基于智能手机应用程序的干预措施对青少年饮食摄入的影响：干预研究中公平因素报告的系统评价和评估。

The impact of smartphone app-based interventions on adolescents' dietary intake: a systematic review and evaluation of equity factor reporting in intervention studies.

机构信息

Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, Ontario, Canada.

Children's Health Research Institute, London, Ontario, Canada.

出版信息

Nutr Rev. 2024 Mar 11;82(4):467-486. doi: 10.1093/nutrit/nuad058.

DOI:10.1093/nutrit/nuad058

PMID:37330675

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10925905/

Abstract

CONTEXT

Adolescence is a critical stage for improving nutrition. The popularity of smartphones makes them an ideal platform for administering interventions to adolescents. A systematic review has yet to assess the impact of smartphone app-based interventions exclusively on adolescents' dietary intake. Furthermore, despite the impact of equity factors on dietary intake and the claim for mobile health of increased accessibility, there is minimal research on the reporting of equity factors in the evaluation of smartphone app-based nutrition-intervention research.

OBJECTIVES

This systematic review examines the effectiveness of smartphone app-based interventions on adolescents' dietary intake and the frequency with which equity factors and statistical analyses specific to equity factors are reported in these intervention studies.

DATA SOURCES

Databases (ie, Scopus, CINAHL, EMBASE, MEDLINE, PsycINFO, ERIC, and Cochrane Central Register for Randomized Control Trials) were searched for studies published from January 2008 to October 2022. Smartphone app-based intervention studies that were nutrition focused, evaluated at least 1 dietary intake variable, and included participants with a mean age between 10 and 19 years were included. All geographic locations were included.

DATA EXTRACTION AND ANALYSIS

Study characteristics, intervention results, and reported equity factors were extracted. Because of the heterogeneity of dietary outcomes, findings were reported as a narrative synthesis.

CONCLUSION

In total, 3087 studies were retrieved, 14 of which met the inclusion criteria. Eleven studies reported a statistically significant improvement in at least 1 dietary outcome because of the intervention. Reporting of at least 1 equity factor across articles' Introduction, Methods, Results, and Discussion sections was minimal (n = 5), and statistical analyses specific to equity factors were rare, occurring in only 4 of the 14 included studies. Future interventions should include a measurement of intervention adherence and report the impact of equity factors on the effectiveness and applicability of interventions for equity-deserving groups.

摘要

背景

青春期是改善营养的关键阶段。智能手机的普及使其成为向青少年实施干预措施的理想平台。目前还没有系统评价专门评估基于智能手机应用程序的干预措施对青少年饮食摄入的影响。此外，尽管公平因素对饮食摄入有影响，并且移动健康声称可增加可及性，但在评价基于智能手机应用程序的营养干预研究中，关于公平因素报告的研究极少。

目的

本系统评价考察了基于智能手机应用程序的干预措施对青少年饮食摄入的有效性，以及在这些干预研究中公平因素的报告频率和针对公平因素的统计分析。

数据来源

从 2008 年 1 月至 2022 年 10 月，我们在 Scopus、CINAHL、EMBASE、MEDLINE、PsycINFO、ERIC 和 Cochrane 中央随机对照试验注册中心等数据库中搜索了研究。纳入了以营养为重点、评估至少 1 项饮食摄入变量且纳入的参与者平均年龄在 10 至 19 岁之间的基于智能手机应用程序的干预研究。纳入了所有地理位置的研究。

数据提取和分析

提取了研究特征、干预结果和报告的公平因素。由于饮食结果存在异质性，因此以叙述性综合报告研究结果。

结论

共检索到 3087 项研究，其中 14 项符合纳入标准。11 项研究报告称，由于干预措施，至少有 1 项饮食结果有统计学意义上的改善。在文章的引言、方法、结果和讨论部分报告至少 1 个公平因素的文章很少（n=5），专门针对公平因素的统计分析也很少，仅在 14 项纳入研究中的 4 项中出现。未来的干预措施应包括干预措施依从性的测量，并报告公平因素对干预措施对公平相关群体的有效性和适用性的影响。