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اثربخشی مداخلات متمرکز بر والد در درمان چاقی کودکان و نوجوانان: یک مرور سیستماتیک | ||
| روانشناسی سلامت | ||
| دوره 11، شماره 42، شهریور 1401، صفحه 45-66 اصل مقاله (1.18 M) | ||
| نوع مقاله: مروری | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2022.59603.5262 | ||
| نویسندگان | ||
| مریم فرخ نیا* 1؛ علی فتحی آشتیانی2؛ عماد اشرفی3؛ فرمهر ابطحی4 | ||
| 1گروه روانشناسی دانشگاه علم و فرهنگ، تهران، ایران | ||
| 2استاد مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه‌الله، تهران، ایران | ||
| 3استادیار، گروه روانشناسی، دانشکده علوم انسانی، دانشگاه علم و فرهنگ، تهران، ایران | ||
| 4بورد تخصصی بیماری های نوزادان و کودکان، دانشگاه علوم پزشکی و خدمات درمانی ایران، تهران، ایران | ||
| چکیده | ||
| مقدمه: در سالهای اخیر، برای درمان چاقی کودکان، به مداخلات رفتاری سبک زندگی متمرکز بر والد، توجه بیشتری شده است. بر این اساس، این مطالعه با هدف اصلی مروری بر اثربخشی مداخلات متمرکز بر والد در درمان چاقی کودکان و نوجوانان، و با هدف فرعی بررسی میزان ریزش در مطالعات انتخاب شده انجام شد. روش: 1476 مقاله بین سالهای 2021-1957 میلادی، با انواع کلیدواژههای مرتبط با مداخله، والد، چاقی و اضافه وزن، در دامنه سنی 18-6 سال، از پایگاه‌های اطلاعاتی PubMed، Science Direct و PsyINFO در مرحله اول شناسایی شدند. پس از اعمال ملاکهای ورود و خروج و بررسی مقالات مرتبط، نهایتاً ده مطالعه کارآزمایی کنترلشده تصادفی (RCTs) که پیامد اصلی آنها کاهش شاخص توده بدنی (BMI) بود، به طور سیستماتیک مرور شدند. از روش استاندارد بررسی مشخصات جمعیت، جزئیات مداخله، استفاده از گروه کنترل، و گزارش پیامدها (PICO) در انتخاب، و از روش بیانیه استانداردسازی گزارش در مطالعات کارآزمایی بالینی (CONSORT)، در ارزیابی کیفیت مقالات استفاده شد. یافته‌ها: دامنه کاهش نمرات استاندارد BMI در پایان مداخلات بین 31/0- 06/0، و در پایان پیگیریهای 24–13 ماهه بین 42/0–16/0 بود. میزان ریزش تا پایان پژوهشها، به طور میانگین 3/32 درصد (50-13 درصد) بود. نتیجه‌گیری: به طور کلی، مداخلات رفتاری جامع سبک زندگی متمرکز بر والد در کاهش BMI کودکان اثربخش هستند، اما لازم است تا نتایج آنها با احتیاط تفسیر شده و پژوهشهای جامع و استاندارد شده بیشتری در آینده انجام شوند. | ||
| کلیدواژه‌ها | ||
| چاقی کودکان؛ مداخلات رفتاری؛ مداخلات متمرکز بر والد؛ مرور سیستماتیک | ||
| عنوان مقاله [English] | ||
| Effectiveness of Parent-Focused Interventions in the Treatment of Childhood and Adolescent Obesity: A Systematic Review Article | ||
| نویسندگان [English] | ||
| Maryam Farrokhnia1؛ Ali Fathi-Ashtiani2؛ Emad Ashrafi3؛ Faermehr Abtahei4 | ||
| 1Department of Psychology, University of Science and Culture, Tehran, Iran | ||
| 2Professor in Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran | ||
| 3Assistant Professor, Department of Psychology, Faculty of Humanities, University of Science & Culture, Tehran, Iran | ||
| 4Board-Certified Pediatrician, Iran University of Medical Sciences, Tehran, Iran | ||
| چکیده [English] | ||
| Objective: In recent years, more attention has been paid to parent-focused behavioral interventions for the treatment of childhood obesity. Accordingly, this study was conducted with the main objective of reviewing the effectiveness of parent-focused interventions in the treatment of childhood and adolescent obesity, and with the sub-objective of assessing the rate of attrition in selected studies. Method: 1476 articles between1957-2021, with a variety of keywords related to intervention, parent, obesity, and overweight, in the age range of 6-18 years, from the databases of PubMed, Science Direct, and PsyINFO, were identified in the first stage. After applying the inclusion and exclusion criteria and reviewing related articles, finally, ten randomized controlled trial (RCTs) studies, that their main outcome was a decrease in body mass index (BMI), were systematically reviewed. The standard method of evaluating Population,-Intervention-Control groups- Outcomes (PICO) in selecting, and the Consolidated Standards of Reporting Trials (CONSORT) in evaluating of the quality of the articles was used. Findings: The range of decrease in standard scores of body mass index at the end of the interventions was between 0.06-0.31, and at the end of 13-24 months follow-up was between 0.16-0.42. The mean attrition rate by the end of the study was 32.3% (13% to 50%). Conclusion: Comprehensive parent-focused behavioral lifestyle interventions are generally effective in reducing children's body mass index, but it is necessary to interpret the results of current articles with caution, and to conduct comprehensive and standardized research in future. | ||
| کلیدواژه‌ها [English] | ||
| Childhood Obesity, Behavioral Interventions, Parent-Focused Interventions, Systematic Review | ||
| مراجع | ||
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رضایی نیاسر، آ.، زارع، ح.، و برجسته، ف. (1396). ارزیابی عملکرد شناختی کودکان دارای مشکل اضافه وزن و چاق در آزمون برج لندن و آزمون استروپ در مقایسه با کودکان دارای وزن نرمال. فصلنامه علمی ـ پژوهشی روانشناسی سلامت، 6(2)، 35-50.
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