Abstract:
Physical activity and exercise can limit the development of sarcopenia in Parkinson\'s Disease. This review aims to evaluate the potential effects of behavioural change (BC) interventions on exercise self-efficacy and adherence in people with Parkinson\'s. We searched nine databases and included randomised and non-randomised studies reporting exercise self-efficacy, quality of life (QoL), physical function and/or exercise adherence. Two reviewers independently screened, data extracted, and assessed risk of bias and certainty of evidence. The interventions were mapped to the Theoretical Domains Framework. Eleven studies (n=901) were included. Four were randomised trials and risk of bias was mixed. Most interventions were multi-component, including education, behavioural techniques, and support groups. The most effective domains appear to be Behavioural regulation, Belief about Capabilities, Social influences, Reinforcement and Goals. Future research should examine multi-component BC interventions encompassing the five most effective TDF domains.
摘要:
身体活动和运动可以限制帕金森病中肌肉减少症的发展。这篇综述旨在评估行为改变(BC)干预对帕金森病患者运动自我效能和依从性的潜在影响。我们搜索了9个数据库,包括随机和非随机研究报告运动自我效能感,生活质量(QoL),身体功能和/或运动依从性。两名审稿人独立筛选,提取的数据,并评估证据的偏倚和确定性风险。干预措施被映射到理论领域框架。包括11项研究(n=901)。四项是随机试验,偏倚风险是混合的。大多数干预措施是多组分的,包括教育,行为技术,和支持团体。最有效的领域似乎是行为调节,对能力的信念,社会影响,强化和目标。未来的研究应该检查包含五个最有效的TDF域的多组分BC干预措施。