Theoretical models for pedometer use in physical activity interventions

Theoretical models for pedometer use in physical activity interventions
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DOI:
10.1179/1743288x10y.0000000002
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发表时间:
2010-01-01
影响因子:
0.7
通讯作者:
Steinbaugh, Emily
Steinbaugh, Emily
中科院分区:
其他
文献类型:
--
作者:
Lutes, Lesley;Steinbaugh, Emily

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背景:研究表明,计步器有助于增加日常体力活动。然而,人们对计步器工作的原因知之甚少,特别是它与基于计步器的干预措施的理论基础有关。目的:完成对有关使用基于计步器的干预措施的理论和特定技能/工具的文献的全面回顾,因为它与行为随时间的变化有关。方法:确定了31项原始的基于理论的干预研究,以告知本综述影响步行行为的理论结构、干预策略和计步器贡献。研究表明,社会认知理论(SCT),特别是自我监控,反馈和目标设定的行为是干预的关键要素。虽然计划行为理论(TBP)成功地增加了动机,但很少有证据表明改变动机本身会转化为行为改变。然而,增加实施意图(II)理论似乎有希望。在考虑人口、环境和克服环境障碍时,使用跨理论模型(TTM)指导的行为技术似乎提供了好处。在这一领域也出现了其他和新的综合模式,如小变化模式。虽然基于计步器的干预领域在解决身体活动不足危机方面具有巨大潜力,但干预者应该使用理论来指导干预,对干预中使用的理论、技能和工具进行一致的描述,并报告了步数,以比较干预措施,以促进这一重要研究领域的影响。
Background: Research shows that pedometers help to increase daily physical activity. However, much less is known about why pedometers work, specifically as it relates to the theoretical grounding of pedometerbased interventions.Objectives: To complete a full review of the literature regarding the use of theory and specific skills/tools used in pedometer-based interventions as it relates to changes in behaviour across time.Methods: Thirty-one original theoretically-based intervention studies were identified to inform this review of theoretical constructs, intervention strategies, and pedometer contributions that influence walking behaviour.Results: Studies suggest that Social Cognitive Theory (SCT), specifically the behaviours of self-monitoring, feedback, and goal-setting are critical elements for an intervention. While the Theory of Planned Behaviour (TBP) successfully increases motivation, there is less evidence that changing motivation alone translates into behaviour change. However, adding the Implementation Intention (II) Theory appears to hold promise. Using behavioural techniques guided by the Transtheoretical Model (TTM) appear to provide benefit when considering population, the environment, and overcoming environmental barriers. Other and new integrated models are also emerging in this area, such as the small changes model (SCM).Conclusions: While the field of pedometer-based interventions holds significant potential to address the physical inactivity crisis, interventionists should use theory to guide intervention, consistent description of the theory, skills and tools used in an intervention, and reported step counts to compare interventions in order to advance the impact of this important area of research.