Families' Experiences With Family-Focused Web-Based Interventions for Improving Health: Qualitative Systematic Literature Review.

IF 6 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Internet Research Pub Date : 2025-01-30 DOI:10.2196/58774
Diana Zhu, Aimee L Dordevic, Zoe E Davidson, Simone Gibson
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Abstract

Background: eHealth interventions can favorably impact health outcomes and encourage health-promoting behaviors in children. More insight is needed from the perspective of children and their families regarding eHealth interventions, including features influencing program effectiveness.

Objective: This review aimed to explore families' experiences with family-focused web-based interventions for improving health.

Methods: Five databases were searched on October 26, 2022-updated on October 24, 2023-for studies reporting qualitative data on participating children or their caregivers' experiences with web-based programs. Study identification was performed in duplicate and studies were independently appraised for quality. Thematic synthesis was undertaken on qualitative data extracted from the results section of each included article.

Results: Of 5524 articles identified, 28 articles were included. The studies examined the experiences of school-aged children (aged 5-18 years) and their caregivers (mostly mothers) with 26 web-based interventions that were developed to manage 17 different health conditions or influence health-supporting behaviors. Six themes were identified on families' experiences: connecting with others, agency of learning, program reputability or credibility, program flexibility, meeting participants' needs regarding program content or delivery, and impact on lifestyle.

Conclusions: Families positively perceived family-focused web-based interventions, finding value in quality connections and experiencing social support; intervention features aligned with behavioral and self-management principles. Key considerations were highlighted for program developers and health care professionals on ways to adapt eHealth elements to meet families' health-related needs. Continued research examining families' experiences with eHealth interventions is needed, including the experiences of families from diverse populations and distinguishing the perspectives of children, their caregivers, and other family members, to inform the expansion of family-focused eHealth interventions in health care systems.

Trial registration: PROSPERO CRD42022363874; https://tinyurl.com/3xxa8enz.

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以家庭为中心的网路干预改善健康的家庭经验:质性系统文献回顾。
背景:电子健康干预可以对儿童的健康结果产生积极影响,并鼓励促进健康的行为。需要从儿童及其家庭的角度进一步了解电子保健干预措施,包括影响方案有效性的特点。目的:本综述旨在探讨以家庭为中心的网络干预措施改善健康的家庭经验。方法:于2022年10月26日(2023年10月24日更新)检索了5个数据库,以报告参与儿童或其看护人在网络项目中的经历的定性数据。研究鉴定是重复进行的,研究的质量是独立评价的。对从每篇纳入文章的结果部分提取的定性数据进行专题综合。结果:在鉴定的5524篇文献中,纳入了28篇。这些研究调查了学龄儿童(5-18岁)及其照顾者(主要是母亲)的经历,采用了26种基于网络的干预措施,旨在管理17种不同的健康状况或影响健康支持行为。根据家庭经验确定了六个主题:与他人联系,学习代理,项目声誉或可信度,项目灵活性,满足参与者对项目内容或交付的需求,以及对生活方式的影响。结论:家庭积极感知以家庭为中心的网络干预,发现高质量联系的价值,并体验到社会支持;干预特征符合行为和自我管理原则。会议强调了方案开发人员和保健专业人员在如何调整电子保健要素以满足家庭健康相关需求方面的关键考虑。需要继续研究家庭使用电子卫生干预措施的经验,包括不同人口家庭的经验,并区分儿童、其照顾者和其他家庭成员的观点,以便为在卫生保健系统中扩大以家庭为重点的电子卫生干预措施提供信息。试验注册:PROSPERO CRD42022363874;https://tinyurl.com/3xxa8enz。
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来源期刊
CiteScore
14.40
自引率
5.40%
发文量
654
审稿时长
1 months
期刊介绍: The Journal of Medical Internet Research (JMIR) is a highly respected publication in the field of health informatics and health services. With a founding date in 1999, JMIR has been a pioneer in the field for over two decades. As a leader in the industry, the journal focuses on digital health, data science, health informatics, and emerging technologies for health, medicine, and biomedical research. It is recognized as a top publication in these disciplines, ranking in the first quartile (Q1) by Impact Factor. Notably, JMIR holds the prestigious position of being ranked #1 on Google Scholar within the "Medical Informatics" discipline.
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