Rethinking how and when to report descriptions of behavior change content within interventions: a case study of an ongoing physical activity trial (ready steady 3.0).

Rethinking how and when to report descriptions of behavior change content within interventions: a case study of an ongoing physical activity trial (ready steady 3.0).
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DOI:
10.1093/tbm/ibac092
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发表时间:
2023-06-09
影响因子:
3.6
通讯作者:
Rothman, Alexander J.
Rothman, Alexander J.
中科院分区:
医学3区
文献类型:
--
作者:
McMahon, Siobhan K.;Macheledt, Kait;Choma, Elizabeth A.;Lewis, Beth A.;Guan, Weihua;Wyman, Jean F.;Rothman, Alexander J.

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需要规范研究干预措施中的健康行为改变(BC)内容,以推进BC科学,其实施和传播。我们分析了最小的潜在活性BC成分的类型和剂量以及相关的行为处方,这些处方旨在用于正在进行的老年人体力活动优化试验(Ready Steady 3.0 [RS3])。我们将BC类型定义为行为改变技术(BCT)和行为处方。我们的协议集成了BCT分类编码程序与BCT角色(主要或次要),并在相关时,链接到行为处方。初级BCT针对理论作用机制,而次级BCT支持初级BCT递送。行为处方代表了参与者被鼓励在RS3中对每个主要BCT进行的操作(确定,实践,实施)。我们评估了每个BCT和处方的持续时间、频率和量的剂量参数。结果提供了一个深入的多维内容规范目录,其中包含12个主要BCT,每个BCT由2-7个次要BCT支持,剂量范围为2至8周,1至8次接触和5至451分钟。花在行为处方上的时间各不相同:确定(1到41),实践(5到315)和实施(0到38)。结果可以以各种方式组织和总结(例如,内容组成部分),以加强未来的评估RS3的保真度和干预措施的完善。结果突出了这种早期的,综合的方法来分析BC的内容和框架的问题,这些信息如何可能被纳入和传播报告的研究成果的潜在好处。一种新的方法来报告早期,深入描述的类型和剂量的最小的,潜在的积极行为改变成分的干预措施,旨在促进健康相关的行为。
Specifications of what and how much health behavior change (BC) content within research interventions are needed to advance BC science, its implementation, and dissemination. We analyzed the types and dosages of the smallest potentially active BC ingredients and associated behavioral prescriptions intended to be delivered in an ongoing physical activity optimization trial for older adults (Ready Steady 3.0 [RS3]). We defined BC types as behavior change techniques (BCT) and behavioral prescriptions. Our protocol integrated the BCT Taxonomy coding procedures with BCT roles (primary or secondary) and, when relevant, linkages to behavioral prescriptions. Primary BCTs targeted theoretical mechanisms of action, whereas secondary BCTs supported primary BCT delivery. Behavioral prescriptions represented what participants were encouraged to do with each primary BCT in RS3 (ascertain, practice, implement). We assessed dosage parameters of duration, frequency, and amount in each BCT and prescription. Results provided a catalog of in-depth, multidimensional content specifications with 12 primary BCTs, each supported by 2-7 secondary BCTs, with dosages ranging from 2 to 8 weeks, 1 to 8 contacts, and 5 to 451 minutes. Minutes spent on behavioral prescriptions varied: ascertain (1 to 41), practice (5 to 315), and implement (0 to 38). Results can be organized and summarized in varied ways (e.g., by content component) to strengthen future assessments of RS3 fidelity and intervention refinement. Results highlight potential benefits of this early, integrated approach to analyzing BC content and frames questions about how such information might be incorporated and disseminated with reporting research outcomes. A new approach to reporting early, in-depth descriptions of the types and dosages of the smallest, potentially active behavior change ingredients within interventions designed to promote health-related behaviors.
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期刊: Obesity reviews : an official journal of the International Association for the Study of Obesity
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