基于能力,机会,动机和行为模型的主观认知衰退的老年人体育活动行为的决定因素:调解和适度效应
Yiping Chen1, Wei Li2, Hui Yang1
1School of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.
Frontiers in public health
|January 24, 2024
概括
身体活动 (PA) 对患有主观认知衰退 (SCD) 的老年人至关重要. 干预措施应侧重于提高动机,解决脆弱性,并改善支持,以提高这一群体的PA水平.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 身体活动 (PA) 在经历主观认知衰退 (SCD) 的老年人中对二次预防至关重要.
- 在患有SCD的老年人中,低水平的PA和鲜为人知的影响因素构成了重大的公共卫生挑战.
- 能力,机会,动机和行为 (COMB) 模型提供了一个框架,用于探索这个人口群体中PA的决定因素.
研究的目的:
- 确定各种决定因素对身体活动 (PA) 在老年人的主观认知衰退 (SCD) 的行为中介和适度的影响.
- 了解影响SCD老年人的PA因素的复杂相互作用.
主要方法:
- 在289名患有SCD的老年人中进行了横截面调查,遵循STROBE的指导方针.
- 使用路径回归,中介和适度分析来检查决定因素和PA行为之间的关联.
- 能力,机会,动机和行为 (COMB) 模型指导了调查.
主要成果:
- 在患有SCD的老年人中观察到高频率的身体不活动 (40.3%).
- 虚弱,身体和社会支持,PA动机和跌倒史与PA行为有显著的关联.
- 动脉动力部分调解了脆弱性/支持和动脉动行为之间的关系,而跌倒史调节了脆弱性和动脉动行为之间的联系.
结论:
- 改善SCD老年人的PA行为至关重要,需要有针对性的干预措施.
- 医疗保健提供者应优先提高动机,查脆弱性,管理跌倒史,并加强身体和社会支持.
- 有效的干预措施可以促进更多的体力活动,并有可能改善这一弱势群体的二次预防结果.
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