A systematic review of Behaviour Change Interventions to improve exercise self-efficacy and adherence in people with Parkinson's disease using the Theoretical Domains Framework.

使用理论领域框架对帕金森病患者的行为改变干预措施以提高运动自我效能和依从性进行系统评价。

• 发表时间: 2024 Mar
• 来源期刊: J Frailty Sarcopenia Falls
• DOI: 10.22540/JFSF-09-066
• PMID: 38444546
• 文章类型: Journal Article
• 作者列表: Ahern L,Timmons S,Lamb SE,McCullagh R

关键词: Behavioural Change Interventions; Parkinson’s Disease; Physical Function; Quality of Life; Theoretical Domains Framework

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。