Theory of reasoned action and theory of planned behavior-based dietary interventions in adolescents and young adults: a systematic review.
Theory of reasoned action and theory of planned behavior-based dietary interventions in adolescents and young adults: a systematic review.
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DOI：
10.2147/ahmt.s56207
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Knowlden AP
中科院分区：
文献类型：
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作者：
Hackman CL;Knowlden AP
儿童肥胖在世界上许多国家已经达到流行病的程度。计划行为理论（TPB）和理性行为理论（TRA）已经被用来成功地计划和评估许多不同行为的干预措施。本研究的目的是系统地回顾和综合以TPB和tra为基础的青少年和年轻人饮食行为干预措施。我们系统地检索了以下数据库以查找本综述的文章：Academic Search Premier；护理与相关健康累积指数（CINAHL）教育资源信息中心；来源：护理/学术版；Cochrane中央对照试验登记册；和MEDLINE。文章的纳入标准为：1)主要或次要干预措施，2)任何定量设计，3)以英语发表，4)2003年1月至2014年3月之间，5)针对青少年或年轻人，6)将饮食改变行为作为结果，7)使用TPB或TRA。在评估的11项干预研究中，有9项导致了饮食行为的改变，这要归功于治疗。此外，除了一项研究外，所有研究都发现至少有一种TRA或TPB结构发生了变化，而一项研究没有测量结构。所有研究均采用某种定量设计，其中2项采用准实验设计，8项采用随机对照试验设计。在这些研究中，有四项研究使用了电子邮件、社交媒体帖子、学校网站信息、网络活动、课堂音频信息、互动dvd和健康相关网站等技术。两项研究采用目标设定，四项研究采用说服性沟通。针对改变青少年饮食行为的干预措施应旨在结合多方面的、基于理论的方法。未来的研究应考虑采用随机对照试验设计和操作变量。需要更多的研究来确定最佳的TPB和TRA模式来改变饮食行为。
Childhood obesity has reached epidemic proportions in many nations around the world. The theory of planned behavior (TPB) and the theory of reasoned action (TRA) have been used to successfully plan and evaluate numerous interventions for many different behaviors. The aim of this study was to systematically review and synthesize TPB and TRA-based dietary behavior interventions targeting adolescents and young adults. The following databases were systematically searched to find articles for this review: Academic Search Premier; Cumulative Index to Nursing and Allied Health (CINAHL); Education Resources Information Center (ERIC); Health Source: Nursing/Academic Edition; Cochrane Central Register of Controlled Trials (CENTRAL); and MEDLINE. Inclusion criteria for articles were: 1) primary or secondary interventions, 2) with any quantitative design, 3) published in the English language, 4) between January 2003 and March 2014, 5) that targeted adolescents or young adults, 6) which included dietary change behavior as the outcome, and 7) utilized TPB or TRA. Of the eleven intervention studies evaluated, nine resulted in dietary behavior change that was attributed to the treatment. Additionally, all but one study found there to be a change in at least one construct of TRA or TPB, while one study did not measure constructs. All of the studies utilized some type of quantitative design, with two employing quasi-experimental, and eight employing randomized control trial design. Among the studies, four utilized technology including emails, social media posts, information on school websites, web-based activities, audio messages in classrooms, interactive DVDs, and health-related websites. Two studies incorporated goal setting and four employed persuasive communication. Interventions directed toward changing dietary behaviors in adolescents should aim to incorporate multi-faceted, theory-based approaches. Future studies should consider utilizing randomized control trial design and operationalize variables. More research is needed to identify the optimal TPB and TRA modalities to modify dietary behaviors.