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How to reduce sitting time? A review of behaviour change strategies used in sedentary behaviour reduction interventions among adults.
Health Psychology Review ( IF 9.638 ) Pub Date : 2015-09-16 , DOI: 10.1080/17437199.2015.1082146
Benjamin Gardner 1, 2 , Lee Smith 3 , Fabiana Lorencatto 4 , Mark Hamer 5 , Stuart J H Biddle 6, 7
Affiliation  

Sedentary behaviour – i.e., low energy-expending waking behaviour while seated or lying down – is a health risk factor, even when controlling for physical activity. This review sought to describe the behaviour change strategies used within interventions that have sought to reduce sedentary behaviour in adults. Studies were identified through existing literature reviews, a systematic database search, and hand-searches of eligible papers. Interventions were categorised as ‘very promising’, ‘quite promising’, or ‘non-promising’ according to observed behaviour changes. Intervention functions and behaviour change techniques were compared across promising and non-promising interventions. Twenty-six eligible studies reported thirty-eight interventions, of which twenty (53%) were worksite-based. Fifteen interventions (39%) were very promising, eight quite promising (21%), and fifteen non-promising (39%). Very or quite promising interventions tended to have targeted sedentary behaviour instead of physical activity. Interventions based on environmental restructuring, persuasion, or education were most promising. Self-monitoring, problem solving, and restructuring the social or physical environment were particularly promising behaviour change techniques. Future sedentary reduction interventions might most fruitfully incorporate environmental modification and self-regulatory skills training. The evidence base is, however, weakened by low-quality evaluation methods; more RCTs, employing no-treatment control groups, and collecting objective data are needed.



中文翻译:

如何减少久坐时间?对成人久坐行为减少干预措施中使用的行为改变策略的回顾。

久坐行为——即坐着或躺着时低能量消耗的清醒行为——是一个健康风险因素,即使在控制体力活动的情况下也是如此。本综述旨在描述旨在减少成年人久坐行为的干预措施中使用的行为改变策略。研究是通过现有文献综述、系统数据库检索和合格论文的手工检索来确定的。根据观察到的行为变化,干预措施被分为“非常有希望”、“相当有希望”或“没有希望”。对有希望和无希望的干预措施的干预功能和行为改变技术进行了比较。26 项符合条件的研究报告了 38 项干预措施,其中 20 项(53%)是基于工作场所的。15 项干预措施(39%)非常有希望,8 项相当有希望(21%),15 项没有希望(39%)。非常有希望或相当有希望的干预措施往往有针对性的久坐行为而不是体力活动。基于环境重组、说服或教育的干预措施最有希望。自我监控、解决问题以及重建社会或物理环境是特别有前途的行为改变技术。未来的减少久坐干预措施可能最有效地结合环境改造和自我调节技能培训。然而,低质量的评估方法削弱了证据基础;需要更多的随机对照试验、采用不治疗对照组并收集客观数据。

更新日期:2015-09-16
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