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移动健康应用程序在体重管理中的应用:系统文献回顾。

Mobile Health Applications in Weight Management: A Systematic Literature Review.

机构信息

School of Social Sciences, Education and Social Work, Queen's University of Belfast, Belfast, Northern Ireland.

Imec-SMIT, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Am J Prev Med. 2019 Jun;56(6):894-903. doi: 10.1016/j.amepre.2018.12.005. Epub 2019 Apr 17.

DOI:10.1016/j.amepre.2018.12.005
PMID:31003801
Abstract

CONTEXT

Weight management is an effective strategy for controlling chronic disease and maintaining physical health, and research on this topic has risen dramatically over the past four decades. The present systematic literature review aimed to identify existing evidence on the efficacy of mobile health technology in facilitating weight management behaviors, such as healthy food consumption and physical activity.

EVIDENCE ACQUISITION

A systematic search was conducted in Ovid MEDLINE and Ovid PsycINFO databases with the aim to identify studies published in peer-reviewed journal articles between 2012 and 2017.

EVIDENCE SYNTHESIS

A total of 39 studies were analyzed in spring 2018 and are presented here in terms of participant characteristics, effective technology components, additional treatments, impact on health-related behaviors, and treatment efficacy. Indicators of study quality and social validity are also provided.

CONCLUSIONS

Mobile health apps are widely considered as satisfactory, easy to use, and helpful in the pursuit of weight loss goals by patients. The potential of mobile health apps in facilitating weight loss lies in their ability to increase treatment adherence through strategies such as self-monitoring. These findings indicate that satisfactory treatment adherence and consequent weight loss and maintenance are achieved in the presence of high levels of engagement with a mobile health app. The research quality assessment of RCTs reveals a great need for following international standards both when conducting and reporting research.

摘要

背景

体重管理是控制慢性病和维持身体健康的有效策略,在过去四十年中,关于这一主题的研究急剧增加。本系统文献综述旨在确定现有的关于移动健康技术在促进健康饮食和身体活动等体重管理行为方面的功效的证据。

证据获取

在 Ovid MEDLINE 和 Ovid PsycINFO 数据库中进行了系统搜索,旨在确定 2012 年至 2017 年期间在同行评议期刊文章中发表的研究。

证据综合

2018 年春季共分析了 39 项研究,并根据参与者特征、有效技术组成部分、附加治疗、对健康相关行为的影响以及治疗效果进行了介绍。还提供了研究质量和社会有效性的指标。

结论

移动健康应用程序被广泛认为是令人满意的、易于使用的,并且有助于患者实现减肥目标。移动健康应用程序在促进减肥方面的潜力在于它们通过自我监测等策略提高治疗依从性的能力。这些发现表明,在高度参与移动健康应用程序的情况下,可以实现令人满意的治疗依从性,从而导致体重减轻和维持。RCT 的研究质量评估表明,在进行和报告研究时,非常需要遵循国际标准。

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