Soltero Erica G, Lopez Callie, Hernandez Edith, O'Connor Teresia M, Thompson Debbe
United States Department of Agriculture/Agricultural Research Services Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.
JMIR Pediatr Parent. 2022 Nov 4;5(4):e39261. doi: 10.2196/39261.
Given that today's adolescents are digital front-runners, technology-based obesity prevention strategies are age-appropriate for this population. The use of remote and wireless technologies may be suitable for extending the reach and engagement of obesity prevention efforts among high-risk Hispanic youths, as this subgroup is disproportionately affected by barriers that limit participation in traditional, in-person interventions.
The purpose of this scoping review was to examine the intervention and sample characteristics of technology-based obesity prevention interventions among Hispanic adolescents. We also examined feasibility criteria to assess the acceptability and appropriateness of technology-based strategies among Hispanic youths.
A comprehensive search of Embase and PubMed identified 7 studies that met the inclusion criteria. Data were extracted by 2 independent reviewers.
Of the 7 included studies, half (n=4, 57%) used a randomized control trial design, with equal implementation in school (n=3, 43%) and clinic (n=4, 57%) settings. Studies commonly targeted improvements in diet (n=4, 57%) and physical activity (n=7, 100%), with only 1 (14%) study focused on sedentary behaviors. Just 2 (29%) studies reported the use of behavioral theories or models. Studies focused primarily on youths in early (n=5, 71%) or middle (n=6, 86%) adolescence, and there was limited information reported on socioeconomic status. Only 3 (43%) study conducted formative work, and few (n=3, 43%) reported on acceptability. Only 1 (14%) study reported that materials were available in Spanish and English, and only 1 (14%) study used culturally tailored content. Additionally, 3 (43%) studies used strategies that considered social determinants of health.
To increase our understanding of the feasibility and effectiveness of technology-based obesity prevention strategies among Hispanic adolescents, there is a need for more feasibility studies that are theoretically grounded and comprehensively report on feasibility-related outcomes. Future studies should also leverage technology to simultaneously address multiple health behaviors beyond diet and physical activity. The result of this review can be used to guide the development of future technology-based obesity prevention strategies among Hispanic adolescents.
CliniclaTrials.gov NCT04953442; https://clinicaltrials.gov/ct2/show/NCT04953442.
鉴于当今的青少年是数字时代的领跑者，基于技术的肥胖预防策略适合这一人群的年龄特点。远程和无线技术的使用可能适合扩大针对高危西班牙裔青少年的肥胖预防工作的覆盖范围和参与度，因为这一亚组受到限制参与传统面对面干预的障碍的影响尤为严重。
本范围综述的目的是研究西班牙裔青少年中基于技术的肥胖预防干预措施的干预和样本特征。我们还研究了可行性标准，以评估基于技术的策略在西班牙裔青少年中的可接受性和适用性。
对Embase和PubMed进行全面检索，确定了7项符合纳入标准的研究。数据由2名独立评审员提取。
在纳入的7项研究中，一半（n = 4，57%）采用随机对照试验设计，在学校（n = 3，43%）和诊所（n = 4，57%）环境中实施情况相同。研究通常旨在改善饮食（n = 4，57%）和身体活动（n = 7，100%），只有1项（14%）研究关注久坐行为。只有2项（29%）研究报告使用了行为理论或模型。研究主要关注早期（n = 5，71%）或中期（n = 6，86%）青春期的青少年，关于社会经济地位的报告信息有限。只有3项（43%）研究进行了形成性工作，很少有研究（n = 3，43%）报告可接受性。只有1项（14%）研究报告材料有西班牙语和英语版本，只有1项（14%）研究使用了根据文化定制的内容。此外，3项（43%）研究使用了考虑健康社会决定因素的策略。
为了加深我们对基于技术的肥胖预防策略在西班牙裔青少年中的可行性和有效性的理解，需要更多基于理论的可行性研究，并全面报告与可行性相关的结果。未来的研究还应利用技术同时解决饮食和身体活动之外的多种健康行为。本综述的结果可用于指导未来针对西班牙裔青少年的基于技术的肥胖预防策略的制定。
ClinicalTrials.gov NCT04953442；https://clinicaltrials.gov/ct2/show/NCT04953442。
