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How can interventions increase motivation for physical activity? A systematic review and meta-analysis
Health Psychology Review ( IF 9.638 ) Pub Date : 2018-02-15 , DOI: 10.1080/17437199.2018.1435299
Keegan Knittle 1 , Johanna Nurmi 1, 2 , Rik Crutzen 3 , Nelli Hankonen 1, 4 , Marguerite Beattie 1 , Stephan U Dombrowski 5
Affiliation  

Motivation is a proximal determinant of behaviour, and increasing motivation is central to most health behaviour change interventions. This systematic review and meta-analysis sought to identify features of physical activity interventions associated with favourable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 89 intervention studies (k = 200; N = 19,212) which assessed changes in these motivational constructs for physical activity. Intervention descriptions were coded for potential moderators, including behaviour change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 18 BCTs and 10 modes of delivery independently associated with changes in at least one motivational outcome (effect sizes ranged from d = 0.12 to d = 0.74). Interventions delivered face-to-face or in gym settings, or which included the BCTs ‘behavioural goal setting’, ‘self-monitoring (behaviour)’ or ‘behavioural practice/rehearsal’, or which combined self-monitoring (behaviour) with any other BCT derived from control theory, were all associated with beneficial changes in multiple motivational constructs (effect sizes ranged from d = 0.12 to d = 0.46). Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were significantly related to increases in physical activity. The intervention characteristics associated with changes in motivation seemed to form clusters related to behavioural experience and self-regulation, which have previously been linked to changes in physical activity behaviour. These BCTs and modes of delivery merit further systematic study, and can be used as a foundation for improving interventions targeting increases in motivation for physical activity.

中文翻译:

干预措施如何增加体育锻炼的动力?系统评价和荟萃分析

动机是行为的近端决定因素,动机的提高对于大多数健康行为改变干预措施至关重要。这项系统的综述和荟萃分析试图确定与三种主要动机构想中的有利变化相关的体育活动干预措施的特征:意图,变化阶段和自主动机。有系统的文献检索确定了89项干预研究(k  = 200;N = 19,212),评估了体育锻炼中这些动机结构的变化。干预措施的描述被编码为潜在的主持人,包括行为改变技术(BCT),传递方式和理论运用。随机效应比较亚组分析确定了18种BCT和10种分娩方式,它们与至少一种动机结果的改变独立相关(效应大小范围为d =  0.12至d = 0.74)。面对面或在健身房中进行的干预,或包括BCT的“行为目标设定”,“自我监控(行为)”或“行为练习/演练”,或将自我监控(行为)与任何其他行为相结合的干预措施其他来自控制理论的BCT都与多种动机结构的有益变化相关(效应大小范围从d =  0.12到d = 0.46)。元回归分析表明,改变的意图和阶段的增加,而不是自主动机的增加,与体育锻炼的增加显着相关。与动机变化有关的干预特征似乎形成了与行为经验和自我调节有关的集群,这些集群以前与体育活动行为的变化有关。这些BCT和分娩方式值得进一步的系统研究,并且可以作为改善针对体育活动动机的干预措施的基础。
更新日期:2018-08-01
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