behavioral intervention

行为干预
  • 文章类型: Journal Article
    适应性工作场所成果,例如员工工作敬业度,工作表现,满意度与身心健康呈正相关,而适应不良的工作场所结果,包括与工作有关的脱离接触,不满,压力,无聊,疲劳,和倦怠,与幸福负相关。研究人员应用了自决理论来确定这些与适应性工作相关的决定因素和结果的关键动机相关性。应用该理论的研究一致表明,自主形式的激励和基本心理需求满足与更好的员工绩效有关,满意,和参与,而受控形式的激励和需求挫折与员工倦怠和离职增加有关。动机形式也已被证明可以调解需求满意度与适应性工作场所结果之间的关系。尽管支持这些协会,已经确定了该领域研究的许多局限性,对可以得出的推论施加了限制。注意到的限制包括过度依赖单一场合,相关数据;很少对理论机制进行适合的测试;缺乏对关键调节变量的考虑。在当前的概念审查中,我们依次讨论这些限制,具体参考现有研究在工作场所环境中应用该理论的例子,并提供一系列建议,我们预计将为未来在工作场所应用该理论的研究设定议程。根据我们的评论,我们提出了三个关键建议:我们强调需要采用实验和纵向设计的研究,以允许更好的推断(即,因果关系和方向性),强调干预研究需要明确测试调解效果,为理论机制提供证据,并概述了一些理论效应的候选主持人,包括工作环境,作业类型,薪酬结构,和因果关系取向。我们希望这些建议能够为在工作场所环境中应用自决理论的未来研究设定议程,以期填补当前的证据空白并提高证据质量。
    Adaptive workplace outcomes, such as employee work engagement, job performance, and satisfaction are positively associated with physical and psychological well-being, while maladaptive workplace outcomes, including work-related disengagement, dissatisfaction, stress, boredom, fatigue, and burnout, are negatively associated with well-being. Researchers have applied self-determination theory to identify key motivational correlates of these adaptive work-related determinants and outcomes. Research applying the theory has consistently indicated that autonomous forms of motivation and basic psychological need satisfaction are related to better employee performance, satisfaction, and engagement, while controlled forms of motivation and need frustration are associated with increased employee burnout and turnover. Forms of motivation have also been shown to mediate relations between need satisfaction and adaptive workplace outcomes. Despite support for these associations, a number of limitations in research in the field have been identified, which place limits on the inferences that can be drawn. Noted limitations encompass an over-reliance on single-occasion, correlational data; few fit-for-purpose tests of theory mechanisms; and a lack of consideration of key moderating variables. In the current conceptual review, we discuss these limitations in turn, with specific reference to examples from the extant research applying the theory in workplace contexts, and provide a series of recommendations we expect will set the agenda for future studies applying the theory in the workplace. Based on our review, we make three key recommendations: we stress the need for studies adopting experimental and longitudinal designs to permit better inferences (i.e., causal and directional), highlight the need for intervention research to explicitly test mediation effects to provide evidence for theory mechanisms, and outline some candidate moderators of theory effects, including workplace context, job type, pay structure, and causality orientations. We expect these recommendations to set an agenda for future research applying self-determination theory in workplace contexts with a view to filling the current evidence gaps and improving evidential quality.
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  • 文章类型: Journal Article
    这是更新的坎贝尔系统审查的协议。目的如下:评估行为干预对无家可归者戒烟的影响。
    This is the protocol for an updated Campbell systematic review. The objectives are as follows: To evaluate the effect of behavioral interventions on smoking cessation among homeless individuals.
