Bergevi Julia, Andermo Susanne, Woldamanuel Yohannes, Johansson Unn-Britt, Hagströmer Maria, Rossen Jenny
Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.
Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
JMIR Hum Factors. 2022 Jun 28;9(2):e34278. doi: 10.2196/34278.
Physical activity and a diet that follows general recommendations can help to prevent noncommunicable diseases. However, most adults do not meet current recommended guidelines, and support for behavior change needs to be strengthened. There is growing evidence that shows the benefits of eHealth and mobile health (mHealth) services in promoting healthy habits; however, their long-term effectiveness is uncertain because of nonadherence.
We aimed to explore users' perceptions of acceptability, engagement, and usability of eHealth and mHealth services that promote physical activity, healthy diets, or both in the primary or secondary prevention of noncommunicable diseases.
We conducted a systematic review with a narrative synthesis. We performed the literature search in PubMed, PsycINFO, and CINAHL electronic databases in February 2021 and July 2021. The search was limited to papers published in English between 2016 and 2021. Papers on qualitative and mixed method studies that encompassed eHealth and mHealth services for adults with a focus on physical activity, healthy diet, or both in the primary or secondary prevention of noncommunicable diseases were included. Three authors screened the studies independently, and 2 of the authors separately performed thematic analysis of qualitative data.
With an initial finding of 6308 articles and the removal of 427 duplicates, 23 articles were deemed eligible for inclusion in the review. Based on users' preferences, an overarching theme-eHealth and mHealth services provide value but need to be tailored to individual needs-and 5 subthemes-interactive and integrated; varying and multifunctional; easy, pedagogic, and attractive; individualized and customizable; and reliable-emerged.
New evidence on the optimization of digital services that promote physical activity and healthy diets has been synthesized. The findings represent users' perceptions of acceptability, engagement, and usability of eHealth and mHealth services and show that services should be personalized, dynamic, easily manageable, and reliable. These findings can help improve adherence to digital health-promoting services.
体育活动以及遵循一般建议的饮食有助于预防非传染性疾病。然而，大多数成年人未达到当前推荐的指南要求，行为改变方面的支持力度需要加强。越来越多的证据表明，电子健康（eHealth）和移动健康（mHealth）服务在促进健康习惯方面具有益处；然而，由于依从性问题，其长期有效性尚不确定。
我们旨在探讨用户对在非传染性疾病一级或二级预防中促进体育活动、健康饮食或两者兼顾的eHealth和mHealth服务的可接受性、参与度和可用性的看法。
我们进行了一项带有叙述性综合的系统评价。2021年2月和7月，我们在PubMed、PsycINFO和CINAHL电子数据库中进行了文献检索。检索限于2016年至2021年期间发表的英文论文。纳入了关于定性和混合方法研究的论文，这些研究涉及针对成年人的eHealth和mHealth服务，重点是体育活动、健康饮食或两者在非传染性疾病一级或二级预防中的应用。三位作者独立筛选研究，两位作者分别对定性数据进行主题分析。
初步检索到6308篇文章，去除427篇重复文章后，23篇文章被认为符合纳入本综述的条件。基于用户偏好，出现了一个总体主题——eHealth和mHealth服务具有价值，但需要根据个人需求进行定制——以及5个子主题——交互式和综合性；多样化和多功能；简单、有教育意义且有吸引力；个性化和可定制；可靠。
已综合了关于优化促进体育活动和健康饮食的数字服务的新证据。研究结果代表了用户对eHealth和mHealth服务的可接受性、参与度和可用性的看法，并表明服务应个性化、动态化、易于管理且可靠。这些研究结果有助于提高对数字健康促进服务的依从性。
