Virtual prevention of eating disorders in children, adolescents, and emerging adults: a scoping review.
Virtual prevention of eating disorders in children, adolescents, and emerging adults: a scoping review.
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虚拟预防儿童，青少年和新兴成年人的饮食失调：范围审查。
DOI：
10.1186/s40337-022-00616-8
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发表时间：
2022-07-06
影响因子：
4.1
通讯作者：
Couturier, Jennifer
中科院分区：
文献类型：
--
作者：
Pellegrini, Danielle;Grennan, Laura;Bhatnagar, Neera;McVey, Gail;Couturier, Jennifer
在COVID-19大流行期间，有必要通过虚拟方式提供进食障碍（艾德）门诊治疗。鉴于这种转变，以及新增艾德病例的激增，迫切需要调查虚拟交付的艾德预防方案。本综述旨在确定儿童，青少年和新兴成人虚拟艾德预防计划的现有证据。使用范围审查方法，检索了2000年1月至2021年4月期间发表的7个数据库中的研究，这些研究报告了针对儿童和青少年（< 18岁）以及新生儿（18-25岁）的虚拟艾德预防干预措施。如果研究包含成人（> 25岁）和临床诊断为艾德的个体，则排除研究。摘要和全文论文由两名评审员独立评审。提取了研究类型、方法、年龄、样本量、虚拟干预、结局和结果的数据。于2022年4月，我们使用前向引用链接程序识别2021年4月至2022年4月的任何相关文章。在确定的5129项独特研究中，67项符合资格标准，其中包括异步（n = 35）和同步（n = 18）基于互联网的程序，其他电子技术，包括移动的应用程序（n = 3）和短信干预（n = 1），基于计算机的程序（n = 6）和在线护理人员干预，重点关注儿童结局（n = 4）。少数研究主要包括儿童和青少年（n = 18），而绝大多数研究包括新兴成人（n = 49）。对于儿童和青少年，研究最广泛的方案是学生团体及其改编版本（n = 4），eBody项目（n = 2）和父母立即行动（n = 2）。对于新兴成年人，研究最广泛的项目是学生团体及其改编版本（n = 16），eBody项目（n = 6）和扩展您的视野（n = 4）。这些干预措施在减少各种症状和艾德风险方面是有效的。一些研究表明，虚拟预防干预的效果类似于亲自交付。针对ED的虚拟预防干预措施可能是有效的，但需要进行更多的研究，研究其对儿童和青少年的影响以及改善弱势群体的获得。需要进行额外的疗效研究，例如短信和移动的应用程序艾德预防干预。应优先考虑针对儿童、青少年和新兴成人的虚拟艾德预防建议。在线版本包含补充材料，可通过10.1186/s40337-022-00616-8获得。本综述旨在确定儿童/青少年（<18岁）和新兴成人（18-25岁）虚拟进食障碍（艾德）预防干预措施的所有可用证据。我们回顾了7个数据库，发现67项研究可供纳入。调查结果总结为主题：异步（非实时）和同步（实时）基于互联网的程序，其他电子技术（移动的应用程序“应用程序”]，短信），基于计算机的程序，和在线护理干预集中在儿童的结果。在儿童和青少年中，研究最广泛的方案是学生团体（基于互联网的异步认知行为方案），eBody项目（基于互联网的同步认知失调方案）和父母立即行动（在线护理干预）。在新兴成年人中，研究最广泛的项目是学生身体（如上所述），电子身体项目（如上所述）和扩展你的视野（异步基于互联网的身体功能计划）。这些干预措施可有效减少ED的症状和/或风险。需要进行更多的研究，包括更多地关注儿童和青少年，以及短信，移动的应用程序，在线认知重建和在线图像重新定义艾德预防干预措施。还应优先考虑经专家小组审查的虚拟艾德预防干预措施的循证建议，以及关于改善弱势群体获得虚拟艾德预防服务的研究。在线版本包含补充材料，可通过10.1186/s40337-022-00616-8获得。
During the COVID-19 pandemic, there was a necessity for eating disorder (ED) outpatient treatment to be delivered virtually. Given this transition, and the surge in new ED cases, there was an urgent need to investigate virtually delivered ED prevention programs. This review aimed to identify the available evidence on virtual ED prevention programs for children, adolescents, and emerging adults. Using scoping review methodology, seven databases were searched for studies published from January 2000 to April 2021 reporting on virtually delivered ED prevention interventions for children and adolescents (< 18 years) and emerging adults (18–25 years). Studies were excluded if they contained adults (> 25 years) and individuals with clinical ED diagnoses. Abstracts and full-text papers were reviewed independently by two reviewers. Data was extracted on study type, methodology, age, sample size, virtual intervention, outcomes, and results. In April 2022, we used a forward citation chaining process to identify any relevant articles from April 2021 to April 2022. Of 5129 unique studies identified, 67 met eligibility criteria, which included asynchronous (n = 35) and synchronous (n = 18) internet-based programs, other e-technology including mobile apps (n = 3) and text messaging interventions (n = 1), computer-based programs (n = 6), and online caregiver interventions focused on child outcomes (n = 4). Few studies mainly included children and adolescents (n = 18), whereas the vast majority included emerging adults (n = 49). For children and adolescents, the most widely researched programs were Student Bodies and its adapted versions (n = 4), eBody Project (n = 2), and Parents Act Now (n = 2). For emerging adults, the most widely researched programs were Student Bodies and its adapted versions (n = 16), eBody Project (n = 6) and Expand Your Horizon (n = 4). These interventions were effective at reducing various symptoms and ED risk. Some studies demonstrated that virtual prevention intervention efficacy resembled in-person delivery. Virtual prevention interventions for EDs can be effective, however more research is needed studying their impact on children and adolescents and on improving access for vulnerable groups. Additional efficacy studies are required, such as for text messaging and mobile app ED prevention interventions. Evidence-based recommendations for virtual ED prevention for children, adolescents, and emerging adults at-risk for EDs should be prioritized. The online version contains supplementary material available at 10.1186/s40337-022-00616-8. This review aimed to identify all available evidence for virtual eating disorder (ED) prevention interventions for children/adolescents (<18 years) and emerging adults (18-25 years). We reviewed seven databases and found 67 studies for inclusion. Findings were summarized into themes: asynchronous (not in real-time) and synchronous (in real-time) internet-based programs, other e-technology (mobile applications ['apps'], text messages), computer-based programs, and online caregiver interventions focused on child outcomes. Among children and adolescents, the most widely researched programs were Student Bodies (asynchronous internet-based cognitive-behavioural program), eBody Project (synchronous internet-based cognitive-dissonance program), and Parents Act Now, (online caregiver intervention). Among emerging adults, the most widely researched programs were Student Bodies (described above), eBody Project (described above) and Expand Your Horizon (asynchronous internet-based body functionality program). These interventions were effective at reducing symptoms and/or risk of developing EDs. Additional research is needed, including a greater focus on children and adolescents, and text messaging, mobile apps, online cognitive restructuring, and online imagery rescripting ED prevention interventions. Evidence-based recommendations for virtual ED prevention interventions that have been reviewed by a panel and research on improving access to virtual ED prevention services for vulnerable groups should also be prioritized. The online version contains supplementary material available at 10.1186/s40337-022-00616-8.
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