超越点击:对如何定义,预测并与自主导的eHealth预防性家长计划中的儿童结果联系的系统审查
Mary J Kuckertz1, Joanna J Kim2, Vijaya M Nandiwada-Hofer1
1REACH Institute, Department of Psychology, Arizona State University, 950 S. McAllister Ave., Tempe, AZ, 85287, USA.
通过电子健康提供的预防性育儿计划显示出希望,但与低参与度作斗争. 这次审查强调了不一致的参与指标和对预测因素和结果的有限理解,需要进一步研究.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 数字健康干预措施 数字健康干预措施
- 公共卫生 公共卫生
背景情况:
- 预防性育儿计划是有效的,但经常面临父母参与度较低.
- 自主导的电子健康干预为家长提供了可访问和灵活的替代方案.
- 了解参与电子健康育儿计划对于优化结果至关重要.
研究的目的:
- 系统地审查参与自我指导的电子健康预防性家长计划的操作化.
- 确定参与这些数字干预的预测因素.
- 检查参与和儿童行为健康结果之间的关联.
主要方法:
- 对31项独特研究的系统文献综述,这些研究涉及自主指导的电子健康预防性育儿计划中的护理人员.
- 分析报告的参与指标,包括模块完成和程序访问频率.
- 检查作为参与相关的研究变量及其与儿童结果的联系.
主要成果:
- 模块完成是最常见的参与度量,大约三分之一的程序也报告了访问频率.
- 参与操作和预测因素存在显著的变化,阻碍了一致的模式识别.
- 与青少年心理和行为健康结果联系的证据有限.
结论:
- 定义和衡量参与的异质性对交叉研究比较提出了挑战.
- 新出现的证据表明,像电话指导这样的策略可能会增强参与自我指导的电子健康育儿计划.
- 进一步的研究是必不可少的,以完善参与策略,并了解它们的影响,因为电子卫生干预措施扩大.
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