The role of self-regulation strategies in physical activity behavior change: results from an exercise prescription program at a Federally Qualified Health Center.
The role of self-regulation strategies in physical activity behavior change: results from an exercise prescription program at a Federally Qualified Health Center.
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自我调节策略在身体活动行为改变中的作用：来自联邦合格健康中心的运动处方计划的结果。
DOI：
10.1080/13548506.2022.2143540
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
UmstattdMeyer,MRenée
中科院分区：
文献类型：
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作者：
Ylitalo,KellyR;Smith,Jordan;Cox,Wendy;Lucas,Raejone;Niceler,Brock;UmstattdMeyer,MRenée
体育活动（PA）可以提高生活质量并预防慢性疾病，但许多成年人不活跃。以运动处方的形式与卫生保健提供者一起规划可能会增加PA，但个人心理社会因素在运动处方计划中的作用尚不清楚。因此，本研究的目的是描述自我调节策略的作用（例如，目标设定，自我监控，强化）在PA行为变化的背景下，运动处方计划。患者在一个大型的，联邦合格的健康中心与现场运动设施（即“健康中心”）转介有资格行使与个人健身顾问。自我报告的PA和15个自我调节策略的使用通过调查在两个时间点进行测量，并与电子健康记录和出勤数据合并。患者（n = 151）平均年龄为50.3 ± 13.3岁，大多数为女性（76.8%）。近三分之一（30.5%）是西班牙裔/拉丁美洲人，48.3%是非西班牙裔黑人，20.5%是非西班牙裔白色人。参与者在健身顾问的指导下完成了10.7 ± 12.0次面对面的锻炼。在基线和随访之间，随着时间的推移，频率变化最大的自我调节策略是跟踪PA（p < 0.001），考虑周围环境（p < 0.001），奖励自己的PA（p < 0.001），使PA更愉快（p < 0.001），设定目标（p < 0.001），尝试不同类型的PA（p < 0.001）。在运动处方计划参与者中，自我调节策略总分与随访时的身体活动显着相关（p = 0.04）。在临床环境中的运动处方计划背景下利用自我调节技能建设活动可以为PA推广提供个性化和多成分的方法。健身顾问和/或医疗保健提供者的自我调节策略培训具有很大的潜力，可以支持长期的健康行为，如PA，用于管理服务不足的患者的慢性病。
Physical activity (PA) improves quality of life and prevents chronic disease, yet many adults are inactive. Planning with health care providers in the form of exercise “prescriptions“ may increase PA, but the role of individual psychosocial factors within exercise prescription programs is not well understood. Therefore, the purpose of this study is to describe the role of self-regulation strategies (e.g., goal setting, self-monitoring, reinforcements) in PA behavior change within the context of an exercise prescription program. Patients at a large, Federally Qualified Health Center with an on-site exercise facility (ie, ”Wellness Center”) referral were eligible to exercise with a personal fitness advisor. Self-reported PA and use of 15 self-regulation strategies were measured via survey at two time points and merged with electronic health records and attendance data. Patients (n = 151) were, on average, 50.3 ± 13.3 years and mostly female (76.8%). Almost one-third (30.5%) were Hispanic/Latino, 48.3% were non-Hispanic Black, and 20.5% were non-Hispanic white. Participants completed 10.7 ± 12.0 in-person exercise sessions with a fitness advisor. Between baseline and follow-up, the self-regulation strategies that had the largest change in frequency over time were keeping track of PA (p < 0.001), thinking about surroundings (p < 0.001), rewarding yourself for PA (p < 0.001), making PA more enjoyable (p < 0.001), setting goals (p < 0.001), and trying different kinds of PA (p < 0.001). Among exercise prescription program participants, the total self-regulation strategies score was significantly associated with physical activity at follow-up (p = 0.04). Leveraging self-regulatory skill-building activities within the context of exercise prescription programs in clinical settings may provide a personalized and multicomponent approach to PA promotion. Self-regulation strategy training for fitness advisors and/or health care providers has great potential for supporting long-term health behaviors like PA for managing chronic disease among underserved patients.