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使用行为变化轮,理论领域框架和基于人的方法开发理论和基于证据的干预内容:针对肥胖患者的久坐行为干预的实践示例
Fiona Curran1, James Matthews1, Gráinne O'Donoghue1
1School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
PloS one
|December 5, 2025
概括
减少久坐是健康的关键,特别是对于那些肥胖的人来说. 这项研究开发了一种使用行为变化框架和参与者反的在线干预,以帮助肥胖者减少家庭静坐时间.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 肥胖问题研究研究
背景情况:
- 久坐不动的行为和肥胖是健康状况不佳和生活质量下降的重要风险因素.
- 减少久坐是一种重要的公共卫生目标.
- 患有中度至重度肥胖症的个人在减少久坐时间方面面临着独特的挑战.
研究的目的:
- 描述旨在减少在家庭环境中休时间的久坐行为的干预内容的发展.
- 针对中度至重度肥胖患者的个人,量身定制干预措施,满足他们的特定需求.
- 用行为变化轮 (BCW) 和基于人的方法 (PBA) 进行干预设计.
主要方法:
- 采用行为变化轮 (BCW) 和基于人的方法 (PBA) 来指导干预内容的开发.
- 对21个患有肥胖症的人进行了深入的定性研究.
- 使用能力,机会,动机-行为 (COM-B) 模型和理论领域框架 (TDF) 进行行为分析和内容选择.
主要成果:
- 确定了22种适用于通过在线干预进行远程传递的行为改变技术 (BCT),以减少国内的久坐行为.
- 干预功能包括教育,说服,培训和赋能,这些功能由概述的战略和指导原则支持.
- 提供了一个全面的参考指南,包括BCTv1中所有93个BCT的示例,以及50个额外的相关BCT的长列表.
结论:
- 基于理论,证据和个人的方法被用来开发一种干预措施,以减少肥胖个体在家庭领域的久坐行为.
- 行为变化轮 (BCW) 指南,COM-B模型,TDF和BCT分类学为选择理论内容提供了框架.
- 干预内容和交付与患有中度至重度肥胖的人共同开发,使用PBA确保相关性和有效性.
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