对儿童睡眠时间干预措施中使用的干预成分进行分类:系统回顾和荟萃分析

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
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引用次数: 0

摘要

多阶段优化策略(MOST)是一个三阶段迭代框架,可加快行为干预措施的开发。本系统综述和荟萃分析是在多阶段优化策略的准备阶段进行的,旨在利用行为改变技术(BCT)分类标准对儿科睡眠时间干预措施中的组成部分进行分类。在 37 项干预措施中,93 种 BCT 中使用了 46 种,平均每项研究使用 8 种技术。最常用的 BCT 是指导如何实施行为(29 人;代码:4.1)、实际社会支持(22 人;代码:3.2)和行为练习/演练(22 人;代码:8.1)。潜类分析确定了两类干预措施,其区别在于是否存在属于以下行为改变组的 BCT:塑造知识、自然后果、行为比较以及重复和替代。我们的荟萃分析表明,属于潜伏类的干预措施(N = 15)具有 14 分钟(95 % CI:8-21)的集合正干预效果,而没有这些行为改变组的干预措施(N = 19)只有 8 分钟(95 % CI:1-15)的干预效果。这项系统回顾和荟萃分析将促进睡眠促进干预措施的发展,并为未来优化和随机对照试验中候选干预内容的选择提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Classifying intervention components used in sleep duration interventions for children: A systematic review and meta-analysis

The Multiphase Optimization Strategy (MOST) is a three-phase iterative framework that could accelerate the development of behavioral interventions. This systematic review and meta-analysis was conducted within the MOST preparation phase and aimed to classify components included in pediatric sleep duration interventions, using the Behavior Change Technique (BCT) Taxonomy. Across 37 interventions, 46 out of 93 BCTs have been used, with an average of 8 techniques used per study. The most common BCTs used were instruction on how to perform the behavior (N = 29; code 4.1), practical social support (N = 22; code: 3.2), and behavioral practice/rehearsal (N = 22; code: 8.1). A latent class analysis identified two classes of interventions, distinguished by the presence of BCTs falling within the following behavior change groups: shaping knowledge, natural consequences, comparison of behavior, and repetition and substitution. Our meta-analysis revealed that interventions belonging to the latent class with these behavior change groups (N = 15) had a pooled positive intervention effect of 14 min (95 % CI: 8–21) versus 8 min (95 % CI: 1–15) for interventions without these behavior change groups (N = 19). This systematic review and meta-analysis will enhance the development of sleep promotion interventions and guide the selection of candidate intervention components for future optimization and randomized control trials.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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