怀孕饮食干预中的行为改变技术:通过COM-B模型的镜头进行系统审查
1Nursing Department, Affiliated People's Hospital of Jiangsu University, Zhenjiang City, Jiangsu Province, China.
BMC pregnancy and childbirth
|August 1, 2025
概括
这次审查审查了孕妇的饮食干预措施,发现了混合的结果. 未来的干预措施应该解决社会和环境因素以及持续健康饮食的个人动机.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 行为科学 行为科学
- 孕产妇和儿童的健康
背景情况:
- 怀孕是建立健康饮食习惯的关键时期,影响母亲和婴儿的福祉.
- 在怀孕期间维持饮食行为变化存在重大挑战.
- 了解行为改变机制对于有效的干预至关重要.
研究的目的:
- 系统地审查怀孕期间饮食干预措施的有效性.
- 探索行为变化的机制,特别是行为变化技术 (BCT),使用COM-B模型.
主要方法:
- 按照PRISMA 2020指南进行系统审查,并进行叙事综合.
- 在六个数据库和灰色文献中进行全面的文献搜索.
- 分析了45项评估饮食干预措施,编码BCT和评估偏差风险的研究.
主要成果:
- 饮食干预显示出混合的有效性,归因于研究设计和结果的异质性.
- 通常使用的BCT包括目标设定,行动计划,知识塑造和反.
- 干预措施主要针对心理能力和反思动机,不太关注社会和环境因素.
结论:
- 目前的干预措施往往忽视了怀孕期间健康饮食的社会和环境障碍.
- 未来的研究应该整合更广泛的COM-B维度,并解决健康素养和上下文需求.
- 对行为改变机制的更好理解可以提高干预的有效性和可持续性.
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