Arizona State University, College of Nursing and Health Innovation, Phoenix, AZ 85004, USA.
Worldviews Evid Based Nurs. 2012 Apr;9(2):66-77. doi: 10.1111/j.1741-6787.2011.00239.x. Epub 2012 Jan 23.
Unhealthy lifestyle behaviors are major public health problems. Promoting positive behavior change is an ongoing challenge that warrants innovative solutions. Mobile phone use is becoming widespread across populations and merits further exploration as a strategy to promote wellness and reduce health disparities.
The purpose of this paper is to review the evidence using text messaging as a tool to deliver healthy lifestyle behavior intervention programs in pediatric and adolescent populations. The following question was used to guide the systematic review, "In pediatric and adolescent populations, how does the use of text-message-based interventions versus control or comparison interventions affect healthy lifestyle behaviors?"
A systematic search for relevant literature was conducted in the following databases: MEDLINE, PubMed, Google Scholar, Cochrane Library, and PsycINFO, and by hand-searching bibliographies. Evidence was compiled from experimental studies in peer-reviewed journals published from 2004 to May 15, 2011. Data were extracted using guidelines set forth by the Centre for Reviews and Dissemination.
Thirty-seven articles were identified from the comprehensive search. Eight articles representing seven studies (two articles were published describing different aspects of the outcomes from one study) met inclusion for this review. Mean age of participants in the study ranged from 8.7 to 17.9 years of age. Differences between groups on healthy lifestyle behaviors were significant in five studies.
This review supports previous literature suggesting that mobile phones are uniquely positioned to bridge gaps in health disparities and reach across demographics. Interventions using short messaging service may be most effective as a reminder system to support disease management behaviors. Existing recommendations for tailored, interactive, and family-centered care are supported with mobile technology recommended to augment clinical practice and health behavior change efforts. However, more rigorous, theory-based intervention research using mobile technology is warranted in pediatric and adolescent populations.
不健康的生活方式行为是主要的公共卫生问题。促进积极的行为改变是一个持续的挑战，需要创新的解决方案。手机的使用在人群中越来越普及，值得进一步探索，作为促进健康和减少健康差距的策略。
本文旨在综述使用短信作为工具向儿科和青少年人群传递健康生活方式行为干预计划的证据。本研究使用以下问题来指导系统综述：“在儿科和青少年人群中，基于短信的干预措施与对照或比较干预措施相比，对健康生活方式行为的影响如何？”
在以下数据库中进行了相关文献的系统检索：MEDLINE、PubMed、Google Scholar、Cochrane 图书馆和 PsycINFO，并通过手工检索参考文献。从 2004 年至 2011 年 5 月 15 日在同行评议期刊上发表的实验研究中收集证据。使用中心对综述和传播（Centre for Reviews and Dissemination）制定的指南提取数据。
从全面搜索中确定了 37 篇文章。有 8 篇文章代表 7 项研究（两篇文章发表描述了来自一项研究的不同方面的结果）符合本综述的纳入标准。研究中参与者的平均年龄范围为 8.7 至 17.9 岁。五项研究中组间在健康生活方式行为方面存在显著差异。
本综述支持先前的文献表明，手机具有独特的优势，可以弥合健康差距，并跨越不同的人群。使用短消息服务的干预措施可能最有效地作为支持疾病管理行为的提醒系统。现有的个性化、互动式和以家庭为中心的护理建议得到了支持，建议使用移动技术来补充临床实践和健康行为改变的努力。然而，在儿科和青少年人群中，需要使用基于理论的更严格的移动技术干预研究。
