Evidence map›Paper›PMID 40397545›Full record

SynthesisHealth education research2025

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.

Pablo Fernández-León, Marta Lima-Serrano, Javier Fagundo-Rivera, José Manuel Martínez-Montilla

Abstract readSystematic Review
In one paragraph

Synthesis in Health education research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

4 authors.

Pablo Fernández-LeónDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Avenzoar street, 6, Seville 41009, Spain.ORCID 0000-0003-2758-6657
Marta Lima-SerranoDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Avenzoar street, 6, Seville 41009, Spain.ORCID 0000-0003-3909-2718
Javier Fagundo-RiveraRed Cross University Nursing Centre, University of Seville, Avenida Cruz Roja 1, duplicado, Seville 41009, Spain.ORCID 0000-0002-8286-3381
José Manuel Martínez-MontillaVirgen del Rocío University Hospital, Andalusian Health Service, Avda. Manuel Siurot s/n, Seville 41013, Spain.ORCID 0000-0002-5287-9497

Funding

Plan Nacional sobre Drogas 2018I016
6 · The paper itself

Abstract

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.

Indexed as

Health PromotionSchool Health ServicesSubstance-Related DisordersAdolescentAdolescent BehaviorChildDigital HealthFemaleHumansMaleProgram Evaluation

Identifiers

PMID40397545
PMCPMC12094073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 OpenQuestion graph.