A systematic review of the behaviour change techniques and digital features in technology-driven type 2 diabetes prevention interventions.
Systematic review
diabetes prevention
diet
digital health
health behaviour change
physical activity
type 2 diabetes
weight loss
Journal
Digital health
ISSN: 2055-2076
Titre abrégé: Digit Health
Pays: United States
ID NLM: 101690863
Informations de publication
Date de publication:
Historique:
received:
04
12
2019
accepted:
21
02
2020
entrez:
10
4
2020
pubmed:
10
4
2020
medline:
10
4
2020
Statut:
epublish
Résumé
Our aim was to conduct a systematic review to determine which technology-driven diabetes prevention interventions were effective in producing clinically significant weight loss, and to identify the behaviour change techniques and digital features frequently used in effective interventions. We searched five databases (CINAHL, EMBASE, MEDLINE, PsychINFO, and Pubmed) from inception to September 2018 and reviewed 19 experimental and non-experimental studies of 21 technology-driven diet plus physical activity interventions for adults (≥18 years) at risk of developing type 2 diabetes. Behaviour change techniques were coded using the BCT taxonomy v1, and digital features were identified via thematic analysis of intervention descriptions. Sixty-three per cent of interventions were effective in the short term (achieving ≥3% weight loss at ≤6 months), using an average of 5.6 more behaviour change techniques than non-effective interventions, and 33% were effective in the long term (achieving ≥5% weight loss at ≥12 months), using 3.7 more behaviour change techniques than non-effective interventions. The techniques of social support (unspecified), goal setting (outcome/behaviour), feedback on behaviour, and self-monitoring of outcome(s) of behaviour were identified in over 90% of effective interventions. Interventions containing digital features that facilitated health and lifestyle education, behaviour/outcome tracking, and/or online health coaching were most effective. The integration of specific behaviour change techniques and digital features may optimise digital diabetes prevention interventions to achieve clinically significant weight loss. Additional research is needed to identify the mechanisms in which behaviour change techniques and digital features directly influence physical activity, dietary behaviours, and intervention engagement.
Identifiants
pubmed: 32269830
doi: 10.1177/2055207620914427
pii: 10.1177_2055207620914427
pmc: PMC7093696
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
2055207620914427Informations de copyright
© The Author(s) 2020.
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