Computer-tailored dietary behaviour change interventions: a systematic review.

Computer-tailored dietary behaviour change interventions: a systematic review.
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DOI:
10.1093/her/cyp006
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发表时间:
2009-08
影响因子:
2.4
通讯作者:
Milat AJ
Milat AJ
中科院分区:
医学4区
文献类型:
--
作者:
Neville LM;O'Hara B;Milat AJ

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改善饮食行为,如增加水果和蔬菜的消费量,减少饱和脂肪的摄入量,对促进更好的健康很重要。计算机剪裁已显示出作为促进这种行为的一种战略的希望。进行了一项叙述性系统评价,以描述关于“第二代”计算机量身定制的饮食行为改变初级预防干预措施的现有证据,并确定其有效性和成功的关键特征。通过五个数据库进行系统性文献检索:Medline、Embase、PsycINFO、CINAHL和All EBM Reviews,并通过检查相关文章的参考文献列表,以识别1996年1月至2008年期间以英文发表的研究。随机对照试验或准实验设计与测试前和测试后的行为结果数据。共审查了13篇文章,描述了对12种干预措施的评价,其中7篇发现计算机量身定制的干预措施对饮食行为结果有显著的积极影响,一篇也对减肥结果有积极影响。虽然计算机量身定制的饮食行为改变干预措施的短期疗效的证据是相当强大的,不确定性在于是否报告的影响是普遍和持续的长期。需要进一步的研究来解决这些证据的局限性。
Improving dietary behaviours such as increasing fruit and vegetable consumption and reducing saturated fat intake are important in the promotion of better health. Computer tailoring has shown promise as a strategy to promote such behaviours. A narrative systematic review was conducted to describe the available evidence on ‘second’-generation computer-tailored primary prevention interventions for dietary behaviour change and to determine their effectiveness and key characteristics of success. Systematic literature searches were conducted through five databases: Medline, Embase, PsycINFO, CINAHL and All EBM Reviews and by examining the reference lists of relevant articles to identify studies published in English from January 1996 to 2008. Randomized controlled trials or quasi-experimental designs with pre-test and post-test behavioural outcome data were included. A total of 13 articles were reviewed, describing the evaluation of 12 interventions, seven of which found significant positive effects of the computer-tailored interventions for dietary behaviour outcomes, one also for weight reduction outcomes. Although the evidence of short-term efficacy for computer-tailored dietary behaviour change interventions is fairly strong, the uncertainty lies in whether the reported effects are generalizable and sustained long term. Further research is required to address these limitations of the evidence.
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