Health behaviour change theory meets falls prevention: Feasibility of a habit-based balance and strength exercise intervention for older adults
Health behaviour change theory meets falls prevention: Feasibility of a habit-based balance and strength exercise intervention for older adults
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DOI：
10.1016/j.psychsport.2015.07.002
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发表时间：
2016-01-01
影响因子：
3.4
通讯作者：
Ashe, Maureen C.
中科院分区：
文献类型：
--
作者：
Fleig, Lena;McAllister, Megan M.;Ashe, Maureen C.
目的：习惯形成是一种拟议的行为维持机制。很少有福尔斯预防研究将此作为干预框架和结果。因此，我们测试了基于理论的行为改变干预的可行性，该干预鼓励女性将平衡和力量练习嵌入日常生活中（例如，设计：EASY LiFE研究是一项混合方法，为期4个月的可行性干预，包括7个基于小组的会议和两个电话。主要结果测量：我们获得了基于性能的（即，短期身体表现成套测验）和心理自我报告测量（即，意向、自我效能、计划、行动控制、习惯强度、生活质量）。我们将框架方法应用于干预后的半结构化访谈，以评估项目内容和交付情况。总共有13名妇女中有10名完成了该方案（M-年龄= 66.23，SD = 3.98），并显示其行动控制水平的变化[平均差异（T1-T2）= 1.7，95% CI（-2.2至0.8）1，行动计划[平均差异（T1-T2）= 0.8，95% CI（-1.1至-0.2）]，自律性[平均差异（T1-T2）= 2.5，95% CI（-3.7至-1.2）]和运动同一性[平均差异（T1-T2）= 2.0，95% CI（-3.2至0.8）]。基于理论领域框架，我们确定了知识，行为调控和社会因素作为重要的主题。对于方案交付，占主导地位的主题是参与，会议主持人和组formation.Conclusion：基于理论的框架，促进生活方式的综合平衡和力量锻炼习惯的可行性。使用基于活动和对象的线索可能在产生动作和自动性方面特别有效。(C)2015爱思唯尔有限公司版权所有。
Objectives: Habit formation is a proposed mechanism for behaviour maintenance. Very few falls prevention studies have adopted this as an intervention framework and outcome. Therefore, we tested feasibility of a theory-based behaviour change intervention that encouraged women to embed balance and strength exercises into daily life routines (e.g., eating, self-care routines).Design: The EASY LiFE study was a mixed-methods, 4-month feasibility intervention that included seven group-based sessions and two telephone calls. Main outcome measures: We obtained performance-based (i.e., Short-Physical-Performance-Battery) and psychological self-report measures (i.e., intention, self-efficacy, planning, action control, habit strength, quality of life) from 13 women at baseline (T1) and 4-month follow-up (T2). We applied the Framework-Method to post-intervention, semi-structured interviews to evaluate program content and delivery.Results: In total, 10 of 13 women completed the program (M-age = 66.23, SD = 3.98) and showed changes in their level of action control [mean difference(T1-T2) = 1.7, 95% CI (-2.2 to 0.8)1, action planning [mean difference(T1-T2) = 0.8, 95% Cl (-1.1 to -0.2)], automaticity [mean difference(T1-T2) = 2.5, 95% Cl (-3.7 to -1.2)], and exercise identity [mean difference(T1-T2) = 2.0, 95% CI (-3.2 to 0.8)]. Based on the Theoretical Domains Framework we identified knowledge, behavioural regulation, and social factors as important themes. For program delivery, dominant themes were engagement, session facilitators and group format.Conclusion: The theory-based framework showed feasibility for promoting lifestyle integrated balance and strength exercise habits. Using activity and object-based cues may be particularly effective in generating action and automaticity. (C) 2015 Elsevier Ltd. All rights reserved.