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  • 文章类型: Journal Article
    坚持是实现减肥干预最佳效益的关键。尽管对促进依从性的因素进行了大量研究,他们的研究结果表明证据不一致且支离破碎.这项研究的目的是回顾遵守减肥干预措施的现有因素,并找到有助于设计有效干预计划的因素。搜索了六个数据库以进行这项总括审查;在筛选过程之后,包括21项研究。在六组中共确定了47个与依从性相关的因素:(i)社会人口统计学(n=7),(ii)身体活动(n=2),(iii)饮食(n=8),(Iv)行为(n=4),(v)药理学(n=3),和(六)多干预(n=23)。此外,创建了依从性因子图.主要发现是,就人口因素而言,鼓励根据特定人群的特点制定个性化干预策略。此外,自我监控已被证明是有效的行为,饮食,和多种干预措施,虽然技术在饮食方面显示出潜力,行为,和多种干预措施。此外,多干预是促进坚持的战略,尽管对药物干预的依从性需要更多的证据。总的来说,研究人员和从业人员可以控制和修改因子图,以提高对减肥干预措施的依从性。
    Adherence is key for achieving the optimal benefits from a weight loss intervention. Despite the number of studies on factors that promote adherence, their findings suggest inconsistent and fragmented evidence. The aim of this study was to review the existing factors of adherence to weight loss interventions and to find factors that facilitate the design of effective intervention programs. Six databases were searched for this umbrella review; after the screening process, 21 studies were included. A total of 47 factors were identified in six groups as relevant for adherence: (i) sociodemographic (n = 7), (ii) physical activity (n = 2), (iii) dietary (n = 8), (iv) behavioral (n = 4), (v) pharmacological (n = 3), and (vi) multi-intervention (n = 23). In addition, a map of adherence factors was created. The main findings are that with respect to demographic factors, the development of personalized intervention strategies based on the characteristics of specific populations is encouraged. Moreover, self-monitoring has been shown to be effective in behavioral, dietary, and multi-interventions, while technology has shown potential in dietary, behavioral, and multi-interventions. In addition, multi-interventions are adherence-promoting strategies, although more evidence is required on adherence to pharmacological interventions. Overall, the factor map can be controlled and modified by researchers and practitioners to improve adherence to weight loss interventions.
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  • 文章类型: Meta-Analysis
    评估行为干预对多囊卵巢综合征(PCOS)的影响。
    搜索了电子数据库,包括Pubmed,Medline,EMBASE,和Cochrane中央受控试验登记册从开始到2023年4月1日。这项研究的纳入标准需要诊断为PCOS。与常规治疗相比,感兴趣的干预措施包括行为干预和常规治疗。分析中包括的研究被设计为随机对照试验(RCTs)。我们按照推荐的指南进行了荟萃分析。使用随机效应模型或固定效应模型分析数据。研究结果以平均差(MD)或标准化平均差(SMD)及其相应的95%置信区间(CI)表示。
    确定了八个RCT,包括744例患者的数据(干预组415例,对照组329例).结果表明,行为干预措施对减肥的有效性有所改善(MD:-1.07;95%CI:-2.1至0.03;I2=0%;P=0.04),身体质量指数(BMI)(MD:-1.12;95%CI:-1.92至-0.33;I2=73%;P=0.006),腰围(MD:-3.97;95%CI:-5.64至-2.29;I2=0%;P<0.00001),关于体重的生活质量(MD:0.58;95%CI:0.15至1.02;I2=0%;P=0.008),抑郁(SMD:-1.12;95%CI:-2.35至-0.07;I2=92%;P=0.04),和甘油三酯(MD:-0.16;95%CI:-0.27至-0.05;I2=27%;P=0.004)。然而,月经周期没有显着差异,多毛症,情感,和不孕症。研究还发现,行为干预对收缩压和舒张压没有显著影响,高密度脂蛋白,低密度脂蛋白,胰岛素抵抗的稳态模型评估,睾丸激素,总胆固醇,空腹血糖,空腹胰岛素,血红蛋白A1C,和性激素结合球蛋白.
    行为干预补充剂有助于减肥,降低BMI和腰围,和改善PCOS患者的抑郁。然而,生化指标和生活质量无显著改善.行为干预对PCOS的长期影响尚不清楚,原因是研究质量有限,治疗时间短。
    https://www.crd.约克。AC.英国/PROSPERO,标识符CRD42023442875。
    UNASSIGNED: To evaluate the effects of behavioral intervention for polycystic ovary syndrome (PCOS).
