Just-in-Time Adaptive Interventions for Behavior Change in Physiological Health Outcomes and the Use Case for Knee Osteoarthritis: Systematic Review
Fiedler, Janis
1; Bergmann, Matteo Reiner 1; Sell, Stefan 1; Woll, Alexander
1; Stetter, Bernd J.
1
1 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)
1; Bergmann, Matteo Reiner 1; Sell, Stefan 1; Woll, Alexander
1; Stetter, Bernd J.
11 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)
Abstract:
Background: The prevalence of knee osteoarthritis (KOA) in the adult population is high and patients profit from individualized therapy approaches. Just-in-time adaptive interventions (JITAIs) are upcoming digital interventions for behavior change.
Objective: This systematic review summarizes the features and effectiveness of existing JITAIs regarding important physiological health outcomes and derives the most promising features for the use case of KOA.
Methods: The electronic databases PubMed, Web of Science, Scopus, and EBSCO were searched using keywords related to JITAIs, physical activity (PA), sedentary behavior (SB), physical function, quality of life, pain, and stiffness. JITAIs for adults that focused on the effectiveness of at least 1 of the selected outcomes were included and synthesized qualitatively. Study quality was assessed with the Quality Assessment Tool Effective Public Health Practice Project.
Results: A total of 45 studies with mainly weak overall quality were included in this review. The studies were mostly focused on PA and SB and no study examined stiffness. The design of JITAIs varied, with a frequency of decision points from a minute to a day, device-based measured and self-reported tailoring variables, intervention options including audible or vibration prompts and tailored feedback, and decision rules from simple if-then conditions based on 1 variable to more complex algorithms including contextual variables.
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Objective: This systematic review summarizes the features and effectiveness of existing JITAIs regarding important physiological health outcomes and derives the most promising features for the use case of KOA.
Methods: The electronic databases PubMed, Web of Science, Scopus, and EBSCO were searched using keywords related to JITAIs, physical activity (PA), sedentary behavior (SB), physical function, quality of life, pain, and stiffness. JITAIs for adults that focused on the effectiveness of at least 1 of the selected outcomes were included and synthesized qualitatively. Study quality was assessed with the Quality Assessment Tool Effective Public Health Practice Project.
Results: A total of 45 studies with mainly weak overall quality were included in this review. The studies were mostly focused on PA and SB and no study examined stiffness. The design of JITAIs varied, with a frequency of decision points from a minute to a day, device-based measured and self-reported tailoring variables, intervention options including audible or vibration prompts and tailored feedback, and decision rules from simple if-then conditions based on 1 variable to more complex algorithms including contextual variables.
... mehr
| Zugehörige Institution(en) am KIT | Institut für Sport und Sportwissenschaft (IfSS) |
| Publikationstyp | Zeitschriftenaufsatz |
| Publikationsdatum | 27.09.2024 |
| Sprache | Englisch |
| Identifikator | ISSN: 1438-8871, 1439-4456 KITopen-ID: 1000175057 |
| Erschienen in | Journal of Medical Internet Research |
| Verlag | JMIR Publications |
| Band | 26 |
| Seiten | e54119 |
| Schlagwörter | eHealth, application, applications, digital health, digital technology, digital intervention, digital interventions, physical activity, sedentary behavior, sedentary lifestyle, pain, physical function, quality of life, knee osteoarthritis, osteopathy, bone, arthritis, mobile phone, individualization |
| Nachgewiesen in | Dimensions Scopus OpenAlex Web of Science |