TY -非盟的威尔默特泰勒玉盟,彭日成博盟——Rundle-Thiele Sharyn AU - Badejo Abi PY - 2019 DA - 2019/02/06 TI -在年轻的成年人体重管理:系统回顾电子健康干预的组件和结果乔- J地中海互联网Res SP - e10265六世- 21 - 2 KW -体重维护KW -电子健康KW -健康行为KW -肥胖KW -超重KW -审查KW -技术KW -体重KW -年轻人AB -背景:青年时期是采用不健康生活方式和体重增加的脆弱时期。很少有人关注这一年龄组预防体重增加的有效策略的发展和评估。电子医疗(eHealth)作为一种具有成本效益的手段提供了潜力，可以大规模提供方便的、个性化的、有背景意义的干预措施。目的:本系统综述的主要目的是定位和综合针对年轻人的电子健康体重管理干预措施的证据，特别关注(电子健康)干预的组成部分和结果。方法:按照系统评价和荟萃分析指南的首选报告项目进行系统评价。检索策略在以下电子数据库中执行:护理与联合健康文献累积索引、Cochrane图书馆、EBSCO、EMBASE、Emerald、教育资源信息中心、医学文献分析与检索系统在线、Ovid、ProQuest、PsycINFO、PubMed、Science Direct、Scopus和Web of Science。此外，2名审稿人独立评估了记录的合格性:同行评议、英文发表，并报告了针对健康年轻人(18-35岁)的eHealth体重管理干预措施的评估。然后从符合纳入标准的研究中提取数据。研究的方法学质量由2名审稿人使用有效公共卫生实践项目(EPHPP)质量评估工具独立评估。 A comprehensive narrative evidence synthesis was then completed. Results: Out of the 1301 studies assessed for eligibility, 24 met the criteria for inclusion. According to the EPHPP quality assessment tool, overall, 19 studies were as rated weak, 5 as moderate, and none as strong. The narrative synthesis of intervention outcomes found 8 studies reported positive weight-related outcomes, 4 reported mixed outcomes, and 12 did not report any significant changes in weight-related outcomes. The narrative synthesis of (eHealth) intervention components led to 3 levels of classification. A total of 14 studies were classified as Web-based, 3 as mobile-based, and 7 as multicomponent interventions. Following the narrative synthesis, 5 key strategies were thematically identified: self-regulation (goal setting and self-monitoring), tailored or personalized feedback, contact with an interventionist, social support, and behavioral prompts (nudges and reminders) and booster messages. Conclusions: Findings highlight the limited evidence base for eHealth weight management interventions targeting young adults. The complex nature of weight management presents an ongoing challenge for interventionists to identify what works, for whom, how, and when. The quality of the evidence in this review was generally assessed as weak; however, assessment tools such as the EPHPP are principally concerned with what should be and this is seldom equivalent to what works. Thus, while sampling, study design and retention rates will remain key determining factors of reliability and validity, further research attention directed toward the development of guiding tools for community trials is warranted. SN - 1438-8871 UR - //www.mybigtv.com/2019/2/e10265/ UR - https://doi.org/10.2196/10265 UR - http://www.ncbi.nlm.nih.gov/pubmed/30724736 DO - 10.2196/10265 ID - info:doi/10.2196/10265 ER -