting the Rayyan tool and the Scale for the Assessment of Narrative Review Articles.
Our initial searches identified 780 potential studies through electronic and manual searches; however, 107 articles in the final stage were cited following the specified inclusion and exclusion criteria. The identified methods for a successful digital intervention to promote a healthy lifestyle are self-monitoring, self-motivation, goal setting, personalized feedback, participant engagement, psychological empowerment, persuasion, digital literacy, efficacy, and credibility. In this study, we identified existing conceptual frameworks for digital interventions, different approaches to provide digital interventions, associated methods, and execution challenges and their impact on the promotion of healthy lifestyle management.
This systematic literature review selected intervention principles (rules), theories, design features, ways to determine efficient interventions, and weaknesses in healthy lifestyle management from established digital intervention approaches. The results help us understand how digital interventions influence lifestyle management and overcome the existing shortcomings. It serves as a basis for further research with a focus on designing, developing, testing, and evaluating the generation of personalized lifestyle recommendations as a part of digital health interventions.
数字干预具有通过提高充分性、熟练度、可用性和个性化来改善幸福感和医疗保健提供的巨大潜力。它们在健康生活方式管理的干预措施中得到了认可。因此，我们正在审查现有的概念框架、数字干预方法和相关方法，以确定数字干预对采用更健康生活方式的影响。
本研究旨在评估数字干预对维持健康生活方式（例如，定期体育锻炼、健康习惯和适当的饮食模式）的体重管理的影响。
我们进行了系统的文献综述，以搜索科学数据库（自然、斯普林格链接、爱思唯尔、IEEE Xplore 和 PubMed），其中包括健康生活方式的数字干预措施，重点是预防肥胖和超重作为主要目标。纳入了 2015 年至 2020 年期间发表的同行评审文章。我们使用了 PRISMA（系统评价和荟萃分析的首选报告项目）指南和循证系统评价框架。此外，我们通过采用 Rayyan 工具和叙事评论文章评估量表来改进审查过程。
我们最初的搜索通过电子和手动搜索确定了 780 项潜在研究；然而，根据指定的纳入和排除标准，在最后阶段引用了 107 篇文章。确定成功的数字干预以促进健康生活方式的方法是自我监测、自我激励、设定目标、个性化反馈、参与者参与、心理赋权、说服、数字素养、功效和可信度。在这项研究中，我们确定了现有的数字干预概念框架、提供数字干预的不同方法、相关方法以及执行挑战及其对健康生活方式管理的促进的影响。
本系统文献综述从现有的数字干预方法中选择了干预原则（规则）、理论、设计特点、确定有效干预措施的方法以及健康生活方式管理中的弱点。结果帮助我们了解数字干预如何影响生活方式管理并克服现有缺陷。它为进一步研究提供了基础，重点是设计、开发、测试和评估个性化生活方式建议的生成作为数字健康干预的一部分。
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