进食障碍管理中基于文本的远程医疗干预的混合方法系统综述

IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES
Xiaoyun Zhou, M. Bambling, S. Edirippulige
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引用次数: 2

摘要

目的饮食失调(ED)是影响全球9%人口的主要健康状况,10%的ED患者因此丧生。基于文本的远程医疗干预(TTI)似乎提供了一种低成本、方便的治疗选择;然而,证据很少。本研究旨在综合与使用TTI管理ED有关的证据。Design/methology/approach检索了2020年1月至2019年5月期间发布的五个数据库。作者使用了与远程医疗和ED相关的关键词。作者使用乔安娜·布里格斯研究所(JBI)的批判性评估工具来评估纳入研究的方法质量。结果15项研究被纳入该混合方法的系统综述中,并对方法质量进行了评估。电子邮件、基于网络的短信、短信和在线聊天室被用作ED患者提供医疗保健的模式。在治疗阶段,所有研究(9项研究;n=860名参与者)都显示出有效性(对于随机对照试验)和有用性(对于非随机对照试验研究)。在善后阶段(6项研究;n=364名参与者),TTI有效性的结果喜忧参半。两项研究显示有效,而四项研究没有发现ED结果的统计学显著变化。研究局限性/含义这些研究的质量各不相同;首先,66%(n=10)的研究是小样本的非随机研究(如单臂试验、病例报告)。此外,四分之一(n=4)的研究没有使用经过验证的仪器或表明仪器。此外,一半(n=7)的研究将TTI作为面对面治疗或更大规模的在线治疗的辅助手段,很难得出这些变化是由于TTI的影响造成的结论。此外,随访率不令人满意,因此应谨慎解读结果。实际意义TTI似乎对ED的管理很有希望,尤其是在治疗阶段。这为健康从业者和ED患者提供了一个重要的治疗选择,作为面对面服务的替代或辅助。独创性/价值这是第一篇综合TTI用于ED管理的综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A mixed-method systematic review of text-based telehealth interventions in eating disorder management
PurposeEating disorders (EDs) is a major health condition affecting 9% of the global population and 10% of those with EDs lost their lives as a result. Text-based telehealth interventions (TTIs) seem to provide a low-cost and convenient treatment option; however, the evidence is scarce. This study aimed to synthesize evidence relating to the use of TTIs for the management of EDs.Design/methodology/approachFive databases were searched published between January 2020 and May 2019. The authors used keywords relating to telehealth and EDs. The authors used Joanna Briggs Institute's (JBI's) critical appraisal instrument to assess the methodology quality of included studies.FindingsFifteen studies were included in this mix-method systematic review and assessed for methodology quality. Email, web-based texting, text-messaging and online chat room were used as mode for deliver healthcare for patients with EDs. In the treatment phase, all studies (nine studies; n = 860 participants) showed effectiveness (for RCTs) and usefulness (for non-RCT studies). In the aftercare phase (six studies; n = 364 participants), the results regarding the effectiveness of TTIs were mixed. Two studies showed effectiveness whilst four studies did not find statistically significant change of ED outcomes.Research limitations/implicationsThe qualities of these studies varied; firstly, 66% (n = 10) of the studies were non-randomized studies (e.g. single-arm trial, case report) with small samples. Moreover, one-fourth (n = 4) of the studies did not use validated instruments or indicate the instrument. Also, half (n = 7) of the studies used TTIs as adjunct to face-to-face treatment or bigger online treatment, it is hard to make conclusion that the changes were due to TTIs' effect. In addition, follow-up rate is not satisfactory, thus results should be interpreted cautiously.Practical implicationsTTIs seem to be promising for management of EDs, particularly in the treatment phase. This provides an important treatment option for health practitioners and people with EDs as an alternative or in adjunct with face-to-face services.Originality/valueThis is the first review to synthesis the use of TTIs for ED management.
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来源期刊
Journal of Health Research
Journal of Health Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.20
自引率
5.90%
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0
审稿时长
12 weeks
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