Effective behavior change techniques to promote physical activity in adults with overweight or obesity: A systematic review and meta-analysis.
Effective behavior change techniques to promote physical activity in adults with overweight or obesity: A systematic review and meta-analysis.
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DOI：
10.1111/obr.13258
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Oppert JM
中科院分区：
文献类型：
--
作者：
Carraça E;Encantado J;Battista F;Beaulieu K;Blundell J;Busetto L;van Baak M;Dicker D;Ermolao A;Farpour-Lambert N;Pramono A;Woodward E;Bellicha A;Oppert JM
多组分行为改变干预通常用于体重管理，但结果在很大程度上是异质性和适度的。因此，需要确定哪些技术（行为改变技术[BCT]）在改变行为方面更有效。本研究旨在确定最有效的BCT，以增加超重/肥胖成人数字和面对面行为改变干预中的身体活动（PA）。检索了4个数据库中的合格研究，直至2019年10月。使用BCTTv 1和MBCT分类法对BCT进行编码。纳入了62项随机对照试验。进行了Meta-回归分析，以探索BCT的调节作用。五个BCT对数字干预中的PA表现出显著的调节作用：目标设定行为，目标设定结果，分级任务，社会激励和行为的自我监控（调整后的R2 = 0.15-0.51）。一项BCT在面对面干预、行为练习和排练中对PA表现出显著的调节效应（调整后的R2 = 0.22）。多变量和敏感性分析通常导致类似的结果。在数字和面对面干预中，增加超重/肥胖成人PA的有效BCT似乎不同。有证据表明，使用目标设定，社会激励和分级任务可能有助于改善数字干预中的PA，同时避免不一致的行为自我监测。在面对面的干预中，促进行为练习和排练可能会导致更好的PA结果。但仍需进一步研究。目前的研究结果的影响进行了讨论。
Multicomponent behavior change interventions are typically used in weight management, but results are largely heterogeneous and modest. Determining which techniques (behavior change technique [BCTs]) are more effective in changing behavior is thus required. This study aimed to identify the most effective BCTs for increasing physical activity (PA) in digital and face‐to‐face behavior change interventions in adults with overweight/obesity. Four databases were searched for eligible studies until October 2019. BCTs were coded using BCTTv1 and MBCT taxonomies. Sixty‐two RCTs were included. Meta‐regressions were performed to explore BCTs' moderating role. Five BCTs showed significant moderator effects on PA in digital interventions: goal setting behavior, goal setting outcome, graded tasks, social incentive, and self‐monitoring of behavior (adjusted R 2's = 0.15–0.51). One BCT showed significant moderator effects on PA in face‐to‐face interventions, behavioral practice and rehearsal (adjusted R 2 = 0.22). Multivariate and sensitivity analysis generally led to similar findings. Effective BCTs for increasing PA in adults with overweight/obesity in digital and face‐to‐face interventions seem to differ. Evidence suggests that using goal setting, social incentive, and graded tasks might help improve PA in digital interventions while avoiding inconsistent self‐monitoring of behavior. In face‐to‐face interventions, prompting behavioral practice and rehearsal might lead to better PA outcomes. Still, further studies are needed. Implications of the current findings are discussed.
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影响因子：
4.1
作者：
Cerin E;Cain KL;Oyeyemi AL;Owen N;Conway TL;Cochrane T;VAN Dyck D;Schipperijn J;Mitáš J;Toftager M;Aguinaga-Ontoso I;Sallis JF
通讯作者：
Sallis JF
影响因子：
3.5
作者：
Hagger, Martin S.;Chatzisarantis, Nikos L. D.
通讯作者：
Chatzisarantis, Nikos L. D.
影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
DOI：
10.1186/s12966-017-0596-6
发表时间：
2017-10-16
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Greaney ML;Askew S;Wallington SF;Foley PB;Quintiliani LM;Bennett GG
通讯作者：
Bennett GG