以健康行动过程方法为框架,对长期患病的成年人进行体育锻炼干预:范围审查。

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Amy L Silva-Smith, Coral L Hanson, Lis Neubeck, Anne Rowat, Sheona McHale
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引用次数: 0

摘要

背景:使用健康行动过程方法(HAPA)模型进行干预显示出增加 PA 频率、持续时间和强度的前景。然而,对于如何操作 HAPA 模型变量对慢性病患者进行 PA 干预,以促进行为改变和持续 PA,以及使用 HAPA 模型的阶段形式还是连续形式,人们的了解还很有限。本范围综述旨在描述如何操作 HAPA 模型变量进行 PA 干预,并提供实施细节:我们检索了五个数据库,以确定 1992 年 1 月至 2024 年 3 月间发表的研究。我们旨在描述:(1)干预措施的特点,包括环境、实施模式、持续时间和内容;(2)HAPA 变量的操作方法和使用的策略;以及(3)体育锻炼的测量方法和结果效果:搜索发现了 30 篇论文中的 23 项干预措施(12 项方案、3 项准实验研究和 15 项随机对照试验 (RCT))。15 项随机对照试验中有 7 项报告了 HAPA 模型对 PA 行为结果的显著积极影响。干预措施可操作的 HAPA 构建有三到九个,这表明 HAPA 模型在干预研究中的使用方式存在很大差异。PA 测量方法从自我报告到经过验证的客观工具不一而足:我们发现,在决定将哪些 HAPA 构建纳入干预措施时缺乏明确性。在可操作的 HAPA 构建方面存在的巨大差异使得对干预措施进行比较具有挑战性。研究人员应提供有关干预设计和实施程序的更多细节,以提高透明度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.

Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.

Background: Interventions that use the Health Action Process Approach (HAPA) model show promise for increasing PA frequency, duration, and intensity. However, there is limited understanding of how HAPA model variables have been operationalized for PA interventions in chronic disease to promote behavior change and sustained PA or whether the phase or continuous form of the HAPA model was used. The aim of this scoping review is to describe how the HAPA model variables for PA interventions were operationalized and provide details of implementation.

Method: We searched five databases to identify studies published between January 1992 and March 2024. We aimed to describe (1) the characteristics of interventions including setting, delivery mode, duration, and content; (2) which HAPA variables were operationalized and the strategies used; and (3) the physical activity measures and outcome effects.

Results: The search identified 23 interventions in 30 papers (12 protocols, 3 quasi-experimental studies, and 15 randomized controlled trials (RCTs)). Seven of the 15 RCTs reported significant positive effects of the HAPA model on PA behavior outcomes. Interventions operationalized between three and nine HAPA constructs showed significant variability in how the HAPA model is used in intervention research. PA measures varied from self-report to validated objective instruments.

Conclusion: We found a lack of clarity in decisions about which HAPA constructs were included in interventions. The wide variability in operationalized HAPA constructs made it challenging to compare interventions. Researchers should provide more detail about intervention design and implementation procedures to enhance transparency.

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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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