使用保护动机理论来支持患者在医疗保健环境中的坚持:范围审查
Olivia Hawksworth1, Jemima Solt2, Dowon Jang2
1Clinical Trials Research Unit, Sheffield Centre for Health and Related Research, School of Medicine and Population Health, University of Sheffield, United Kingdom.
PloS one
|September 2, 2025
概括
保护动机理论 (PMT) 的干预措施显示出改善医疗保健中的健康行为潜力. 然而,为了优化它们的有效性和广泛采用,需要持续报告和进一步研究.
科学领域:
- 健康心理学
- 行为科学
- 临床干预措施
背景情况:
- 保护动机理论 (PMT) 是促进临床环境中的健康行为的一个有希望的框架.
- 缺乏对PMT转化为临床实践和有效策略的系统概述.
研究的目的:
- 系统地绘制和综合医疗保健环境中的基于PMT的健康行为干预文献.
- 确定有效的转化策略和PMT干预的结果.
主要方法:
- 对Medline,PsycINFO和EMBASE数据库进行范围审查.
- 在临床群体中应用PMT的研究报告了依从性结果.
- 提取研究/干预特征,行为改变技术,PMT构造,结果和建议的数据.
主要成果:
- 13项研究 (1998-2023年),主要是随机试验,在各种临床环境中满足了标准.
- 一半的研究表明行为结果显著改善.
- 所有干预措施都针对应对自我有效性和感知到威胁的严重性;有效的行为改变技术组合不清楚.
结论:
- 尽管有不同的操作性,但PMT干预措施显示出积极坚持健康行为的潜力.
- 对于优化和传播干预措施而言, 一致的不遵守报告至关重要.
- 进一步的研究应探索更广泛的医疗环境,完善方法,并进行强有力的有效性试验.
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