Meta-synthesis of health behavior change meta-analyses.
Meta-synthesis of health behavior change meta-analyses.
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DOI：
10.2105/ajph.2008.155200
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发表时间：
2010-11
影响因子：
12.7
通讯作者：
Carey MP
中科院分区：
文献类型：
--
作者：
Johnson BT;Scott-Sheldon LA;Carey MP
我们整合并比较了不同行为干预措施的元分析结果，以描述他们在健康行为方面的改变程度。对62项干预措施改变健康行为的荟萃分析的结果进行了定量合成，包括1011项初级调查，599559名参与者。内容编码建议6个行为领域：饮食和体力活动，性行为，成瘾行为，压力管理，女性特有的筛查和干预行为，以及涉及使用卫生服务的行为。行为改变干预是有效的（平均效应量=0.08-0.45）。行为变化在最近的荟萃分析中更为明显;在那些采样较旧的干预措施和文献或采样更多已发表文章的研究中;以及那些包括依赖于自我报告的研究，使用简短的干预措施，或采样较少，老年人或女性参与者的研究中;以及在某些领域（例如，压力管理）比其他（例如，性行为）。干预措施改善了健康相关行为;然而，疗效因参与者和干预特征而异。该荟萃综合分析提供了有关健康领域和人群行为改变干预措施的有效性的信息;这些知识可以为公共卫生干预措施的设计和开发以及这些研究的未来荟萃分析提供信息。
We integrated and compared meta-analytic findings across diverse behavioral interventions to characterize how well they have achieved change in health behavior. Outcomes from 62 meta-analyses of interventions for change in health behavior were quantitatively synthesized, including 1011 primary-level investigations with 599559 participants. Content coding suggested 6 behavioral domains: eating and physical activity, sexual behavior, addictive behaviors, stress management, female-specific screening and intervention behaviors, and behaviors involving use of health services. Behavior change interventions were efficacious (mean effect sizes=0.08–0.45). Behavior change was more evident in more recent meta-analyses; in those that sampled older interventions and literatures or sampled more published articles; and those that included studies that relied on self-report, used briefer interventions, or sampled fewer, older, or female participants; and in some domains (e.g., stress management) more than others (e.g., sexual behaviors). Interventions improved health-related behaviors; however, efficacy varied as a function of participant and intervention characteristics. This meta-synthesis provides information about the efficacy of behavioral change interventions across health domains and populations; this knowledge can inform the design and development of public health interventions and future meta-analyses of these studies.