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Abstract：
BACKGROUND: Worldwide, physical inactivity (PIA) and sedentary behavior (SB) are recognized as significant challenges hindering the achievement of the United Nations (UN) sustainable development goals (SDGs). PIA and SB are responsible for 1.6 million deaths attributed to non-communicable diseases (NCDs). The World Health Organization (WHO) has urged governments to implement interventions informed by behavioral theories aimed at reducing PIA and SB. However, limited attention has been given to the range of theories, techniques, and contextual conditions underlying the design of behavioral theories. To this end, we set out to map these interventions, their levels of action, their mode of delivery, and how extensively they apply behavioral theories, constructs, and techniques.
METHODS: Following the scoping review methodology of Arksey and O\'Malley (2005), we included peer-reviewed articles on behavioral theories interventions centered on PIA and SB, published between 2010 and 2023 in Arabic, French, and English in four databases (Scopus, Web of Science [WoS], PubMed, and Google Scholar). We adopted a framework thematic analysis based on the upper-level ontology of behavior theories interventions, Behavioral theories taxonomies, and the first version (V1) taxonomy of behavior change techniques(BCTs).
RESULTS: We included 29 studies out of 1,173 that were initially screened/searched. The majority of interventions were individually focused (n = 15). Few studies have addressed interpersonal levels (n = 6) or organizational levels (n = 6). Only two interventions can be described as systemic (i.e., addressing the individual, interpersonal, organizational, and institutional factors)(n = 2). Most behavior change interventions use four theories: The Social cognitive theory (SCT), the socioecological model (SEM), SDT, and the transtheoretical model (TTM). Most behavior change interventions (BCIS) involve goal setting, social support, and action planning with various degrees of theoretical use (intensive [n = 15], moderate [n = 11], or low [n = 3]).
CONCLUSIONS: Our review suggests the need to develop systemic and complementary interventions that entail the micro-, meso- and macro-level barriers to behavioral changes. Theory informed BCI need to integrate synergistic BCTs into models that use micro-, meso- and macro-level theories to determine behavioral change. Future interventions need to appropriately use a mix of behavioral theories and BCTs to address the systemic nature of behavioral change as well as the heterogeneity of contexts and targeted populations.
METHODS: Following the scoping review methodology of Arksey and O\'Malley (2005), we included peer-reviewed articles on behavioral theories interventions centered on PIA and SB, published between 2010 and 2023 in Arabic, French, and English in four databases (Scopus, Web of Science [WoS], PubMed, and Google Scholar). We adopted a framework thematic analysis based on the upper-level ontology of behavior theories interventions, Behavioral theories taxonomies, and the first version (V1) taxonomy of behavior change techniques(BCTs).
RESULTS: We included 29 studies out of 1,173 that were initially screened/searched. The majority of interventions were individually focused (n = 15). Few studies have addressed interpersonal levels (n = 6) or organizational levels (n = 6). Only two interventions can be described as systemic (i.e., addressing the individual, interpersonal, organizational, and institutional factors)(n = 2). Most behavior change interventions use four theories: The Social cognitive theory (SCT), the socioecological model (SEM), SDT, and the transtheoretical model (TTM). Most behavior change interventions (BCIS) involve goal setting, social support, and action planning with various degrees of theoretical use (intensive [n = 15], moderate [n = 11], or low [n = 3]).
CONCLUSIONS: Our review suggests the need to develop systemic and complementary interventions that entail the micro-, meso- and macro-level barriers to behavioral changes. Theory informed BCI need to integrate synergistic BCTs into models that use micro-, meso- and macro-level theories to determine behavioral change. Future interventions need to appropriately use a mix of behavioral theories and BCTs to address the systemic nature of behavioral change as well as the heterogeneity of contexts and targeted populations.
摘要：
背景：全球，身体不活动（PIA）和久坐行为（SB）被认为是阻碍实现联合国（UN）可持续发展目标（SDGs）的重大挑战。PIA和SB导致160万死于非传染性疾病（NCDs）。世界卫生组织（WHO）敦促各国政府实施基于行为理论的干预措施，旨在减少PIA和SB。然而,对理论范围的关注有限，技术,以及行为理论设计的背景条件。为此,我们着手绘制这些干预措施，他们的行动水平，他们的交付方式，以及他们如何广泛地应用行为理论，constructs,和技术。
方法：遵循Arksey和O\'Malley(2005)的范围审查方法，我们纳入了以PIA和SB为中心的行为理论干预措施的同行评审文章，在2010年至2023年之间以阿拉伯文出版，法语,和英语在四个数据库中(Scopus，WebofScience[WOS],PubMed,和谷歌学者)。我们采用了基于行为理论干预的上层本体论的框架主题分析，行为理论分类，和第一个版本(V1)的行为改变技术(BCT)分类法。
结果：我们纳入了最初筛选/检索的1,173项研究中的29项。大多数干预措施都是单独集中的(n=15)。很少有研究涉及人际关系水平（n=6）或组织水平（n=6）。只有两种干预措施可以被描述为系统性的(即，解决个人问题，人际关系,组织，和制度因素)(n=2)。大多数行为改变干预使用四种理论：社会认知理论(SCT)，社会生态模型(SEM)，SDT,和跨理论模型(TTM)。大多数行为改变干预措施(BCIS)涉及目标设定，社会支持,和具有不同程度理论使用的行动计划(密集[n=15]，中等[n=11]，或低[n=3])。
结论：我们的综述表明，有必要开发系统性和补充性干预措施，行为变化的中观和宏观障碍。理论知情的BCI需要将协同的BCT整合到使用微观，确定行为变化的中观和宏观理论。未来的干预措施需要适当地使用行为理论和BCT的组合来解决行为变化的系统性以及背景和目标人群的异质性。
方法：遵循Arksey和O\'Malley(2005)的范围审查方法，我们纳入了以PIA和SB为中心的行为理论干预措施的同行评审文章，在2010年至2023年之间以阿拉伯文出版，法语,和英语在四个数据库中(Scopus，WebofScience[WOS],PubMed,和谷歌学者)。我们采用了基于行为理论干预的上层本体论的框架主题分析，行为理论分类，和第一个版本(V1)的行为改变技术(BCT)分类法。
结果：我们纳入了最初筛选/检索的1,173项研究中的29项。大多数干预措施都是单独集中的(n=15)。很少有研究涉及人际关系水平（n=6）或组织水平（n=6）。只有两种干预措施可以被描述为系统性的(即，解决个人问题，人际关系,组织，和制度因素)(n=2)。大多数行为改变干预使用四种理论：社会认知理论(SCT)，社会生态模型(SEM)，SDT,和跨理论模型(TTM)。大多数行为改变干预措施(BCIS)涉及目标设定，社会支持,和具有不同程度理论使用的行动计划(密集[n=15]，中等[n=11]，或低[n=3])。
结论：我们的综述表明，有必要开发系统性和补充性干预措施，行为变化的中观和宏观障碍。理论知情的BCI需要将协同的BCT整合到使用微观，确定行为变化的中观和宏观理论。未来的干预措施需要适当地使用行为理论和BCT的组合来解决行为变化的系统性以及背景和目标人群的异质性。
