Using virtual representations in mHealth application interventions for health-related behaviour change: A systematic review (Preprint)

2021 ◽  
Author(s):  
Lauren Taylor ◽  
Hannah Ranaldi ◽  
Aliya Amirova ◽  
Louisa Zhang ◽  
Ayan Ahmed ◽  
...  
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Empirical Studies ◽  
Health Behaviours ◽  
Cochrane Library ◽  
Self Monitoring ◽  
Mobile Health Application ◽  
Health Related ◽  
Health Application ◽  
Health Related Behaviour

UNSTRUCTURED Many mobile health application interventions include virtual representations of the self in varying forms, such as agents, or avatars to initiate behaviour change. This review aimed to determine: (i) which virtual representations and digital features are effective in mHealth application interventions, and (ii) whether if any studies implemented specific mechanisms (the psychological causes of change) and BCTs implemented to influence positive behaviour change were identified. Following PRISMA guidelines, a narrative systematic review of empirical studies from ten different databases (ranging from MEDLINE to Cochrane Library) from inception to October 2021, published from any time point, which included a virtual representation mHealth app intervention that addressed and reported a variety of outcome health behaviours. Out of the 2,579 original hits, five eligible studies (total participants = 509), with low to moderate quality were included. It was found that customisable avatar or agent-based interventions that included mechanisms such as motivation, feedback, self-image, and BCTs such as goal setting, and self-monitoring were effective in encouraging behaviour change and app adherence. However, there is limited evidence available to determine to which these influences are a result of the virtual representations, or the intervention design.

Does planning how to cope with anticipated barriers facilitate health-related behaviour change? A systematic review

2013 ◽  
Vol 7 (2) ◽  
pp. 129-145 ◽  
Author(s):  
Dominika Kwasnicka ◽  
Justin Presseau ◽  
Martin White ◽  
Falko F. Sniehotta
Keyword(s):  
Systematic Review ◽  
Behaviour Change ◽  
Health Related ◽  
Health Related Behaviour

scholarly journals Social media use informing behaviours related to physical activity, diet and quality of life during COVID-19: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Victoria A. Goodyear ◽  
Ian Boardley ◽  
Shin-Yi Chiou ◽  
Sally A. M. Fenton ◽  
Kyriaki Makopoulou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Media ◽  
Behaviour Change ◽  
Media Use ◽  
Contextual Factors ◽  
Health Behaviours ◽  
Social Media Use ◽  
Health Related ◽  
Health Related Behaviour

Abstract Background This mixed methods study explored how social media use informed physical activity and diet-related behaviours, and self-perceived Quality of Life (QoL) during COVID-19, and assessed the contextual factors that drive social media use for health-related behaviour change in diverse groups. During the COVID-19 lockdown periods there were reported changes to social media use and health behaviours, and this gave an opportunity to investigate potential relationships. Methods An explanatory sequential research design of two parts was used: (1) An online survey that assessed social media use in relation to physical activity levels, diet quality and QoL (n = 786; Mage 45.1 ± 19.1 (range 16–88) years; Female =69%); (2) 20 purposive focus groups (n = 69; Mage = 52.88 ± 18.45 years, Female n = 68%) to understand the contextual factors that drive social media use for health-related behaviour change. Descriptive and thematic analysis were conducted. Results Participants in this study reported that social media facilitated the self-management of behaviours related to physical activity, diet and QoL, through access to information to inform workouts and dietary quality, and the opportunities for interaction with peers, family members and within social groups. Contextual factors including work, home and lifestyle arrangements, pre-existing health-related knowledge and behaviours, and the perceived value of social media for health influenced the relationship between social media use and self-reported outcomes. Social media influencers, peers/family members, and official organisations influenced the application of health-related information accessed via social media. Conclusions The evidence shows that participants were critical users of social media and were able to use social media to derive benefit for their health and wellbeing. Detailed guidance for those who use social media, as well as those who recommend and endorse social media content is required to maximise the potential of social media to support health behaviours. Future public health strategies and social media interventions should acknowledge diversity in contextual factors driving social media use for health behaviour change.

scholarly journals HEALTH-RELATED BEHAVIOUR IN ADOLESCENTS WHO HAVE RECEIVED BASIC INSTRUCTION IN HEALTH PROMOTION

2019 ◽  
Vol 72 (1) ◽  
pp. 12-16
Author(s):  
Ruslan V. Tekliuk ◽  
Ihor V. Serheta ◽  
Oksana A. Serebrennikova
Keyword(s):  
Health Promotion ◽  
Secondary Schools ◽  
Risk Taking ◽  
Health Behaviours ◽  
Positive Health ◽  
Future Health ◽  
Significant Relationships ◽  
Health Related ◽  
Risky Behaviours ◽  
Health Related Behaviour

Introduction: Both positive and risky health behaviours among adolescents are of paramount importance as they often pathway further lifestyles and determine future health outcomes. The paper focuses on the trends of health promotion activities and health risks among adolescents who have been instructed on these topics at secondary schools. The aim: to detect trends in pro-active health behaviour and risk taking activities of Ukrainian adolescents in the last 14 years. Materials and methods: males and females, aged 15-17, who studied in secondary schools of the urban area of Vinnytsia city, Ukraine, in the years 2003, 2013, 2017, anonymously filled in the 118-item questionnaire. Descriptive statistics, Cochran Q test, Spearman correlation analysis, Kendall’s tau coefficient were used to analyze the data. Results: Overall, the data about health related issues obtained in the year 2003 vary significantly from the years 2013 and 2017, which indicates some beneficial influence that has taken place since 2003. Much fewer differences were spotted between the years 2013 and 2017. Health related behaviours in females showed less significant dynamics and some changes indicate regression, while males reported multiple improved results. Meanwhile actual numbers of males who opted for risky behaviours were higher than those of females. Significant relationships were found between some socio-economic factors, positive health behaviours (sufficient sleep, physical activity, daily regime, and life satisfaction) and proactive health choices. Conclusions: The available data suggests that there was a beneficial health-related influence on the schoolchildren over the years 2003-2017. Our findings also support the view that certain assets may protect the youth from risk-taking behaviours.

