Zhu Diana, Dordevic Aimee L, Davidson Zoe E, Gibson Simone
Department of Nutrition Dietetics and Food, Monash University, Melbourne, Australia.
School of Clinical Sciences, Monash University, Melbourne, Australia.
J Med Internet Res. 2025 Jan 30;27:e58774. doi: 10.2196/58774.
eHealth interventions can favorably impact health outcomes and encourage health-promoting behaviors in children. More insight is needed from the perspective of children and their families regarding eHealth interventions, including features influencing program effectiveness.
This review aimed to explore families' experiences with family-focused web-based interventions for improving health.
Five databases were searched on October 26, 2022-updated on October 24, 2023-for studies reporting qualitative data on participating children or their caregivers' experiences with web-based programs. Study identification was performed in duplicate and studies were independently appraised for quality. Thematic synthesis was undertaken on qualitative data extracted from the results section of each included article.
Of 5524 articles identified, 28 articles were included. The studies examined the experiences of school-aged children (aged 5-18 years) and their caregivers (mostly mothers) with 26 web-based interventions that were developed to manage 17 different health conditions or influence health-supporting behaviors. Six themes were identified on families' experiences: connecting with others, agency of learning, program reputability or credibility, program flexibility, meeting participants' needs regarding program content or delivery, and impact on lifestyle.
Families positively perceived family-focused web-based interventions, finding value in quality connections and experiencing social support; intervention features aligned with behavioral and self-management principles. Key considerations were highlighted for program developers and health care professionals on ways to adapt eHealth elements to meet families' health-related needs. Continued research examining families' experiences with eHealth interventions is needed, including the experiences of families from diverse populations and distinguishing the perspectives of children, their caregivers, and other family members, to inform the expansion of family-focused eHealth interventions in health care systems.
PROSPERO CRD42022363874; https://tinyurl.com/3xxa8enz.
电子健康干预措施可以对健康结果产生积极影响，并鼓励儿童养成促进健康的行为。需要从儿童及其家庭的角度对电子健康干预措施有更多的了解，包括影响项目效果的特征。
本综述旨在探讨家庭参与以家庭为中心的基于网络的健康改善干预措施的体验。
于2022年10月26日检索了五个数据库，并于2023年10月24日进行更新，以查找报告参与项目的儿童或其照顾者对基于网络项目体验的定性数据的研究。研究识别工作由两人独立进行，研究质量由两人独立评估。对从每篇纳入文章的结果部分提取的定性数据进行主题综合分析。
在识别出的5524篇文章中，纳入了28篇文章。这些研究调查了学龄儿童（5至18岁）及其照顾者（大多为母亲）对26种基于网络的干预措施的体验，这些干预措施旨在管理17种不同的健康状况或影响健康支持行为。在家庭体验方面确定了六个主题：与他人建立联系、学习自主性、项目声誉或可信度、项目灵活性、满足参与者对项目内容或实施方式的需求以及对生活方式的影响。
家庭对以家庭为中心的基于网络的干预措施持积极看法，认为高质量的联系有价值并体验到社会支持；干预措施的特征符合行为和自我管理原则。为项目开发者和医疗保健专业人员强调了关键考虑因素，即如何调整电子健康元素以满足家庭的健康相关需求。需要继续开展研究，考察家庭对电子健康干预措施的体验，包括不同人群家庭的体验，并区分儿童、其照顾者和其他家庭成员的观点，以为医疗保健系统中以家庭为中心的电子健康干预措施的扩展提供信息。
PROSPERO CRD42022363874；https://tinyurl.com/3xxa8enz 。
