对儿科慢性疾病的综合认知行为疗法和体力活动和运动干预措施的系统审查和元分析
William R Black1,2, Lauren von Klinggraeff3, David A White4,5
1Center for Biobehavioral Health, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States.
Journal of pediatric psychology
|November 8, 2024
概括
结合体力活动 (PA) 或运动 (Ex) 的认知行为疗法 (CBT) 在儿科慢性疾病中显示出很小,不显著的效果. 需要更多的研究来证实这些综合干预措施的有效性.
科学领域:
- 儿科健康 儿科健康
- 行为医学是一种行为医学.
- 慢性疾病管理 慢性疾病管理
背景情况:
- 对于儿科患者来说,认知行为疗法 (CBT) 越来越多地与体力活动 (PA) 或运动 (Ex) 结合在一起.
- 已知PA和运动对健康和心理结果的独立益处.
- 目前尚不清楚与PA或Ex结合CBT是否比单独CBT在儿科慢性疾病中提供更高的疗效.
研究的目的:
- 系统地审查和元分析随机临床试验 (RCT).
- 评估CBT与PA (CBT+PA) 或Ex (CBT+Ex) 干预组合在患有慢性疾病的儿童中的疗效.
- 为了比较联合干预措施对单独CBT的疗效.
主要方法:
- 包括涉及患有慢性疾病的儿童 (≤18岁) 的RCT.
- 研究需要CBT+Ex或CBT+PA干预措施以及PA和Ex的客观测量.
- 搜索了七个数据库,用随机效应元分析提取和分析数据.
主要成果:
- 五项符合条件的研究报告了446名儿童.
- 观察到一个小的,不显著的整体效应 (d=0.10),这表明联合干预略微增加了PA & Ex参与度,相比单独CBT.
- 由于研究数量有限,进一步的分析无法得出结论.
结论:
- 需要额外的RCT来研究儿童慢性疾病的综合PA和Ex干预措施.
- 未来的试验应该为PA和Ex提供更详细的数据.
- 该研究协议在开放科学框架 (osf.io/m4wtc) 上进行了前性注册.
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