物联网对改善高收入国家劳动年龄妇女健康状况的有效性:系统评价与网络荟萃分析方案

Effectiveness of the Internet of Things for Improving Working-Aged Women's Health in High-Income Countries: Protocol for a Systematic Review and Network Meta-analysis.

作者信息

Yamaji Noyuri, Nitamizu Aya, Nishimura Etsuko, Suzuki Daichi, Sasayama Kiriko, Rahman Md Obaidur, Saito Eiko, Yoneoka Daisuke, Ota Erika

机构信息

Global Health Nursing, Graduate School of Nursing, St. Luke's International University, Tokyo, Japan.

Department of Nursing, Faculty of Health and Medical Sciences, Kanagawa Institute of Technology, Kanagawa, Japan.

出版信息

JMIR Res Protoc. 2023 Apr 4;12:e45178. doi: 10.2196/45178.

Abstract

BACKGROUND

Women often experience many unique health issues and conditions throughout their working lives. The Internet of Things (IoT) is a system of interrelated digital devices that can enable data exchanges over a network without human-to-human or human-to-computer interaction. The usage of applications and IoT in improving women's health has recently increased worldwide. However, there has been no consensus on the effectiveness of IoT in improving women's health outcomes.

OBJECTIVE

This systematic review and network meta-analysis (NMA) aims to assess and synthesize the role of apps and the IoT in improving women's health and to identify the ranking of interventions for ensuring better results for each stated outcome.

METHODS

Our systematic review and NMA will be conducted in accordance with the guidelines of the Cochrane Handbook. We will comprehensively search the following electronic databases: PubMed (including MEDLINE), Cochrane Central Register of Controlled Trials, Embase, Cumulative Index to Nursing and Allied Health Literature (ie, CINAHL), PsycINFO, ClinicalTrials.gov, and the World Health Organization International Clinical Trials Registry, along with other resources to identify relevant randomized controlled trials that have assessed the effects of various apps and the IoT with regard to improving working-aged women's health in high-income countries. We will segment and analyze the results of the included studies based on age categories (women undergoing a preconception period, those undergoing gestational and postpartum periods, and menopausal and pre- and postmenopausal women) and the medical history (women who have a specific medical condition-eg, cancer or diabetes-and women who do not have them) separately. Two independent reviewers will perform the study selection, data extraction, and quality assessment. Our primary outcomes include health status, well-being, and quality of life. We will perform pairwise meta-analysis and NMA to estimate the direct, indirect, and relative effects of apps and the IoT on women's health outcomes. We will also assess the hierarchy of interventions, statistical inconsistencies, and certainties of evidence for each outcome.

RESULTS

We plan to conduct the search in January 2023 and are currently discussing search strategies with the literature search specialists. The final report is planned for submission to a peer-reviewed journal in September 2023.

CONCLUSIONS

To the best of our knowledge, this review will be the first to identify the ranking of IoT intervention for ensuring working-aged women's health outcomes. These findings may be of great use to researchers, policy makers, and others with an interest in the field.

TRIAL REGISTRATION

International Prospective Register of Systematic Reviews (PROSPERO) CRD42022384620; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=384620.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/45178.

摘要

背景

女性在整个职业生涯中经常会经历许多独特的健康问题和状况。物联网(IoT)是一个相互关联的数字设备系统,能够在无需人与人或人与计算机交互的情况下通过网络实现数据交换。近年来,应用程序和物联网在改善女性健康方面的应用在全球范围内有所增加。然而,关于物联网在改善女性健康结果方面的有效性尚未达成共识。

目的

本系统评价和网络荟萃分析(NMA)旨在评估和综合应用程序和物联网在改善女性健康方面的作用,并确定干预措施的排名,以确保每个既定结果都能取得更好的效果。

方法

我们的系统评价和NMA将按照Cochrane手册的指南进行。我们将全面检索以下电子数据库:PubMed(包括MEDLINE)、Cochrane对照试验中心注册库、Embase、护理及相关健康文献累积索引(即CINAHL)、PsycINFO、ClinicalTrials.gov以及世界卫生组织国际临床试验注册库,以及其他资源,以识别评估各种应用程序和物联网对高收入国家职业女性健康影响的相关随机对照试验。我们将根据年龄类别(处于孕前阶段的女性、处于孕期和产后阶段的女性以及绝经和绝经前后的女性)和病史(患有特定疾病如癌症或糖尿病的女性以及未患这些疾病的女性)分别对纳入研究的结果进行分类和分析。两名独立的评审员将进行研究选择、数据提取和质量评估。我们的主要结果包括健康状况、幸福感和生活质量。我们将进行成对荟萃分析和NMA,以估计应用程序和物联网对女性健康结果的直接、间接和相对影响。我们还将评估每个结果的干预措施层次结构、统计不一致性和证据的确定性。

结果

我们计划于2023年1月进行检索,目前正在与文献检索专家讨论检索策略。最终报告计划于2023年9月提交给同行评审期刊。

结论

据我们所知,本综述将首次确定物联网干预措施的排名,以确保职业女性的健康结果。这些发现可能对该领域的研究人员、政策制定者和其他感兴趣的人有很大帮助。

试验注册

国际系统评价前瞻性注册库(PROSPERO)CRD42022384620;https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=384620。

国际注册报告识别号(IRRID):PRR1-10.2196/45178。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bd/10131648/1191e2d8faad/resprot_v12i1e45178_fig1.jpg

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