使用数字媒体平台改善弱势家庭健康行为的参与和可接受性:卡塔尔世界杯8强波胆分析系统评价%A Eppes, elisabeth V %A Augustyn,Marycatherine %A Gross,Susan M %A Vernon,Paris %A Caulfield,Laura E %A Paige,David M %+约翰霍普金斯大学布隆伯格公共卫生学院人口、家庭和生殖健康系，马里兰州巴尔的摩市沃尔夫街615号，21205，美国，1484 467 3121，elisabet.eppes@gmail.com %K短信%K社交媒体%K手机应用程序%K低收入%K参与%K健康促进%K社区%K营养和身体活动%K怀孕%K母乳喂养%K母婴健康%K手机%D 2023 %7 3.2.2023 %9回顾%J J医学互联网研究%G英语%X背景:在过去十年中，使用数字通信平台改善健康行为的情况急剧增加。公共卫生从业人员采用了数字通信技术，如短信、移动应用程序和社交媒体，以接触不同的人群。然而，社区服务机构使用的数字通信平台的有效性尚不清楚，并且尚未研究不同平台的参与模式和可接受性。目的:本综述旨在确定社区服务组织用于促进健康行为的数字通信策略的类型，评估健康行为改变的证据强度，并描述消费者对这些策略的参与程度和可接受性。研究人群包括低收入孕妇、幼儿父母和青少年。方法:采用PubMed、Scopus、Web of Science、CINAHL和APA PsycInfo，根据PRISMA(首选系统评价和荟萃分析报告项目)指南进行系统评价，涵盖2009年至2022年的研究。如果研究调查了数字通信(即短信、移动应用程序或社交媒体)在目标人群中促进健康行为的使用情况，则将其纳入研究。偏倚风险和证据强度分别使用有效公共卫生实践项目偏倚风险工具和卫生保健研究与质量机构的标准进行评估。 Results: Twenty-three peer-reviewed research studies published between 2012 and 2022, conducted in the United States, the United Kingdom, and Australia, were included in the review. The sample comprised studies exploring the use of texting (n=12), apps (n=6), social media (n=3), and multiple platforms (n=2; eg, texting and mobile apps). Targeted health behaviors included healthy diet, physical activity, obesity prevention, healthy pregnancy, breastfeeding, vaccine use, smoking cessation, and nutrition benefit redemption. The sample included 8 randomized controlled trials, 6 pretest-posttest design, 3 mixed methods studies, 2 pilot studies, 1 feasibility study, 1 prospective cohort study, 1 descriptive study, and 1 cross-sectional study. The median sample size was 77.5. There was no strong evidence to suggest the effectiveness of digital media campaigns in improving health behaviors; however, there were moderate to high levels of engagement and high levels of acceptability across digital platforms. Conclusions: Low-income pregnant women, parents of young children, and adolescents demonstrated moderate levels of engagement with and high levels of acceptability of digital media health campaigns conducted by community-serving agencies. The effectiveness of these strategies in improving health behaviors was inconclusive. Additional rigorous studies with larger sample sizes are required. In addition, more research is required to consistently measure and report participants’ engagement with each platform. Digital communication platforms are critical tools for public health practitioners, and future investigations of the effectiveness of these platforms in engaging clients and improving health behaviors will maximize client services. %M 36735286 %R 10.2196/40934 %U //www.mybigtv.com/2023/1/e40934 %U https://doi.org/10.2196/40934 %U http://www.ncbi.nlm.nih.gov/pubmed/36735286