将行为改变技术集成到视频干预中,以促进癌症治疗期间的体力活动 (VidEx):一种定性,基于理论的研究
Nicola Burgess1,2, Sarah Retica3, Kristen Capron3
1Department of Physiotherapy, Melbourne School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. nburgess1@student.unimelb.edu.au.
概括
身体活动 (PA) 对癌症患者至关重要,但许多人面临障碍. 这项研究确定了这些障碍,并开发了一个基于理论的视频,以鼓励在癌症治疗期间进行运动,旨在改善健康结果.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 癌症治疗期间的体力活动 (PA) 提供了显著的好处,包括减少疲劳,改善生活质量和增加生存率.
- 尽管有这些优势,但绝大多数 (60-70%) 接受癌症治疗的澳大利亚人不符合推的PA指南.
- 这种人群中PA的障碍是多方面的,包括身体,心理和信息方面的挑战.
研究的目的:
- 探索正在接受癌症治疗的个人参与体育活动 (PA) 的障碍和促进因素.
- 开发基于证据的视频资源,旨在解决已识别的障碍,并促进PA的采用.
主要方法:
- 这项研究使用了能力,机会,动机,行为 (COM-B) 和行为变化轮 (BCW) 框架来指导研究.
- 通过与癌症患者的重点小组收集了定性数据,随后进行了专题分析.
- 识别的障碍和促进因素被映射到特定的行为改变技术 (BCT) 进行干预开发.
主要成果:
- 四个重点小组包括15名参与者,产生了18个与PA障碍物和支持者相关的主题,分为COM-B领域.
- 关键障碍包括与癌症相关的疲劳,害怕过度劳累和不一致的健康信息.
- 促成因素包括可访问的PA信息和将PA整合到护理计划中;六个BCT被确定并纳入11分钟的视频中.
结论:
- 开发了一种新的,基于理论的视频干预,以增强癌症患者的PA吸收.
- 进一步评估视频的可接受性和有效性是必要的,以便将其纳入标准癌症治疗中.
- 在PA推广视频中使用BCT有可能改善患者的治疗结果和患者的坚持.
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