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Acute effects of outdoor versus indoor exercise: a systematic review and meta-analysis. 户外运动与室内运动的急性效应:系统回顾与荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-06 DOI: 10.1080/17437199.2024.2383758
Luke Peddie, Vincent Gosselin Boucher, E Jean Buckler, Matt Noseworthy, Brook L Haight, Spencer Pratt, Boaz Injege, Michael Koehle, Guy Faulkner, Eli Puterman

Exercise and nature exposure are independently recognised for their positive relationship with health, but their combined effects are not fully understood. The present review summarises the evidence that compares physiological and perceptual differences of a single bout of exercise performed outdoors versus indoors. Nine databases were searched for articles published before March 2021 which utilised controlled designs to assess at least one physiological outcome during or after a single acute bout of outdoor exercise. When appropriate, quantitative analyses were completed. Quality of articles was assessed using the Cochrane Risk of Bias Assessment Tool. The findings of 38 articles (Total N = 1168) were examined. Participants were primarily healthy. Summarised outcomes included objective exercise intensity, perceived exertion, performance, neuroendocrine and metabolic responses, cardiovascular responses, thermoregulation, enjoyment, intention for future exercise, and perceptions of the environment. Outdoor environments increased enjoyment (N = 234, K = 10, g = 1.24, 95% CI = [0.59, 1.89], p < 0.001). Findings for remaining outcomes were non-significant or inconclusive and challenging to interpret due to high risk of bias. Overall, outdoor exercise appears to feel more enjoyable than indoor exercise when matched for intensity, with equivocal physiological benefit.

运动和亲近大自然因其与健康的积极关系而被单独认可,但它们的综合效应还没有得到充分了解。本综述总结了比较单次户外运动与室内运动在生理和感知方面差异的证据。我们在九个数据库中搜索了 2021 年 3 月之前发表的文章,这些文章采用对照设计,评估了单次急性户外运动期间或之后的至少一种生理结果。在适当的情况下,完成了定量分析。文章质量采用 Cochrane 偏倚风险评估工具进行评估。共研究了 38 篇文章(总 N = 1168)的结果。参与者主要为健康人。总结的结果包括客观运动强度、感知消耗、运动表现、神经内分泌和新陈代谢反应、心血管反应、体温调节、乐趣、未来运动意向以及对环境的感知。户外环境增加了乐趣(N = 234,K = 10,g = 1.24,95% CI = [0.59,1.89],p
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引用次数: 0
Preventing medication nonadherence: a framework for interventions to support early engagement with treatment. 预防不坚持用药:支持早期参与治疗的干预框架。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-05 DOI: 10.1080/17437199.2024.2385525
Sarah Chapman, Lisbeth Frostholm, Trudie Chalder, Christopher Graham, Annette de Thurah, Tess van Leeuwen, Majbritt Mostrup Pedersen, Tina Carstensen, John Weinman

ABSTRACTMedication nonadherence is common and results in avoidable morbidity, mortality, and burdens on healthcare systems. This paper proposes a preventative approach to medication nonadherence. We consider existing evidence on the prevalence and determinants of nonadherence early in a patient's medication-taking journey, and map these to potential opportunities for intervention. Many patients stop taking a new medication soon after they are prescribed it, often not collecting the medication. Early patterns of nonadherence are linked to later nonadherence via processes such as habit formation and symptom experiences. Known predictors of nonadherence may be present before someone starts a new treatment, when patients experience disruption to their lives and identity due to illness. Healthcare professionals typically have contact with patients around this time. We argue that it may be possible to prevent medication nonadherence: at the population level; by optimising the prescription process; and through low- and high-intensity interventions for patients with identified early barriers. We give examples of specific interventions and tools that might be needed to operationalise this approach in practice and propose new directions for research to promote early engagement with medication to prevent nonadherence.

