Agyei Eunice Eno Yaa Frimponmaa, Ekpezu Akon, Oinas-Kukkonen Harri
Oulu Advanced Research on Service and Information Systems, Faculty of Information Technology and Electrical Engineering, University of Oulu, Oulu, Finland.
JMIR Cardio. 2024 Jun 19;8:e49515. doi: 10.2196/49515.
Behavior change support systems (BCSSs) have the potential to help people maintain healthy lifestyles and aid in the self-management of coronary heart disease (CHD). The Persuasive Systems Design (PSD) model is a framework for designing and evaluating systems designed to support lifestyle modifications and health behavior change using information and communication technology. However, evidence for the underlying design principles behind BCSSs for CHD has not been extensively reported in the literature.
This scoping review aims to identify existing health BCSSs for CHD, report the characteristics of these systems, and describe the persuasion context and persuasive design principles of these systems based on the PSD framework.
Using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, 3 digital databases (Scopus, Web of Science, and MEDLINE) were searched between 2010 to 2022. The major inclusion criteria for studies were in accordance with the PICO (Population, Intervention, Comparison, and Outcome) approach.
Searches conducted in the databases identified 1195 papers, among which 30 were identified as eligible for the review. The most interesting characteristics of the BCSSs were the predominant use of primary task support principles, followed by dialogue support and credibility support and the sparing use of social support principles. Theories of behavior change such as the Social Cognitive Theory and Self-Efficacy Theory were used often to underpin these systems. However, significant trends in the use of persuasive system features on par with behavior change theories could not be established from the reviewed studies. This points to the fact that there is still no theoretical consensus on how best to design interventions to promote behavior change in patients with CHD.
Our results highlight key software features for designing BCSSs for the prevention and management of CHD. We encourage designers of behavior change interventions to evaluate the techniques that contributed to the success of the intervention. Future research should focus on evaluating the effectiveness of the interventions, persuasive design principles, and behavior change theories using research methodologies such as meta-analysis.
行为改变支持系统（BCSSs）有潜力帮助人们维持健康的生活方式，并辅助冠心病（CHD）的自我管理。说服性系统设计（PSD）模型是一个用于设计和评估旨在利用信息和通信技术支持生活方式改变和健康行为改变的系统的框架。然而，冠心病BCSSs背后潜在设计原则的证据在文献中尚未得到广泛报道。
本范围综述旨在识别现有的冠心病健康BCSSs，报告这些系统的特征，并基于PSD框架描述这些系统的说服情境和说服性设计原则。
按照PRISMA-ScR（系统评价和Meta分析扩展的范围综述的首选报告项目）指南，在2010年至2022年期间对3个数字数据库（Scopus、科学网和MEDLINE）进行了检索。研究的主要纳入标准符合PICO（人群、干预、对照和结局）方法。
在数据库中进行的检索识别出1195篇论文，其中30篇被确定符合综述要求。BCSSs最有趣的特征是主要使用主要任务支持原则，其次是对话支持和可信度支持，而社会支持原则的使用较少。行为改变理论，如社会认知理论和自我效能理论，经常被用来支撑这些系统。然而，从综述研究中无法确定与行为改变理论相当的说服性系统特征使用的显著趋势。这表明在如何最好地设计干预措施以促进冠心病患者的行为改变方面，仍然没有理论上的共识。
我们的结果突出了为冠心病预防和管理设计BCSSs的关键软件特征。我们鼓励行为改变干预措施的设计者评估促成干预成功的技术。未来的研究应集中于使用荟萃分析等研究方法评估干预措施的有效性、说服性设计原则和行为改变理论。
