2型糖尿病患者身体活动坚持的障碍和促进因素:使用COM-B模型和理论领域框架的混合方法系统审查
Xiaojing Guo1, Huixian Chen2, Ran Xin2
1School of Nursing, Peking University, Beijing, China. g97900341@163.com.
International journal of behavioral medicine
|October 15, 2025
概括
在2型糖尿病患者中,坚持身体活动是具有挑战性的. 本次审查确定了46个障碍和促进因素,并提出了六个关键策略,如个性化计划和社会支持,以改善长期参与.
科学领域:
- 行为科学是一种行为科学.
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 身体活动对于2型糖尿病管理至关重要,但坚持仍然很低.
- 目前的干预措施往往缺乏长期有效性,无法促进持续的体育活动.
- 了解障碍物和促进因素对于改善身体活动坚持是必不可少的.
研究的目的:
- 在2型糖尿病患者中系统地审查和综合身体活动坚持的障碍和促进因素.
- 确定有效的行为改变技术和实施策略,以增强体育活动.
- 为未来2型糖尿病管理干预措施的设计提供信息.
主要方法:
- 在主要数据库 (PubMed,科学网,EMBASE,CENTRAL,PsycINFO) 进行系统的文献搜索,截至2025年7月.
- 包括定性,定量和混合方法研究,使用混合方法评估工具进行质量评估.
- 应用COM-B模型和理论领域框架来识别决定因素,以及干预策略的行为改变技术.
主要成果:
- 对43项研究的分析揭示了46种不同的障碍和促进因素,影响了身体活动的坚持.
- 确定了26种行为改变技术,并将其分组为六个核心实施策略.
- 关键策略包括个性化计划,社会支持,教育,提高自我效能,反和情绪管理.
结论:
- 本综述提供了对2型糖尿病中身体活动坚持的行为决定因素的全面综合.
- 拟议的实施战略为设计更有效的干预提供了一个框架.
- 未来的研究应该专注于改进,验证和评估这些策略,探索COM-B组件的相互作用.
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