在医疗机构的成年患者中推广健康饮食和体育锻炼的电子筛查和简短干预：系统综述。

IF 2.9 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2024-11-04 DOI:10.1016/j.clnesp.2024.10.164

Camille Forcier , Aymery Constant , David Val-Laillet , Ronan Thibault , Romain Moirand

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引用次数: 0

摘要

背景与目的：电子筛查和简短干预（eSBIs）是一种很有前景的健康促进方法，但迄今为止，关于其在营养结果方面的应用却鲜有记载。本系统性综述旨在研究自智能手机技术出现以来，针对医疗机构中成年患者的饮食和/或体力活动（PA）的电子筛查和简短干预的性质和结果：从 2010 年 1 月到 2023 年 5 月，我们在 PubMed、ScienceDirect 和 PsycINFO 上进行了三次系统检索。我们纳入了所有评估 eSBI 对生活习惯（至少是饮食习惯和/或活动量）的研究，这些研究在医疗机构中实施，以成年参与者为对象：在确定的 1981 篇文章中，有 15 项研究符合纳入标准。其中大部分研究记录了在初级保健中实施的 eSBI（11 篇），分别针对 PA（11 篇）和饮食（9 篇）或两者结合（5 篇）。有些 eSBI 还针对其他行为（如吸烟、饮酒）。提供模式包括计算机（8 个）、印刷文件（8 个）或电话（2 个），但只有 4 个电子替代方案是互动式（或部分自动化）的。除个性化反馈外，最常见的行为改变技术是 "关于社会和环境后果的信息"（9 项）、"目标设定"（7 项）和 "关于健康后果的信息"（7 项）。大多数评估行为改变的研究都有一个对照组（10 项研究中有 8 项），8 项研究发现行为发生了积极变化：尽管在医疗机构的成年患者中实施电子SBI以促进PA/饮食，似乎很有希望实现一级、二级和三级预防，但目前严重缺乏共同的概念框架、干预措施和结果，而且它们在多大程度上遵循现有的SBI指南仍不明确。要证明其有效性，需要在医疗机构开展前瞻性评估研究之前解决这些问题。

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Electronic screening and brief interventions promoting healthy diet and physical activity among adult patients in medical settings: A systematic review

Background & aims

Electronic screening and brief interventions (eSBIs) are promising health promoting approaches but their utilization towards nutrition outcomes has been little documented so far. The aim of this systematic review is to examine the nature and findings of eSBIs targeting diet and/or physical activity (PA) among adult patients in healthcare settings since smartphone technologies emerged.

Methods

Three systematic searches in PubMed, ScienceDirect and PsycINFO were conducted from January 2010 to May 2023. We include all studies assessing eSBI towards lifestyle habits (dietary habits and/or PA at least), implemented in healthcare settings and targeting adult participants.

Results

Of 1981 articles identified, 15 studies met inclusion criteria. Most of them documented eSBIs implemented in primary care (n = 11), targeting PA (n = 11) and diet (n = 9) alone or combined (n = 5). Some eSBIs targeted additional behaviors (e.g. smoking, drinking). Delivery modes included computer (n = 8), printed documents (n = 8) or phone (n = 2) but only four eSBIs were interactive (or partially automated). In addition to personalized feedback, most common behavior change techniques were “information about social and environmental consequences” (n = 9), “goal setting” (n = 7), and “information about health consequences” (n = 7). Most studies assessing behavior change had a control group (8 in 10), and eight studies found positive changes in behavior.

Conclusions

Although implementing eSBIs towards PA/diet among adult patients in medical settings seems promising for primary, secondary and tertiary prevention, common conceptual framework, intervention and outcomes are severely lacking, and the extent to which they follow existing SBI guidelines remains unclear. Demonstrating their effectiveness requires fixing these issues before conducting prospective assessment studies in medical settings.

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.