Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.
Department of Nursing, Mokpo National University, Muan, Korea.
Public Health Nurs. 2019 Nov;36(6):787-799. doi: 10.1111/phn.12655. Epub 2019 Aug 28.
We conducted a systematic review and meta-analysis to evaluate the effectiveness of mobile phone intervention in promoting a healthy lifestyle among adolescents.
Six databases were used for literature searches: MEDLINE, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, KoreaMed, and Research Information Sharing Service. The keywords used were "adolescents," "mobile phone," "smartphone," "mHealth," "application," and "text message." The search was restricted to intervention studies using randomized controlled studies and pre- and post-control group studies targeting adolescents, all written in English and Korean.
Eleven intervention studies, including 1,472 adolescents, were included. Included studies published between 2013 and 2018 used various mobile phone features: four studies utilized phone call and text messaging, whereas seven studies used health applications. Methodological quality was assessed and the overall quality of the studies was mid to low. The pooled data favored intervention in improving physical activity and reducing sugar-sweetened beverage intake and screen time. In a pooled data analysis, the effectiveness of mobile phone intervention on body mass index and weight loss was not statistically significant.
This study provided evidence that mobile phone intervention improved physical health and fitness among adolescents. More beneficial effects can be guaranteed when interventions involve informative and motivational messages. Strategies to ensure the durability of such interventions are needed to promote active and continuous engagement.
我们进行了一项系统评价和荟萃分析，以评估手机干预在促进青少年健康生活方式方面的效果。
我们使用 MEDLINE、Embase、Cochrane 图书馆、护理与联合健康文献累积索引、韩国医学文献数据库和研究信息共享服务这 6 个数据库进行文献检索。使用的关键词是“青少年”、“手机”、“智能手机”、“移动医疗”、“应用程序”和“短信”。检索限制为针对青少年的随机对照试验和前后对照组研究的干预研究，均以英文和韩文撰写。
纳入了 11 项干预研究，共纳入 1472 名青少年。纳入的研究发表于 2013 年至 2018 年之间，使用了各种手机功能：四项研究使用了电话和短信，而七项研究使用了健康应用程序。对方法学质量进行了评估，研究的总体质量为中低水平。汇总数据表明干预措施可改善身体活动和减少含糖饮料摄入和屏幕时间。在汇总数据分析中，手机干预对体重指数和减肥的效果不具有统计学意义。
本研究提供了证据表明手机干预可改善青少年的身体健康和体能。当干预措施涉及信息丰富和激励性的信息时，可以保证更有益的效果。需要采取策略来确保这些干预措施的持久性，以促进积极和持续的参与。
