Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N. Lake Shore Drive, Suite 1400, Chicago, IL, 60611, USA.
NHMRC Centre of Research Excellence in Mental Health and Substance Use, NDARC, UNSW Sydney, Sydney, NSW, Australia.
Syst Rev. 2017 Dec 6;6(1):246. doi: 10.1186/s13643-017-0645-x.
BACKGROUND: Six key behavioural risk factors (risky alcohol use, smoking, poor diet, physical inactivity, sedentary behaviour and unhealthy sleep patterns) have been identified as strong determinants of chronic disease, such as cardiovascular disease, diabetes and cancers. School-based interventions targeting these multiple health risk behaviours among adolescents have the potential to halt the trajectory towards later disease, whilst online and mobile technology interventions offer advantages in terms of student engagement, reach and scalability. Despite this, the efficacy of eHealth school-based interventions targeting these six health risk behaviours among adolescents has not been evaluated. The proposed systematic review aims to address this by determining the nature and efficacy of existing eHealth school-based interventions targeting multiple health risk behaviours among adolescents. METHODS: A systematic search of the MEDLINE, Embase, PsycINFO and Cochrane Library databases will be conducted to identify eligible published papers. Eligible studies will be randomised controlled trials, including cluster randomised controlled trials, of interventions targeting two or more of the following lifestyle risk behaviours: alcohol use, smoking, poor diet, physical inactivity, sedentary behaviour and sleep. Eligible studies will be those evaluating interventions delivered in a secondary school setting among participants 11-18 years of age, via an eHealth platform (Internet, computers of mobile technology). Two reviewers will independently screen studies for eligibility, extract data and assess the risk of bias. Study outcomes will be summarised in a narrative synthesis, and meta-analyses will be conducted where it is appropriate to combine studies. DISCUSSION: It is anticipated that the results from this review will serve to inform the development of future eHealth multiple health behaviour interventions for adolescents by identifying common characteristics of effective programs and highlighting knowledge gaps in the evidence base. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017072163.
背景:六项主要行为风险因素(危险饮酒、吸烟、不良饮食、缺乏运动、久坐行为和不健康的睡眠模式)已被确定为心血管疾病、糖尿病和癌症等慢性疾病的重要决定因素。针对青少年多种健康风险行为的基于学校的干预措施有可能阻止其向后期疾病发展的轨迹,而在线和移动技术干预措施在学生参与度、覆盖面和可扩展性方面具有优势。尽管如此,针对青少年这六种健康风险行为的基于电子健康的基于学校的干预措施的疗效尚未得到评估。拟议的系统评价旨在通过确定针对青少年多种健康风险行为的现有基于电子健康的基于学校的干预措施的性质和疗效来解决这一问题。
方法:将对 MEDLINE、Embase、PsycINFO 和 Cochrane Library 数据库进行系统搜索,以确定合格的已发表论文。合格的研究将是针对以下两种或多种生活方式风险行为的随机对照试验,包括整群随机对照试验:饮酒、吸烟、不良饮食、缺乏运动、久坐行为和睡眠。合格的研究将是评估通过电子健康平台(互联网、计算机或移动技术)在中学环境中针对 11-18 岁参与者实施的干预措施的研究。两名审查员将独立筛选研究的合格性、提取数据和评估偏倚风险。研究结果将以叙述性综合报告的形式进行总结,如果适合合并研究,将进行荟萃分析。
讨论:预计该综述的结果将通过确定有效计划的共同特征并突出证据基础中的知识空白,为未来针对青少年的基于电子健康的多种健康行为干预措施的制定提供信息。
系统评价注册:PROSPERO CRD42017072163。
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