Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
PLoS One. 2020 Sep 1;15(9):e0237969. doi: 10.1371/journal.pone.0237969. eCollection 2020.
This systematic review aims to summarize the evidence regarding the effectiveness of interventions targeting energy balance-related behaviors in children from lower socioeconomic environments and the applied behavior change techniques. The literature search was conducted in Cochrane, Embase, Psycinfo and Pubmed. Articles had to be published between January 2000 and September 2019. Studies were included that i) targeted dietary behavior, physical activity and/or sedentary behavior; ii) had a controlled trial design; iii) included children aged 9-12 years old; iv) focused on lower socioeconomic environments; and v) took place in upper-middle or high income countries. Two independent researchers extracted data, identified behavior change techniques using the Behavior Change Technique Taxonomy v1, and performed a methodological quality assessment using the quality assessment tool of the Effective Public Health Practice Project. We included 24 studies, of which one received a high and three a moderate quality rating. Demonstration, practice and providing instructions on how to perform a behavior were the most commonly applied behavior change techniques. Seven studies reported significant beneficial intervention effects: five on physical activity, one on physical activity and sedentary behavior and one on dietary behavior. When comparing effective versus non-effective interventions, and comparing our review to previous reviews focusing on children from the general population, similar behavior change techniques were applied. More high quality research is needed to evaluate the effectiveness of interventions and their behavior change techniques targeting children of low socioeconomic environments. PROSPERO registration number: CRD42016052599.
本系统评价旨在总结针对社会经济环境较低的儿童进行干预以平衡能量相关行为的证据，以及应用的行为改变技术。文献检索在 Cochrane、Embase、Psycinfo 和 Pubmed 中进行。文章必须在 2000 年 1 月至 2019 年 9 月之间发表。研究包括：i）针对饮食行为、身体活动和/或久坐行为；ii）采用对照试验设计；iii）纳入 9-12 岁儿童；iv）关注社会经济环境较低的人群；v）发生在中上或高收入国家。两名独立研究人员提取数据，使用行为改变技术分类学 v1 识别行为改变技术，并使用有效公共卫生实践项目的质量评估工具进行方法学质量评估。我们纳入了 24 项研究，其中一项研究获得了高评分，三项研究获得了中等质量评分。示范、实践和提供如何执行行为的指导是最常用的行为改变技术。有 7 项研究报告了干预的显著有益效果：5 项与身体活动有关，1 项与身体活动和久坐行为有关，1 项与饮食行为有关。当比较有效干预和无效干预，以及将我们的综述与关注一般人群儿童的先前综述进行比较时，应用了类似的行为改变技术。需要更多高质量的研究来评估针对社会经济环境较低的儿童的干预措施及其行为改变技术的有效性。PROSPERO 注册号：CRD42016052599。
