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行为变化理论和行为变化技术在癌症康复干预中使用:二次分析
M Lauren Voss1, Rachelle Brick2, Lynne S Padgett3
1University Health Network, Princess Margaret Cancer Center, Cancer Rehabilitation and Survivorship Program, Toronto, ON, Canada.
癌症康复干预很少使用行为变化理论,尽管它的潜力. 结合特定的技术,如设定目标和社会支持,可以提高效率.
科学领域:
- 在瘤学中的行为科学.
- 康复干预措施 康复干预
- 改变健康行为改变健康行为
背景情况:
- 关于将行为理论纳入癌症康复治疗的证据有限.
- 了解这种整合可以优化患者参与和干预成功.
研究的目的:
- 分析行为变化理论和技术 (BCT) 在癌症康复干预中的应用.
- 这次二次分析利用了两次先前的系统性审查的数据.
主要方法:
- 从现有的癌症康复系统审查中对随机对照试验 (RCT) 的二次分析.
- 提取的数据包括行为变化理论的使用,功能结果和BCT (使用BCTTv1).
- 干预措施根据功能影响进行分类,并使用承诺比率评估BCT的承诺.
主要成果:
- 只有14%的RCT报告使用行为变化理论,尽管基于理论的干预方法使用了更多的BCT.
- 在93个已识别的BCT中,有58%使用了BCT,目标设定,分级任务和社会支持显示了最高的承诺比例.
- 在功能性结局组中,BCT的数量与干预有效性没有相关性.
结论:
- 癌症康复干预很少采用已建立的行为变化理论.
- 虽然使用了许多BCT,但它们的理论基础往往缺失,而数量并不能保证有效性.
- 未来的干预措施应整合理论,并优先考虑BCT,如目标设定,分级任务和社会支持,以提高有效性.
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