Facilitators and barriers of children's participation in nutrition, physical activity, and obesity interventions: A systematic review.

Facilitators and barriers of children's participation in nutrition, physical activity, and obesity interventions: A systematic review.
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DOI:
10.1111/obr.13335
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发表时间:
2021-12
期刊:
影响因子:
8.9
通讯作者:
Palacios, Cristina
Palacios, Cristina
中科院分区:
医学1区
文献类型:
--
作者:
Clayton, Priscilla;Connelly, Jeneene;Ellington, Malik;Rojas, Vicky;Lorenzo, Yaisli;Trak-Fellermeier, Maria Angelica;Palacios, Cristina

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招募儿童参加临床试验是具有挑战性的。大多数探讨儿童参与临床试验的促进因素和障碍的系统综述都与针对各种健康状况的药物或实验性治疗有关。这可能在营养、体育活动和肥胖干预方面有所不同。从家长、儿童和研究人员的角度,对儿童参与营养、体育活动和肥胖干预的促进因素和障碍进行系统回顾。研究从5个数据库中确定,仅限于2-18岁的儿童和英语。没有结果的关于促进因素和招聘障碍的研究被排除在外。确定了423条记录;最初排除了94个重复记录和269个不相关记录;我们对60份文献进行了全文审查,随后排除了34份,总共纳入了26项研究。招募儿童参加临床试验的最大障碍是时间限制、对临床试验信息的理解或同意/试验信息的复杂性,以及交通/缺乏儿童保育。最常见的促进因素是对他人和自己的好处、补偿/激励、医生建议/转诊和支持。这些障碍和促进因素应该在未来的研究中加以解决,以帮助儿童成功地参与营养、体育活动和肥胖干预。
Recruitment of children into clinical trials is challenging. Most systematic reviews exploring facilitators and barriers of child recruitment in clinical trials are related to drugs or experimental treatments for various health conditions. This may differ in nutrition, physical activity, and obesity interventions. To conduct a systematic review of facilitators and barriers for children’s participation in nutrition, physical activity, and obesity interventions from the perspective of parents, children, and researchers. Studies were identified from 5 databases and restricted to children 2-18 years and the English language. Studies without results on facilitators and barriers of recruitment were excluded. 423 records were identified; 94 duplicates and 269 unrelated records were initially excluded; 60 records were reviewed for full-text and subsequently 34 were excluded, for a total of 26 included studies. The top barriers for recruiting children into clinical trials were time constraints, understanding of clinical trial information or complexity of consent/trial info, and transportation/lack of childcare. The most common facilitators were benefits to others and self, compensation/incentives, physician recommendations/referrals, and support. These barriers and facilitators should be addressed in future studies to assist in the successful recruitment of children into nutrition, physical activity, and obesity interventions.
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