Effectiveness of Peer-Led Wellbeing Interventions in Retirement Living: A Systematic Review.
Effectiveness of Peer-Led Wellbeing Interventions in Retirement Living: A Systematic Review.
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DOI：
10.3390/ijerph182111557
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发表时间：
2021-11-03
影响因子：
--
通讯作者：
Reid N
中科院分区：
文献类型：
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作者：
Barras L;Neuhaus M;Cyarto EV;Reid N
退休生活（RL）社区可能是一个理想的环境，利用同行领导人实施或支持健康和福祉干预措施。迄今为止，这些文献尚未得到系统的总结。本研究的目的是填补这一空白，特别侧重于描述干预措施在多大程度上解决了行为改变的社会生态模型的每一个层次。本综述利用已建立的框架评估研究的方法学质量，包括CONSORT指南和RoB2偏倚评估的集群随机对照试验。从数据库检索中共识别出153条记录，7项研究符合纳入标准。总的来说，有新的证据表明，RL社区中以同伴为主导的健康和福祉计划可以积极影响健康行为，如增加体力活动或营养，以及健康状况，如降低血压。研究质量为中等至非常好，但只有一项研究被认为没有高偏倚风险。同伴通常是具有成本效益的，更容易接近的，并且是健康干预措施的领导者，仍然可以产生有影响力的变化。未来的研究需要更好地了解如何维持有希望的干预措施。
Retirement living (RL) communities may be an ideal setting in which to utilize peer-leaders to implement or support health and wellbeing interventions. To date, this literature has not been systematically summarized. The purpose of this study was to fill this gap with a particular focus on describing the extent to which interventions addressed each level of the social ecological model of behavior change. This review utilized established frameworks for assessing methodological quality of studies, including the CONSORT guidelines and RoB2 bias assessment for cluster randomized controlled trials. A total of 153 records were identified from database searches, and seven studies met inclusion criteria. Overall, there is emerging evidence that peer-led health and wellbeing programs in RL communities can positively impact both health behavior, such as increased physical activity or nutrition, and health status, such as lower blood pressure. The study quality was modest to very good, but only one study was deemed not to have a high risk of bias. Peers are generally cost-effective, more accessible, and relatable leaders for health interventions that can still produce impactful changes. Future studies are needed to better understand how to sustain promising interventions.