基于行为改变技术的干预措施,以鼓励 50-70 岁社区居民中的成年人进行体育锻炼或减少久坐行为:通过干预成分分析进行系统回顾。

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Saima Ahmed, Kimberly Lazo Green, L. McGarrigle, Annemarie Money, Neil Pendleton, Chris Todd
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引用次数: 0

摘要

增加体力活动(PA)和/或减少久坐行为对于延缓和预防长期疾病非常重要。体力活动有助于保持身体功能和独立性,减少住院/入院治疗的需要。晚年人的体力活动率通常会下降,因此需要通过使用行为改变技术(BCTs)来采取干预措施,鼓励人们参加和坚持体力活动。我们对平均年龄为 50-70 岁、居住在社区的成年人进行了一次系统性的证据回顾,以了解包括 BCTs 在内的干预措施。综述遵循了 PRISMA 指南。干预措施包括社会心理干预、非药物干预和非侵入性干预,这些干预措施采用了基于 BCTs 的成分,可评估运动量和/或久坐行为的变化。干预成分分析法(ICA)用于综合干预成分的有效性。本综述纳入了 12 项随机对照试验。样本的平均年龄为 50-64 岁。所有研究中使用了 13 种 BCT,最常用的技术是目标和计划、反馈和监控以及自然后果。研究发现,有七项干预措施与 BCTs 有关:个性化目标设定、促进者提供的定制反馈、现场和干预后支持、教育材料和资源、强化行为和态度的改变、自我报告监测以及社会联系。除社会联系外,所有组成部分都与健康行为和活动量水平的改善有关。使用 BCTs 的干预措施已纳入了强化行为和态度改变的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventions Based on Behavior Change Techniques to Encourage Physical Activity or Decrease Sedentary Behavior in Community-Dwelling Adults Aged 50-70: Systematic Review With Intervention Component Analysis.
Increasing physical activity (PA) and/or decreasing sedentary behaviors is important in the delay and prevention of long-term conditions. PA can help maintain function and independence and decrease the need for hospitalization/institutionalization. Activity rates often decline in later life resulting in a need for interventions that encourage uptake and adherence through the use of Behavior Change Techniques (BCTs). We conducted a systematic review of the evidence for interventions that included BCTs in community-dwelling adults with a mean age of 50-70. The review followed PRISMA guidelines. The interventions were psychosocial, nonpharmacological, and noninvasive interventions utilizing components based on BCTs that evaluated change in PA and/or sedentary behavior. Intervention Component Analysis (ICA) was used to synthesize effectiveness of intervention components. Twelve randomized controlled trials were included in this review. The mean sample age was 50-64. Thirteen BCTs were used across all studies, and the most commonly used techniques were goals and planning, feedback and monitoring, and natural consequences. Seven intervention components linked with BCTs were found: personalized goal setting, tailored feedback from facilitators, on-site and postintervention support, education materials and resources, reinforcing change on behavior and attitudes, self-reported monitoring, and social connectedness. All components, except for social connectedness, were associated with improved health behavior and PA levels. The interventions that use BCTs have incorporated strategies that reinforce change in behavior and attitudes toward PA.
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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