    UNASSIGNED: Electronic databases were searched, including Pubmed, Medline, EMBASE, and the Cochrane Central Register of Controlled Trials from inception to 1 April 2023. Inclusion criteria for this study required a diagnosis of PCOS. Interventions of interest included behavioral intervention and routine treatment compared with routine treatment. The studies included in the analysis were designed as randomized controlled trials (RCTs). We conducted meta-analyses following the recommended guidelines. The data was analyzed using either the random effects model or fixed effects model. The results of the studies were expressed as either mean differences (MD) or standardized mean differences (SMD) along with their corresponding 95% confidence intervals (CIs).
    UNASSIGNED: Eight RCTs were identified, including data from 744 patients (415 in the intervention group and 329 in the control group). The results indicate an improvement in the effectiveness of behavioral interventions for weight loss (MD: -1.07; 95% CI: -2.1 to 0.03; I2 = 0%; P=0.04), body mass index (BMI) (MD: -1.12; 95% CI: -1.92 to -0.33; I2 = 73%; P=0.006), waist circumference (MD: -3.97; 95% CI: -5.64 to -2.29; I2 = 0%; P<0.00001), quality of life about weight (MD: 0.58; 95% CI: 0.15 to 1.02; I2 = 0%; P=0.008), depression (SMD: -1.12; 95% CI: -2.35 to -0.07; I2 = 92%; P=0.04), and triglycerides (MD: -0.16; 95% CI: -0.27 to -0.05; I2 = 27%; P=0.004). However, there were no significant differences in menstrual cycles, hirsutism, emotions, and infertility. The study also found that behavioral interventions had no significant effect on systolic and diastolic blood pressure, high-density lipoprotein, low-density lipoprotein, homeostasis model assessment of insulin resistance, testosterone, total cholesterol, fasting glucose, fasting insulin, hemoglobin A1C, and sex hormone binding globulin.
    UNASSIGNED: Behavioral intervention supplementation contributes to weight loss, reduction in BMI and waist circumference, and improvement in depression among patients with PCOS. However, no significant improvement was observed in the biochemical index and quality of life. The long-term effects of behavioral intervention for PCOS remain unclear due to limitations in the quality of the studies involved and the short duration of treatment.
    UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO, identifier CRD42023442875.
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  • 文章类型: Systematic Review
    目的:约80-90%的2型糖尿病(T2DM)患者超重或肥胖,出现严重健康并发症和死亡的风险更大。因此,体重减轻是T2DM管理的主要目标。尽管行为生活方式干预(BLIs)有助于促进超重或肥胖的T2DM患者的体重减轻,其有效性仍然存在争议。本系统综述提供了根据Michie分类的超重或肥胖T2DM患者BLIs的最新和全面的图片,并确定了与体重减轻相关的可能因素(与患者和干预措施有关)。遵循PRISMA准则。截至2023年3月的文献检索表明,31项研究涉及42种不同的BLIs。
    结果:我们的研究结果表明,结构化BLIs,以频繁的反馈和支持为特征,可以导致临床上有意义的5%的体重减轻,不管具体的行为,饮食,和身体活动的组成部分。进一步的研究应解决方法问题和干预措施的异质性,还考虑了药物治疗对减肥的影响。最后,应更加关注行为生活方式干预的长期有效性以及体重减轻与糖尿病之间的关系。
    OBJECTIVE: Around 80-90% of patients with type 2 diabetes mellitus (T2DM) are overweight or obese, presenting a greater risk for serious health complications and mortality. Thus, weight loss represents a main goal for T2DM management. Although behavioral lifestyle interventions (BLIs) could help promoting weight loss in T2DM patients with overweight or obesity, their effectiveness is still controversial. This systematic review offers an updated and comprehensive picture of BLIs according to Michie\'s classification in T2DM patients with overweight or obesity and identifies possible factors (related to both patients and interventions) associated with weight loss. The PRISMA guidelines were followed. The literature search till March 2023 indicated 31 studies involving 42 different BLIs.
