How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults.
How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults.
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DOI：
10.1080/17437199.2015.1082146
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发表时间：
2016
影响因子：
9.8
通讯作者：
Biddle SJ
中科院分区：
文献类型：
--
作者：
Gardner B;Smith L;Lorencatto F;Hamer M;Biddle SJ
久坐行为-即，低能量消耗-坐着或躺着时的清醒行为-是一个健康风险因素，即使在控制身体活动的情况下也是如此。本综述旨在描述旨在减少成年人久坐行为的干预措施中使用的行为改变策略。通过现有文献综述、系统的数据库检索和符合条件的论文的手动检索来确定研究。根据观察到的行为变化，干预措施被分为“非常有希望"、”非常有希望“或”没有希望“。干预功能和行为改变技术进行了比较，在有前途和无前途的干预措施。26项合格研究报告了38项干预措施，其中20项（53%）是基于工作场所的。15项干预措施（39%）非常有希望，8项相当有希望（21%），15项没有希望（39%）。非常或相当有希望的干预措施往往针对久坐行为，而不是身体活动。基于环境重组、说服或教育的干预措施最有希望。自我监督、解决问题和改造社会或物质环境是特别有前途的行为改变技术。未来减少久坐的干预措施可能最有成效地包括环境改造和自我调节技能培训。然而，低质量的评价方法削弱了证据基础;需要更多的随机对照试验，采用无治疗对照组，并收集客观数据。
Sedentary behaviour – i.e., low energy-expending waking behaviour while seated or lying down – is a health risk factor, even when controlling for physical activity. This review sought to describe the behaviour change strategies used within interventions that have sought to reduce sedentary behaviour in adults. Studies were identified through existing literature reviews, a systematic database search, and hand-searches of eligible papers. Interventions were categorised as ‘very promising’, ‘quite promising’, or ‘non-promising’ according to observed behaviour changes. Intervention functions and behaviour change techniques were compared across promising and non-promising interventions. Twenty-six eligible studies reported thirty-eight interventions, of which twenty (53%) were worksite-based. Fifteen interventions (39%) were very promising, eight quite promising (21%), and fifteen non-promising (39%). Very or quite promising interventions tended to have targeted sedentary behaviour instead of physical activity. Interventions based on environmental restructuring, persuasion, or education were most promising. Self-monitoring, problem solving, and restructuring the social or physical environment were particularly promising behaviour change techniques. Future sedentary reduction interventions might most fruitfully incorporate environmental modification and self-regulatory skills training. The evidence base is, however, weakened by low-quality evaluation methods; more RCTs, employing no-treatment control groups, and collecting objective data are needed.