针对SNAP和WIC参与者的电子健康饮食干预:系统审查
Mayra Crespo-Bellido1, Josephine Fernandez Ong2, Amy Yaroch1
1Gretchen Swanson Center for Nutrition, Omaha, NE, United States.
Current developments in nutrition
|May 6, 2024
概括
对补充营养援助计划 (SNAP) 和WIC参与者的数字营养教育显示出高度接受和可行性. 参与和坚持是改善饮食行为的关键,但有效性各不相同,强调需要关注健康公平和数字素养.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了联邦援助服务在线转移,增加了SNAP和WIC参与者对数字营养教育的兴趣.
- 联邦政府对这些计划的营养教育现代化投资需要确定有效的电子健康干预措施.
- 在了解弱势群体数字饮食干预措施的有效性,可接受性和可行性方面存在差距.
研究的目的:
- 系统地审查SNAP和WIC计划中的个人电子健康饮食干预措施的有效性,可接受性和可行性.
- 确定科学支持的数字干预措施,可以改善这一群体的健康结果.
- 总结有关干预类型,理论框架和交付方法的发现.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在Google Scholar,PubMed和Science Direct中对2014年至2023年的同行评审文献进行了搜索.
- 包括36篇文章,评估SNAP/WIC参与者的电子健康,短信和智能手机应用程序.
主要成果:
- 电子健康 (52.8%),短信 (27.8%) 和智能手机应用程序 (19.4%) 是评估的主要干预模式.
- 大多数干预措施使用理论框架 (77.8%) 和基于证据的营养建议 (59.3%).
- 报告了高可接受性和可行性,但有效性各不相同;参与,剂量,保留和坚持预测了积极的饮食变化.
结论:
- 对于SNAP和WIC参与者来说,电子健康和移动健康干预措施是可以接受和可行的.
- 参与,剂量,保留和坚持对于成功改变饮食行为至关重要.
- 未来的研究必须解决健康公平,代表性抽样和数字健康素养障碍.
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