健康行为改变干预本体的构建与应用  

Construction and Application of Health Behavior Change Intervention Ontology

作　　者：许冬冬 林惠 段会龙[1] 邓宁[1] Xu Dongdong;Lin Hui;Duan Huilong;Deng Ning(The Ministry of Education Key Laboratory of Biomedical Engineering,College of Biomedical Engineering and Instrument Science,Zhejiang University,Hangzhou 310027,China)

机构地区：[1]浙江大学生物医学工程与仪器科学学院,生物医学工程教育部重点实验室,杭州310027

出　　处：《中国生物医学工程学报》2023年第1期74-81,共8页Chinese Journal of Biomedical Engineering

基　　金：广西重点研发计划项目(桂科AB21196010);国家重点研发计划课题(2020YFC2006405)。

摘　　要：生活方式干预是慢病管理的重要环节,随着互联网的发展,基于移动医疗技术的综合干预方案成为慢病管理模式研究的新趋势。面对干预复杂性和综合性越来越强的挑战,一个标准、细致、综合的框架有利于对干预方案进行解构分析,从而促进干预的质量和效果提升。本研究提出健康行为改变干预本体,通过内容分析法对干预内容进行分类提取,得到行为改变技术及其属性的重要术语集合,通过七步法结合OWL建模语言完成本体构建;并以面向高血压院外管理的干预方案为例进行验证,评估其干预方案。所得术语集合包括22个适用于基于移动医疗技术的慢病管理饮食和运动场景的行为改变技术,以及102个行为改变技术实施过程属性,健康行为改变干预本体共有128个类,51个数据属性,16个对象属性。基于本体将高血压干预方案转换为层次清晰、过程明确的干预单元组合,对其评估结果表明方案使用行为改变技术共14种,覆盖率为63.64%。该本体能够应用于慢病管理相关场景的干预设计、描述和分析评估等环节,有利于知识的组织与共享。Lifestyle intervention is an essential component of chronic disease management.A new trend in chronic disease management is integrated lifestyle intervention research based on mHealth technology.Faced with the challenge of increasing intervention complexity and comprehensiveness,a standard,detailed and comprehensive framework is desired to deconstruct and analyze complex intervention programs to promote the intervention quality and effectiveness.This study proposed the Health Behavior Change Intervention Ontology(HBCIO).First,content analysis was used to extract and categorize intervention content to obtain a collection of behavior change techniques and their attributes.The ontology was then constructed using a combination of the seven-step method and the OWL language.And an out-of-hospital hypertension management program was described and evaluated as an example.The term collection included 22 behavior change techniques suitable for chronic disease management diet and exercise scenarios based on mobile medical technology and 102 behavior change technique implementation process attributes.The HBCIO ontology has a total of 128 classes,51 data properties,and 16 object properties.Based on HBCIO,the hypertension intervention program was converted into a combination of intervention units with clear levels and processes,and the evaluation results showed that the program used a total of 14 behavioral change techniques,with a coverage rate of 63.64%.The ontology can be applied to the intervention design,description,analysis,and evaluation of technology-based chronic disease management,and it is helpful to knowledge organization and sharing.

关 键 词：慢病管理 行为改变技术 移动医疗 健康行为理论 本体 

分 类 号：R318[医药卫生—生物医学工程]