Predictors of Health Behavior Change After an Integrative Medicine Inpatient Program
Predictors of Health Behavior Change After an Integrative Medicine Inpatient Program
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DOI：
10.1007/s12529-013-9354-6
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发表时间：
2014-10-01
影响因子：
2.7
通讯作者：
Paul, Anna
中科院分区：
文献类型：
--
作者：
Cramer, Holger;Lauche, Romy;Paul, Anna
健康行为改变可以改善内科患者的身体和心理社会结果。本研究旨在确定中西医结合住院计划后健康行为改变的预测因素。德国内科患者（N = 2,486; 80%女性; 53.9 +/- 14.3岁）有氧运动的练习频率（例如，步行、跑步、骑自行车、游泳），冥想运动疗法（例如，瑜伽、太极、气功），和放松技术（例如，渐进式放松、正念冥想、呼吸练习、引导意象）在入院时进行评估，以进行为期14天的整合医学住院计划，并在出院后3、6和12个月进行评估。健康行为改变与锻炼自我效能、改变阶段和健康控制点（内部、外部社会、外部宿命）回归。有氧运动的练习频率短期增加：冥想运动疗法和放松技巧的短期和长期增加（所有p < 0.01）。在控制了社会人口学特征、临床特征和健康状况后，运动自我效能或运动自我效能与变化阶段的相互作用预测了6个月时有氧运动的练习频率增加; 3个月和6个月时冥想运动疗法的练习频率增加; 3个月、6个月和12个月时放松技巧的练习频率增加（所有p < 0.05）。健康心理控制源预测了3个月时有氧运动和3、6和12个月时放松技巧练习频率的增加（均p <0. 05）。自我效能、改变阶段和健康心理控制源预测了中西医结合住院计划后的健康行为改变。考虑到这些方面可能会提高生活方式改变计划后对健康促进行为的坚持。
Health behavior change can improve physical and psychosocial outcomes in internal medicine patients.This study aims to identify predictors for health behavior change after an integrative medicine inpatient program.German internal medicine patients' (N = 2,486; 80 % female; 53.9 +/- 14.3 years) practice frequency for aerobic exercise (e.g., walking, running, cycling, swimming), meditative movement therapies (e.g., yoga, tai ji, qigong), and relaxation techniques (e.g., progressive relaxation, mindfulness meditation, breathing exercises, guided imagery) was assessed at admission to a 14-day integrative medicine inpatient program, and 3, 6, and 12 months after discharge. Health behavior change was regressed to exercise self-efficacy, stage of change, and health locus of control (internal, external-social, external-fatalistic).Short-term increases in practice frequency were found for aerobic exercise: short- and long-term increases for meditative movement therapies and relaxation techniques (all p < 0.01). After controlling for sociodemographic characteristics, clinical characteristics, and health status, exercise self-efficacy or interactions of exercise self-efficacy with stage of change predicted increased practice frequency of aerobic exercise at 6 months; of meditative movement therapies at 3 and 6 months; and of relaxation techniques at 3, 6, and 12 months (all p < 0.05). Health locus of control predicted increased practice frequency of aerobic exercise at 3 months and of relaxation techniques at 3, 6, and 12 months (all p < 0.05).Health behavior change after an integrative medicine inpatient program was predicted by self-efficacy, stage of change, and health locus of control. Considering these aspects might improve adherence to health-promoting behavior after lifestyle modification programs.