在乳腺癌幸存者中使用行为改变技术促进身体活动: N-of-1随机对照试验
Margarida Sequeira1,2, Cícero Pereira3, Maria-João Alvarez1
1CICPSI, Department of Psychology, Faculdade de Psicologia, Universidade de Lisboa, Lisbon, Portugal.
Health promotion international
|July 19, 2023
概括
行为改变技术,包括应对计划和自我监测,有效地增加了乳腺癌幸存者的身体活动. 综合干预显示出最有希望的结果,尽管个体反应各不相同.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 对乳腺癌幸存者的健康至关重要.
- 根据个体需求量身定制的行为干预越来越重要.
- 在幸存者中促进持续的PA需要有效的行为改变策略.
研究的目的:
- 评估应对计划 (CP) 和自我监测 (SM) 的有效性,以增加乳腺癌幸存者的PA.
- 为了比较单个与联合CP和SM干预措施的影响.
- 评估个体在应对行为变化技术时的变化.
主要方法:
- 一个多样本N-of-1随机对照试验 (RCT) 涉及10名乳腺癌幸存者.
- 参与者被随机分配到四个条件:CP,SM,联合CP/SM,或60天的控制.
- 测量了每天的步数,并使用多层次时间序列分析和个案分析分析数据.
主要成果:
- 多层次分析显示,CP和SM对PA都有显著的积极影响.
- 个人分析表明,六名参与者在干预期间增加了他们的步数.
- 联合干预措施对五名参与者有效,突出了协同自我调节技术的潜力.
结论:
- 应对规划和自我监测是促进乳腺癌幸存者的身体活动的有效行为改变技术.
- 综合的自我调节策略似乎更有效,但个人的反应差异需要个性化方法.
- 未来的干预措施应考虑个体的变化,以最大限度地促进PA在这个人群中.
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