通过COM-B模型的镜头对新诊断为多发性硬化症的个体进行体力活动
Trinh L T Huynh1, Whitney N Neal2, Elizabeth A Barstow3
1From the Department of Kinesiology and Nutrition, University of Illinois Chicago, Chicago, IL, USA (TLTH, RWM).
International journal of MS care
|March 14, 2024
概括
对于新诊断的多发性硬化症 (MS) 患者来说,身体活动 (PA) 干预非常重要. 使用能力-机会-动机-行为 (COM-B) 模型了解PA行为的决定因素可以指导有效的干预.
科学领域:
- 神经学 神经学
- 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) 在治疗多发性硬化症 (MS) 方面表现有前途.
- 对新诊断的多发性硬化症患者的PA行为改变干预措施存在有限的研究.
- 了解PA的决定因素是开发有效干预措施的关键.
研究的目的:
- 检查影响最近被诊断为多发性硬化症患者PA的因素.
- 为了确定未来PA行为改变干预的目标.
- 应用能力-机会-动机-行为 (COM-B) 模型.
主要方法:
- 定性研究涉及20名在过去2年内被诊断患有MS的个人.
- 半结构面试以COM-B模型为指导.
- 采访数据的反射性主题分析,映射到COM-B模型.
主要成果:
- 在所有COM-B组件中确定了影响PA的因素.
- 关键因素包括知识,技能,适应能力和动机 (结果预期,自我效能,身份,强化,情绪).
- 这些因素解释了在MS诊断的背景下PA的参与.
结论:
- 该COM-B模型有效地解释了新诊断的MS患者的PA行为.
- 鉴定的因素为未来的PA行为改变干预提供了目标.
- 干预措施应解决这些决定因素,以促进PA在这个人群中.
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