摘要不遵医嘱用药现象十分普遍,导致了本可避免的发病率、死亡率和医疗系统的负担。本文提出了一种预防不遵医嘱用药的方法。我们考虑了患者服药初期不坚持用药的普遍性和决定因素方面的现有证据,并将这些证据与潜在的干预机会相联系。许多患者在拿到新药处方后不久就停止服药,而且常常不取药。通过习惯养成和症状体验等过程,早期不坚持用药的模式与后来的不坚持用药相关联。已知的不依从性预测因素可能在患者开始接受新治疗前就已存在,此时患者的生活和身份会因疾病而受到干扰。医护人员通常会在这个时候与患者接触。我们认为可以通过以下方式预防不坚持用药:在人群层面;通过优化处方流程;通过对存在早期障碍的患者进行低强度和高强度干预。我们举例说明了在实践中采用这种方法可能需要的具体干预措施和工具,并提出了研究的新方向,以促进早期用药,防止不坚持用药。
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引用次数: 0
Climate hazards and psychological health among coastal communities in the Asia-Pacific region: a systematic review of quantitative and qualitative evidence. 气候灾害与亚太地区沿海社区的心理健康:定量和定性证据的系统回顾。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-31 DOI: 10.1080/17437199.2024.2383224
Sajjad Kabir, Elizabeth A Newnham, Ashraf Dewan, Keegan Qi Xian Kok, Takeshi Hamamura

This systematic review assesses the relationship between climate induced coastal hazards and psychological well-being of communities in the Asia-Pacific region. The review synthesises findings from 13 peer-reviewed articles published between 2007 and 2020, encompassing data from seven countries: Bangladesh, India, Indonesia, Philippines, Solomon Islands, Tuvalu, and Vietnam. Results reveals a robust negative association between exposure to coastal hazards and psychological outcomes, notably stress, depression, anxiety, and distress. Most of the studies (77%) corroborate negative impacts of coastal hazards on psychological health. Additionally, 69% of the reviewed articles suggest a correlation between coastal hazards and negative outcomes for community livelihoods and essential resources. The review highlights increased psychological vulnerability among marginalised subpopulations, such as economically disadvantaged communities, a trend supported by 92% of the examined articles. The findings indicates that factors such as environmental vulnerability, resource availability, community traits, and coping methods are important in determining whether a community can effectively handle coastal hazards or face increased psychological health risks. This research aligns with international health frameworks, including the World Health Organization's Health Emergency and Disaster Risk Management guidelines. However, a notable research gap emerges - the absence of studies that specifically explore psychological responses of communities to ongoing climate-related coastal hazards, such as sea-level rise. These findings emphasise an urgent need for targeted research to guide comprehensive, multidisciplinary policy interventions aimed at mitigating the psychological and socio-economic repercussions of climate-related coastal hazards.

本系统综述评估了亚太地区气候引起的沿海灾害与社区心理健康之间的关系。该综述综合了 2007 年至 2020 年间发表的 13 篇经同行评审的文章中的研究结果,涵盖了七个国家的数据:这些国家包括孟加拉国、印度、印度尼西亚、菲律宾、所罗门群岛、图瓦卢和越南。研究结果表明,暴露于沿海灾害与心理结果(尤其是压力、抑郁、焦虑和痛苦)之间存在密切的负相关关系。大多数研究(77%)证实了沿海灾害对心理健康的负面影响。此外,69% 的综述文章表明,沿海灾害与社区生计和基本资源的负面结果之间存在相关性。综述强调了边缘化亚人群(如经济条件较差的社区)心理脆弱性的增加,92% 的综述文章支持这一趋势。研究结果表明,环境脆弱性、资源可用性、社区特征和应对方法等因素是决定一个社区能否有效应对沿海灾害或面临更大心理健康风险的重要因素。这项研究符合国际卫生框架,包括世界卫生组织的卫生应急和灾害风险管理指南。然而,一个显著的研究空白出现了--缺乏专门探讨社区对与气候相关的持续沿海灾害(如海平面上升)的心理反应的研究。这些发现强调,迫切需要开展有针对性的研究,以指导综合性、多学科的政策干预措施,从而减轻与气候有关的沿海灾害所造成的心理和社会经济影响。
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引用次数: 0
Efficacy of mental health smartphone apps on stress levels: a meta-analysis of randomised controlled trials. 心理健康智能手机应用程序对压力水平的影响:随机对照试验荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-23 DOI: 10.1080/17437199.2024.2379784
Jake Linardon, Joseph Firth, John Torous, Mariel Messer, Matthew Fuller-Tyszkiewicz

