Evaluating the effectiveness of behavior change techniques in health-related behavior: a scoping review of methods used.
Evaluating the effectiveness of behavior change techniques in health-related behavior: a scoping review of methods used.
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DOI：
10.1093/tbm/ibx019
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发表时间：
2018-03-01
影响因子：
3.6
通讯作者：
Godinho CA
中科院分区：
文献类型：
--
作者：
Michie S;West R;Sheals K;Godinho CA
针对特定行为和环境确定有效的行为改变技术的方法都有重要的局限性。我们需要一种方法来结合各种方法，以达到可靠的有效性估计。行为改变干预通常包含多个潜在的积极成分：行为改变技术（bct）。确定哪些特定的BCT或BCT组合对特定环境下的特定行为有效是一项重大挑战。本研究的目的是回顾在特定情境下识别有效的bct的方法，并评估其优势和局限性。对试图确定有效的bct的研究进行了范围审查。找到摘要/正文中涉及“behavior (u) or change techniques (s)”的文章，选择涉及识别有效的btc的文章。报告的方法是编码的。使用“PASS”标准对这些方法进行一般分析：实用性（能够适当地应用该方法）、适用性（能够从发现中归纳出相关背景和人群）、敏感性（能够识别有效的bct）和特异性（能够排除无效的bct）。然后使用这些标准对所审查研究的10%样本进行评估，以评估原则上确定的优势和局限性在实践中得到证实的程度。135项研究被确认。在这些研究中使用的方法是对BCT进行实验操作，观察性研究比较BCT存在或不存在的结果，BCT比较的荟萃分析，评估有或没有特定BCT的效应大小的荟萃回归，对有效干预中发现的BCT的回顾，以及荟萃分类和回归树。每种方法的局限性意味着只能得出关于特定BCT或BCT组合有效性的微弱结论。识别与目标行为和环境相关的有效bct的方法都具有重要的固有局限性。需要制定一种策略，能够系统地结合不同方法的优势，并将这些结构与行为改变干预的本体论联系起来。
Methods for identifying effective behavior change techniques for given behaviours and contexts all have important limitations. We need a way to combine methods to arrive at reliable effectiveness estimates. Behavior change interventions typically contain multiple potentially active components: behavior change techniques (BCTs). Identifying which specific BCTs or BCT combinations have the potential to be effective for a given behavior in a given context presents a major challenge. The aim of this study was to review the methods that have been used to identify effective BCTs for given behaviors in given contexts and evaluate their strengths and limitations. A scoping review was conducted of studies that had sought to identify effective BCTs. Articles referring to “behavio(u)r change technique(s)” in the abstract/text were located, and ones that involved identification of effective BCTs were selected. The methods reported were coded. The methods were analyzed in general terms using “PASS” criteria: Practicability (facility to apply the method appropriately), Applicability (facility to generalize from findings to contexts and populations of interest), Sensitivity (facility to identify effective BCTs), and Specificity (facility to rule out ineffective BCTs). A sample of 10% of the studies reviewed was then evaluated using these criteria to assess how far the strengths and limitations identified in principle were borne out in practice. One hundred and thirty-five studies were identified. The methods used in those studies were experimental manipulation of BCTs, observational studies comparing outcomes in the presence or absence of BCTs, meta-analyses of BCT comparisons, meta-regressions evaluating effect sizes with and without specific BCTs, reviews of BCTs found in effective interventions, and meta-classification and regression trees. The limitations of each method meant that only weak conclusions could be drawn regarding the effectiveness of specific BCTs or BCT combinations. Methods for identifying effective BCTs linked to target behavior and context all have important inherent limitations. A strategy needs to be developed that can systematically combine the strengths of the different methods and that can link these constructs in an ontology of behavior change interventions.
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影响因子：
4.2
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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