TY - JOUR AU - Pedamallu, Havisha AU - Ehrhardt, Matthew J AU - Maki, Julia AU - Carcone, April Idalski AU - Hudson, Melissa M AU - Waters, Erika A PY - 2022 DA - 2022/8/9 TI -技术导向的动机访谈在慢性疾病预防和管理中的适应性:背景:动机访谈(MI)可以增加促进健康的行为，减少危害健康的行为。动机访谈(MI)可以增加促进健康的行为，减少危害健康的行为。然而，人工智能通常是资源密集型的，这使得它无法用于经济或时间资源有限的人。基于健康的移动版心肌梗死干预措施或由技术提供的心肌梗死调整方案可能会扩大覆盖范围。目的:了解现有TAMIs的特点。我们特别感兴趣的是纳入边缘化社会人口群体的人群，TAMI是否涉及社会背景因素，以及如何报告行为和健康结果。方法:我们采用PRISMA(系统评价和荟萃分析首选报告项目)指南进行范围评价。我们从1996年1月1日至2022年4月6日检索PubMed、CINAHL和PsycInfo，以确定描述将心肌梗死纳入移动或电子健康平台的干预措施的研究。为了纳入研究，研究需要(1)描述心肌梗死干预的方法/结果，(2)通过移动或电子健康平台自动提供干预，以及(3)报告行为或健康结果。排除标准是(1)以英语以外的语言发表和(2)仅描述亲自干预交付(即没有TAMI)。 We charted results using Excel (Microsoft Corp). Results: Thirty-four studies reported the use of TAMIs. Sample sizes ranged from 10 to 2069 participants aged 13 to 70 years. Most studies (n=27) directed interventions toward individuals engaging in behaviors that increased chronic disease risk. Most studies (n=22) oversampled individuals from marginalized sociodemographic groups, but few (n=3) were designed specifically with marginalized groups in mind. TAMIs used text messaging (n=8), web-based intervention (n=22), app + text messaging (n=1), and web-based intervention + text messaging (n=3) as delivery platforms. Of the 34 studies, 30 (88%) were randomized controlled trials reporting behavioral and health-related outcomes, 23 of which reported statistically significant improvements in targeted behaviors with TAMI use. TAMIs improved targeted health behaviors in the remaining 4 studies. Moreover, 11 (32%) studies assessed TAMI feasibility, acceptability, or satisfaction, and all rated TAMIs highly in this regard. Among 20 studies with a disproportionately high number of people from marginalized racial or ethnic groups compared with the general US population, 16 (80%) reported increased engagement in health behaviors or better health outcomes. However, no TAMIs included elements that addressed sociocontextual influences on behavior or health outcomes. Conclusions: Our findings suggest that TAMIs may improve some health promotion and disease management behaviors. However, few TAMIs were designed specifically for people from marginalized sociodemographic groups, and none included elements to help address sociocontextual challenges. Research is needed to determine how TAMIs affect individual health outcomes and how to incorporate elements that address sociocontextual factors, and to identify the best practices for implementing TAMIs into clinical practice. SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e35283 UR - https://doi.org/10.2196/35283 UR - http://www.ncbi.nlm.nih.gov/pubmed/35943775 DO - 10.2196/35283 ID - info:doi/10.2196/35283 ER -