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在使用连续血糖监测的精确健康干预中识别行为改变技术:对范围审查的二次分析

Lauren Connell Bohlen¹, Jacob Crawshaw², Michelle R Jospe³

¹Center for Health Promotion and Health Equity, Department of Behavioural and Social Sciences, Brown University School of Public Health, Providence, RI, USA.

The international journal of behavioral nutrition and physical activity

|November 6, 2025

概括

持续血糖监测 (CGM) 干预措施使用各种行为改变技术 (BCT),主要侧重于反和监测,以支持CGM使用. 然而,特定的BCT并没有显著影响成年人的HbA1c结果.

科学领域:

健康行为改变改变
精确卫生干预措施精确卫生干预措施
数字卫生技术数字卫生技术

背景情况:

持续血糖监测 (CGM) 越来越多地被整合到行为改变的精确健康中.
使用CGM生物反的干预措施表现出显著的设计变异性,使有效组件的识别复杂化.
了解行为改变技术 (BCT) 和行动机制 (MoA) 对于优化基于CGM的干预至关重要.

研究的目的:

确定在使用基于CGM的生物反的健康行为干预中实施的常见BCT和MOA.
分析BCT在不同干预组件和目标行为中的应用.
探索特定BCT,目标行为和HbA1c变化之间的关系.

主要方法:

随机对照试验 (RCT) 的范围审查的二次分析,涉及成人行为改变的CGM生物反.
使用93项BCT分类法 (v1) 进行干预内容的独立编码.
单变线性回归用于评估BCT和目标行为对HbA1c变化的影响.

主要成果:

包括31个RCT,确定了40个独特的BCT.
最常见的BCT类别是"反和监测" (100%),"塑造知识" (80%),和"社会支持" (63%).
通常使用的BCT包括"生物反" (100%),"如何执行行为指令" (54%) 和"可信来源" (40%). 没有个体BCT或目标行为显著缓和HbA1c结果.

结论:

使用CGM进行行为改变的成人RCT包含多种BCT,重点是支持CGM的实施.
未来的研究应该调查BCT在促进CGM采用与更广泛的健康行为改变方面不同的MOA.
澄清特定BCT和MOA的作用对于提高基于CGM的干预措施的有效性至关重要.

关键词:

改变行为行为.改变行为技术的技巧行为理论行为理论不断监测葡萄糖的情况.数字健康数字健康血糖控制血糖控制糖化血球蛋白是什么?精确的健康研究.精准医学是一门精准的医学.

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