A systematic review of the engagement with social media-delivered interventions for improving health outcomes among sexual and gender minorities.
A systematic review of the engagement with social media-delivered interventions for improving health outcomes among sexual and gender minorities.
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DOI：
10.1016/j.invent.2021.100428
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Pagoto S
中科院分区：
文献类型：
--
作者：
Escobar-Viera CG;Melcher EM;Miller RS;Whitfield DL;Jacobson-López D;Gordon JD;Ballard AJ;Rollman BL;Pagoto S
性和性别少数群体面临着与歧视、社会耻辱和受害密切相关的一些身心健康差距。尽管专注于改善SGM人群健康结果的数字健康干预措施具有可接受性且数量不断增加，但缺乏总结研究人员是否以及如何评估该群体参与社交媒体提供的健康干预措施的评论。本系统性综述的目的是综合和评论有关参与社交媒体提供的干预措施以改善SGM人员健康结局的评价证据。我们使用4个电子数据库对2003年1月至2020年6月期间发表的研究进行了文献检索。如果文章经过同行评审，则纳入英文文章，评估参与社交媒体提供的健康干预措施，以改善性和性别少数群体的健康结果。至少有两名作者使用先验开发的抽象形式从每项研究中独立提取数据。我们评估了使用CONSORT扩展的试验性和可行性研究和CONSORT声明平行组随机试验的数据报告质量。我们在综述中纳入了18篇文章; 15篇是可行性研究，3篇是疗效或有效性随机试验。数据报告的质量差别很大。绝大多数文章的重点是改善男男性行为者的艾滋病毒相关结果。只有三项研究招募了顺性别妇女和/或变性人。我们发现，在如何定义和评估参与异质性。来自社交媒体数据的干预使用是最常用的参与措施。除了定义和评估参与度的异质性外，我们发现评估的重点往往是仅测量干预措施的使用情况。需要进行更有目的的招募，以了解不同的SGM群体是否、如何以及为什么参与社交媒体干预。这为未来的研究留下了很大的空间，以扩大干预参与的认知和情感方面的评估标准，以便为SGM人群制定有效和量身定制的社交媒体干预措施。我们的研究结果还支持开发和测试社交媒体提供的干预措施的必要性，这些干预措施侧重于改善SGM人员的心理健康和与慢性健康状况相关的结果。数字干预措施被性和性别少数群体（SGM）广泛接受。在定义和评估参与度方面存在异质性。目前的SGM社交媒体干预范围狭窄，人口有限。参与针对小微企业的干预措施主要侧重于微观层面的因素。更好地评估参与度对于SGM的有效数字干预至关重要。
Sexual and gender minority (SGM) persons face a number of physical and mental health disparities closely linked to discrimination, social stigma, and victimization. Despite the acceptability and increasing number of digital health interventions focused on improving health outcomes among SGM people, there is a lack of reviews summarizing whether and how researchers assess engagement with social media–delivered health interventions for this group. The objective of this systematic review was to synthesize and critique the evidence on evaluation of engagement with social media–delivered interventions for improving health outcomes among SGM persons. We conducted a literature search for studies published between January 2003 and June 2020 using 4 electronic databases. Articles were included if they were peer-reviewed, in English language, assessed engagement with a social media–delivered health intervention for improving health outcomes among sexual and gender minorities. A minimum of two authors independently extracted data from each study using an a priori developed abstraction form. We assessed quality of data reporting using the CONSORT extension for pilot and feasibility studies and CONSORT statement parallel group randomized trials. We included 18 articles in the review; 15 were feasibility studies and 3 were efficacy or effectiveness randomized trials. The quality of data reporting varied considerably. The vast majority of articles focused on improving HIV-related outcomes among men who have sex with men. Only three studies recruited cisgender women and/or transgender persons. We found heterogeneity in how engagement was defined and assessed. Intervention usage from social media data was the most frequently used engagement measure. In addition to the heterogeneity in defining and assessing engagement, we found that the focus of assessment was often on measures of intervention usage only. More purposeful recruitment is needed to learn about whether, how, and why different SGM groups engage with social media-interventions. This leaves significant room for future research to expand evaluation criteria for cognitive and emotional aspects of intervention engagement in order to develop effective and tailored social media-delivered interventions for SGM people. Our findings also support the need for developing and testing social media-delivered interventions that focus on improving mental health and outcomes related to chronic health conditions among SGM persons. Digital interventions are widely acceptable to sexual and gender minorities (SGM). There is heterogeneity in defining and assessing engagement across studies. Current SGM social media interventions have narrow scopes and limited population. Engagement in SGM-targeted interventions focuses mostly on micro level factors. Better evaluating engagement is crucial to effective digital interventions for SGM.
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影响因子：
4.4
作者：
Horvath, Keith J.;Oakes, J. Michael;Rosser, B. R. Simon;Danilenko, Gene;Vezina, Heather;Amico, K. Rivet;Williams, Mark L.;Simoni, Jane
通讯作者：
Simoni, Jane
LGBTIQ+年轻人的数字健康干预措施的有效性，可接受性和可行性：系统评价。
影响因子：
7.4
作者：
Gilbey D;Morgan H;Lin A;Perry Y
通讯作者：
Perry Y
影响因子：
3.3
作者：
Bostwick, Wendy B.;Boyd, Carol J.;McCabe, Sean Esteban
通讯作者：
McCabe, Sean Esteban
成人目前吸烟 - 美国，2016年。
DOI：
10.15585/mmwr.mm6702a1
发表时间：
2018-01-19
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Jamal A;Phillips E;Gentzke AS;Homa DM;Babb SD;King BA;Neff LJ
通讯作者：
Neff LJ
影响因子：
5.5
作者：
Bull, Sheana S.;Levine, Deborah K.;Black, Sandra R.;Schmiege, Sarah J.;Santelli, John
通讯作者：
Santelli, John