IF:7+|个性化移动健康干预APP的用户页面设计机制

The World Health Organization identifies unhealthy behaviors, such as smoking, as significant risk factors contributing to mortality and morbidity, underscoring the necessity to adopt healthier habits. The increasing prevalence of health applications (apps) presents opportunities for promoting healthier lifestyles. Notably, personalized mobile health (mHealth) interventions can enhance user engagement and their effectiveness. Our scoping review aims to contribute to guide the personalization of mHealth interventions for health behavior change by defining which mechanisms should be favored for a given user profile. Online databases were searched to identify articles published between 2008 and 2024 describing the topic of personalization, behavior change apps, and mobile app mechanisms. Of 1806 articles identified, 18 articles were retained. We then categorized the mechanisms and user profiles described in the selected articles into existing taxonomies. Finally, the relationship between the user profiles and mechanisms were reported. The four user profiles identified included personality and gamer profiles. Twenty-one mechanisms extracted from the articles were categorized as behavioral change techniques, gamification, or mobile app mechanisms, with limited numbers of preference relations between mechanisms and user profiles. The relation matrix was not complete and covered only 51% of possible relations: game mechanisms, 30%; behavioral change techniques, 16%; and app mechanisms, 5%. Two user profiles, the Big Five (18%) and Hexad scale (20%), covered 38% of relations, whereas the two remaining user profiles contributed to the remaining 13%. Social mechanisms, including competition, cooperation, and social comparison, exhibit strong connections to user profiles and are pivotal in persuasive system design. Self-efficacy theory links mechanisms such as self-monitoring, social persuasion, and rewards to behavior change. However, only 51% of potential relationships between profiles and mechanisms were identified. Adapting mHealth content based on user profiles requires reliable personality assessments and privacy-conscious data collection to enable personalized, profile-specific interventions for improved outcomes.
世界卫生组织将吸烟等不健康行为列为导致死亡和疾病负担的重要危险因素,这凸显了采取更健康生活习惯的必要性。健康类应用程序(App)的日益普及为推广健康生活方式提供了契机。值得注意的是,个性化移动健康(mHealth)干预能够提升用户参与度与干预效果。
本范围综述旨在通过明确针对特定用户特征应优先采用哪些作用机制,为面向健康行为改变的移动健康干预个性化设计提供指导。我们检索了在线数据库,筛选 2008—2024 年间发表的、涉及个性化、行为改变应用程序及移动应用机制的文献。
在检索到的 1806 篇文献中,最终纳入 18 篇。我们将纳入文献中描述的作用机制与用户特征归入现有分类体系,并报告用户特征与机制之间的关联。
研究识别出 4 类用户特征,包括人格特征与游戏化用户特征。从文献中提取的 21 种机制被归类为行为改变技术、游戏化机制或移动应用机制,但机制与用户特征之间的偏好关联数量有限。关联矩阵并不完整,仅覆盖 51% 的可能关联:其中游戏化机制占 30%,行为改变技术占 16%,应用机制占 5%。
大五人格(18%)与 Hexad 量表(20%)这两类用户特征覆盖了 38% 的关联,其余两类用户特征贡献了剩余 13% 的关联。包括竞争、合作与社会比较在内的社会机制与用户特征呈现强关联,在说服性系统设计中具有关键作用。自我效能理论将自我监测、社会劝说、奖励等机制与行为改变联系起来。
然而,用户特征与机制之间仅有 51% 的潜在关联被识别。基于用户特征调整移动健康内容需要可靠的人格评估与注重隐私的数据收集,以实现针对性的个性化干预,进而提升干预效果。
https://journals.plos.org/digitalhealth/article?id=10.1371/journal.pdig.0000978
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