Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions.
Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions.
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DOI：
10.1186/1479-5868-2-2
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发表时间：
2005-04-04
期刊：
影响因子：
--
通讯作者：
Ferreira, Isabel
中科院分区：
文献类型：
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作者：
Brug, Johannes;Oenema, Anke;Ferreira, Isabel
背景技术背景：本文旨在促进辩论的有用性和障碍，在饮食和身体活动的行为改变干预应用理论。讨论内容：由于行为理论是行为研究证据汇编的反映，理论是我们发展行为营养和身体活动干预的唯一立足点。理论的应用应提高干预措施的有效性。然而，我们使用的一些理论缺乏强大的经验基础，现有的理论并不总是以最有效的方式使用。此外，许多常用的理论最多只能提供关于需要改变什么以促进健康行为的信息，而不能提供如何引起改变的信息。最后，许多理论对行为意图或动机的解释相当好，但对实际行为或行为改变的解释或预测能力较差，为了更有效地干预，行为改变理论需要在更强的研究设计中进一步发展，这种改变理论尤其应该关注如何促进行动而不仅仅是动机。由于自愿行为改变需要动机、能力和改变的机会，行为改变理论的进一步发展应该包括环境改变策略。结论：干预地图有助于进一步提高理论在营养和体力活动行为改变中的应用。
BACKGROUND: The present paper intends to contribute to the debate on the usefulness and barriers in applying theories in diet and physical activity behavior-change interventions. DISCUSSION: Since behavior theory is a reflection of the compiled evidence of behavior research, theory is the only foothold we have for the development of behavioral nutrition and physical activity interventions. Application of theory should improve the effectiveness of interventions. However, some of the theories we use lack a strong empirical foundation, and the available theories are not always used in the most effective way. Furthermore, many of the commonly-used theories provide at best information on what needs to be changed to promote healthy behavior, but not on how changes can be induced. Finally, many theories explain behavioral intentions or motivation rather well, but are less well-suited to explaining or predicting actual behavior or behavior change.For more effective interventions, behavior change theory needs to be further developed in stronger research designs and such change-theory should especially focus on how to promote action rather than mere motivation. Since voluntary behavior change requires motivation, ability as well as the opportunity to change, further development of behavior change theory should incorporate environmental change strategies. CONCLUSION: Intervention Mapping may help to further improve the application of theories in nutrition and physical activity behavior change.