针对弱势青年不良饮食、饮酒、吸烟和电子烟使用的电子健康干预措施：系统评价方案

eHealth Interventions Targeting Poor Diet, Alcohol Use, Tobacco Smoking, and Vaping Among Disadvantaged Youth: Protocol for a Systematic Review.

作者信息

Egan Lyra, Gardner Lauren Anne, Newton Nicola, Champion Katrina

机构信息

The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia.

出版信息

JMIR Res Protoc. 2022 May 13;11(5):e35408. doi: 10.2196/35408.

DOI:10.2196/35408

PMID:35560002

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9143768/

Abstract

BACKGROUND

Chronic disease burden is higher among disadvantaged populations. Preventing lifestyle risk behaviors such as poor diet, alcohol use, tobacco smoking, and vaping in adolescence is critical for reducing the risk of chronic disease and related harms in adolescence and adulthood. Although eHealth interventions are a promising prevention approach among the general population, it is unclear whether they adequately serve adolescents from disadvantaged backgrounds such as those living in geographically remote or lower socioeconomic areas.

OBJECTIVE

This is the first systematic review to identify, evaluate, and synthesize evidence for the effectiveness of eHealth interventions targeting adolescents living in geographically remote or lower socioeconomic areas in preventing poor diet, alcohol use, tobacco smoking, and vaping.

METHODS

A systematic search will be conducted in 7 electronic databases: the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PROSPERO, MEDLINE (Ovid), Embase (Ovid), Scopus, and PsycInfo (Ovid). The search will be limited to eHealth-based experimental studies (ie, randomized controlled trials and quasi-experimental studies) targeting diet, alcohol use, tobacco smoking, and vaping among adolescents (aged 10-19 years). Eligible studies will be those reporting on at least one marker of socioeconomic status (eg, social class, household income, parental occupation status, parental education, and family affluence) or geographical remoteness (eg, living in rural, regional, and remote areas, or living outside major metropolitan centers). One reviewer will screen all studies for eligibility, of which 25% will be double-screened. Data will be extracted and summarized in a narrative synthesis. Risk of bias will be assessed using the Cochrane Revised Risk of Bias Tool.

RESULTS

As of December 2021, the title and abstract screening of 3216 articles was completed, and the full-text review was underway. The systematic review is expected to be completed in 2022.

CONCLUSIONS

This systematic review will provide an in-depth understanding of effective eHealth interventions targeting poor diet, alcohol use, tobacco smoking, and vaping among adolescents living in geographically remote or lower socioeconomic areas and the factors that contribute to their effectiveness. This in turn will provide critical knowledge to improve future interventions delivered to these populations.

TRIAL REGISTRATION

PROSPERO CRD42021294119; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=294119.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/35408.

摘要

背景

弱势群体的慢性病负担更高。预防青少年时期的不良饮食、饮酒、吸烟和吸电子烟等生活方式风险行为，对于降低青少年和成年期慢性病风险及相关危害至关重要。尽管电子健康干预措施在普通人群中是一种有前景的预防方法，但尚不清楚它们是否能充分服务于来自弱势背景的青少年，比如那些生活在地理偏远地区或社会经济地位较低地区的青少年。

目的

这是第一项系统评价，旨在识别、评估和综合针对生活在地理偏远或社会经济地位较低地区的青少年进行电子健康干预，以预防不良饮食、饮酒、吸烟和吸电子烟有效性的证据。

方法

将在7个电子数据库中进行系统检索：Cochrane系统评价数据库、Cochrane对照试验中心注册库、PROSPERO、MEDLINE（Ovid）、Embase（Ovid）、Scopus和PsycInfo（Ovid）。检索将限于以电子健康为基础的实验研究（即随机对照试验和准实验研究），针对青少年（10 - 19岁）的饮食、饮酒、吸烟和吸电子烟情况。符合条件的研究将是那些报告至少一个社会经济地位指标（如社会阶层、家庭收入、父母职业状况、父母教育程度和家庭富裕程度）或地理偏远程度（如生活在农村、地区和偏远地区，或生活在主要大都市中心以外）的研究。一名评审员将筛选所有研究的资格，其中25%将进行双盲筛选。数据将通过叙述性综合进行提取和总结。将使用Cochrane修订的偏倚风险工具评估偏倚风险。