scholarly journals Understanding self-guided online educational platforms for patients with chronic health conditions: A systematic review of platforms’ features and adherence (Preprint)

2020 ◽  
Author(s):  
Li Feng Xie ◽  
Alexandra Itzkovitz ◽  
Amelie Roy-Fleming ◽  
Deborah Da Costa ◽  
Anne-Sophie Brazeau
Keyword(s):  
Systematic Review ◽  
Online Education ◽  
Clinical Outcomes ◽  
Chronic Diseases ◽  
Goal Setting ◽  
Cochrane Library ◽  
Self Monitoring ◽  
Chronic Respiratory Diseases ◽  
Online Platforms ◽  
Cochrane Reviews

BACKGROUND Chronic diseases contribute to 71% of deaths worldwide every year and an estimated 15 million people between the ages of 30 to 69 years die mainly due to cardiovascular disease, cancer, chronic respiratory diseases, or diabetes. Online education platforms may offer numerous health benefits on disease management and on related health consequences. It is also considered to be a flexible, lower cost method to deliver tailored information to patients. Previous studies concluded that the implementation of different features and degree of adherence to the platform are key factors in determining the success of the intervention. However, limited research has been done to understand the level of acceptability of the specific features and user adherence to self-guided online platforms. OBJECTIVE The aims of this systematic review are to understand how online platforms features are evaluated, to investigate which features have the greatest and lowest level of acceptability and to describe how adherence to online self-guided platforms is defined and measured. METHODS Studies published on self-guided online education platforms for people (≥14 years old) with chronic diseases published between January 2005 to June 2019 were reviewed following the PRISMA Statement protocol. The search was done using the databases of PubMed and Cochrane Library: Cochrane Reviews. The comparison of the interventions and analysis of the features were based on the published content from the selected articles. RESULTS A total of fifteen studies were included. Seven principal features were identified with goal setting, self-monitoring, and feedback being the most frequently used. The level of acceptability of the different features was measured based on the comments collected from users, their association with clinical outcomes and/or device adherence. The use of quizzes was positively reported by participants. Self-monitoring, goal setting, feedback, and discussion forums had mixed results. The negative acceptability was mainly related to the choice of the discussion topic, lack of face-to-face contact, and technical issues. This review also showed that evaluation of adherence to educational platform was inconsistent among the studies therefore limiting comparison. A clear definition of adherence to the platform is lacking. CONCLUSIONS This review suggests that features related to interaction and personalization provide better clinical outcomes and positive users’ experience. The negatively reported features were mainly related to not targeting the population’s needs, low human involvement within the platform, and technical barriers. Only six studies reported the level of acceptability of their features on users’ experience, clinical outcomes or device adherence, which highlights the needs for further studies. There is a lack of consensus on the method used for measuring the level of adherence to the platform, therefore we suggest to use a standardized framework to measure adherence.

scholarly journals Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis

2019 ◽  
Author(s):  
J P Sheppard ◽  
K L Tucker ◽  
W J Davison ◽  
R Stevens ◽  
W Aekplakorn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
High Intensity ◽  
Individual Patient Data ◽  
Meta Analysis ◽  
Patient Data ◽  
Cochrane Library ◽  
Self Monitoring ◽  
Co Morbidity

Abstract BACKGROUND Studies have shown that self-monitoring of blood pressure (BP) is effective when combined with co-interventions, but its efficacy varies in the presence of some co-morbidities. This study examined whether self-monitoring can reduce clinic BP in patients with hypertension-related co-morbidity. METHODS A systematic review was conducted of articles published in Medline, Embase, and the Cochrane Library up to January 2018. Randomized controlled trials of self-monitoring of BP were selected and individual patient data (IPD) were requested. Contributing studies were prospectively categorized by whether they examined a low/high-intensity co-intervention. Change in BP and likelihood of uncontrolled BP at 12 months were examined according to number and type of hypertension-related co-morbidity in a one-stage IPD meta-analysis. RESULTS A total of 22 trials were eligible, 16 of which were able to provide IPD for the primary outcome, including 6,522 (89%) participants with follow-up data. Self-monitoring was associated with reduced clinic systolic BP compared to usual care at 12-month follow-up, regardless of the number of hypertension-related co-morbidities (−3.12 mm Hg, [95% confidence intervals −4.78, −1.46 mm Hg]; P value for interaction with number of morbidities = 0.260). Intense interventions were more effective than low-intensity interventions in patients with obesity (P < 0.001 for all outcomes), and possibly stroke (P < 0.004 for BP control outcome only), but this effect was not observed in patients with coronary heart disease, diabetes, or chronic kidney disease. CONCLUSIONS Self-monitoring lowers BP regardless of the number of hypertension-related co-morbidities, but may only be effective in conditions such obesity or stroke when combined with high-intensity co-interventions.

scholarly journals Self-efficacy for health-related behaviour change in patients with TIA or minor ischemic stroke

2018 ◽  
Vol 33 (12) ◽  
pp. 1490-1501 ◽  
Author(s):  
Dorien Brouwer-Goossensen ◽  
Lenneke van Genugten ◽  
Hester F. Lingsma ◽  
Diederik W. J. Dippel ◽  
Peter J. Koudstaal ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Behaviour Change ◽  
Self Efficacy ◽  
Minor Ischemic Stroke ◽  
Health Related ◽  
Health Related Behaviour
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