The management of stress has evolved in recent years due to widespread availability of mobile-device applications (apps) and their capacity to deliver psychological interventions. We evaluated the efficacy of mental health apps on stress and sought to identify characteristics associated with effect size estimates. Sixty-nine randomised controlled trials (RCTs) were included. Random effects meta-analyses were performed and putative moderators were examined at univariate and multivariate (combinations and interactions) levels. From 78 comparisons, we observed a small but significant pooled effect of apps over control conditions on perceived stress levels (g = 0.27; 95% CI = 0.20, 0.34; I2 = 68%). This effect weakened after taking into account small-study bias according to the trim-and-fill procedure (g = 0.10; 95% CI = 0.02, 0.19; I2 = 78%). Delivery of apps with stress monitoring features produced smaller efficacy estimates, although this association interacted with other trial features (small sample size and inactive control group) in multivariate analyses, suggesting that this effect may have been explained by features characteristic of low-quality trials. Mental health apps appear to have small, acute effects on reducing perceived stress. Future research should shift focus towards identifying change mechanisms, longitudinal outcomes, features that facilitate sustained app usage, and tangible pathways to integrating apps into real-world clinical settings.

近年来,由于移动设备应用程序(Apps)的普及及其提供心理干预的能力,压力管理得到了发展。我们评估了心理健康应用程序对压力的疗效,并试图找出与估计效应大小相关的特征。我们纳入了 69 项随机对照试验(RCT)。我们进行了随机效应荟萃分析,并在单变量和多变量(组合和交互作用)水平上研究了可能的调节因素。在 78 项比较中,我们观察到应用程序与对照条件相比,对感知压力水平有微小但显著的集合效应(g = 0.27;95% CI = 0.20,0.34;I2 = 68%)。根据 "修剪-填充 "程序考虑到小规模研究的偏差后,这一效应有所减弱(g = 0.10; 95% CI = 0.02, 0.19; I2 = 78%)。具有压力监测功能的应用程序产生的疗效估计值较小,但在多变量分析中,这种关联与其他试验特征(样本量小和对照组不活跃)相互影响,表明这种效应可能是由低质量试验的特征造成的。心理健康应用程序似乎在减少感知压力方面具有微小的急性效应。未来的研究应将重点转向确定变化机制、纵向结果、有助于持续使用应用程序的特征,以及将应用程序整合到实际临床环境中的具体途径。
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引用次数: 0
Selective outcome reporting in trials of behavioural health interventions in health psychology and behavioural medicine journals: a review. 健康心理学和行为医学期刊对行为健康干预试验结果的选择性报告:综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-26 DOI: 10.1080/17437199.2024.2367613
Karen Matvienko-Sikar, Jen O'Shea, Stephen Kennedy, Siobhan D Thomas, Kerry Avery, Molly Byrne, Sheena McHugh, Daryl B O' Connor, Ian J Saldanha, Valerie Smith, Elaine Toomey, Kerry Dwan, Jamie J Kirkham

Selective outcome reporting can result in overestimation of treatment effects, research waste, and reduced openness and transparency. This review aimed to examine selective outcome reporting in trials of behavioural health interventions and determine potential outcome reporting bias. A review of nine health psychology and behavioural medicine journals was conducted to identify randomised controlled trials of behavioural health interventions published since 2019. Discrepancies in outcome reporting were observed in 90% of the 29 trials with corresponding registrations/protocols. Discrepancies included 72% of trials omitting prespecified outcomes; 55% of trials introduced new outcomes. Thirty-eight percent of trials omitted prespecified and introduced new outcomes. Three trials (10%) downgraded primary outcomes in registrations/protocols to secondary outcomes in final reports; downgraded outcomes were not statistically significant in two trials. Five trials (17%) upgraded secondary outcomes to primary outcomes; upgraded outcomes were statistically significant in all trials. In final reports, three trials (7%) omitted outcomes from the methods section; three trials (7%) introduced new outcomes in results that were not in the methods. These findings indicate that selective outcome reporting is a problem in behavioural health intervention trials. Journal- and trialist-level approaches are needed to minimise selective outcome reporting in health psychology and behavioural medicine.

