当前位置: X-MOL 学术J. Med. Internet Res. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review.
Journal of Medical Internet Research ( IF 7.4 ) Pub Date : 2020-09-11 , DOI: 10.2196/18621
Judith Byaruhanga 1, 2, 3, 4 , Prince Atorkey 1, 2, 3, 4 , Matthew McLaughlin 1, 2, 3, 4 , Alison Brown 1, 2, 3, 4 , Emma Byrnes 1, 3 , Christine Paul 1, 3, 4 , John Wiggers 1, 2, 3, 4 , Flora Tzelepis 1, 2, 3, 4
Affiliation  

Background: Real-time video communication technology allows virtual face-to-face interactions between the provider and the user, and can be used to modify risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. No systematic reviews have examined the effectiveness of individual real-time video counseling for addressing each of the risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Objective: This systematic review aims to examine the effectiveness of individually delivered real-time video counseling on risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Methods: The MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Database), PsycINFO, Cochrane Register of Controlled Trials, and Scopus databases were searched for eligible studies published up to November 21, 2019. Eligible studies were randomized or cluster randomized trials that tested the effectiveness of individual real-time video communication interventions on smoking, nutrition, alcohol, physical activity, and obesity in any population or setting; the comparator was a no-intervention control group or any other mode of support (eg, telephone); and an English-language publication. Results: A total of 13 studies were eligible. Four studies targeted smoking, 3 alcohol, 3 physical activity, and 3 obesity. In 2 of the physical activity studies, real-time video counseling was found to significantly increase physical activity when compared with usual care at week 9 and after 5 years. Two obesity studies found a significant change in BMI between a video counseling and a documents group, with significantly greater weight loss in the video counseling group than the in-person as well as the control groups. One study found that those in the video counseling group were significantly more likely than those in the telephone counseling group to achieve smoking cessation. The remaining studies found no significant differences between video counseling and telephone counseling or face-to-face counseling for smoking cessation, video counseling and face-to-face treatment on alcohol consumption, video counseling and no counseling for physical activity, and video counseling and face-to-face treatment on BMI. The global methodological quality rating was moderate in 1 physical activity study, whereas 12 studies had a weak global rating. Conclusions: Video counseling is potentially more effective than a control group or other modes of support in addressing physical inactivity and obesity and is not less effective in modifying smoking and alcohol consumption. Further research is required to determine the relative benefits of video counseling in terms of other policy and practice decision-making factors such as costs and feasibility.

This is the abstract only. Read the full article on the JMIR site. JMIR is the leading open access journal for eHealth and healthcare in the Internet age.


中文翻译:

实时视频咨询对吸烟,营养,酒精,体育锻炼和肥胖健康风险的有效性:系统评价。

背景技术:实时视频通信技术允许提供者和用户之间进行虚拟的面对面互动,并可用于修改吸烟,营养,饮酒,体育锻炼和肥胖的危险因素。没有系统的评论检查过个人实时视频咨询对解决吸烟,营养,饮酒,体育锻炼和肥胖症的每个危险因素的有效性。目的:这项系统的审查旨在检查关于吸烟,营养,饮酒,体育锻炼和肥胖症的危险因素的独立实时视频咨询的有效性。方法:MEDLINE(在线医学文献分析和检索系统),EMBASE(Excerpta Medica数据库),PsycINFO,对照试验的Cochrane注册,在Scopus和Scopus数据库中搜索了截至2019年11月21日发布的合格研究。对合格研究进行了随机或聚类随机试验,以测试在任何人群中吸烟,营养,酒精,体育锻炼和肥胖症的实时视频交流干预措施的有效性人口或环境;比较者是不干预对照组或任何其他支持方式(例如电话);和英文出版物。结果:共有13项研究符合条件。有四项研究针对吸烟,三项酒精,三项体育活动和三项肥胖。在两项体育锻炼研究中,与第9周和5年后的常规护理相比,实时视频咨询被发现显着增加了体育锻炼。两项肥胖研究发现,视频咨询和文件组之间的BMI发生了显着变化,视频咨询组的体重减轻明显超过了个人和对照组。一项研究发现,视频咨询小组中的人比电话咨询小组中的人更容易戒烟。其余研究发现,视频咨询和电话咨询或戒烟的面对面咨询,酒精饮料的视频咨询和面对面治疗,视频咨询和没有体育锻炼的咨询,视频咨询和BMI的面对面治疗。一项体育活动研究的总体方法学质量评级为中等,而十二项研究的总体质量评级为弱。结论:在解决身体不活动和肥胖方面,视频咨询可能比对照组或其他支持方式更有效,并且在改善吸烟和饮酒方面同样有效。需要进一步研究以确定视频咨询在其他政策和实践决策因素(例如成本和可行性)方面的相对利益。

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。
更新日期:2020-09-11
down
wechat
bug