工程 善良的健康习惯使用情绪和神经认知:生活方式优化和体重管理的灵活性 (EVEN FLOW)
Patrick J Smith1, Heather E Whitson2,3, Rhonda M Merwin4
1Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Frontiers in aging neuroscience
|December 11, 2023
概括
保持老年人的功能独立性需要通过定制干预来优化慢性疾病管理. 这个框架解决了行为启动与维护的不同需求,整合了成功衰老的认知和心理因素.
科学领域:
- 老年学和行为科学.
- 健康心理学和认知神经科学
背景情况:
- 老年人的功能独立受到慢性疾病管理挑战的威胁.
- 最佳的健康行为管理对于成功的衰老至关重要,但往往缺乏.
- 行为改变涉及不同的启动和维护阶段,受不同因素的影响.
研究的目的:
- 提出一种新的生物行为干预框架,以保护老年人的功能独立性.
- 整合个人层面的认知和心理因素与社会支持系统,以进行量身定制的干预.
- 解决慢性疾病管理中的行为启动和维持之间的区别.
主要方法:
- 对慢性病管理和健康习惯理论中的当代概念模型的审查.
- 心理因素 (体验性接受,开放) 和认知因素 (执行功能) 的整合.
- 提出一个框架,将自我调节功能,认知/情感机制和社会/结构支持联系在一起.
主要成果:
- 执行功能对于维持行为变化至关重要,并可能防止认知能力下降.
- 心理因素,如开放和接受是启动新的健康行为的关键.
- 社会和结构性支持在行为变化的各个阶段发挥着至关重要的缓冲作用.
结论:
- 一个强调自我调节功能的生物行为框架可以为老年人定制干预措施.
- 执行功能受损或影响监管的个人需要特定的支持策略.
- 干预途径应考虑认知和情感灵活性的个人资料,以获得最佳的结果.
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