Assessing the Acceptability and Effectiveness of Mobile-Based Physical Activity Interventions for Midlife Women During Menopause: Systematic Review of the Literature.
Assessing the Acceptability and Effectiveness of Mobile-Based Physical Activity Interventions for Midlife Women During Menopause: Systematic Review of the Literature.
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DOI：
10.2196/40271
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发表时间：
2022-12-09
影响因子：
5
通讯作者：
Hamilton, Fiona L.
中科院分区：
文献类型：
--
作者：
AlSwayied, Ghada;Guo, Haoyue;Rookes, Tasmin;Frost, Rachael;Hamilton, Fiona L.
关键词：
有更年期症状的中年妇女不太可能达到推荐的体力活动水平(PA)。在中年女性中推广PA可以降低她们患心血管疾病的风险，或许还会改善更年期症状。以智能手机应用程序和可穿戴活动跟踪器的形式进行的移动PA干预可能会鼓励用户提高PA水平，并解决PA的时间和资源障碍。然而，关于这些干预措施在中年女性中的可接受性和有效性的证据尚不清楚。这项系统综述评估了中年更年期妇女使用移动PA技术的有效性、可接受性和主动行为改变技术(BCT)。采用定性和定量相结合的研究方法进行系统综述。系统地检索了Medline(Ovid)、Embase、Scope us、CINAHL、Web of Science、SPORT Discus、CENTORY、SqucINFO以及ProQuest运动医学和教育索引。研究根据预先确定的资格标准进行选择和筛选。总共有2名评价者使用混合方法评估工具独立评估了偏倚的风险，并使用BCT分类法v1完成了纳入干预措施的BCT图。本综述共纳入12项研究。在纳入的研究中，58%(7/12)的总体偏倚风险为“中到高”，42%(5/12)的研究为“低”。在12项研究中，7项(58%)评估了PA水平的变化。两个随机对照试验的合并效应大小导致至少在短期内，中年女性的中度到剧烈的PA每周增加约61.36分钟(95%可信区间17.70-105.01；P=0.006)。尽管由于异质性，荟萃分析是不可行的，但在一系列与更年期相关的结果中也发现了积极的改善，如体重减轻、焦虑管理、睡眠质量和与更年期相关的生活质量。中年女性认为移动式PA干预是可以接受的，并可能有助于增加PA和日常步数。根据BCT Taxonomy v1，每次移动式PA介入的平均BCT数量为8.8(范围4-13)。“行为自我监控”、“生物反馈”和“目标设定(行为)”是所包括的干预措施中最常被描述的BCT。这项综述表明，在有更年期症状的中年女性中，以智能手机应用程序和可穿戴跟踪器的形式进行的移动PA干预对于中度到重度PA的小到中度增加潜在有效。尽管绝经是一种影响全球一半人口的自然疾病，但缺乏证据支持流动PA干预对更年期相关结果的可接受性和有效性，这需要进一步调查。PROSPERO CRD42021273062；https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=273062
Midlife women with menopausal symptoms are less likely to meet the recommended level of physical activity (PA). Promoting PA among women in midlife could reduce their risk of cardiovascular diseases and perhaps improve menopausal symptoms. Mobile PA interventions in the form of smartphone apps and wearable activity trackers can potentially encourage users to increase PA levels and address time and resource barriers to PA. However, evidence on the acceptability and effectiveness of these interventions among midlife women is unclear. This systematic review evaluated the effectiveness, acceptability, and active behavior change techniques (BCTs) of mobile PA technologies among midlife menopausal women. A mixed methods systematic review of qualitative and quantitative studies was conducted. MEDLINE (Ovid), Embase, Scopus, CINAHL, Web of Science, SPORTDiscus, CENTRAL, PsycINFO, and the ProQuest Sports Medicine and Education Index were systematically searched. Studies were selected and screened according to predetermined eligibility criteria. In total, 2 reviewers independently assessed the risk of bias using the Mixed Methods Appraisal Tool and completed BCT mapping of the included interventions using the BCT Taxonomy v1. A total of 12 studies were included in this review. Overall risk of bias was “Moderate to high” in 58% (7/12) of the included studies and “low” in 42% (5/12) of the studies. Of the 12 studies, 7 (58%) assessed changes in PA levels. The pooled effect size of 2 randomized controlled trials resulted in a small to moderate increase in moderate to vigorous PA of approximately 61.36 weekly minutes among midlife women, at least in the short term (95% CI 17.70-105.01; P=.006). Although a meta-analysis was not feasible because of heterogeneity, positive improvements were also found in a range of menopause-related outcomes such as weight reduction, anxiety management, sleep quality, and menopause-related quality of life. Midlife women perceived mobile PA interventions to be acceptable and potentially helpful in increasing PA and daily steps. The average number of BCTs per mobile PA intervention was 8.8 (range 4-13) according to the BCT Taxonomy v1. “Self-monitoring of behaviour,” “Biofeedback,” and “Goal setting (behaviour)” were the most frequently described BCTs across the included interventions. This review demonstrated that mobile PA interventions in the form of smartphone apps and wearable trackers are potentially effective for small to moderate increases in moderate to vigorous PA among midlife women with menopausal symptoms. Although menopause is a natural condition affecting half the population worldwide, there is a substantial lack of evidence to support the acceptability and effectiveness of mobile PA interventions on menopause-related outcomes, which needs further investigation. PROSPERO CRD42021273062; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=273062
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