数字福祉背景下的青少年预防和健康促进干预措施:快速系统回顾。

IF 5.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Michelle Colder Carras, Dahlia Aljuboori, Jing Shi, Mayank Date, Fatima Karkoub, Karla García Ortiz, Fasika Molla Abreha, Johannes Thrul
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引用次数: 0

摘要

背景:年轻人越来越多地使用数字技术和媒体,这引起了人们对问题使用和负面后果的担忧。要正式承认技术成瘾(如游戏成瘾),就需要了解旨在预防这种疾病和相关技术成瘾的干预措施。目的:我们进行了一项快速系统综述,以调查目前关于防止有问题的技术使用和促进数字福祉的方法的证据,数字福祉的定义是健康使用数字媒体和技术,并且没有过度使用导致的问题。方法:我们采用务实和快速的方法系统地回顾和综合最近的文献,重点关注有助于理解可翻译性的上下文因素,根据Cochrane协作指南做出适当的权衡,以便快速回顾。我们检索了多个数据库,包括灰色文献,寻找针对儿童、青少年和青少年的预防干预措施的初步研究和系统综述。我们提取了关于研究特征、质量和可译性的数据,并通过对照试验的叙述性描述和计票来合成证据。数据可在我们的开放科学框架网站上公开获取。结果:我们发现6416篇引文,其中41篇(0.64%)符合纳入条件(6篇综述和35项主要研究,33项干预措施)。大多数干预措施(26/33,79%)结合了干预方法,并包括教育成分。通过计票进行的综合显示了各种形式的数字福祉的好处。两项荟萃分析都报告了减少屏幕时间的微小积极影响。然而,研究报告总体上缺乏,损害了得出结论的能力。结论:随着数字技术使用的增加,防止有问题的技术使用和促进数字福祉的干预措施继续激增。了解影响健康技术使用的环境因素和了解当前证据的局限性对于为未来的研究提供信息至关重要。本综述展示了预防干预措施有效性的积极发现,并描述了可能有助于翻译和实施的因素。未来的研究将受益于遵循适当的报告准则,报告干预措施的益处和危害,并包括更详细的影响翻译的因素。试验注册:PROSPERO CRD42023444387;https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=444387。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention and Health Promotion Interventions for Young People in the Context of Digital Well-Being: Rapid Systematic Review.

Background: Increasing digital technology and media use among young people has raised concerns about problematic use and negative consequences. The formal recognition of a technology addiction (eg, gaming disorder) requires an understanding of the landscape of interventions designed to prevent this disorder and related technology addictions.

Objective: We conducted a rapid systematic review to investigate the current evidence on approaches to prevent problematic technology use and promote digital well-being, defined as the healthy use of digital media and technology and the absence of problems resulting from excessive use.

Methods: We used a pragmatic and rapid approach to systematically review and synthesize recent literature with a focus on contextual factors that can aid in understanding translatability, making trade-offs appropriate for rapid reviews per the Cochrane Collaboration guidelines. We searched multiple databases, including gray literature, for primary studies and systematic reviews of prevention interventions targeting children, adolescents, and youth. We extracted data on study characteristics, quality, and translatability and synthesized evidence through narrative description and vote counting of controlled trials. Data are openly available on our Open Science Framework website.

Results: We found 6416 citations, of which 41 (0.64%) were eligible for inclusion (6 reviews and 35 primary studies of 33 interventions). Most interventions (26/33, 79%) combined intervention approaches and included an education component. Synthesis through vote counting showed benefits for all forms of digital well-being. Both included meta-analyses reported small positive effects on reductions of screen time. However, study reporting was overall lacking, impairing the ability to draw conclusions.

Conclusions: As digital technology use increases, interventions to prevent problematic technology use and promote digital well-being continue to proliferate. Understanding context factors that influence healthy technology use and understanding the limitations of the current evidence are vital for informing future research. This review demonstrates positive findings for the effectiveness of prevention interventions and describes factors that may contribute to translation and implementation. Future research would benefit from following appropriate reporting guidelines, reporting both the benefits and harms of interventions, and including greater detail on factors informing translation.

Trial registration: PROSPERO CRD42023444387; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=444387.

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来源期刊
CiteScore
14.40
自引率
5.40%
发文量
654
审稿时长
1 months
期刊介绍: The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades. As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor. Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.
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