关键词: Adolescent Behavior Health Equity Patient-Centered Care Systematic Review eHealth

Mesh : Humans Adolescent Systematic Reviews as Topic Young Adult Health Behavior Research Design Health Promotion / methods Exercise

来  源:   DOI:10.1136/bmjopen-2024-083870   PDF(Pubmed)

Abstract:
BACKGROUND: Health behaviours such as exercise and diet strongly influence well-being and disease risk, providing the opportunity for interventions tailored to diverse individual contexts. Precise behaviour interventions are critical during adolescence and young adulthood (ages 10-25), a formative period shaping lifelong well-being. We will conduct a systematic review of just-in-time adaptive interventions (JITAIs) for health behaviour and well-being in adolescents and young adults (AYAs). A JITAI is an emerging digital health design that provides precise health support by monitoring and adjusting to individual, specific and evolving contexts in real time. Despite demonstrated potential, no published reviews have explored how JITAIs can dynamically adapt to intersectional health factors of diverse AYAs. We will identify the JITAIs\' distal and proximal outcomes and their tailoring mechanisms, and report their effectiveness. We will also explore studies\' considerations of health equity. This will form a comprehensive assessment of JITAIs and their role in promoting health behaviours of AYAs. We will integrate evidence to guide the development and implementation of precise, effective and equitable digital health interventions for AYAs.
METHODS: In adherence to Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, we will conduct a systematic search across multiple databases, including CENTRAL, MEDLINE and WHO Global Index Medicus. We will include peer-reviewed studies on JITAIs targeting health of AYAs in multiple languages. Two independent reviewers will conduct screening and data extraction of study and participant characteristics, JITAI designs, health outcome measures and equity considerations. We will provide a narrative synthesis of findings and, if data allows, conduct a meta-analysis.
BACKGROUND: As we will not collect primary data, we do not require ethical approval. We will disseminate the review findings through peer-reviewed journal publication, conferences and stakeholder meetings to inform participatory research.
UNASSIGNED: CRD42023473117.
摘要:
背景:运动和饮食等健康行为强烈影响幸福感和疾病风险,提供针对不同个人环境的干预机会。精确的行为干预在青春期和成年期(10-25岁)至关重要,塑造终身福祉的形成期。我们将对青少年和年轻人(AYAs)的健康行为和福祉的及时适应性干预措施(JITAI)进行系统审查。JITAI是一种新兴的数字健康设计,通过监测和调整个人,提供精确的健康支持。实时的特定和不断变化的环境。尽管显示了潜力,没有发表的评论探讨了JITAIs如何动态适应各种AYA的交叉健康因素。我们将确定JITAI的远端和近端结果及其定制机制,并报告其有效性。我们还将探讨健康公平的研究考虑因素。这将形成对JITAIs及其在促进AYA健康行为中的作用的全面评估。我们将整合证据指导制定和实施精准,为AYAs提供有效和公平的数字卫生干预措施。
方法:遵守系统评价和荟萃分析指南的首选报告项目,我们将在多个数据库中进行系统的搜索,包括中央,MEDLINE和WHO全球指数Medicus。我们将以多种语言纳入针对AYA健康的JITAI的同行评审研究。两名独立评审员将对研究和参与者特征进行筛选和数据提取,JITAI设计,健康结果衡量和公平考虑。我们将提供研究结果的叙述性综合,如果数据允许,进行荟萃分析。
背景:由于我们不会收集主要数据,我们不需要道德批准。我们将通过同行评审的期刊出版物传播审查结果,会议和利益相关者会议,以告知参与性研究。
CRD42023473117。
公众号