Evidence map›Paper›PMID 40957016›Full record

ArticleJournal of medical Internet research2025

Behavior Change Strategies in Digital Exercise Interventions for Adolescent Idiopathic Scoliosis: Scoping Review.

Yufeng Li, Fangyuan Chang, Wen Zhang, Zihan Ren, Yawen Chen, Zhao Liu

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yufeng LiSchool of Design, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0009-0004-0162-922X
Fangyuan ChangSchool of Design, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0000-0003-2069-0507
Wen ZhangDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.ORCID https://orcid.org/0009-0003-2702-845X
Zihan RenSchool of Design, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0009-0005-3745-9055
Yawen ChenSchool of Design, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0009-0002-6053-391X
Zhao LiuSchool of Design, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0000-0002-0673-3235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent idiopathic scoliosis is a common spinal deformity typically treated with exercise therapy. Despite the increasing use of digital technologies in interventions, there remains a gap in understanding how to effectively integrate behavior change techniques (BCTs) and behavior theories within these digital solutions.

objectiveThis review aims to identify the digital characteristics of interventions and the BCTs used, and to analyze potential theoretical mechanisms with the Theoretical Domains Framework and the capability, opportunity, motivation, and behavior model.

methodsWe conducted a scoping review according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A total of 5 databases, including PubMed, Web of Science, Embase, Cochrane Library, and CINAHL, were selected for screening eligible studies up to April 4, 2024. We included studies of any design type that involved patients with adolescent idiopathic scoliosis using digital interventions for exercise rehabilitation, including qualitative, quantitative, or mixed methods studies, and study protocols with detailed descriptions of digital interventions. Two researchers independently screened studies and extracted data into tables for descriptive analysis. The Mixed Methods Appraisal Tool was used to assess the quality of studies.

resultsOut of the 3267 identified papers, 21 (0.64%) studies were included. The most frequently used technologies were videoconferencing (n=7) and instructional videos (n=5). The three most common BCT clusters were "Shaping Knowledge" (n=19), "Social Support" (n=16), and "Antecedents" (n=16). "Knowledge" was the most used mechanism of action (n=21), followed by "Skills" (n=16), "Environmental Context and Resources" (n=16), and "Social Influences" (n=16). The studies primarily addressed "Capability" and "Opportunity," with less emphasis on "Motivation," particularly "Automatic Motivation."

conclusionsThis review identified common digital technologies and their characteristics, analyzed potential mechanisms of behavior change in interventions, and provided recommendations for technology utilization. Future research should further evaluate the effectiveness of digital technologies while enhancing patient motivation and user experience.

trial registrationPROSPERO CRD42024530851; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024530851.

Indexed as

Behavior TherapyExercise TherapyScoliosisAdolescentHumansadolescent idiopathic scoliosisadolescentsbehavior change strategydigital interventiondigital technologyexercise therapymotivationphysical rehabilitationscoping reviewspineTheoretical Domains Framework

Identifiers

PMID40957016
PMCPMC12485258

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.