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. 2022 Apr 14;24(4):e31889.
doi: 10.2196/31889.

Social Media-Based Interventions for Health Behavior Change in Low- and Middle-Income Countries: Systematic Review

Jessie Seiler  1 , Tanya E Libby  1 , Emahlea Jackson  1 , J R Lingappa  2 , W D Evans  3
Affiliations

Social Media-Based Interventions for Health Behavior Change in Low- and Middle-Income Countries: Systematic Review

Jessie Seiler et al. J Med Internet Res. .

Abstract

Background: Despite the wealth of evidence regarding effective health behavior change techniques using digital interventions to focus on residents of high-income countries, there is limited information of a similar nature for low- and middle-income countries.

Objective: The aim of this review is to identify and describe the available literature on effective social media-based behavior change interventions within low- and middle-income countries.

Methods: This systematic review was conducted in accordance with the 2009 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched PubMed, Embase, Elsevier, CINAHL, PsycInfo, and Global Index Medicus, and the final search was conducted on April 6, 2021. We excluded studies published before 2000 because of the subject matter. We included studies that evaluated interventions conducted at least partly on a social media platform.

Results: We identified 1832 studies, of which 108 (5.89%) passed title-abstract review and were evaluated by full-text review. In all, 30.6% (33/108) were included in the final analysis. Although 22 studies concluded that the social media intervention was effective, only 13 quantified the level of social media engagement, of which, few used theory (n=8) or a conceptual model (n=5) of behavior change.

Conclusions: We identified gaps in the settings of interventions, types and sectors of interventions, length of follow-up, evaluation techniques, use of theoretical and conceptual models, and discussions of the privacy implications of social media use.

Trial registration: PROSPERO CRD42020223572; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=223572.

Keywords: behavior change; low- and middle-income countries; mobile phone; social media.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram. LMIC: low- and middle-income country.
See this image and copyright information in PMC

References

    1. Number of monthly active Facebook users worldwide as of 4th quarter 2021 (in millions) Statista. 2020. [2020-11-19]. https://www.statista.com/statistics/264810/number-of-monthly-active-face...
    1. Elaheebocus SM, Weal M, Morrison L, Yardley L. Peer-based social media features in behavior change interventions: systematic review. J Med Internet Res. 2018;20(2):e20. doi: 10.2196/jmir.8342. https://www.jmir.org/2018/2/e20/ v20i2e20 - DOI - PMC - PubMed
    1. Hsu MS, Rouf A, Allman-Farinelli M. Effectiveness and behavioral mechanisms of social media interventions for positive nutrition behaviors in adolescents: a systematic review. J Adolesc Health. 2018;63(5):531–45. doi: 10.1016/j.jadohealth.2018.06.009.S1054-139X(18)30249-0 - DOI - PubMed
    1. Chau MM, Burgermaster M, Mamykina L. The use of social media in nutrition interventions for adolescents and young adults-a systematic review. Int J Med Inform. 2018;120:77–91. doi: 10.1016/j.ijmedinf.2018.10.001. http://europepmc.org/abstract/MED/30409348 S1386-5056(18)30039-X - DOI - PMC - PubMed
    1. Brigden A, Anderson E, Linney C, Morris R, Parslow R, Serafimova T, Smith L, Briggs E, Loades M, Crawley E. Digital behavior change interventions for younger children with chronic health conditions: systematic review. J Med Internet Res. 2020;22(7):e16924. doi: 10.2196/16924. https://www.jmir.org/2020/7/e16924/ v22i7e16924 - DOI - PMC - PubMed

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