我们在取得进展吗? 测试过去30年来促进关键健康行为的干预措施是否有所改善
Paschal Sheeran1, Yifei Pei2, Alexander J Rothman3
1Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
在过去的30年里,改变健康行为干预措施的有效性并没有提高. 在最近的试验中,饮食和酒精减少干预措施的有效性实际上下降了.
科学领域:
- 行为科学 行为科学
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
背景情况:
- 改变健康行为的干预措施旨在改善公共卫生结果.
- 之前的研究表明,通过概念和方法方面的进步,随着时间的推移,可以提高干预效率.
研究的目的:
- 为了确定健康行为改变干预措施的有效性在过去30多年中是否有所改善.
- 分析身体活动,饮食,减肥,酒精消费和戒烟的干预效果的趋势.
主要方法:
- 一个10个元分析的元综合,包括1,701个主要研究.
- 使用随机效应元回归分析来评估研究发表年份和干预效应大小之间的关系.
主要成果:
- 对于体力活动,减肥或戒烟,没有发现干预疗效的显著改善.
- 在最近的试验中,饮食干预和数字/简短的酒精减少干预表明有效性下降.
- 控制潜在的混因素并没有改变这些观察到的趋势.
结论:
- 在过去的三十年中,健康行为改变干预措施的整体有效性没有得到改善.
- 诸如快速的环境变化和评估实践等因素可能解释了缺乏进展.
- 需要创新的方法来提高未来健康行为干预措施的有效性.
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