改变土著母亲和儿童健康相关行为的移动健康干预:系统性审查
Sana Ishaque1, Ola Ela1, Anna Dowling1
1Flinders University, College of Medicine and Public Health, Flinders Health and Medical Research Institute, Bedford Park, Australia.
这次系统性审查发现,对于土著母亲和儿童的移动健康 (mHealth) 干预措施的证据有限. 由于样本规模较小和干预措施多样化,结果需要谨慎解释,以有效促进健康.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 土著健康土著健康
背景情况:
- 移动健康 (mHealth) 干预提供可访问的健康信息,但需要土著人口的文化适应.
- 没有系统性审查检查了在怀孕和幼儿时期为土著妇女提供有效的mHealth干预措施.
研究的目的:
- 评估土著母亲和儿童的mHealth干预有效性 (怀孕到产后5年).
- 探索基于参与,设计和背景的有效性变化.
- 调查干预措施的共同设计.
主要方法:
- 在5个数据库 (SCOPUS,MEDLINE,CINAHL,PsycINFO,ProQuest) 和灰色文献中进行系统搜索.
- 包括随机对照试验,前后比较和使用mHealth用于土著母婴健康的队列研究.
- 来自3项符合条件的研究数据的描述性综合.
主要成果:
- 评估了三个不同的mHealth干预措施:远程产前教育,SMS家长行动和SBIRT eCHECKUP To Go.
- 报告的显著结果包括增加产前教育参与率,母乳养率和改善儿童行为.
- 已注意到酒精消费量下降,但没有提供对显著结果的样本大小计算.
结论:
- 缺少样本大小计算,就干预效率与统计错误进行了明确的结论.
- 由于证据有限和研究数量少,研究结果应谨慎解释.
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