Abstract：
BACKGROUND: Behavior change support systems (BCSSs) have the potential to help people maintain healthy lifestyles and aid in the self-management of coronary heart disease (CHD). The Persuasive Systems Design (PSD) model is a framework for designing and evaluating systems designed to support lifestyle modifications and health behavior change using information and communication technology. However, evidence for the underlying design principles behind BCSSs for CHD has not been extensively reported in the literature.
OBJECTIVE: This scoping review aims to identify existing health BCSSs for CHD, report the characteristics of these systems, and describe the persuasion context and persuasive design principles of these systems based on the PSD framework.
METHODS: Using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, 3 digital databases (Scopus, Web of Science, and MEDLINE) were searched between 2010 to 2022. The major inclusion criteria for studies were in accordance with the PICO (Population, Intervention, Comparison, and Outcome) approach.
RESULTS: Searches conducted in the databases identified 1195 papers, among which 30 were identified as eligible for the review. The most interesting characteristics of the BCSSs were the predominant use of primary task support principles, followed by dialogue support and credibility support and the sparing use of social support principles. Theories of behavior change such as the Social Cognitive Theory and Self-Efficacy Theory were used often to underpin these systems. However, significant trends in the use of persuasive system features on par with behavior change theories could not be established from the reviewed studies. This points to the fact that there is still no theoretical consensus on how best to design interventions to promote behavior change in patients with CHD.
CONCLUSIONS: Our results highlight key software features for designing BCSSs for the prevention and management of CHD. We encourage designers of behavior change interventions to evaluate the techniques that contributed to the success of the intervention. Future research should focus on evaluating the effectiveness of the interventions, persuasive design principles, and behavior change theories using research methodologies such as meta-analysis.
OBJECTIVE: This scoping review aims to identify existing health BCSSs for CHD, report the characteristics of these systems, and describe the persuasion context and persuasive design principles of these systems based on the PSD framework.
METHODS: Using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, 3 digital databases (Scopus, Web of Science, and MEDLINE) were searched between 2010 to 2022. The major inclusion criteria for studies were in accordance with the PICO (Population, Intervention, Comparison, and Outcome) approach.
RESULTS: Searches conducted in the databases identified 1195 papers, among which 30 were identified as eligible for the review. The most interesting characteristics of the BCSSs were the predominant use of primary task support principles, followed by dialogue support and credibility support and the sparing use of social support principles. Theories of behavior change such as the Social Cognitive Theory and Self-Efficacy Theory were used often to underpin these systems. However, significant trends in the use of persuasive system features on par with behavior change theories could not be established from the reviewed studies. This points to the fact that there is still no theoretical consensus on how best to design interventions to promote behavior change in patients with CHD.
CONCLUSIONS: Our results highlight key software features for designing BCSSs for the prevention and management of CHD. We encourage designers of behavior change interventions to evaluate the techniques that contributed to the success of the intervention. Future research should focus on evaluating the effectiveness of the interventions, persuasive design principles, and behavior change theories using research methodologies such as meta-analysis.
摘要：
背景：行为改变支持系统（BCSs）有可能帮助人们保持健康的生活方式，并有助于冠心病（CHD）的自我管理。说服系统设计（PSD）模型是用于设计和评估系统的框架，该系统旨在使用信息和通信技术来支持生活方式的改变和健康行为的改变。然而,文献中尚未广泛报道用于CHD的BCSS背后的基本设计原则的证据。
目的：本范围审查旨在确定CHD的现有健康BCSSs，报告这些系统的特点，并基于PSD框架描述了这些系统的说服背景和说服设计原则。
方法：使用PRISMA-ScR（系统审查的首选报告项目和范围审查的荟萃分析扩展）指南，3个数字数据库（Scopus，WebofScience,和MEDLINE)在2010年至2022年之间进行了搜索。研究的主要纳入标准符合PICO(人口，干预,比较,和结果)方法。
结果：在数据库中进行的搜索确定了1195篇论文，其中30人被确定为符合审查条件。BCSS最有趣的特征是主要使用主要任务支持原则，其次是对话支持和信誉支持以及节约使用社会支持原则。诸如社会认知理论和自我效能理论之类的行为改变理论经常被用来支撑这些系统。然而,从已审查的研究中无法确定与行为改变理论一样的说服性系统特征使用的重要趋势。这表明，在如何最好地设计干预措施以促进CHD患者的行为改变方面，仍没有理论共识。
结论：我们的研究结果突出了设计用于预防和管理CHD的BCSS的关键软件功能。我们鼓励行为改变干预措施的设计者评估有助于干预成功的技术。未来的研究应侧重于评估干预措施的有效性，有说服力的设计原则，以及使用荟萃分析等研究方法的行为改变理论。
目的：本范围审查旨在确定CHD的现有健康BCSSs，报告这些系统的特点，并基于PSD框架描述了这些系统的说服背景和说服设计原则。
方法：使用PRISMA-ScR（系统审查的首选报告项目和范围审查的荟萃分析扩展）指南，3个数字数据库（Scopus，WebofScience,和MEDLINE)在2010年至2022年之间进行了搜索。研究的主要纳入标准符合PICO(人口，干预,比较,和结果)方法。
结果：在数据库中进行的搜索确定了1195篇论文，其中30人被确定为符合审查条件。BCSS最有趣的特征是主要使用主要任务支持原则，其次是对话支持和信誉支持以及节约使用社会支持原则。诸如社会认知理论和自我效能理论之类的行为改变理论经常被用来支撑这些系统。然而,从已审查的研究中无法确定与行为改变理论一样的说服性系统特征使用的重要趋势。这表明，在如何最好地设计干预措施以促进CHD患者的行为改变方面，仍没有理论共识。
结论：我们的研究结果突出了设计用于预防和管理CHD的BCSS的关键软件功能。我们鼓励行为改变干预措施的设计者评估有助于干预成功的技术。未来的研究应侧重于评估干预措施的有效性，有说服力的设计原则，以及使用荟萃分析等研究方法的行为改变理论。
