目的:饮食和身体活动对于慢性肾脏病(CKD)患者保持良好的健康至关重要。数字健康干预可以增加获得生活方式服务的机会。然而,消费者的观点不清楚,这可能会降低制定符合特定需求和偏好的干预措施的能力。因此,本综述旨在综合CKD患者对促进健康生活方式的数字健康干预措施的偏好。
方法:使用meta人种学进行定性系统评价。
方法:数据库Scopus,中部,MEDLINE,在2000年至2023年之间搜索了CINAHL和SPORTDiscus。
方法:主要研究论文使用定性探索方法来探索CKD(≥18岁)成年人对促进饮食的数字健康干预措施的偏好,身体活动或这些健康行为的组合。
方法:两名独立的审稿人筛选标题,摘要和全文。差异由第三位审阅者解决。消费者的报价被逐字提取,并合成为高阶主题和子主题。
结果:数据库搜索产生5761条记录。在与主要作者沟通后,发现了一条记录。包括15篇论文。这些论文包括197名消费者(平均年龄51.0±7.2),包括83名CKD1-5患者;61名肾移植受者;53名透析患者。据报道,182人中有性行为,包括53%的男性。关于消费者对数字生活方式干预的偏好,提出了五个主题。其中包括简单的指导和引人入胜的设计;个性化干预措施;虚拟护理社区;教育和行动计划;及时提醒和自动行为监控。
结论:数字健康干预被认为是获取生活方式服务的重要机制。消费者的偏好对于确保未来的干预措施适合特定的需求和目标非常重要。未来的研究可能会考虑在这篇综述中应用消费者偏好的概念框架来开发和评估数字生活方式干预对健康结果的影响。
■CRD42023411511。
OBJECTIVE: Diet and physical activity are crucial for people with chronic kidney disease (CKD) to maintain good health. Digital health interventions can increase access to lifestyle services. However, consumers\' perspectives are unclear, which may reduce the capacity to develop interventions that align with specific needs and preferences. Therefore, this
review aims to synthesise the preferences of people with CKD regarding digital health interventions that promote healthy lifestyle.
METHODS: Qualitative systematic
review with meta-ethnography.
METHODS: Databases Scopus, CENTRAL, MEDLINE, CINAHL and SPORTDiscus were searched between 2000 and 2023.
METHODS: Primary research papers that used qualitative exploration methods to explore the preferences of adults with CKD (≥18 years) regarding digital health interventions that promoted diet, physical activity or a combination of these health behaviours.
METHODS: Two independent reviewers screened title, abstract and full text. Discrepancies were resolved by a third reviewer. Consumers\' quotes were extracted verbatim and synthesised into higher-order themes and subthemes.
RESULTS: Database search yielded 5761 records. One record was identified following communication with a primary author. 15 papers were included. These papers comprised 197 consumers (mean age 51.0±7.2), including 83 people with CKD 1-5; 61 kidney transplant recipients; 53 people on dialysis. Sex was reported in 182 people, including 53% male. Five themes were generated regarding consumers\' preferences for digital lifestyle interventions. These included simple instruction and engaging design; individualised interventions; virtual communities of care; education and action plans; and timely reminders and automated behavioural monitoring.
CONCLUSIONS: Digital health interventions were considered an important mechanism to access lifestyle services. Consumers\' preferences are important to ensure future interventions are tailored to specific needs and goals. Future research may consider applying the conceptual framework of consumers\' preferences in this
review to develop and evaluate the effect of a digital lifestyle intervention on health outcomes.
UNASSIGNED: CRD42023411511.