技术支持的行为改变干预措施,以减少成人摄入量:系统性审查和元分析
Yong Yang Yan1, Lily Man Lee Chan1, Man Ping Wang1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
NPJ digital medicine
|March 19, 2024
概括
技术支持的干预措施有效地减少了摄入量,降低了成年人的血压. 更频繁的干预显示出更大的减少,突出了未来健康策略的关键特征.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 行为科学 行为科学
背景情况:
- 高摄入量是与高血压相关的重大公共卫生问题.
- 之前对技术支持的减行为改变干预措施的研究得出了不确定的结果.
- 这些干预措施的有效特征仍未确定.
研究的目的:
- 系统地审查和元分析技术支持的行为改变干预措施对成年人摄入量和健康结果的影响.
- 为了确定与减少相关的有效干预特征.
主要方法:
- 从2000年1月到2023年4月发表的随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了5个数据库;包括了18个RCT与3505名参与者.
- 对24小时尿中的 (24HUNa),缩血压 (SBP) 和腹缩血压 (DBP) 进行了元分析,并进行了子组分析和元回归.
主要成果:
- 技术支持的干预措施显著降低了24HUNa (MD -0.39 gm/24h),SBP (MD -2.67 mmHg) 和DBP (MD -1.39 mmHg).
- 每周或更频繁地进行的干预措施对24HUNa减少产生了显著更大的影响.
- 即时通讯交付和参与者-家庭双参与显示了24HUNa减少更大的效果大小的趋势.
结论:
- 技术支持的行为改变干预措施在减少摄入量和改善成人血压方面是有效的.
- 频繁的干预 (≤每周一次) 是增强减少的关键特征.
- 调查结果应为未来减少的干预措施的制定提供信息,重点关注长期影响.
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