    RESULTS: Our findings suggest that structured BLIs, characterized by frequent feedback and support, can lead to a clinically meaningful 5% weight loss, regardless of specific behavioral, diet, and physical activity components. Further research should address methodological issues and heterogeneity of interventions, also considering the effect of pharmacological therapies on weight reduction. Lastly, more attention should be paid to the long-term effectiveness of behavioral lifestyle interventions and to the relationship between weight loss and diabetes.
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  • 文章类型: Systematic Review
    本文献综述检查了6岁以下儿童行为失眠的所有治疗方法,以确定哪些治疗方法已凭经验证明有效。按照PRISMA准则,调查了三个数据库(Pubmed,CochraneandPsychinfo)选择随机对照试验(RCT),以评估6岁以下儿童行为失眠的治疗方法,都有神经典型的发育。共有908篇文章符合搜索条件。选择了21篇文章,并对总共2363名儿童(2个月至6岁)进行了完整分析。基于这些研究,6岁以下幼儿行为失眠的治疗主要基于行为疗法。没有证据表明药物治疗对神经典型儿童长期有效。这篇综述强调了这一领域缺乏随机对照试验:应该在幼儿中开展新的随机对照试验,以完善和优化治疗方法,并通过使用非科学验证的方法来解决治疗滥用的风险。
    This literature review examines all treatments for behavioral insomnia in children under 6 years of age to determine which treatments have empirically demonstrated efficacy. Following PRISMA guidelines, three databases were investigated (Pubmed, Cochrane and Psychinfo) to select randomized controlled trials (RCTs) which assess treatments for behavioral insomnia in children under 6 years of age, all with neurotypical development. A total of 908 articles met the search criteria. 21 articles were selected and analyzed in their entirety for a total of 2363 children (ranging from 2 months to 6 years of age). Based on these studies, treatment of behavioral insomnia in young children under 6 years of age is primarily based on behavioral therapy. There is no evidence that pharmacological treatments are effective in the long term for neurotypical children. This review highlights the lack of RCTs in this field: new RCTs should be carried out among young children to refine and optimize the therapeutic approach and to address the risk of therapeutic abuse through the use of non-scientifically validated methods.
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  • 文章类型: Journal Article
    背景:睡眠障碍在多发性硬化症患者中很常见。这项系统评价的目的是确定有效的行为干预措施,以改善他们的睡眠。
    方法:文献检索于2021年12月在OvidMEDLINE进行,ElsevierEmbase,和WebofScience,以及手工搜索灰色文献和引用的参考文献。四名审稿人独立审查了标题和摘要(每篇文章2名审稿人;n=830)和全文文章(n=81)。第五位审查员达成了纳入共识。37篇文章有资格列入。4名审稿人使用标准数据提取表从每个研究中提取相关数据(每篇文章2名审稿人)。第五位审查员对数据提取表的完整性和准确性达成了共识。同样由4名审稿人对每篇文章进行质量评估,以评估文章的偏差风险和质量,第五审稿人根据需要达成了共识。描述性数据用于干预措施的类型,睡眠结果,结果,以及干预措施的关键组成部分。
    结果:总体而言,失眠症的认知行为疗法,认知行为疗法/心理治疗,教育/自我管理支持干预措施报告睡眠结果有积极改善.质量评估分数从低到高,表明潜在的偏差。
    结论:干预类型的变异性,干预剂量,使用的结果,干预主义者的培训/专业知识,具体样本,和研究质量使结果难以比较和综合。需要进一步的研究来证明大多数干预措施的有效性。
    BACKGROUND: Sleep disturbances are common in individuals with multiple sclerosis. The objective of this systematic review was to determine effective behavioral interventions to improve their sleep.
    METHODS: Literature searches were performed in December 2021 in Ovid MEDLINE, Elsevier Embase, and Web of Science, along with hand searching for grey literature and cited references. Four reviewers independently reviewed titles and abstracts (2 reviewers for each article; n = 830) and the full-text articles (n = 81). Consensus for inclusion was achieved by a fifth reviewer. Thirty-seven articles were eligible for inclusion. Four reviewers extracted relevant data from each study (2 reviewers for each article) using a standard data extraction table. Consensus was achieved for completeness and accuracy of the data extraction table by a fifth reviewer. The same 4 reviewers conducted a quality appraisal of each article to assess the risk of bias and quality of the articles, and consensus was achieved by a fifth reviewer as needed. Descriptive data were used for types of interventions, sleep outcomes, results, and key components across interventions.
