Effectiveness of digital interventions to improve household and community infection prevention and control behaviours and to reduce incidence of respiratory and/or gastro-intestinal infections: a rapid systematic review.
Effectiveness of digital interventions to improve household and community infection prevention and control behaviours and to reduce incidence of respiratory and/or gastro-intestinal infections: a rapid systematic review.
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DOI：
10.1186/s12889-021-11150-8
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发表时间：
2021-06-21
影响因子：
4.5
通讯作者：
Yardley L
中科院分区：
文献类型：
--
作者：
Gold N;Hu XY;Denford S;Xia RY;Towler L;Groot J;Gledhill R;Willcox M;Ainsworth B;Miller S;Moore M;Little P;Amlôt R;Chadborn T;Yardley L
数字化干预措施有可能有效支持改善卫生习惯，从而减少 COVID-19 的传播。
为了评估数字化干预措施在社区内改善卫生习惯的证据。
我们查阅了 2000 年 1 月 1 日至 2019 年 5 月 26 日期间发表的文章，这些文章介绍了旨在改善社区卫生行为的数字化干预的对照试验。我们检索了MEDLINE、Embase、PsycINFO、Cochrane试验对照注册中心（CENTRAL）、中国国家知识基础设施和灰色文献。排除了医院中的试验，也排除了旨在预防性传播感染的试验；只纳入了传播机制与 COVID-19 相似的目标疾病（如呼吸道和胃肠道感染）。试验必须对干预措施中独特的数字化部分进行评估。研究设计仅限于随机对照试验、前后对照试验和间断时间序列分析。研究结果可以是感染发生率或卫生行为的改变。偏倚风险 2 工具用于评估研究质量。
我们发现有 7 项研究符合纳入标准。其中有六项研究报告称成功改善了自我报告的卫生行为或健康结果，但在这六项试验中，只有一项名为 "德国防御 "的试验通过客观测量（减少就诊和抗生素处方）证实了改善情况。试验地点包括幼儿园、工作场所和服务站卫生间。传播方式多种多样：微信、网站、短信、手机音频信息、电子广告牌和电子个人护理记录。四项干预措施针对幼儿家长，提供教育材料。两项干预以普通人群为对象；这些干预也使用了行为改变技术或理论。只有一项试验的偏倚风险较低，即德国防卫；最常见的问题是缺乏随机化信息、行为结果报告可能存在偏倚、缺乏分析计划以及结果报告可能存在选择性。
只有一项试验被判定为低偏倚风险，即 "病菌防御 "试验，该试验降低了疾病的发病率和严重程度，并得到了客观指标的证实。要确定所审查的其他干预措施的有效性，还需要进一步评估。
PERCORCO CRD42020189919.
在线版本包含补充材料，可查阅 10.1186/s12889-021-11150-8。
Digital interventions have potential to efficiently support improved hygiene practices to reduce transmission of COVID-19. To evaluate the evidence for digital interventions to improve hygiene practices within the community. We reviewed articles published between 01 January 2000 and 26 May 2019 that presented a controlled trial of a digital intervention to improve hygiene behaviours in the community. We searched MEDLINE, Embase, PsycINFO, Cochrane Controlled Register of Trials (CENTRAL), China National Knowledge Infrastructure and grey literature. Trials in hospitals were excluded, as were trials aiming at prevention of sexually transmitted infections; only target diseases with transmission mechanisms similar to COVID-19 (e.g. respiratory and gastrointestinal infections) were included. Trials had to evaluate a uniquely digital component of an intervention. Study designs were limited to randomised controlled trials, controlled before-and-after trials, and interrupted time series analyses. Outcomes could be either incidence of infections or change in hygiene behaviours. The Risk of Bias 2 tool was used to assess study quality. We found seven studies that met the inclusion criteria. Six studies reported successfully improving self-reported hygiene behaviour or health outcomes, but only one of these six trials, Germ Defence, confirmed improvements using objective measures (reduced consultations and antibiotic prescriptions). Settings included kindergartens, workplaces, and service station restrooms. Modes of delivery were diverse: WeChat, website, text messages, audio messages to mobiles, electronic billboards, and electronic personal care records. Four interventions targeted parents of young children with educational materials. Two targeted the general population; these also used behaviour change techniques or theory to inform the intervention. Only one trial had low risk of bias, Germ Defence; the most common concerns were lack of information about the randomisation, possible bias in reporting of behavioural outcomes, and lack of an analysis plan and possible selective reporting of results. There was only one trial that was judged to be at low risk of bias, Germ Defence, which reduced incidence and severity of illness, as confirmed by objective measures. Further evaluation is required to determine the effectiveness of the other interventions reviewed. PROSPERO CRD42020189919. The online version contains supplementary material available at 10.1186/s12889-021-11150-8.
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影响因子：
4.4
作者：
Tidwell, James B.;Gopalakrishnan, Anila;Sidibe, Myriam
通讯作者：
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4.5
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通讯作者：
Yardley L
影响因子：
168.9
作者：
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通讯作者：
Yardley, Lucy