TY - JOUR AU - Tzelepis, Flora AU - Mitchell, Aimee AU - Wilson, Louise AU - Byrnes, Emma AU - Haschek, Alexandra AU - Leigh, Lucy AU - Oldmeadow, Christopher PY - 2021 DA - 2021/12/21 TI -基于互联网的多种健康风险行为干预的长期有效性:JO - J Med Internet Res SP - e23513 VL - 23 IS - 12kw -互联网KW -多种健康行为KW -烟草KW -营养KW -酒精KW -体力活动AB -背景:吸烟、营养不良、危险饮酒和缺乏体力活动(SNAP)行为倾向于聚集在一起。如果干预措施同时针对多种健康风险行为，而不是针对单一行为，就可能使健康效益最大化。互联网覆盖面广，是为多种健康行为提供干预措施的可持续模式。然而，对于18岁以上成年人的SNAP行为的任何组合或所有行为，目前还没有系统研究基于互联网的干预的长期有效性。目的:本系统综述研究了在成年人(年龄≥18岁)中，与对照条件相比，基于互联网的干预对SNAP行为的长期集体有效性。方法:检索电子数据库Medline、PsycINFO、Embase、CINAHL和Scopus，检索截至2019年11月18日发表的描述基于互联网的干预对≥2种SNAP行为有效性的研究。还对检索文章的参考书目进行了检查，以确定合格的出版物。纳入标准为随机对照试验或聚类随机对照试验，由成人参与，研究基于互联网的干预措施，测量招募后至少6个月对≥2个SNAP行为的影响，并用英文发表在同行评审期刊上。两名审稿人从纳入的研究中独立提取数据，并使用定量研究质量评估工具评估方法学质量。 A robust variance estimation meta-analysis was performed to examine the long-term effectiveness of internet-based interventions on all 4 SNAP risk behavior outcomes. All SNAP outcomes were coded so they were in the same direction, with higher scores equating to worse health risk behaviors. Results: The inclusion criteria were met by 11 studies: 7 studies measured the effect of an internet-based intervention on nutrition and physical activity; 1 study measured the effect on smoking, nutrition, and physical activity; and 3 studies measured the effect on all SNAP behaviors. Compared with the control group, internet-based interventions achieved an overall significant improvement across all SNAP behaviors in the long term (standardized mean difference –0.12 [improvement as higher scores = worse health risk outcomes], 95% CI –0.19 to –0.05; I2=1.5%, P=.01). The global methodological quality rating was “moderate” for 1 study, while the remaining 10 studies were rated as “weak.” Conclusions: Internet-based interventions were found to produce an overall significant improvement across all SNAP behaviors collectively in the long term. Internet-based interventions targeting multiple SNAP behaviors have the potential to maximize long-term improvements to preventive health outcomes. SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e23513 UR - https://doi.org/10.2196/23513 UR - http://www.ncbi.nlm.nih.gov/pubmed/34931990 DO - 10.2196/23513 ID - info:doi/10.2196/23513 ER -