Persuasive technology and behaviour change in parent-focused eHealth interventions supporting child health: A scoping review protocol

Silva, Melinda E.; Graham, Fiona; Levack, William; Hay‐Smith, Jean

doi:10.15619/nzjp/47.1.05

Cited by 9 publications

(3 citation statements)

References 53 publications

(68 reference statements)

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“…A protocol for this scoping review was published elsewhere [ 34 ]. Consistent with the iterative and responsive nature of scoping reviews [ 33 ], three variations from the protocol are noted.…”

Section: Methodsmentioning

confidence: 99%

Exploring the Use of the Behavior Change Technique Taxonomy and the Persuasive System Design Model in Defining Parent-Focused eHealth Interventions: Scoping Review

Silva¹,

Hay‐Smith²,

Graham³

2023

J Med Internet Res

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Background Taxonomies and models are useful tools for defining eHealth content and intervention features, enabling comparison and analysis of research across studies and disciplines. The Behavior Change Technique Taxonomy version 1 (BCTTv1) was developed to decrease ambiguity in defining specific characteristics inherent in health interventions, but it was developed outside the context of digital technology. In contrast, the Persuasive System Design Model (PSDM) was developed to define and evaluate the persuasive content in software solutions but did not have a specific focus on health. Both the BCTTv1 and PSDM have been used to define eHealth interventions in the literature, with some researchers combining or reducing the taxonomies to simplify their application. It is unclear how well the taxonomies accurately define eHealth and whether they should be used alone or in combination. Objective This scoping review explored how the BCTTv1 and PSDM capture the content and intervention features of parent-focused eHealth as part of a program of studies investigating the use of technology to support parents with therapy home programs for children with special health care needs. It explored the active ingredients and persuasive technology features commonly found in parent-focused eHealth interventions for children with special health care needs and how the descriptions overlap and interact with respect to the BCTTv1 and PSDM taxonomies. Methods A scoping review was used to clarify concepts in the literature related to these taxonomies. Keywords related to parent-focused eHealth were defined and used to systematically search several electronic databases for parent-focused eHealth publications. Publications referencing the same intervention were combined to provide comprehensive intervention details. The data set was coded using codebooks developed from the taxonomies in NVivo (version 12; QSR International) and qualitatively analyzed using matrix queries. Results The systematic search found 23 parent-focused eHealth interventions described in 42 articles from various countries; delivered to parents with children aged 1 to 18 years; and covering medical, behavioral, and developmental issues. The predominant active ingredients and intervention features in parent-focused eHealth were concerned with teaching parents behavioral skills, encouraging them to practice and monitor the new skills, and tracking the outcomes of performing the new skills. No category had a complete set of active ingredients or intervention features coded. The two taxonomies conceptually captured different constructs even when their labels appeared to overlap in meaning. In addition, coding by category missed important active ingredients and intervention features. Conclusions The taxonomies were found to code different constructs related to behavior change and persuasive technology, discouraging the merging or reduction of the taxonomies. This scoping review highlighted the benefit of using both taxonomies in their entirety to capture active ingredients and intervention features important for comparing and analyzing eHealth across different studies and disciplines. International Registered Report Identifier (IRRID) RR2-doi.org/10.15619/nzjp/47.1.05

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Section: Methodsmentioning

confidence: 99%

Exploring the Use of the Behavior Change Technique Taxonomy and the Persuasive System Design Model in Defining Parent-Focused eHealth Interventions: Scoping Review

Silva¹,

Hay‐Smith²,

Graham³

2023

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

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“… 39 However, there are more than 80 behaviour change theories for researchers and developers to choose from, 40 and it can be challenging to choose the most efficacious theory. 41 …”

Section: Background and Related Workmentioning

confidence: 99%

The behaviour change behind a successful pilot of hypoglycaemia reduction with HYPO-CHEAT

