Developing a Taxonomy of Dyadic Behavior Change Techniques

越来越多的文献记录了社会背景在塑造健康行为改变方面的重要性。研究人员已经提出了大量的理论和实证研究结果，以更好地了解亲密关系，特别是浪漫关系对健康的保护作用。然而，尽管经过数十年的研究，浪漫关系对健康的强大影响的具体过程仍然远未被理解。这个广泛的研究领域，包括心理学内外的学科，产生了高度异质的命名和无数不同复杂性的结构，阻碍了经验证据的综合。与此同时，二元干预研究有所增加，其中许多研究涉及浪漫伴侣改变健康行为。总的来说，迄今为止的证据表明，对浪漫夫妇的二元干预是一个有前途的途径。然而，由于对干预措施内容的报告不足，以及对干预措施战略的标签不系统，人们对这些干预措施取得成功的确切原因知之甚少。系统地识别和分类促进行为改变的干预技术的现有分类法主要集中在个体水平的技术（例如，目标设定、自我监控）。 涉及任何形式的互动与非专业的二元成员（即二元行为改变技术）的干预技术是代表性不足或没有很好地区分。因此，为了理解健康行为改变中的二元过程，系统和可靠地识别二元行为改变技术是重要的下一步。拟议的牵头机构项目“开发二元行为改变技术分类法”旨在开发和评估基于理论的独特、清晰和精确的二元行为改变技术（DBCT）的全面和可靠的分类法，以促进改善健康（例如，体力活动、营养）或健康危害（例如，吸烟、饮酒）行为。 我们将以浪漫夫妇为例，作为健康行为改变的一个非常重要的二元体。通过利用国际专家网络，我们的目标是建立一个国际公认的分类法，以确保精确报告二元干预内容，指导基于理论的二元行为改变干预措施的发展，并促进跨学科的证据合成，有效的二元行为改变浪漫的夫妇。这将为建立未来其他二元星座的DBCT分类奠定坚实的基础（例如，父子、对等）或上下文（例如，心理健康，压力）。

A growing literature documents the importance of the social context in shaping health behavior change. Researchers have produced a large number of theories and empirical findings to better understand the protective effect of close relationships, in particular the romantic relationship, on health. However, despite decades of research, the specific processes underlying the powerful effect of romantic relationships on health are still far from understood. This broad research field, including disciplines within psychology as well as beyond, has produced a highly heterogeneous nomenclature and a myriad of constructs of different complexity, hampering the synthesis of empirical evidence. At the same time, there has been a rise in dyadic intervention studies, many of which involve romantic partners to change health behavior. Overall, evidence to date suggests that dyadic interventions in romantic couples are a promising avenue. However, due to poor reporting of intervention content and unsystematic labelling of intervention strategies, little is known about what exactly makes these interventions successful. Existing taxonomies that systematically identify and classify intervention techniques to promote behavior change have mainly focused on techniques at the level of the individual (e.g., goal setting, self-monitoring). Intervention techniques involving any form of interaction with a non-professional dyad member (i.e. dyadic behavior change techniques) are underrepresented or not well differentiated. Thus, to understand dyadic processes in health behavior change, a systematic and reliable identification of dyadic behavior change techniques is an important next step. The proposed Lead Agency project “Developing a Taxonomy of Dyadic Behavior Change Techniques” aims to develop and evaluate a comprehensive and reliable taxonomy of theory-based distinct, clear, and precise dyadic behavior change techniques (DBCTs) for facilitating change in health-enhancing (e.g., physical activity, nutrition) or health-compromising (e.g., smoking, alcohol consumption) behaviors. We will use the example of the romantic couple as a highly important dyad for health behavior change. By drawing on a network of international experts, we aim to establish an internationally accepted taxonomy that will ensure precise reporting of dyadic intervention content, guide the development of theory-based dyadic behavior change interventions, and facilitate evidence synthesis across disciplines on effective dyadic behavior change in romantic couples. This will lay a solid foundation for establishing future DBCT taxonomies for other dyad constellations (e.g., parent-child, peers) or contexts (e.g., mental health, stress).