基于手机通讯的干预措施,改善癌症患者的身体活动:系统审查和元分析
Xueyan Cheng1, Mu-Hsing Ho1, Chun Kit Chan2
1School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, 3 Sassoon Road, Pok Fu Lam, Hong Kong, China, 852 39176673.
Journal of medical Internet research
|December 15, 2025
概括
移动电话短信在癌症患者中适度改善了客观体力活动 (PA),但对自我报告的PA或步数的影响有限. 长期益处需要进一步调查,并进行延长的随访.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 身体活动 (PA) 对癌症结果至关重要,但大多数患者不符合指导方针.
- 移动电话消息提供了一种可扩展的策略来促进PA,但其在癌症患者中的有效性需要系统审查.
研究的目的:
- 系统地评估手机通讯干预措施对促进癌症患者体育活动的影响.
主要方法:
- 在8个数据库的系统搜索中,确定了癌症患者手机通讯AP的随机对照试验.
- 小组分析探讨了异质性,随机效应模型估计了整体效应大小.
- 评估了偏差风险,敏感性分析和出版偏差.
主要成果:
- 与777名参与者进行的13项研究表明,手机通讯显著改善了客观的PA (SMD=0.37),但没有自我报告的PA或步数.
- 使用更多行为改变技术和针对治疗后患者的干预措施改善了步骤数量.
- 在随访时,对PA的影响没有持续.
结论:
- 移动电话消息干预措施显示了对癌症患者客观PA的适度改善的潜力.
- 对自我报告的PA和步数的影响有限,缺乏持续效应,需要进一步研究.
- 未来的试验应侧重于严格的设计和扩展后续行动,以确认长期益处.
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