et al. 2023

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Background Children with hypoglycaemia disorders, such as congenital hyperinsulinism (CHI), are at constant risk of hypoglycaemia (low blood sugars) with the attendant risk of brain injury. Current approaches to hypoglycaemia detection and prevention vary from fingerprick glucose testing to the provision of continuous glucose monitoring (CGM) to machine learning (ML) driven glucose forecasting. Recent trends for ML have had limited success in preventing free-living hypoglycaemia, due to a focus on increasingly accurate glucose forecasts and a failure to acknowledge the human in the loop and the essential step of changing behaviour. The wealth of evidence from the fields of behaviour change and persuasive technology (PT) allows for the creation of a theory-informed and technologically considered approach. Objectives We aimed to create a PT that would overcome the identified barriers to hypoglycaemia prevention for those with CHI to focus on proactive prevention rather than commonly used reactive approaches. Methods We used the behaviour change technique taxonomy and persuasive systems design models to create HYPO-CHEAT (HYpoglycaemia-Prevention-thrOugh-Cgm-HEatmap-Assisted-Technology): a novel approach that presents aggregated CGM data in simple visualisations. The resultant ease of data interpretation is intended to facilitate behaviour change and subsequently reduce hypoglycaemia. Results HYPO-CHEAT was piloted in 10 patients with CHI over 12 weeks and successfully identified weekly patterns of hypoglycaemia. These patterns consistently correlated with identifiable behaviours and were translated into both a change in proximal fingerprick behaviour and ultimately, a significant reduction in aggregated hypoglycaemia from 7.1% to 5.4% with four out of five patients showing clinically meaningful reductions in hypoglycaemia. Conclusions We have provided pilot data of a new approach to hypoglycaemia prevention that focuses on proactive prevention and behaviour change. This approach is personalised for individual patients with CHI and is a first step in changing our approach to hypoglycaemia prevention in this group.

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“…The following databases were employed: PsychINFO, MEDLINE (PubMed), Google Scholar, Scopus, Web of Science, and WorldCat. References from selected articles and past literature review articles were also examined to identify potential sources that may have met criteria for this review 39,40,45,46 .…”

Section: Literature Searchmentioning

confidence: 99%

The Use of Non-Commercial Parent-Focused mHealth Interventions for Youth Behavior Problems: A Systematic Review (Preprint)

Magnuson,

Li,

Beuley

et al. 2023

JMIR mHealth and uHealth

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Background: Adolescent substance use rates are staggering, and current treatment options are often lacking integration of parentfocused interventions, despite evidence that effective parenting practices can mediate adolescent substance use treatment outcomes. Accessibility challenges and other barriers to parental interventions may be mitigated through mHealth; however, there are few mHealth platforms that target adolescent substance use through the implementation of behavioral parent training strategies.Objective: The present study seeks to review current mHealth platforms within empirical literature designed to increase effective parenting through behavioral parent training techniques. Because of the paucity of mHealth modalities that target adolescent substance use through parenting strategies, this study adapted to review mHealth platforms that address child behavior problems as parent-targeted treatment for these clinical presentations overlap with those of adolescent substance use. Overall, the systematic review was conducted to inform future development of parent-focused mHealth apps for parents of youth engaged in substance misuse, improve accessibility, and align with parental needs and desires for treatment.Methods: A systematic review was conducted using the PRISMA method across several databases. Each study was assessed for relevance and the determined inclusion criteria. Once identified as appropriate for inclusion, each study was reviewed for demographics, medium of delivery, standalone or enhancement to treatment, mobile device used, mental health condition, intervention used, theory of intervention, theory of behavior change in design, behavior change techniques, parent training techniques, youth outcomes, parent outcomes, visual design, content, and features. Results:Demographics ranged across studies. Most studies integrated social learning theory. Few studies discussed behavior change theories embedded in the mHealth treatment content; however, many studies described behavior change techniques utilized to encourage change in parental behaviors. Many mHealth studies tailored design features to the end user and integrated varying behavioral parent training techniques. Visual design was rated for studies that provided an image of the mHealth layout. Preliminary evaluation of treatment outcomes suggests positive impact of parent-targeted mHealth interventions for youth and parents.Conclusions: While features and techniques are references, few studies provide specific information related to behavior change theory, visual design, and translation of parent-targeted interventions to mHealth platforms. Such information would be useful for the development of future mHealth applications. Preliminary youth and parent outcomes are encouraging, though future studies should consider a meta-analysis as the studies expand to determine aggregate statistical findings. Additional future directions, limitations, and strengths are discussed.

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Persuasive technology and behaviour change in parent-focused eHealth interventions supporting child health: A scoping review protocol

Cited by 9 publications

References 53 publications

Exploring the Use of the Behavior Change Technique Taxonomy and the Persuasive System Design Model in Defining Parent-Focused eHealth Interventions: Scoping Review

Exploring the Use of the Behavior Change Technique Taxonomy and the Persuasive System Design Model in Defining Parent-Focused eHealth Interventions: Scoping Review

The behaviour change behind a successful pilot of hypoglycaemia reduction with HYPO-CHEAT

The Use of Non-Commercial Parent-Focused mHealth Interventions for Youth Behavior Problems: A Systematic Review (Preprint)

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