Physical activity interventions delivered through digital health technology for improving workers' mental health symptoms: a systematic review and meta-analysis.

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Satoru Kanamori, Kotaro Imamura, Yuta Inagawa, Takenori Yamauchi, Hiroki Ikeda, Takuro Okuyama, Go Muto, Rika Kato, Mako Iida, Hiroki Asaoka, Akiomi Inoue, Kazuhiro Watanabe, Kanami Tsuno, Natsu Sasaki, Yuka Kobayashi, Asuka Sakuraya, Yu Komase, Yasumasa Otsuka, Mai Iwanaga, Reiko Inoue, Kazuto Kuribayashi, Ayako Hino, Akihito Shimazu, Akizumi Tsutsumi, Norito Kawakami, Naomichi Tani, Hisashi Eguchi, Noriko Kojimahara, Takeshi Ebara
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引用次数: 0

Abstract

Objectives: This study aimed to clarify the primary preventive effects of physical activity interventions delivered through digital health technology (DHT) on workers' mental health symptoms, and examine the conditions of attrition and adherence in these interventions.

Methods: We examined randomized controlled trials (RCTs) that analyzed the effects of physical activity interventions delivered through DHT on workers' health outcomes. We included RCTs published in English or Japanese since 2010 and excluded studies that targeted specific diseases or secondary and tertiary prevention. We conducted the search on July 25, 2023, using Cochrane CENTRAL, EMBASE, PsycINFO, PubMed, and Ichushi-Web, and citation searches. We assessed risk of bias using the Cochrane Risk of Bias Tool version 2, and data were integrated using a random-effects model. Attrition rates were averaged, and adherence was qualitatively reviewed.

Results: Eight studies were included in the systematic review, and five in the meta-analysis. Pooled effect sizes immediately after intervention were as follows: Cohen's d = -0.51 (95% CI: -0.75, -0.27) for depression and negative affect, and -0.36 (-0.60, -0.05) for perceived stress. The attrition rate was 16.8% and 12.4% for the control and intervention groups, with only two studies providing details on adherence.

Conclusions: Physical activity interventions delivered through DHT may moderately improve depression and negative affect, and slightly reduce perceived stress among workers. However, these findings should be interpreted with caution due to the limited number of studies and low evidence certainty. Future studies should explore long-term effects, additional mental health outcomes, and factors affecting adherence.

通过数字健康技术提供身体活动干预以改善工人的心理健康症状:系统回顾和荟萃分析。
目的:本研究旨在阐明通过数字健康技术(DHT)提供的身体活动干预对工人心理健康症状的初级预防作用,并检查这些干预措施的消耗和坚持情况。方法:我们检查了随机对照试验(rct),这些试验分析了通过DHT提供的身体活动干预对工人健康结果的影响。我们纳入了2010年以来以英语或日语发表的随机对照试验,排除了针对特定疾病或二级和三级预防的研究。我们于2023年7月25日使用Cochrane CENTRAL、EMBASE、PsycINFO、PubMed和Ichushi-Web进行了检索,并进行了引文检索。我们使用Cochrane风险偏倚工具第2版评估偏倚风险,并使用随机效应模型整合数据。平均损失率,并对依从性进行定性评价。结果:8项研究被纳入系统评价,5项研究被纳入荟萃分析。干预后立即合并效应值如下:抑郁和负面情绪的Cohen’s d = -0.51 (95% CI: -0.75, -0.27),感知压力的Cohen’s d = -0.36(-0.60, -0.05)。对照组和干预组的损失率分别为16.8%和12.4%,只有两项研究提供了依从性的细节。结论:通过DHT进行身体活动干预可以适度改善员工的抑郁和负面情绪,并略微降低员工的感知压力。然而,由于研究数量有限和证据确定性较低,这些发现应谨慎解释。未来的研究应该探索长期效果、额外的心理健康结果和影响依从性的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Occupational Health
Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
3.30%
发文量
57
审稿时长
6-12 weeks
期刊介绍: The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.
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