    RESULTS: Overall, the cognitive behavioral therapy for insomnia, cognitive behavioral therapy/psychotherapy, and education/self-management support interventions reported positive improvements in sleep outcomes. Quality appraisal scores ranged from low to high, indicating potential for bias.
    CONCLUSIONS: Variability in the intervention type, intervention dose, outcomes used, training/expertise of interventionist, specific sample, and study quality made it difficult to compare and synthesize results. Further research is necessary to demonstrate the efficacy of most of the interventions.
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  • 文章类型: Meta-Analysis
    高血压是一种普遍的心血管疾病,过量的钠摄入是一个重要的危险因素。各种研究已经调查了减少盐摄入量的措施,包括综合生活方式干预和健康教育。然而,仅关注减盐的行为干预的有效性尚不清楚.本系统综述和荟萃分析旨在研究基于减盐的行为干预对血压和尿钠排泄的影响。全面搜索Cochrane中央受控试验登记册,EMBASE,PubMed,并进行了WebofScience以确定相关文献。提取研究和干预特征进行描述性综合,并对纳入研究的质量进行评估.共10项研究,包括4,667名参与者(3,796名成人和871名儿童),包括在内。干预措施包括提供限盐勺子或装置,减盐教育,尿钠自我监测装置,和减盐烹饪班。Meta分析结果显示,以减盐为主的行为干预显著降低了收缩压(SBP)(-1.17mmHg;95%CI,-1.86至-0.49),舒张压(DBP)(-0.58mmHg;95%CI,-1.07至-0.08)和尿钠排泄(-21.88mmol/24小时;95%CI,-32.12至-11.64)。这些发现表明,以减少盐为中心的行为改变干预措施可以有效降低盐的摄入量并降低血压水平。然而,为了提高效率,减盐的行为干预应与其他减盐策略相结合。
    Hypertension is a prevalent cardiovascular condition, with excessive sodium intake being a significant risk factor. Various studies have investigated measures to reduce salt intake, including integrated lifestyle interventions and health education. However, the effectiveness of behavioral interventions focused solely on salt reduction remains unclear. This systematic review and meta-analysis aimed to investigate the effects of a behavioral intervention based on salt reduction on blood pressure and urinary sodium excretion. A comprehensive search of the Cochrane Central Register of Controlled Trials, EMBASE, PubMed, and Web of Science was conducted to identify relevant literature. Study and intervention characteristics were extracted for descriptive synthesis, and the quality of the included studies was assessed. A total of 10 studies, comprising 4,667 participants (3,796 adults and 871 children), were included. The interventions involved the provision of salt-restriction spoons or devices, salt-reduction education, self-monitoring devices for urinary sodium, and salt-reduction cooking classes. Meta-analysis results showed that behavioral interventions focused on salt reduction significantly reduced systolic blood pressure (SBP) (-1.17 mmHg; 95% CI, -1.86 to -0.49), diastolic blood pressure (DBP) (-0.58 mmHg; 95% CI, -1.07 to -0.08) and urinary sodium excretion (-21.88 mmol/24 hours; 95% CI, -32.12 to -11.64). These findings suggest that behavioral change interventions centered on salt reduction can effectively lower salt intake levels and decrease blood pressure levels. However, to enhance effectiveness, behavioral interventions for salt reduction should be combined with other salt-reduction strategies.
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  • 文章类型: Journal Article
    目的:我们评估了与发作性偏头痛相关的精神合并症的证据。利用最近的研究出版物,我们的目的是评估传统治疗方案的考虑因素,并讨论发作性偏头痛和相关精神病的非药物治疗的近期和不断发展的进展.
