缩小差距:青少年肥胖症预防和管理干预措施的数字健康公平性系统审查

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-09-10 DOI:10.1111/obr.13821
Stephanie R. Partridge, Amber Knight, Allyson Todd, Bronwyn McGill, Sara Wardak, Laura Alston, Katherine M. Livingstone, Anna Singleton, Louise Thornton, Sisi Jia, Julie Redfern, Rebecca Raeside
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引用次数: 0

摘要

摘要青春期是肥胖症的高危期。预防和管理青少年肥胖症需要数字化策略。我们评估了数字健康干预措施是否会导致肥胖结果的差异,并评估了数字环境中四个影响层面的数字健康公平标准报告的充分性。系统性检索在 10 个主要电子数据库中进行,仅限于 10-19 岁青少年肥胖症预防或管理的随机对照试验 (RCT) 或分组 RCT。主要结果为平均体重指数 (BMI) 或 BMI Z 值变化。所有研究均采用了经调整的数字健康公平评估框架。共发现了 33 篇文章(27 项独特的研究,共有 8483 名参与者),其中只有 8 项研究的对象是来自弱势群体的青少年。干预后,仅有三项研究报告称,与对照组相比,干预组的 BMI 结果明显较低。在 27 项研究评估的 432 项数字健康公平标准中,82% 的标准 "未涉及"。这些研究未涉及数字健康公平标准或未充分报告相关信息,以评估数字健康干预措施是否会导致肥胖结果的差异。需要加强报告,以便为决策者提供信息,支持制定公平的干预措施,预防和控制青少年肥胖。
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Addressing disparities: A systematic review of digital health equity for adolescent obesity prevention and management interventions

Adolescence is a high-risk life stage for obesity. Digital strategies are needed to prevent and manage obesity among adolescents. We assessed if digital health interventions are contributing to disparities in obesity outcomes and assessed the adequacy of reporting of digital health equity criteria across four levels of influence within the digital environment. The systematic search was conducted on 10 major electronic databases and limited to randomized controlled trials (RCTs) or cluster-RCTs for prevention or management of obesity among 10–19 year olds. Primary outcome was mean body mass index (BMI), or BMI z-score change. The Adapted Digital Health Equity Assessment Framework was applied to all studies. Thirty-three articles (27 unique studies with 8483 participants) were identified, with only eight studies targeting adolescents from disadvantaged populations. Post-intervention, only three studies reported significantly lower BMI outcomes in the intervention compared to control. Of the 432 digital health equity criteria assessed across 27 studies, 82% of criteria were “not addressed.” Studies are not addressing digital health equity criteria or inadequately reporting information to assess if digital health interventions are contributing to disparities in obesity outcomes. Enhanced reporting is needed to inform decision-makers and support the development of equitable interventions to prevent and manage obesity among adolescents.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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