Behavior Change Techniques and the Effects Associated With Digital Behavior Change Interventions in Sedentary Behavior in the Clinical Population: A Systematic Review.

Autor:	Martín-Martín J; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Faculty of Medicine, Department of Human Anatomy, Legal Medicine and History of Science, Legal Medicine Area, University of Malaga, Malaga, Spain., Roldán-Jiménez C; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., De-Torres I; Physical Medicine and Rehabilitation Unit, Regional University Hospital of Malaga, Malaga, Spain., Muro-Culebras A; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., Escriche-Escuder A; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., Gonzalez-Sanchez M; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., Ruiz-Muñoz M; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., Mayoral-Cleries F; Instituto de Investigación Médica de Málaga, IBIMA, Malaga, Spain.; Mental Health Unit, Regional University Hospital of Malaga, Malaga, Spain., Biró A; ITWare, Budapest, Hungary., Tang W; Faculty of Science and Technology, Bournemouth University, Poole, United Kingdom., Nikolova B; Arthaus, Production Trade and Service Company Arthaus Doo Import-Export Skopje, Skopje, Macedonia., Salvatore A; Sensor ID Snc, Boiano, Italy., Cuesta-Vargas AI; Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; Grupo de Clinimetria (FE-14), Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.; School of Clinical Science, Faculty of Health Science, Queensland University Technology, Brisbane, QLD, Australia.
Jazyk:	angličtina
Zdroj:	Frontiers in digital health [Front Digit Health] 2021 Jul 08; Vol. 3, pp. 620383. Date of Electronic Publication: 2021 Jul 08 (Print Publication: 2021).
DOI:	10.3389/fdgth.2021.620383
Abstrakt:	Background: Sedentary behavior (SB) negatively impact health and is highly prevalent in the population. Digital behavior change interventions (DBCIs) have been developed to modify behaviors such as SB by technologies. However, it is unknown which behavior change techniques (BCTs) are most frequently employed in SB as well as the effect associated with DBCIs in this field. The aim of this systematic review was: (a) to evaluate the BCT most frequently employed in digital health including all technologies available and interventions aimed at increasing physical activity (PA), reducing sedentary time, and improving adherence to exercise in the clinical population, and (b) to review the effect associated with DBCIs in this field. Methods: The database used was Medline, as well as Scopus, Scielo, and Google Scholar. For the search strategy, we considered versions of behavior/behavioral, mHealth/eHealth/telemedicine/serious game/gamification. The terms related to PA and SB were included, the criteria for inclusion were randomized clinical trials (RCTs), adults, intervention based on digital media, and outcome variable lifestyle modification; a last 5 years filter was included. Michie's Taxonomy was used to identify BCTs. The study was registered under the number PROSPERO CRD42019138681. Results: Eighteen RCTs were included in the present systematic review, 5 of them healthy adults, and 13 of them with some illness. Studies included 2298 sedentary individuals who were followed up for 5 weeks-3 years. The most used BCTs were goal setting, problem solving, review outcomes/goals, feedback on behavior and outcomes of behavior, self-monitoring of behavior, social support, information about health consequences, and behavior practice/rehearsal. The effect associated with DBCIs showed improvements, among several related to PA and physiologic self-reported and anthropometric outcomes. Conclusion: The BCTs most used in digital health to change outcomes related to SB were goals and planning, feedback and monitoring, social support, natural consequences, repetition, and substitution. Besides these findings, DBCIs are influenced by several factors like the type of intervention, patients' preferences and values, or the number of BCTs employed. More research is needed to determine with precision which DBCIs or BCTs are the most effective to reduce SB in the clinical population. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Martín-Martín, Roldán-Jiménez, De-Torres, Muro-Culebras, Escriche-Escuder, Gonzalez-Sanchez, Ruiz-Muñoz, Mayoral-Cleries, Biró, Tang, Nikolova, Salvatore and Cuesta-Vargas.)
Databáze:	MEDLINE
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