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Efficacy of theory-informed workplace physical activity interventions: a systematic literature review with meta-analyses.
Health Psychology Review ( IF 9.638 ) Pub Date : 2020-01-29 , DOI: 10.1080/17437199.2020.1718528
Merilyn Lock 1 , Dannielle Post 1 , James Dollman 1 , Gaynor Parfitt 1
Affiliation  

This review aimed to assess the efficacy of workplace physical activity interventions; compare the efficacy of those that were and were not informed by behaviour change theory, and outline the effectiveness of different intervention components. A search was undertaken in Medline, Embase, PsycINFO, Ovid Emcare (previously CINAHL) and SportDiscus. Randomised, non-randomised and cluster-controlled trials with objectively measured physical activity and/or measured or predicted maximal oxygen uptake (VO2max) as outcomes were included in the review (83 papers from 79 trials). Random-effects meta-analyses of mean differences were undertaken. Workplace physical activity programmes demonstrated positive overall intervention effects for daily step counts (814.01 steps/day; CI: 446.36, 1181.67; p < 0.01; i2 = 88%) and measured VO2max (2.53 ml kg-1 min-1; CI: 1.69, 3.36; p < 0.01; i2 = 0%) with no sub-group differences between theory- and non-theory informed interventions. Significant sub-group differences were present for predicted VO2max (p < 0.01), with a positive intervention effect for non-theory informed studies (2.11 ml.kg-1 min-1; CI: 1.20, 3.02; p < 0.01; i2 = 78%) but not theory-informed studies (-0.63 ml kg-1 min-1; CI: -1.55, 0.30; p = 0.18; i2 = 0%). Longer-term follow-ups ranged from 24 weeks to 13 years, with significant positive effects for measured VO2max (2.84 ml kg-1 min-1; CI: 1.41, 4.27; p < 0.01; i2 = 0%). Effective intervention components included the combination of self-monitoring with a goal, and exercise sessions onsite or nearby. The findings of this review were limited by the number and quality of theory-informed studies presenting some outcomes, and confounding issues in complex interventions. Future researchers should consider rigorous testing of outcomes of theory-informed workplace physical activity interventions and incorporate longer follow-ups.

中文翻译:

以理论为依据的工作场所体育活动干预的功效:具有荟萃分析的系统文献综述。

本次审查旨在评估工作场所体育活动干预措施的有效性;比较那些接受和未接受行为改变理论指导的效果,并概述不同干预成分的效果。在 Medline、Embase、PsycINFO、Ovid Emcare(前身为 CINAHL)和 SportDiscus 中进行了搜索。以客观测量的体力活动和/或测量或预测的最大摄氧量 (VO2max) 作为结果的随机、非随机和集群对照试验包括在评价中(来自 79 项试验的 83 篇论文)。进行了平均差异的随机效应荟萃分析。工作场所体育活动计划对每日步数(814.01 步/天;CI:446.36, 1181.67;p < 0.01;i2 = 88%)和测量的最大摄氧量(2.53 ml kg-1 min-1;置信区间:1.69、3.36;p < 0.01;i2 = 0%),理论和非理论知情干预之间没有亚组差异。预测的最大摄氧量存在显着的亚组差异(p < 0.01),对非理论知情研究具有积极的干预作用(2.11 ml.kg-1 min-1;CI:1.20, 3.02;p < 0.01;i2 = 78%),但不是基于理论的研究(-0.63 ml kg-1 min-1;CI:-1.55, 0.30;p = 0.18;i2 = 0%)。长期随访时间从 24 周到 13 年不等,对测量的最大摄氧量有显着的积极影响(2.84 ml kg-1 min-1;CI:1.41, 4.27;p < 0.01;i2 = 0%)。有效的干预措施包括将自我监控与目标相结合,以及现场或附近的锻炼课程。本综述的结果受限于提供一些结果的理论指导研究的数量和质量,和复杂干预中的混淆问题。未来的研究人员应该考虑对基于理论的工作场所体育活动干预的结果进行严格测试,并纳入更长时间的随访。
更新日期:2020-01-29
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