Context: Cross-site scripting (XSS) is a security vulnerability that affects web applications. It occurs due to improper or lack of sanitization of user inputs. The security vulnerability caused many problems for users and server applications. Objective: To conduct a systematic literature review on the studies done on XSS vulnerabilities and attacks. Method: We followed the standard guidelines for systematic literature review as documented by Barbara Kitchenham and reviewed a total of 115 studies related to cross-site scripting from various journals and conference proceedings. Results: Research on XSS is still very active with publications across many conference proceedings and journals. Attack prevention and vulnerability detection are the areas focused on by most of the studies. Dynamic analysis techniques form the majority among the solutions proposed by the various studies. The type of XSS addressed the most is reflected XSS. Conclusion: XSS still remains a big problem for web applications, despite the bulk of solutions provided so far. There is no single solution that can effectively mitigate XSS attacks. More research is needed in the area of vulnerability removal from the source code of the applications before deployment.
Background
Pelvic floor muscle training (PFMT) is one of the first-line treatments for stress urinary incontinence among pregnant women. Mobile health (mHealth) technology is potentially effective for delivering PFMT to pregnant women. Persuasive technology in the development of such mobile apps may facilitate behavior change by improving adherence to the exercises. The Capability, Opportunity, and Motivation–Behavior (COM-B) model is potentially useful in selecting the appropriate interventions to be incorporated into the apps.
Objective
This review of mHealth apps for PFMT aims to describe the principles of persuasion used for each app and to propose mHealth app design features based on the COM-B model.
Methods
A systematic literature search was conducted to answer three main research questions: what are the available mHealth apps for PFMT in the published literature, what persuasive strategies were used in their studies how were they mapped to the COM-B model, and how effective were the selected persuasive strategies for PFMT adherence? We searched PubMed, CINAHL, Web of Science, Scopus, and local Malaysian databases such as MyCite and MyMedR for articles reporting mHealth apps used for the delivery of PFMT. We included original articles reporting experimental and cross-sectional studies, including pilot or feasibility trials. Systematic and narrative reviews were excluded. Narrative and thematic syntheses were conducted on the eligible articles based on the research questions. The Cochrane risk of bias tool and the Risk of Bias Assessment Tool for Non-randomized Studies were used to assess study bias.
Results
Of the 169 records from the initial search, 10 (5.9%) articles meeting the selection criteria were included in this review. There were 8 mHealth apps designed for the delivery of PFMT. The Tät, which used 3 categories of persuasive system design, improved PFMT adherence and was cost-effective. Only 1 app, the iBall app, used all categories of persuasive system design, by including social support such as "competition" in its design. The Diário Saúde app was the only app developed using operant conditioning. All apps incorporated Tailoring and Expertise as part of their PSD strategies. Only 3 apps, the Diário Saúde, Tät, and Pen Yi Kang demonstrated improved PFMT adherence.
Conclusions
Persuasive technology used in mobile apps may target desired behavior change more effectively. The persuasive system design can be mapped to the COM-B model to explain its effectiveness on behaviour change outcomes.
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