选择性结果报告可能会导致治疗效果被高估、研究浪费以及公开性和透明度降低。本综述旨在研究行为健康干预试验中的选择性结果报告,并确定潜在的结果报告偏差。我们对九种健康心理学和行为医学期刊进行了回顾,以确定自2019年以来发表的行为健康干预随机对照试验。在29项有相应注册/方案的试验中,90%的试验结果报告存在差异。差异包括72%的试验遗漏了预先指定的结果;55%的试验引入了新的结果。38%的试验遗漏了预先指定的结果并引入了新的结果。三项试验(10%)将登记/方案中的主要结果降级为最终报告中的次要结果;在两项试验中,降级结果没有统计学意义。五项试验(17%)将次要结果升级为主要结果;在所有试验中,升级后的结果均具有统计学意义。在最终报告中,有三项试验(7%)遗漏了方法部分的结果;有三项试验(7%)在结果中引入了方法中没有的新结果。这些发现表明,选择性结果报告是行为健康干预试验中的一个问题。需要在期刊和试验者层面采取相应措施,尽量减少健康心理学和行为医学中的选择性结果报告。
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引用次数: 0
Does socioeconomic position moderate the associations between the content and delivery features of digital behaviour change interventions for smoking cessation and intervention effectiveness? A systematic review and meta-analysis 社会经济地位是否会缓和戒烟数字化行为改变干预的内容和实施特点与干预效果之间的关联?系统回顾与荟萃分析
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-18 DOI: 10.1080/17437199.2024.2366189
Corinna Leppin, Tosan Okpako, Jamie Brown, Claire Garnett, Olga Perski
Prior research indicates that digital smoking cessation interventions can be effective, but little is known about their active ingredients. Therefore, this review aimed to examine the associations ...
先前的研究表明,数字化戒烟干预措施可能有效,但人们对其有效成分知之甚少。因此,本综述旨在研究...
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引用次数: 0
Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research. 男同性恋社区参与与性少数群体男性的性健康行为:系统综述与未来研究方向》(Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research.
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-07 DOI: 10.1080/17437199.2023.2236180
Laurel P Gibson, Emily B Kramer, Jordan Wrigley, Maxwell Probst, Angela D Bryan

Considerable research has examined how involvement in gay-affiliated communities is associated with sexual health behaviours in sexual minority men (i.e., gay, bisexual, and other men who have sex with men), yet findings in this domain are often contradictory and inconclusive. This systematic review aimed to (a) synthesise the related empirical literature, and (b) identify potential factors driving inconsistent findings. Peer-reviewed publications were included if they contained quantitative data and at least one measure of the statistical association between gay community involvement and sexual health behaviour. The search strategy was implemented in six databases and returned 6,409 articles, of which 86 met the inclusion criteria. There was considerable heterogeneity in how gay community involvement was assessed across studies. Although gay community involvement was consistently associated with greater engagement in protective behaviours across studies, the association between gay community involvement and risk behaviours appeared to depend on how gay community involvement was conceptualised and measured (e.g., nightlife involvement vs. political activism). Findings emphasise a need for studies that employ validated measures that reflect the multidimensional nature of gay community involvement, as well as research designs better suited to address the causal effects of community involvement on HIV/STI transmission and prevention.

