儿童和青少年肥胖咨询干预的数字成分和互动类型：系统综述

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-03-01 DOI:10.1016/j.ijnss.2025.02.014

Mari Virtanen , Heli Kerimaa , Niko Männikkö , Merja Männistö , Karoliina Paalimäki-Paakki , Minna Lahtinen , Miia Jansson , Kirsi Kivelä , Anne Oikarinen , Mira Rajala , Minna Vanhanen , Maria Kääriäinen , Pirjo Kaakinen

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引用次数: 0

摘要

儿童和青少年肥胖是一个日益严重的全球健康问题。本研究旨在评估数字组件和交互类型在预防和治疗咨询干预中的有效性。方法检索PubMed （Medline）、Web of Science、CINAHL、Scopus、IEEE Xplore数字图书馆、Journal of Medical Internet Research （JMIR）、MedNar、EBSCO Open Dissertations等在线数据库和灰色文献。搜索期从开始到2023年6月，语言为芬兰语、英语和瑞典语。使用基于网络的流行病学研究数据管理系统covid - ence对研究质量进行评估。研究方案已在PROSPERO注册（注册号：CRD42021247595）。结果本综述共筛选4407项研究，纳入22项。这些研究涉及3,433名参与者和264对亲子对。数字方式包括多组件元素，如互联网平台、短信、视频会议、在线社区、可穿戴技术和移动应用程序，允许单向、双向和面对面的互动。两项研究显示，治疗对BMI和腰臀比有统计学意义上的显著影响。大多数干预措施报告了积极的结果，组间无显著差异，随访期间没有任何无效效果。结论移动应用和可穿戴设备等数字化多组件可以帮助肥胖儿童和青少年养成更健康的生活方式。虽然这些干预措施显示出肥胖管理的希望，但需要进一步的研究来评估其有效性，特别是从护士的角度来看。

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Digital components and interaction types in counseling interventions for childhood and adolescent obesity: A systematic review

Objectives

Childhood and adolescent obesity are an increasing global health concern. This study aimed to evaluate the effectiveness of digital components and interaction types in counseling interventions for prevention and treatment.

Methods

All studies were searched in online databases and grey literature, including PubMed (Medline), Web of Science, CINAHL, Scopus, IEEE Xplore Digital Library, Journal of Medical Internet Research (JMIR), MedNar, EBSCO Open Dissertations. The search period is from inception to June 2023, and the languages are Finnish, English and Swedish. The research quality was evaluated using the web-based data management system Covidence for prevalence studies. The study protocol was registered with PROSPERO (registration number: CRD42021247595).

Results

In this review, 4,407 studies were screened, and 22 were included. These involved 3,433 participants and 264 child-parent pairs. The digital approaches included multicomponent elements like internet platforms, text messaging, video conferencing, online communities, wearable technology, and mobile apps, allowing one-way, two-way, and face-to-face interactions. Two studies showed statistically significant effects of treatment on BMI and waist-to-hip ratio. Most interventions reported positive outcomes, with no significant differences between groups, and none showed null effects during follow-up.

Conclusions

Digital multicomponents like mobile apps and wearables can help obese children and adolescents adopt healthier lifestyles. While these interventions show promise for obesity management, further research is needed to assess their effectiveness, particularly regarding nurses’ perspectives.

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.