使用生态框架对儿童和青少年健康促进干预措施进行的系统评价和荟萃分析。
Systematic review and meta-analysis of health promotion interventions for children and adolescents using an ecological framework.
作者信息
Cushing Christopher C, Brannon Erin E, Suorsa Kristina I, Wilson Dawn K
机构信息
Department of Psychology, Oklahoma State University, and Department of Psychology, University of South Carolina
Department of Psychology, Oklahoma State University, and Department of Psychology, University of South Carolina.
出版信息
J Pediatr Psychol. 2014 Sep;39(8):949-62. doi: 10.1093/jpepsy/jsu042. Epub 2014 Jun 16.
OBJECTIVE
To evaluate and quantify the evidence for health promotion interventions in children and adolescents.
METHOD
96 independent samples of smoking, physical activity, and diet studies were included. Outcomes included both objective and self-reports of health behavior, as well as proxy measures such as fitness.
RESULTS
The aggregated effect was significant (g = .20, 95% confidence interval [CI] = 0.08-0.32, n = 96). A significant effect of intervention was observed at approximately 1-year follow-up (g = .07, 95% CI = 0.02-0.14, n = 20). The greatest risk of bias was failure to blind outcome assessment, which occurred in 21% of studies. Most studies lacked sufficient detail to determine the quality of their randomization sequence (58%). Additional concerns about risk of bias for individual studies were minimal. Overall, the quality of this finding was moderate using the Grading of Recommendations Assessment, Development, and Evaluation criteria.
CONCLUSION
Health promotion interventions are effective for modifying health behavior; however, effect sizes are small.
目的
评估并量化针对儿童和青少年的健康促进干预措施的证据。
方法
纳入了96个关于吸烟、体育活动和饮食研究的独立样本。结果包括健康行为的客观指标和自我报告，以及诸如体能等替代指标。
结果
汇总效应显著（g = 0.20，95%置信区间[CI] = 0.08 - 0.32，n = 96）。在大约1年的随访中观察到干预有显著效果（g = 0.07，95% CI = 0.02 - 0.14，n = 20）。最大的偏倚风险是结局评估未设盲，这在21%的研究中出现。大多数研究缺乏足够细节来确定其随机序列的质量（58%）。对个别研究偏倚风险的其他担忧极小。总体而言，根据推荐分级评估、制定和评价标准，这一发现的质量为中等。
结论
健康促进干预措施对改变健康行为有效；然而，效应量较小。
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