Behavior Change Techniques in Physical Activity Interventions for Multiple Sclerosis.

Behavior Change Techniques in Physical Activity Interventions for Multiple Sclerosis.
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行为改变技术在多发性硬化症的身体活动干预。

DOI:
10.1016/j.apmr.2021.01.071
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发表时间:
2021-09
影响因子:
4.3
通讯作者:
Motl RW
Motl RW
中科院分区:
医学1区
文献类型:
--
作者:
Silveira SL;Huynh T;Kidwell A;Sadeghi-Bahmani D;Motl RW

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识别和总结行为改变干预措施中促进多发性硬化症(MS)患者身体活动的行为改变技术(bct)。PubMed、PsycINFO、CINAHL Complete、Scopus和Embase最初于2019年11月检索,数据提取于2020年6月开始。研究的纳入标准为:18岁以上诊断为多发性硬化症的成年人、英语、临床试验(即前后或随机对照试验)设计、团体或个人干预、家庭或社区环境,其中身体活动被定义为主要或次要结局。研究的排除标准包括:待结果的方案手稿、病例研究、关注多种慢性疾病人群的研究以及针对多种行为的干预措施。两名研究人员完成了研究选择的筛选,第三名研究人员担任裁判。在最初确定的8681项研究中,54项研究符合选择标准。数据提取由三位研究者完成。每篇论文由三位研究人员中的两位进行编码,第四位研究人员解决差异。从每篇论文中提取的数据包括:研究标题、作者、国家、年份、样本量、研究设计、干预细节、身体活动结果和bct。确定了38种独特的行为改变干预措施,并在研究中纳入了93种可能的btc中的53种。每项研究的平均bct数为15个,研究和研究间的效应量范围为0.04-1.49。本文综述了bct作为针对多发性硬化症患者身体活动的行为改变干预的有效成分的全面概述。本研究的结果为未来发展增加多发性硬化症患者身体活动和改善整体健康的干预提供了纲要。
To identify and summarize the behavior change techniques (BCTs) included in behavior change interventions for promoting physical activity in persons with multiple sclerosis (MS). PubMed, PsycINFO, CINAHL Complete, Scopus, and Embase were initially searched in November 2019, and data extraction began in June 2020. The inclusion criteria for studies were: adults over 18 years of age with diagnosed MS, English language, clinical trial (i.e., pre-post or randomized controlled trials) designs, group or individual interventions, and home or community-based settings wherein physical activity was defined as a primary or secondary outcome. Exclusion criteria for studies included: protocol manuscripts pending results, case studies, studies focused on multiple chronic disease populations, and interventions targeting multiple behaviors. Two researchers completed screening for study selection and a third researcher served as a referee. Of the initially identified 8,681 studies, 54 studies met selection criteria. Data extraction was completed by three researchers. Each paper was coded by two of the three researchers and a fourth researcher resolved discrepancies. Data extracted from each paper included: study title, authors, country, year, sample size, study design, intervention details, physical activity outcomes, and BCTs. Thirty-eight unique behavior change interventions were identified and 53 of the 93 possible BCTs were included across the studies. The mean number of BCTs per study was 15 and studies and effect sizes across studies ranged from 0.04–1.49. This review provides a comprehensive overview of BCTs as the active ingredients in behavior change interventions targeting physical activity in MS. Results from this study provide a compendium for future intervention development for increasing physical activity and improving overall health in MS.
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