Kooij Marissa C J, Smit Ashley J P, Breeman Linda D, Schiphof-Godart Lieke, Al-Dhahir Isra, Evers Andrea W M, Joosten Koen F M
Department of Neonatal and Pediatric Intensive Care, Erasmus MC Sophia Children's Hospital, Rotterdam, Netherlands.
Health, Medical, and Neuropsychology Unit, Leiden University, Leiden, Netherlands.
Mayo Clin Proc Digit Health. 2025 Apr 17;3(2):100223. doi: 10.1016/j.mcpdig.2025.100223. eCollection 2025 Jun.
EHealth lifestyle interventions can promote positive lifestyle changes in preschool children, but they need to be evaluated to assess their effectiveness and identify areas for improvement. This scoping review aimed to examine evaluation methods, outcome measures, and methodologic strengths and weaknesses, to provide recommendations for the evaluation of eHealth lifestyle interventions for preschool children. A comprehensive literature search was conducted across 6 databases for articles published up to September 29, 2023. We identified 48 articles describing 31 interventions that met our predefined eligibility criteria. These interventions predominantly targeted children's diet. The most frequently evaluated outcomes were effectiveness, acceptability, and usage. Effectiveness outcomes included, among others, dietary intake, anthropometrics, and child and parental behaviors. Acceptability was evaluated primarily as user satisfaction. Evaluation methods for effectiveness and acceptability included questionnaires, interviews, focus groups, and portable devices. Intervention usage was evaluated via logged use and self-reported data. On the basis of our findings, we present recommendations for future evaluation of eHealth interventions for preschool children. These recommendations focus on selecting relevant outcome measures and appropriate evaluation methods and on integrating and applying evaluation results.
电子健康生活方式干预可以促进学龄前儿童形成积极的生活方式改变,但需要对其进行评估,以评估其有效性并确定改进领域。本范围综述旨在研究评估方法、结果指标以及方法学的优势和不足,为评估针对学龄前儿童的电子健康生活方式干预提供建议。我们在6个数据库中进行了全面的文献检索,以查找截至2023年9月29日发表的文章。我们确定了48篇描述31项符合我们预先定义的纳入标准的干预措施的文章。这些干预措施主要针对儿童饮食。最常评估的结果是有效性、可接受性和使用情况。有效性结果包括饮食摄入量、人体测量学指标以及儿童和家长的行为等。可接受性主要通过用户满意度来评估。有效性和可接受性的评估方法包括问卷调查、访谈、焦点小组讨论和便携式设备。干预措施的使用情况通过记录使用情况和自我报告数据进行评估。基于我们的研究结果,我们提出了针对未来评估针对学龄前儿童的电子健康干预措施的建议。这些建议侧重于选择相关的结果指标和合适的评估方法,以及整合和应用评估结果。
Mayo Clin Proc Digit Health. 2025-4-17
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