Assessing telehealth interventions for physical activity and sedentary behavior self-management in adults with type 2 diabetes mellitus: An integrative review.
Assessing telehealth interventions for physical activity and sedentary behavior self-management in adults with type 2 diabetes mellitus: An integrative review.
复制标题
评估2型糖尿病成人体力活动和久坐行为自我管理的远程保健干预：一项综合性综述。
DOI：
10.1002/nur.22077
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发表时间：
2021-03
影响因子：
2
通讯作者：
Wakefield B
中科院分区：
文献类型：
--
作者：
Howland C;Wakefield B
2 型糖尿病是一种慢性疾病，需要生活方式管理以预防慢性并发症。增加体力活动和减少久坐行为对于维持血糖控制至关重要。本研究的目的是 1.) 评估和综合有关通过远程医疗策略对 2 型糖尿病成人进行体力活动和久坐行为干预的文献，以及 2.) 评估此类干预措施对体力活动、久坐行为和血糖控制的有效性的已知信息。进行了综合文献综述，包括电子数据库 PubMed、CINAHL 和 PsychInfo，检索过去 10 年内发表的、符合指定纳入和排除标准的文章，遵循系统评价的首选报告项目和荟萃分析声明指南。纳入了十七项研究。基于网络和手机的干预措施显着改善了体力活动和久坐行为。据报告血糖控制略有改善。理论框架的使用和整合有限，并且在所审查的研究中干预长度和随访差异很大。使用自我报告和客观测量来衡量结果，但客观测量的使用频率较低。此外，在美国或农村人口中进行的研究很少。文献支持基于网络和手机的远程医疗干预措施，以增加体力活动、减少久坐行为和改善血糖控制。未来需要理论驱动的研究，包括剂量特异性测量、自我报告和客观测量以及长期随访。需要检查干预措施对农村人口的影响。
Type 2 diabetes is a chronic disease, requiring lifestyle management to prevent chronic complications. Increasing physical activity and reducing sedentary behavior is integral to maintaining glycemic control. The purpose of this study was to 1.) appraise and synthesize the literature about physical activity and sedentary behavior intervention delivery via telehealth strategies in adults with Type 2 Diabetes Mellitus and 2.) to evaluate what is known about the effectiveness of such interventions on physical activity, sedentary behavior, and glycemic control. An integrative literature review was carried out, including the electronic databases PubMed, CINAHL, and PsychInfo, searching for articles published within the past 10 years, meeting specified inclusion and exclusion criteria, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines. Seventeen studies were included. Significant improvements in physical activity and sedentary behavior were identified in web and mobile phone-based interventions. Modest improvements in glycemic control were reported. Theoretical framework use and integration was limited, and intervention length and follow-up varied greatly in the studies reviewed. Outcomes were measured using both self-report and objective measures, but objective measures were used less frequently. Further, few studies have been conducted in the United States or in rural populations. Web and mobile phone-based telehealth interventions to increase physical activity, reduce sedentary behaviors, and improve glycemic control have been supported by the literature. A need exists for future studies which are theory driven, include dose specific measures, self-report and objective measures, and long-term follow-up. Examining intervention effects in rural populations is needed.
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影响因子：
3.3
作者：
Lin J;Thompson TJ;Cheng YJ;Zhuo X;Zhang P;Gregg E;Rolka DB
通讯作者：
Rolka DB
影响因子：
3.2
作者：
Maher, CG;Sherrington, C;Elkins, M
通讯作者：
Elkins, M
影响因子：
3.5
作者：
Glasgow, Russell E.;Kurz, Deanna;Ritzwoller, Debra
通讯作者：
Ritzwoller, Debra
影响因子：
7.4
作者：
Hanlon P;Daines L;Campbell C;McKinstry B;Weller D;Pinnock H
通讯作者：
Pinnock H
影响因子：
7.4
作者：
Hansel, Boris;Giral, Philippe;Roussel, Ronan
通讯作者：
Roussel, Ronan