Sanchez-Flack Jennifer, Buscemi Joanna, O'Donnell Alexander, Clark Withington Margaret H, Fitzgibbon Marian
Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, United States.
University of Illinois Cancer Center, University of Illinois at Chicago, Chicago, IL, United States.
Front Digit Health. 2021 Jun 15;3:687648. doi: 10.3389/fdgth.2021.687648. eCollection 2021.
Parents/caregivers are consistently described as integral targets given their influential role in supporting and managing behaviors such as diet and physical activity. Identifying effective obesity prevention interventions to enhance and sustain parent participation is needed. Digital obesity prevention interventions are a promising strategy to improve parent/caregiver participation. Digital health interventions demonstrate acceptable participation and retention among parents/caregivers. However, our understanding of digital obesity prevention interventions targeting Black American and Latinx parents/caregivers is limited. This systematic review aims to identify Black American and Latinx parents'/caregivers' level of participation in digital obesity prevention and treatment interventions and determine the relationship between parent/caregiver participation and behavioral and weight status outcomes. This review adheres to PRISMA guidelines and is registered in PROSPERO. Eligibility criteria include: intervention delivered by digital technology, targeted Black American and Latinx parents/caregivers of young children (2-12 years), reported parent/caregiver participation outcomes, targeted diet or physical activity behaviors, and randomized controlled trial study design. Searches were conducted in September 2020 in ERIC, PsychInfo, PubMed, and Web of Science. Initial searches returned 499 results. Four reviewers screened records against eligibility criteria and 12 studies met inclusion criteria. Across all studies, parent/caregiver participation ranged from low to high. Only half of the included studies reported significant improvements in behavioral or weight status outcomes for parents/caregivers and/or children. Of these studies, three reported high parental/caregiver participation rates, and three reported high satisfaction rates. These findings suggest that participation and satisfaction may impact behavior change and weight status. The small number of studies indicates that additional research is needed to determine whether engagement or other factors predict responsiveness to the digital health intervention. Our results lay the groundwork for developing and testing future digital health interventions with the explicit goal of parental/caregiver participation and considers the need to expand our digital health intervention research methodologies to address obesity inequities among diverse families better.
父母/照顾者一直被视为重要目标，因为他们在支持和管理饮食及体育活动等行为方面发挥着重要作用。需要确定有效的肥胖预防干预措施，以提高并维持父母的参与度。数字肥胖预防干预措施是提高父母/照顾者参与度的一项有前景的策略。数字健康干预措施在父母/照顾者中显示出可接受的参与度和留存率。然而，我们对针对美国黑人及拉丁裔父母/照顾者的数字肥胖预防干预措施的了解有限。本系统评价旨在确定美国黑人及拉丁裔父母/照顾者参与数字肥胖预防和治疗干预措施的程度，并确定父母/照顾者参与度与行为及体重状况结果之间的关系。本评价遵循PRISMA指南，并已在PROSPERO注册。纳入标准包括：通过数字技术实施的干预措施、针对美国黑人及拉丁裔幼儿（2至12岁）的父母/照顾者、报告了父母/照顾者的参与结果、针对饮食或体育活动行为，以及随机对照试验研究设计。于2020年9月在教育资源信息中心（ERIC）、心理学文摘数据库（PsychInfo）、医学期刊数据库（PubMed）和科学引文索引数据库（Web of Science）中进行了检索。初步检索返回499条结果。四名评审员根据纳入标准对记录进行筛选，12项研究符合纳入标准。在所有研究中，父母/照顾者的参与度从低到高不等。只有一半的纳入研究报告称父母/照顾者和/或儿童的行为或体重状况结果有显著改善。在这些研究中，三项报告了较高的父母/照顾者参与率，三项报告了较高的满意度。这些发现表明，参与度和满意度可能会影响行为改变和体重状况。研究数量较少表明，需要进行更多研究以确定参与度或其他因素是否能预测对数字健康干预措施的反应。我们的结果为未来以父母/照顾者参与为明确目标的数字健康干预措施的开发和测试奠定了基础，并考虑到需要扩展我们的数字健康干预研究方法，以更好地解决不同家庭间的肥胖不平等问题。
