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

儿童和青少年肥胖症护理干预中的数字化方法:系统评价

作　　者：Mari Virtanen Heli Kerimaa Niko Mannikko Merja Mannisto Karolina Paalimaki-Paakki Minna Lahtinen Miya Jansson Kirsi Kivela Anne Oikarinen Mira Rajala Minna Vanhanen Maria Kaariainen Pirjo Kaakinen Mari Virtanen;Heli Kerimaa;Niko Mannikko;Merja Mannisto;Karolina Paalimaki-Paakki;Minna Lahtinen;Miia Jansson;Kirsi Kivela;Anne Oikarinen;Mira Rajala;Minna Vanhanen;Maria Kaariainen;Pirjo Kaakinen

机构地区：[1]Helsinki Metropolia University of Applied Sciences,Helsinki,Finland [2]Medical Research Center Oulu,Oulu University Hospital and University of Oulu,Oulu,Finland [3]Research Unit of Health Sciences and Technology,University of Oulu,Finland [4]The Finnish Centre for Evidence-Based Health Care:A Joanna Briggs Insttute,Centre of Exellence,Helsinki,Finland [5]Oulu University of Applied Sciences,Oulu,Finland [6]Research Unit of Medical Imaging,Physics and Technology,University of Oulu,Oulu,Finland [7]Oulu University Hospital,Oulu,Finland

出　　处：《International Journal of Nursing Sciences》2025年第2期123-129,I0001,共8页国际护理科学(英文)

摘　　要：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 followup.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.目的儿童和青少年肥胖症是全球日益关注的健康问题,该研究评估在儿童和青少年肥胖症咨询中数字化护理干预的有效性,旨在为医护人员提供临床指导。方法计算机检索PubMed(Medline),Webof Science,CINAHL,Scopus等数据库和灰色文献,检索时限为建库至2023年6月。使用基于网络的数据管理系统Covidence评估研究的质量。该综述方案已在PROSPERO注册(CRD42021-247595)。结果共检索出4407条文献,其中22项研究被纳人分析,共涉及3433名儿童和264对儿童-家长。数字化方法包括互联网平台、短信、视频会议、在线社区、可穿戴技术和移动应用程序等多元素,允许单向、双向和面对面互动。有两项研究显示,干预方法对体重指数和腰臀比的影响具有统计学意义。大多数干预措施都取得了积极的效果。结论移动应用程序和可穿戴设备等数字化干预措施可以帮助肥胖儿童和青少年形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,但需要医护人员进一步的研究来评估其有效性。

关 键 词：ADOLESCENT Children Digital counseling OBESE OVERWEIGHT Systematic review 

分 类 号：R47[医药卫生—护理学]