    结果:最近的研究结果表明,发作性偏头痛与共病抑郁症密切相关,焦虑,创伤后应激障碍,和睡眠障碍。不仅发作性偏头痛患者的精神病合并症发生率更高,但是报告的头痛天数增加也与患精神疾病的风险增加密切相关,提示频率和精神病合并症之间可能存在关联,并且应评估高频发作性偏头痛患者的精神病合并症.尽管我们讨论了文献中报道的内容,但很少有偏头痛预防性药物检查了该药物对偏头痛和精神病合并症的影响。非基于药物的治疗,包括行为疗法和先前针对精神疾病开发的身心干预,例如,基于正念的CBT(MBCT),接受和承诺疗法(ACT),正念减压(MBSR)疗法,对诊断为发作性偏头痛的患者有希望的结果,因此可能对治疗偏头痛和共病精神病有用。精神病合并症可能会影响发作性偏头痛的治疗效果。因此,我们必须评估精神病合并症,以便为患者提供更好的治疗计划。为发作性偏头痛患者提供替代治疗方式可能有助于改善以患者为中心的护理并提高患者的自我效能感。
    OBJECTIVE: We evaluate the evolving evidence of psychiatric comorbidities associated with episodic migraine. Utilizing recent research publications, we aim to assess traditional treatment option considerations and discuss recent and evolving non-pharmacologic treatment progress for episodic migraine and related psychiatric conditions.
    RESULTS: Recent findings indicate that episodic migraine is strongly linked to comorbid depression, anxiety, posttraumatic stress disorder, and sleep disorders. Not only do patients with episodic migraine have higher rates of psychiatric comorbidity, but a higher number of headache days reported is also strongly linked to an increased risk of developing a psychiatric disorder, indicating there may be a link between frequency and psychiatric comorbidity and that patients with high-frequency episodic migraine should be assessed for psychiatric comorbidity. Few migraine preventive medications have examined the effect of the medication on both migraine and psychiatric comorbidity though we discuss what has been reported in the literature. Non-pharmacologic-based treatments including behavioral therapies and mind-body interventions previously developed for psychiatric conditions, e.g., mindfulness-based CBT (MBCT), acceptance and commitment therapy (ACT), and mindfulness-based stress reduction (MBSR) therapy, have promising results for patients diagnosed with episodic migraine and may therefore be useful in treating migraine and comorbid psychiatric conditions. Psychiatric comorbidity may affect the efficacy of the treatment of episodic migraine. Thus, we must assess for psychiatric comorbidities to inform better treatment plans for patients. Providing patients with episodic migraine with alternate modalities of treatment may help to improve patient-centered care and increase patients\' sense of self-efficacy.
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  • 文章类型: Systematic Review
    目的:在2型糖尿病(T2D)研究中,短语“注意力控制组”(ACG)已与不同的描述一起使用。我们旨在系统地回顾ACG在T2D研究中的设计和使用变化。
    结果:20项使用ACG的研究被纳入最终评估。在20篇文章中的13篇文章中,对照组活动有可能影响研究的主要结果。45%的文章中没有提到预防各组的污染。85%的文章符合或某种程度上符合ACG和干预部门开展可比活动的标准。描述的广泛差异和缺乏标准化导致在描述试验的控制部分时不准确地使用短语“ACGs”。这表明需要未来的研究,重点是采用在T2DRCT中使用ACGs的统一指南。
    In type 2 diabetes (T2D) research, the phrase \"attention control group\" (ACGs) has been used with varying descriptions. We aimed to systematically review the variations in the design and use of ACGs for T2D studies.
    Twenty studies utilizing ACGs were included in the final evaluation. Control group activities had the potential to influence the primary outcome of the study in 13 of the 20 articles. Prevention of contamination across groups was not mentioned in 45% of the articles. Eighty-five percent of articles met or somewhat met the criteria for having comparable activities between the ACG and intervention arms. Wide variations in descriptions and the lack of standardization have led to an inaccurate use of the phrase \"ACGs\" when describing the control arm of trials, indicating a need for future research with focus on the adoption of uniform guidelines for use of ACGs in T2D RCTs.
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