Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories.
Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories.
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DOI：
10.1080/17437199.2016.1151372
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发表时间：
2016-09
影响因子：
9.8
通讯作者：
Sniehotta F
中科院分区：
文献类型：
--
作者：
Kwasnicka D;Dombrowski SU;White M;Sniehotta F
背景：行为改变干预措施在支持个体实现暂时的行为改变方面是有效的。然而，行为改变的维持却很少能实现。本综述的目的是识别并综合当前关于行为改变维持的理论解释，以为未来的研究和实践提供信息。
方法：通过对电子数据库（Ovid MEDLINE、Embase、PsycINFO）进行系统检索来确定可能相关的理论。此外，还检索了一个包含80种理论的现有数据库，并咨询了25位理论专家。如果理论对行为改变的维持提出了假设，则将其纳入。对纳入的理论进行主题综合，以确定行为改变维持的总体解释。对初步的理论主题进行了交叉验证。
结果：共确定了117种行为理论，其中100种符合纳入标准。出现了五个相互关联的总体主题，它们代表了行为改变维持的理论解释。行为改变维持的理论解释侧重于动机、自我调节、资源（心理和生理）、习惯以及从行为开始到维持过程中的环境和社会影响的不同性质和作用。
讨论：对于行为改变和行为改变维持存在不同的理论解释模式。本综述的结果可以指导促进健康行为维持的干预措施的开发和评估，并有助于行为改变维持综合理论的发展。
Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.