Technology-Delivered Adaptations of Motivational Interviewing for the Prevention and Management of Chronic Diseases: Scoping Review

被引:12
作者
Pedamallu, Havisha [1 ]
Ehrhardt, Matthew J. [2 ]
Maki, Julia [1 ]
Carcone, April Idalski [3 ]
Hudson, Melissa M. [2 ]
Waters, Erika A. [4 ,5 ]
机构
[1] Washington Univ St Louis, Dept Surg, Div Publ Hlth Sci, St Louis, MO USA
[2] St Jude Childrens Res Hosp, Dept Oncol, Dept Epidemiol & Canc Control, Memphis, TN USA
[3] Wayne State Univ, Dept Family Med & Publ Hlth Sci, Sch Med, Detroit, MI USA
[4] Washington Univ St Louis, Sch Med, Dept Surg, Div Publ Hlth Sci, St Louis, MO USA
[5] Washington Univ St Louis, Sch Med, Div Publ Hlth Sci, Dept Surg, 600 S Euclid Ave Campus Box 8100, St Louis, MO 63110 USA
关键词
motivational interviewing; technology; telehealth; health behavior; chronic disease; socioeconomic factors; health promotion; disease management; primary prevention; secondary prevention; minority health; RANDOMIZED CONTROLLED-TRIAL; EMERGENCY-DEPARTMENT PATIENTS; SELF-DETERMINATION THEORY; WEB-BASED INTERVENTION; SUBSTANCE USE; ALCOHOL-USE; DRUG-USE; HEALTH; PILOT; ADOLESCENTS;
D O I
10.2196/35283
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Motivational interviewing (MI) can increase health-promoting behaviors and decrease health-damaging behaviors. However, MI is often resource intensive, precluding its use with people with limited financial or time resources. Mobile health-based versions of MI interventions or technology-delivered adaptations of MI (TAMIs) might increase reach. Objective: We aimed to understand the characteristics of existing TAMIs. We were particularly interested in the inclusion of people from marginalized sociodemographic groups, whether the TAMI addressed sociocontextual factors, and how behavioral and health outcomes were reported. Methods: We employed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews to conduct our scoping review. We searched PubMed, CINAHL, and PsycInfo from January 1, 1996, to April 6, 2022, to identify studies that described interventions incorporating MI into a mobile or electronic health platform. For inclusion, the study was required to (1) describe methods/outcomes of an MI intervention, (2) feature an intervention delivered automatically via a mobile or electronic health platform, and (3) report a behavioral or health outcome. The exclusion criteria were (1) publication in a language other than English and (2) description of only in-person intervention delivery (ie, no 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.
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页数:12
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共 73 条
  • [1] Engaging Unmotivated Smokers to Move Toward Quitting: Design of Motivational Interviewing-Based Chatbot Through Iterative Interactions
    Almusharraf, Fahad
    Rose, Jonathan
    Selby, Peter
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2020, 22 (11)
  • [2] Amdie FZ., 2020, WOUNDS INT, V11, P32
  • [3] [Anonymous], LONG TERM FOLL UP GU
  • [4] [Anonymous], CHRONIC DIS
  • [5] [Anonymous], 2012, Motivational Interviewing: Helping People Change
  • [6] [Anonymous], LAT EFF CANC TREATM
  • [7] [Anonymous], MOB FACT SHEET
  • [8] [Anonymous], CANC STAT
  • [9] Does Humanity Matter? Analyzing the Importance of Social Cues and Perceived Agency of a Computer System for the Emergence of Social Reactions during Human-Computer Interaction
    Appel, Jana
    von der Puetten, Astrid
    Kramer, Nicole C.
    Gratch, Jonathan
    [J]. ADVANCES IN HUMAN-COMPUTER INTERACTION, 2012, 2012
  • [10] Arksey H., 2005, International Journal of Social Research Methodology, V8, P19, DOI DOI 10.1080/1364557032000119616