Long-Term Adherence to Health Behavior Change.
Long-Term Adherence to Health Behavior Change.
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DOI：
10.1177/1559827613488867
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发表时间：
2013-11
影响因子：
1.9
通讯作者：
Perri MG
中科院分区：
文献类型：
--
作者：
Middleton KR;Anton SD;Perri MG
基于生活方式的健康促进干预措施的效用直接受到参与者遵守规定的行为改变的影响。不幸的是，对生活方式干预措施中建议的行为的不遵守是普遍存在的，特别是长期的；因此，“依从性问题”对这些干预措施的有效性构成了重大挑战。本综述概述了依从性问题，并描述了一个理论框架，通过该框架可以理解影响依从性的因素。为了进一步了解个人在坚持健康行为改变时面临的困难，我们将讨论重点放在坚持减肥和健康体重管理推荐的生活方式行为（即减少饮食摄入量和增加体育活动）相关的挑战上。我们描述了改善长期坚持与健康体重管理相关的健康行为的策略，包括提供延伸护理、技能培训、改善社会支持，以及维持饮食摄入和身体活动变化的特定策略。最后，我们讨论了实施长期体重管理计划所涉及的困难，并为供应商提出了切实可行的解决方案。
The utility of lifestyle-based health promotion interventions is directly impacted by participant adherence to prescribed behavior changes. Unfortunately, poor adherence to behaviors recommended in lifestyle interventions is widespread, particularly over the long-term; thus, the “adherence problem” represents a significant challenge to the effectiveness of these interventions. The current review provides an overview of the adherence problem and describes a theoretical framework through which the factors that impact adherence can be understood. To further understand the difficulties individuals face when adhering to health behavior changes, we focus our discussion on challenges associated with adherence to lifestyle behaviors recommended for weight loss and healthy weight management (i.e., reductions in dietary intake and increases in physical activity). We describe strategies that improve long-term adherence to health behaviors related to healthy weight management, including the provision of extended care, skills training, improving social support, and strategies specific to maintaining changes in dietary intake and physical activity. Finally, we discuss difficulties involved in implementing long-term weight management programs and suggest practical solutions for providers.