行为改变干预措施,理论和技术,以减少一般人群的身体不活动和久坐行为:一个范围审查
Houda El Kirat1,2, Sara van Belle3, Asmae Khattabi4,5
1Department of Public Health and Management, Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco. helkirat@um6ss.ma.
BMC public health
|August 3, 2024
概括
身体不活动和久坐不动行为干预措施需要更加系统,整合微,中和宏观层面. 未来的研究应该结合不同的行为理论和技术,以获得更广泛的影响.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 卫生政策 卫生政策
背景情况:
- 身体不活动 (PIA) 和久坐不动行为 (SB) 导致非传染性疾病 (NCD),导致全球160万死亡.
- 这些行为阻碍了实现联合国可持续发展目标 (SDGs) 的进展.
- 世界卫生组织 (WHO) 建议以理论为基础的干预措施来减少PIA和SB,但对这些理论缺乏全面的理解.
研究的目的:
- 绘制针对PIA和SB的行为干预的地图.
- 分析这些干预措施的理论,技术,行动水平和交付方式.
- 在干预设计中识别行为理论应用中的差距.
主要方法:
- 使用了一个范围审查方法 (Arksey和O'Malley,2005).
- 在2010-2023年间发表的阿拉伯语,法语和英语的同行评审文章来自Scopus,科学网,PubMed和谷歌学者.
- 使用框架主题分析,基于干预本体学,行为理论分类学和行为变化技术 (BCT) V1分类学.
主要成果:
- 包括29项研究,大多数干预侧重于个人水平 (n=15).
- 人际关系 (n=6) 和组织 (n=6) 层面的干预较少,只有两个系统干预措施被确定.
- 社会认知理论 (SCT),社会生态模型 (SEM),自决理论 (SDT) 和跨理论模型 (TTM) 是最常用的理论,通常包含目标设定,社会支持和行动计划.
结论:
- 需要系统性,互补的干预措施,解决行为改变的多层次障碍 (微,中,宏).
- 基于理论的行为改变干预措施 (BCI) 应该将协同作用的BCT与多层次理论相结合.
- 未来的干预措施必须明智地结合行为理论和BCT,以解决行为变化的系统性和人口异质性的问题.
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