尽管有大量针对非传染性疾病（NCDs）预防和管理的数字健康干预措施（DHIs），但仍不清楚哪些具体组成部分使得DHI有效。本叙述性综述旨在确定在DHIs中，针对NCDs的预防或管理中最有效的行为改变技术（BCTs）。我们搜索了五个电子数据库，收集了2007年1月至2022年12月间发表的英文文章。研究包括了针对成人中一项或多项与NCD相关的风险因素进行修正的DHIs的系统综述或荟萃分析。使用行为改变技术分类法v1对BCTs进行编码。使用AMSTAR 2评估文献质量。本综述纳入了85篇文章，涵盖了12个健康领域，包括超过865,000名个体参与者。我们发现，DHIs在改善心血管疾病、癌症、2型糖尿病和哮喘患者的健康结果以及与健康相关的行为（如体育锻炼、久坐行为、饮食、体重管理、药物依从性和戒毒）方面具有有效性的证据。有强有力的证据表明，可信来源、社会支持、提示和暗示、分阶段任务、目标和计划、反馈和监测、人工辅导和个性化组件能够提高针对NCDs预防和管理的DHIs的效果。本综述确定了DHIs中使用最广泛且有效的BCTs，值得在未来的干预措施中优先考虑整合。这些发现对于未来DHIs的发展和规模化起到至关重要的作用，并应该为最佳实践指南提供参考。 © 版权所有作者（2023）。由牛津大学出版社代表行为医学学会出版。

Despite an abundance of digital health interventions (DHIs) targeting the prevention and management of noncommunicable diseases (NCDs), it is unclear what specific components make a DHI effective.This narrative umbrella review aimed to identify the most effective behavior change techniques (BCTs) in DHIs that address the prevention or management of NCDs.Five electronic databases were searched for articles published in English between January 2007 and December 2022. Studies were included if they were systematic reviews or meta-analyses of DHIs targeting the modification of one or more NCD-related risk factors in adults. BCTs were coded using the Behavior Change Technique Taxonomy v1. Study quality was assessed using AMSTAR 2.Eighty-five articles, spanning 12 health domains and comprising over 865,000 individual participants, were included in the review. We found evidence that DHIs are effective in improving health outcomes for patients with cardiovascular disease, cancer, type 2 diabetes, and asthma, and health-related behaviors including physical activity, sedentary behavior, diet, weight management, medication adherence, and abstinence from substance use. There was strong evidence to suggest that credible source, social support, prompts and cues, graded tasks, goals and planning, feedback and monitoring, human coaching and personalization components increase the effectiveness of DHIs targeting the prevention and management of NCDs.This review identifies the most common and effective BCTs used in DHIs, which warrant prioritization for integration into future interventions. These findings are critical for the future development and upscaling of DHIs and should inform best practice guidelines.© The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Behavioral Medicine.