OBJECTIVE There is a tremendous opportunity for electronic health services (eHealth) to reach adults with low income who want to participate in weight loss interventions, but face barriers in access. This review (a) synthesizes and presents results from all studies evaluating the effectiveness of eHealth weight loss interventions for adults with low income and (b) describes the strategies used to tailor them to these groups. METHOD Electronic databases were searched for studies examining the effectiveness of eHealth weight loss interventions designed for adults with low income and screened for eligibility by two independent reviewers. All experimental study designs were included. Data were extracted, results were qualitatively synthesized, and studies were assessed for quality. RESULTS Nine studies met the inclusion criteria (N = 1,606 total participants). Four studies reported significant reductions in weight of small to moderate magnitude among participants in eHealth interventions (M weight loss = -2.2 kg; SD = 1.6). Many studies did not describe how they tailored the intervention for adults with low income; however, studies that achieved significant results tended to use more tailoring strategies. Most studies reported high retention rates. Three studies were rated as strong quality, four as moderate, and two as weak. CONCLUSIONS Evidence is limited that eHealth weight loss interventions for this population are effective in achieving clinically and statistically significant weight reductions. While interventions that used more tailoring strategies tended to be more effective, studies that use the rigorous methodology and describe interventions in more depth could better elucidate whether eHealth interventions are an effective approach in this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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低收入成年人的电子健康减肥干预措施：系统评价。

目标 电子健康服务 (eHealth) 有巨大的机会覆盖想要参与减肥干预但面临障碍的低收入成年人。本综述 (a) 综合并展示了所有评估电子健康减肥干预措施对低收入成年人的有效性的研究结果，以及 (b) 描述了为这些群体量身定制的策略。方法 在电子数据库中搜索检查为低收入成年人设计的电子健康减肥干预措施有效性的研究，并由两名独立审查员进行资格筛选。包括所有实验研究设计。提取数据，定性综合结果，并评估研究质量。结果 九项研究符合纳入标准（N = 1，606 名参与者）。四项研究报告称，电子健康干预参与者的体重有小到中等程度的显着降低（M 体重减轻 = -2.2 公斤；SD = 1.6）。许多研究没有描述他们如何为低收入成年人量身定制干预措施；然而，取得重大成果的研究倾向于使用更多的剪裁策略。大多数研究报告了高保留率。三项研究被评为强质量，四项为中等，两项为弱。结论 有限的证据表明，针对该人群的 eHealth 减肥干预措施可有效实现临床和统计学上显着的体重减轻。虽然使用更多定制策略的干预措施往往更有效，使用严格方法并更深入地描述干预措施的研究可以更好地阐明电子卫生保健干预措施是否是该人群的有效方法。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。