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儿童肥胖预防与全科医疗:澳大利亚临床资源的映射综述

Childhood Obesity Prevention and General Practice: A Mapping Review of Australian Clinical Resources.

作者信息

Gooey Michelle, Skouteris Helen, West Kellie, Bragge Peter, Sturgiss Elizabeth

机构信息

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Victoria, Australia.

Warwick Business School, University of Warwick, Coventry, UK.

出版信息

Health Promot J Austr. 2025 Apr;36(2):e70006. doi: 10.1002/hpja.70006.

DOI:10.1002/hpja.70006
PMID:40200740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11979556/
Abstract

ISSUE ADDRESSED

Preventing childhood obesity is a health promotion priority in Australia, and general practitioners (GP) play an important role through the provision of preventive healthcare. We identified and characterised existing Australian clinical resources which could support childhood obesity prevention in general practices to better understand resource availability and identify gaps to facilitate the planning of possible future interventions.

METHODS

A mapping review was undertaken to find relevant clinical resources that focus on growth monitoring and/or promoting healthy behaviours relevant to children with a healthy weight. In this review, a 'clinical resource' is a resource for use in a patient consultation. All resources were independently assessed by two practising GP investigators for clinical use suitability. Additionally, the Patient Education Materials Assessment Tool (PEMAT) or an author-adapted Royal Australian College of General Practitioners tool was used to assess each resource as appropriate.

RESULTS

One hundred and twenty resources were included. The target audience was children and/or their families for 114 resources, and GPs for six. GP involvement was found in the development of one resource. Overall, mean PEMAT scores indicated that many patient materials were understandable but poorly actionable.

CONCLUSIONS

There are many existing Australian resources relevant to childhood obesity prevention in general practice. Most are directed towards children and their families; however, quality assessment indicated improvements are needed to support action. SO WHAT?: Partnering with GPs, children, and their families is an important next step to ensure that health-promoting clinical resources available for general practice are optimised for use.

摘要

研究问题

预防儿童肥胖是澳大利亚健康促进的重点,全科医生(GP)通过提供预防性医疗保健发挥着重要作用。我们识别并描述了澳大利亚现有的临床资源,这些资源可支持全科医疗中的儿童肥胖预防工作,以更好地了解资源可用性并找出差距,从而为未来可能的干预措施规划提供便利。

方法

进行了一项映射综述,以查找关注生长监测和/或促进与健康体重儿童相关的健康行为的相关临床资源。在本综述中,“临床资源”是指用于患者咨询的资源。所有资源均由两名执业全科医生研究者独立评估其临床适用性。此外,酌情使用患者教育材料评估工具(PEMAT)或作者改编的澳大利亚皇家全科医生学院工具对每种资源进行评估。

结果

共纳入120种资源。其中114种资源的目标受众是儿童和/或其家庭,6种是针对全科医生的。发现有1种资源的开发涉及全科医生。总体而言,PEMAT平均得分表明,许多患者材料易于理解,但可操作性较差。

结论

澳大利亚现有许多与全科医疗中儿童肥胖预防相关的资源。大多数资源针对儿童及其家庭;然而,质量评估表明需要改进以支持行动。那又如何?:与全科医生、儿童及其家庭合作是确保优化全科医疗中可用的促进健康临床资源以供使用的重要下一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/36aa7074708d/HPJA-36-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/349a9ae17eb1/HPJA-36-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/ebba491a4678/HPJA-36-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/ca1cafff23c7/HPJA-36-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/36aa7074708d/HPJA-36-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/349a9ae17eb1/HPJA-36-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/ebba491a4678/HPJA-36-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/ca1cafff23c7/HPJA-36-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3c/11979556/36aa7074708d/HPJA-36-0-g004.jpg

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本文引用的文献

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Fam Pract. 2024 Oct 8;41(5):770-780. doi: 10.1093/fampra/cmae013.
2
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Fam Pract. 2024 Feb 28;41(1):25-30. doi: 10.1093/fampra/cmad117.
3
Clinical practice guidelines for the prevention of childhood obesity: A systematic review of quality and content.
临床实践指南预防儿童肥胖:系统评价质量和内容。
Obes Rev. 2022 Oct;23(10):e13492. doi: 10.1111/obr.13492. Epub 2022 Jul 11.
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Differentiating between mapping reviews and scoping reviews in the evidence synthesis ecosystem.区分证据综合生态系统中的映射审查和范围审查。
J Clin Epidemiol. 2022 Sep;149:175-182. doi: 10.1016/j.jclinepi.2022.05.012. Epub 2022 May 27.
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Editorial: How can We Co-Create Solutions in Health Promotion With Users and Stakeholders?社论:我们如何与用户及利益相关者共同创造健康促进解决方案?
Front Public Health. 2021 Dec 8;9:773907. doi: 10.3389/fpubh.2021.773907. eCollection 2021.
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Exploring access to, use of and benefits from population-oriented digital health services in Australia.探索澳大利亚面向人群的数字健康服务的可及性、使用情况和获益。
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Priority-setting for obesity prevention-The Assessing Cost-Effectiveness of obesity prevention policies in Australia (ACE-Obesity Policy) study.优先考虑肥胖预防——澳大利亚肥胖预防政策成本效益评估(ACE-Obesity Policy)研究。
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