Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, Connecticut, United States of America.
Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut, United States of America.
PLoS One. 2023 Jan 23;18(1):e0280888. doi: 10.1371/journal.pone.0280888. eCollection 2023.
Multicomponent interventions can reduce cardiometabolic disease (CMD) risk factors in childhood; however, little synthesis of the literature has taken place in the Pacific region. Pacific Islanders experience a disproportionately high prevalence of CMD risk factors, yet interventions have been slow to reach many communities. We present this protocol for a scoping review to identify and summarize existing multicomponent interventions to address CMD risk in Pacific Islander children.
Eligible interventions will (1) address CMD risk factors (including but not limited to obesity, hyperglycemia, dyslipidemia, elevated blood pressure, and/or health behaviors) in 2-to-12-year-old Pacific Islander children, and (2) be multi-component (including at least two lifestyle/behavior change strategies to address CMD risk factors). To investigate existing interventions for adaptation and potential use in Pacific Islander communities, we will search Scopus, MEDLINE ALL (Ovid), EMBASE (Ovid), Yale-licensed Web of Science Core Collection, Cochrane Library, CINAHL (EBSCOhost), ProQuest Dissertations & Theses Global, Global Health (EBSCO), non-indexed Pacific journals, grey literature, government reports, and clinical trial registrations. The Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Scoping Reviews will guide data extraction, evidence mapping, synthesis, and reporting of information including study population, intervention components, behavioral changes, health and implementation outcomes, theoretical frameworks, and evaluation measures.
Formal ethical approval is not required. The dissemination strategy will include peer-reviewed journal publications and presentations. Synthesis of existing multicomponent interventions for Pacific Islander children will help to identify best practices that could be replicated, adapted, or combined.
多组分干预措施可降低儿童时期心血管代谢疾病(CMD)的风险因素;然而,在太平洋地区,对文献的综合研究甚少。太平洋岛民患心血管代谢疾病风险因素的比例过高,但干预措施迟迟未能惠及许多社区。我们提出了这一方案,旨在进行范围综述,以确定和总结现有的多组分干预措施,以解决太平洋岛民儿童的 CMD 风险。
合格的干预措施将:(1)针对 2 至 12 岁的太平洋岛民儿童的 CMD 风险因素(包括但不限于肥胖、高血糖、血脂异常、血压升高和/或健康行为);(2)是多组分的(包括至少两种生活方式/行为改变策略来解决 CMD 风险因素)。为了调查现有的干预措施以适应和潜在用于太平洋岛民社区,我们将搜索 Scopus、MEDLINE ALL(Ovid)、EMBASE(Ovid)、耶鲁许可的 Web of Science 核心合集、Cochrane 图书馆、CINAHL(EBSCOhost)、ProQuest Dissertations & Theses Global、Global Health(EBSCO)、非索引的太平洋期刊、灰色文献、政府报告和临床试验注册。乔安娜·布里格斯研究所的证据综合手册和首选报告项目将指导数据提取、证据映射、综合和报告信息,包括研究人群、干预措施组成部分、行为变化、健康和实施结果、理论框架和评估措施。
不需要正式的伦理批准。传播策略将包括同行评议的期刊出版物和演示。对太平洋岛民儿童现有多组分干预措施的综合分析将有助于确定可复制、改编或组合的最佳实践。