针对高危儿童和青少年人身安全的移动应用程序:范围审查。

IF 5.4 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Camille Bowen-Forbes, Tilovatul Khondaker, Tania Stafinski, Maliheh Hadizadeh, Devidas Menon
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引用次数: 0

摘要

背景:人身安全是一个普遍存在的公共健康问题,影响着各个年龄段的人群。人们对使用移动应用程序来加强人身安全的兴趣日益浓厚,尤其是对处于危险中的儿童和青少年,他们是社会中最脆弱的群体之一:本研究旨在探讨被认定为 "高危 "儿童和青少年使用手机应用软件促进人身安全的情况:按照已公布的方法指南进行了范围界定研究。共检索了 5 个数据库(Scopus、SocINDEX、PsycINFO、Compendex 和 Inspec Archive)中 2005 年 1 月至 2023 年 10 月间发表的相关学术文章。使用 Google 和 Google Scholar 搜索引擎搜索了灰色文献。研究结果采用 PRISMA-ScR(系统综述和元分析的首选报告项目扩展范围综述)指南进行报告。在总结应用程序的功能和用户体验时,使用了已发布的青少年移动健康应用程序质量评估框架:结果:共发现 1986 篇文章,其中 41 篇(2.1%)被纳入综述。根据应用程序的目标,共获取了 9 款个人安全应用程序,并将其分为以下 4 组:约会和性暴力预防(4 款,占应用程序的 44%)、欺凌和校园暴力预防(2 款,占应用程序的 22%)、自残和自杀预防(2 款,占应用程序的 22%)以及无家可归青年支持(1 款,占应用程序的 11%)。在 41 篇文章中,有 25 篇(61%)只提供了有关应用程序说明和功能的数据,其余 16 篇(39%)提供了有关应用程序评估和说明的数据。结果主要集中在应用程序的参与度、用户体验和有效性方面。四篇文章报告了应用程序的使用情况,其中三篇(75%)报告了相对较高的应用程序使用率。有关用户体验的数据来自 13 项研究。总体而言,参与者认为应用程序的功能易于使用,是有用的教育资源和个人安全工具。大多数观点都是积极的。负面看法包括应用程序功能冗余和缺乏实用性。对五个应用程序的有效性进行了评估(n=2,40% 用于预防约会和性暴力;n=2,40% 用于预防自残和自杀;n=1,20% 用于预防欺凌和校园暴力),在 95% CI 的范围内,这些应用程序都能显著减少参与者受到的伤害或面临的风险(P=.001 至 .048):尽管有许多个人安全应用程序,但很少有研究专门评估那些为青少年设计的应用程序。不过,有证据表明,移动安全应用程序似乎普遍有利于减少对处于危险中的儿童和青少年的伤害,而且没有发生任何相关的不良事件。为加强证据并增加有效的儿童和青少年个人安全应用程序的可用性,我们对未来的研究提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mobile Apps for the Personal Safety of At-Risk Children and Youth: Scoping Review.

Background: Personal safety is a widespread public health issue that affects people of all demographics. There is a growing interest in the use of mobile apps for enhancing personal safety, particularly for children and youth at risk, who are among the most vulnerable groups in society.

Objective: This study aims to explore what is known about the use of mobile apps for personal safety among children and youth identified to be "at risk."

Methods: A scoping review following published methodological guidelines was conducted. In total, 5 databases (Scopus, SocINDEX, PsycINFO, Compendex, and Inspec Archive) were searched for relevant scholarly articles published between January 2005 and October 2023. The gray literature was searched using Google and Google Scholar search engines. The results were reported using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. For summarizing the features and users' experiences of the apps, a published framework for evaluating the quality of mobile health apps for youth was used.

Results: A total of 1986 articles were identified, and 41 (2.1%) were included in the review. Nine personal safety apps were captured and categorized into 4 groups based on the goals of the apps, as follows: dating and sexual violence prevention (n=4, 44% of apps), bullying and school violence prevention (n=2, 22% of apps), self-harm and suicide prevention (n=2, 22% of apps), and homeless youth support (n=1, 11% of apps). Of the 41 articles, 25 (61%) provided data solely on app descriptions and features, while the remaining 16 (39%) articles provided data on app evaluations and descriptions. Outcomes focused on app engagement, users' experiences, and effectiveness. Four articles reported on app use, 3 (75%) of which reported relatively high app use. Data on users' experience were obtained from 13 studies. In general, participants found the app features to be easy to use and useful as educational resources and personal safety tools. Most of the views were positive. Negative perceptions included redundancy of app features and a lack of usefulness. Five apps were evaluated for effectiveness (n=2, 40% dating and sexual violence prevention; n=2, 40% self-harm and suicide prevention; and n=1, 20% bullying and school violence prevention) and were all associated with a statistically significant reduction (P=.001 to .048) in harm or risk to participants at the 95% CI.

Conclusions: Although many personal safety apps are available, few studies have specifically evaluated those designed for youth. However, the evidence suggests that mobile safety apps generally appear to be beneficial for reducing harm to at-risk children and youth without any associated adverse events. Recommendations for future research have been made to strengthen the evidence and increase the availability of effective personal safety apps for children and youth.

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来源期刊
JMIR mHealth and uHealth
JMIR mHealth and uHealth Medicine-Health Informatics
CiteScore
12.60
自引率
4.00%
发文量
159
审稿时长
10 weeks
期刊介绍: JMIR mHealth and uHealth (JMU, ISSN 2291-5222) is a spin-off journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR mHealth and uHealth is indexed in PubMed, PubMed Central, and Science Citation Index Expanded (SCIE), and in June 2017 received a stunning inaugural Impact Factor of 4.636. The journal focusses on health and biomedical applications in mobile and tablet computing, pervasive and ubiquitous computing, wearable computing and domotics. JMIR mHealth and uHealth publishes since 2013 and was the first mhealth journal in Pubmed. It publishes even faster and has a broader scope with including papers which are more technical or more formative/developmental than what would be published in the Journal of Medical Internet Research.
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