大量研究探讨了性少数群体男性(即男同性恋、双性恋和其他男男性行为者)参与男同性恋社区与性健康行为之间的关系,但这方面的研究结果往往相互矛盾且没有定论。本系统综述旨在:(a) 综合相关的实证文献;(b) 找出导致研究结果不一致的潜在因素。经同行评审的出版物中,只要包含定量数据和至少一种衡量同性恋社区参与与性健康行为之间统计关系的指标,均被纳入其中。该搜索策略在六个数据库中实施,共检索到 6,409 篇文章,其中 86 篇符合纳入标准。不同研究对同性恋社区参与的评估方式存在很大差异。尽管在各项研究中,同性恋社区参与与更多的保护行为相关,但同性恋社区参与与风险行为之间的关联似乎取决于同性恋社区参与的概念化和衡量方式(如夜生活参与与政治活动)。研究结果强调,研究需要采用能够反映同性恋社区参与多面性的有效测量方法,以及更适合解决社区参与对艾滋病毒/性传播感染传播和预防的因果效应的研究设计。
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引用次数: 0
Psychosocial and behavioural predictors of immune response to influenza vaccination: a systematic review and meta-analysis. 流感疫苗免疫反应的社会心理和行为预测因素:系统回顾和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-05-09 DOI: 10.1080/17437199.2023.2208652
Andrea Ballesio, Andrea Zagaria, Cristiano Violani, Caterina Lombardo

High variability of influenza vaccine efficacy requires the identification of modulators of immunisation that may be targeted as adjuvants in health psychology interventions. Psychosocial and behavioural variables such as psychological stress, greater negative and lower positive affectivity, poor sleep, loneliness, and lack of social support, have been associated with abnormal immune and inflammatory responses and negative health outcomes, yet their effects in modulating vaccine efficacy are yet to be fully understood. We conducted an updated systematic review of longitudinal and experimental studies examining the effects of such variables in predicting immune response to influenza vaccine. PubMed, Medline, PsycINFO, CINAHL and Scopus were searched up to November 2022. Twenty-five studies met the inclusion criteria for qualitative synthesis and 16 provided data for meta-analysis. Low positive and high negative affect were associated with low antibodies and weak cell-mediated immunity following vaccination in qualitative synthesis. Literature on sleep disturbance, loneliness and social support was limited and yielded inconsistent results. Psychological stress was associated with poorer antibody response in meta-analysis. In conclusion, findings from this review suggest a need for further longitudinal and experimental studies on these factors to support their inclusion as target variables in vaccine adjuvant interventions.

流感疫苗疗效的高变异性要求找出免疫调节因子,并将其作为健康心理干预的佐剂。心理社会和行为变量,如心理压力、消极情绪增加和积极情绪减少、睡眠质量差、孤独和缺乏社会支持等,都与异常免疫和炎症反应及不良健康后果有关,但它们对疫苗疗效的调节作用尚待充分了解。我们对纵向研究和实验研究进行了最新的系统回顾,这些研究探讨了这些变量对预测流感疫苗免疫反应的影响。截至 2022 年 11 月,我们检索了 PubMed、Medline、PsycINFO、CINAHL 和 Scopus。25项研究符合定性综合的纳入标准,16项研究提供了荟萃分析数据。在定性综述中,低积极情绪和高消极情绪与接种疫苗后抗体低和细胞介导免疫力弱有关。有关睡眠障碍、孤独感和社会支持的文献有限,结果也不一致。在荟萃分析中,心理压力与较差的抗体反应有关。总之,本综述的研究结果表明,有必要对这些因素进行进一步的纵向和实验研究,以支持将其作为目标变量纳入疫苗佐剂干预中。
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引用次数: 0
Contextualising flexible nonlinear periodization as a person-adaptive behavioral model for exercise maintenance. 将灵活的非线性周期作为一种个人适应性的运动维持行为模式。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-07-10 DOI: 10.1080/17437199.2023.2233592
Kelley Strohacker, Gorden Sudeck, Richard Keegan, Adam H Ibrahim, Cory T Beaumont

There is a growing focus on developing person-adaptive strategies to support sustained exercise behaviour, necessitating conceptual models to guide future research and applications. This paper introduces Flexible nonlinear periodisation (FNLP) - a proposed, but underdeveloped person-adaptive model originating in sport-specific conditioning - that, pending empirical refinement and evaluation, may be applied in health promotion and disease prevention settings. To initiate such efforts, the procedures of FNLP (i.e., acutely and dynamically matching exercise demand to individual assessments of mental and physical readiness) are integrated with contemporary health behaviour evidence and theory to propose a modified FNLP model and to show hypothesised pathways by which FNLP may support exercise adherence (e.g., flexible goal setting, management of affective responses, and provision of autonomy/variety-support). Considerations for future research are also provided to guide iterative, evidence-based efforts for further development, acceptability, implementation, and evaluation.

