Planning, implementation, evaluation, and sustainment of digital health interventions for adolescent substance use prevention: a systematic review of influencing factors based on the RE-AIM framework.

School-based health interventions can help prevent adolescent substance use, but their success depends on various factors affecting planning and evaluation. This study examines the factors that facilitate or hinder the success of school-based digital health interventions. A systematic review was con...

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Publicado en:Health Education Research Vol. 40; no. 3; pp. 1 - 30
Autores principales: Fernández-León, Pablo, Lima-Serrano, Marta, Fagundo-Rivera, Javier, Martínez-Montilla, José Manuel
Formato: research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Planning, implementation, evaluation, and sustainment of digital health interventions for adolescent substance use prevention: a systematic review of influencing factors based on the RE-AIM framework.
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          Fernández-León, Pablo
          Lima-Serrano, Marta
          Fagundo-Rivera, Javier
          Martínez-Montilla, José Manuel
        affil: Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Avenzoar street, 6, Seville 41009, Spain
      sug:
        subj:
          Telehealth
          Program Implementation
          Program Planning
          Substance Use Disorders Therapy
          Internet-Based Intervention
          Substance Use Disorders Prevention and Control
          Program Evaluation
          School Health Services
          Success
          Human
          Male
          Female
          Adolescence
          Systematic Review
          PubMed
          CINAHL Database
          Psycinfo
          Descriptive Statistics
          Digital Health
          Checklists
          Conceptual Framework
          Funding Source
          Adolescent: 13-18 years
          Male
          Female
      ab: School-based health interventions can help prevent adolescent substance use, but their success depends on various factors affecting planning and evaluation. This study examines the factors that facilitate or hinder the success of school-based digital health interventions. A systematic review was conducted in September–October 2024, following PRISMA guidelines, using PubMed, Scopus, Web of Science, CINAHL, and PsycINFO databases. From a total of 2530 studies, after removing duplicates and screening titles and abstracts, 51 full-text articles were assessed and 12 met the inclusion criteria. Data were extracted using an adapted tool for systematic reviews applying the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. The methodological quality was assessed with Joanna Briggs Institute tools. The studies included cluster-randomized controlled trials, quasi-experimental designs, and one cross-sectional study, primarily targeting adolescents aged 11.9–17.4 years, with sample sizes ranging from 90 to nearly 5000 participants. Most interventions were implemented in schools in the USA, Europe, and Taiwan, with balanced gender distribution. Many studies reported on reach and effectiveness in reducing substance use, particularly alcohol. However, adoption and implementation factors influencing school participation were less frequently addressed, and maintenance was not mentioned. To maximize impact, future efforts should focus on enhancing sustainment and participation by leveraging emerging technologies for personalization.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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