影响主观认知衰退的老年人身体活动行为的因素:使用SEM和fsQCA方法的经验研究
Wei Li1, Sixue Hong1, Yiping Chen2
1International Medical Service Department, Peking Union Medical College Hospital (CAMS), Beijing, China.
Frontiers in public health
|November 1, 2024
概括
身体活动的社会支持和身体素养是影响主观认知衰退 (SCD) 的老年人身体活动的关键因素. 多因素的协同作用,而不是单一的因素,推动了这一群体参与体育活动.
科学领域:
- 老年学是一门学科.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 患有主观认知衰退 (SCD) 的老年人表现出低体力活动 (PA) 水平,尽管已知的好处.
- 现有的PA行为研究主要针对痴呆症/轻度认知障碍,忽视了SCD人群.
研究的目的:
- 确定影响SCD老年人PA行为的关键因素.
- 应用自决理论 (SDT) 和能力-机会-动机 (COM-B) 模型来理解这些影响.
主要方法:
- 对303名60岁以上的SCD患者进行了结构化问卷调查.
- 数据分析采用结构方程建模 (SEM) 和模糊集定性比较分析 (fsQCA).
主要成果:
- SEM显示PA的社会支持通过心理需求和动机间接影响PA.
- 身体素养通过动机影响PA行为.
- fsQCA没有表明单一的必要因素,但确定了导致PA行为的四种不同的因素组合.
结论:
- 集成的SDT和COM-B模型有效地解释了SCD老年人的PA行为.
- 在这个人口群体中,体育活动的参与是复杂的,多因素相互作用的结果.
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