人们越来越关注开发个人适应性策略,以支持持续的运动行为,这就需要有概念模型来指导未来的研究和应用。本文介绍了灵活非线性周期化(FNLP)--一种源于特定运动调节的建议但尚未充分开发的个人适应性模型--在经验完善和评估之前,可应用于健康促进和疾病预防领域。为了启动这项工作,FNLP 的程序(即根据个人的心理和身体准备情况评估,及时、动态地匹配运动需求)与当代健康行为证据和理论相结合,提出了一个修改后的 FNLP 模型,并展示了 FNLP 支持坚持运动的假设途径(例如,灵活的目标设定、情绪反应管理以及提供自主/变异支持)。此外,还提供了未来研究的考虑因素,以指导以证据为基础的迭代工作,促进进一步的开发、可接受性、实施和评估。
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引用次数: 0
Effects of digital health interventions on the psychological outcomes of perinatal women: umbrella review of systematic reviews and meta-analyses. 数字健康干预对围产期妇女心理结果的影响:系统综述和荟萃分析总览。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-03-15 DOI: 10.1080/17437199.2023.2185654
Ying Lau, Han Shi Jocelyn Chew, Wei How Darryl Ang, Wen Wei Ang, Chin Yi Yeo, Grace Zhi Qi Lim, Sai Ho Wong, Siew Tiang Lau, Ling Jie Cheng

Evidence about the effects of digital health interventions (DHIs) on the psychological outcomes of perinatal women is increasing but remains inconsistent. An umbrella review was conducted to (1) assess the effect of DHIs on depressive, anxiety and stress symptoms and (2) compare the effects of DHIs on different digital platforms and population natures. Ten databases were searched from inception until December 23, 2022. The Hartung-Knapp-Sidik-Jonkman random-effects meta-analyses were utilised. Methodological quality was evaluated using the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2). Twenty-four systematic reviews with 41 meta-analyses involving 45,509 perinatal women from 264 primary studies were included. The credibility of the evidence of meta-analyses was rated as highly suggestive (4.88%), suggestive (26.83%), weak (51.22%) or non-significant (17.07%) according to AMSTAR-2. Our findings suggest that DHIs are beneficial for reducing stress symptoms. However, conflicting effects were found on anxiety symptoms. Subgroup and meta-regression analyses suggested that DHIs effectively improve depressive symptoms in postnatal women, and DHIs using the website platform are highly effective in stress reduction. DHIs can be implemented adjuvant to usual obstetric care to improve depressive and stress symptoms. Additional well-designed RCTs with long-term follow-up are warranted.

有关数字健康干预(DHIs)对围产期妇女心理结果影响的证据越来越多,但仍不一致。我们进行了一项综合综述,目的是:(1)评估数字健康干预对抑郁、焦虑和压力症状的影响;(2)比较不同数字平台和人群性质的数字健康干预的效果。从开始到 2022 年 12 月 23 日,共检索了 10 个数据库。采用Hartung-Knapp-Sidik-Jonkman随机效应荟萃分析法。方法学质量采用《多重系统综述评估 2》(AMSTAR-2)进行评估。共纳入了 24 篇系统综述和 41 项元分析,涉及 264 项主要研究中的 45 509 名围产期妇女。根据 AMSTAR-2,荟萃分析的证据可信度被评为高度提示(4.88%)、提示(26.83%)、弱(51.22%)或无意义(17.07%)。我们的研究结果表明,DHIs 有助于减轻压力症状。然而,在焦虑症状方面却发现了相互矛盾的效果。分组分析和元回归分析表明,DHIs 能有效改善产后妇女的抑郁症状,而使用网站平台的 DHIs 对减轻压力非常有效。DHI可作为常规产科护理的辅助手段,以改善抑郁症状和压力症状。我们还需要进行更多设计良好、长期随访的 RCT 研究。
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引用次数: 0
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