背景:行为改变技术(BCT)已广泛用于儿童的身体活动干预,然而,没有系统评价综合了它们的影响。
目的:本综述旨在确定用于身体活动干预的最有希望的BCT与(i)增加身体活动行为和(ii)慢性疾病儿童的积极心理社会结果相关。
方法:对6个数据库的系统搜索确定了61篇有资格纳入的文章。数据,包括BCT,从这些研究中提取并进行描述性分析。由于干预措施的异质性,慢性疾病,和结果衡量标准,未进行荟萃分析.
结果:社会支持(未指定),分级任务,目标行为的概括,可靠的来源是最常报告和最有希望的(即,存在于2项研究中,证明了所有研究中的显着影响)BCT。发现这些BCT与短期和长期改善心理社会结果以及长期改善身体活动行为特别相关。同时,改善短期体力活动行为,除了社会支持(未指定),行动计划,目标设定(行为),发现解决问题是有希望的BCT。
结论:本综述中确定的BCT可能与规划未来干预措施以支持慢性病儿童的身体活动和心理社会结果有关。
患有慢性疾病的儿童在参加体育锻炼时会遇到一些障碍。为了克服这些独特的障碍,身体活动干预需要纳入特定策略(称为行为改变技术[BCT])以鼓励身体活动参与.本综述旨在确定成功应用于身体活动干预措施的BCT,以增加身体活动行为并改善患有慢性病的儿童的心理社会结果。在这篇综述中包含的61项研究中,最常用的BCT是提供指导,允许实践行为的机会,和行为的示范。社会支持也被发现是一种成功的BCT,可以增加身体活动行为并改善短期和长期的心理社会结果。旨在支持慢性病儿童的身体活动行为和心理社会结果的未来身体活动干预措施可以从将这些策略纳入干预计划和实施中受益。
BACKGROUND: Behavior change techniques (BCTs) have been extensively used in physical activity interventions for children, however, no systematic reviews have synthesized their effects.
OBJECTIVE: The present
review aimed to identify the most promising BCTs used in physical activity interventions associated with (i) increased physical activity behavior and (ii) positive psychosocial outcomes in children with chronic conditions.
METHODS: A systematic search of 6 databases identified 61 articles as eligible for inclusion. Data, including BCTs, were extracted from these studies and analyzed descriptively. Due to the heterogeneity of interventions, chronic conditions, and outcome measures, a meta-analysis was not conducted.
RESULTS: Social support (unspecified), graded tasks, generalization of target behavior, and credible source were the most commonly reported and most promising (i.e., present in 2+ studies evidencing significant effects) BCTs across all studies. These BCTs were found to be especially relevant to improving psychosocial outcomes in the short- and long-term and improving physical activity behaviors in the long-term. Meanwhile, to improve short-term physical activity behaviors, in addition to social support (unspecified), action planning, goal setting (behavior), and problem solving were found to be promising BCTs.
CONCLUSIONS: The BCTs identified in this
review may be relevant to incorporate when planning future interventions to support physical activity and psychosocial outcomes for children with chronic conditions.
Children with chronic conditions experience several barriers to engaging in physical activity. In order to overcome these unique barriers, physical activity interventions would need to incorporate specific strategies (called behavior change techniques [BCTs]) to encourage physical activity participation. The present
review sought to identify BCTs that were successfully applied to physical activity interventions to increase physical activity behavior and improve psychosocial outcomes for children with chronic conditions. Across the 61 studies included within this
review, the most commonly applied BCTs were providing instruction, allowing opportunities to practice the behavior, and demonstration of the behavior. Social support was also found to be the a successful BCT to increase physical activity behavior and improve psychosocial outcomes in the short- and long-term. Future physical activity interventions aimed at supporting physical activity behavior and psychosocial outcomes of children with chronic conditions could benefit from incorporating these strategies within intervention planning and delivery.