Center for Health, Intervention, and Prevention, University of Connecticut, Storrs, CT 06269-1248, USA.
Am J Public Health. 2010 Nov;100(11):2193-8. doi: 10.2105/AJPH.2008.155200. Epub 2010 Feb 18.
OBJECTIVES: We integrated and compared meta-analytic findings across diverse behavioral interventions to characterize how well they have achieved change in health behavior. METHODS: Outcomes from 62 meta-analyses of interventions for change in health behavior were quantitatively synthesized, including 1011 primary-level investigations with 599,559 participants. Content coding suggested 6 behavioral domains: eating and physical activity, sexual behavior, addictive behaviors, stress management, female-specific screening and intervention behaviors, and behaviors involving use of health services. RESULTS: Behavior change interventions were efficacious (mean effect sizes = 0.08-0.45). Behavior change was more evident in more recent meta-analyses; those that sampled older interventions and literatures or sampled more published articles; those that included studies that relied on self-report, used briefer interventions, or sampled fewer, older, or female participants; and in some domains (e.g., stress management) more than others (e.g., sexual behaviors). CONCLUSIONS: Interventions improved health-related behaviors; however, efficacy varied as a function of participant and intervention characteristics. This meta-synthesis provides information about the efficacy of behavioral change interventions across health domains and populations; this knowledge can inform the design and development of public health interventions and future meta-analyses of these studies.
目的:我们整合并比较了不同行为干预措施的荟萃分析结果,以描述它们在改变健康行为方面的效果如何。
方法:对 62 项行为干预措施改变健康行为的荟萃分析结果进行了定量综合分析,其中包括 1011 项针对健康行为改变的初级研究,涉及 599559 名参与者。内容编码提示了 6 个行为领域:饮食和体育活动、性行为、成瘾行为、压力管理、女性特定筛查和干预行为,以及涉及使用卫生服务的行为。
结果:行为改变干预措施是有效的(平均效应大小为 0.08-0.45)。最近的荟萃分析中行为改变更为明显;那些抽样较老的干预措施和文献,或抽样较多已发表文章的;那些包括依赖自我报告、使用更简短干预措施或抽样较少、较老或女性参与者的研究;以及在某些领域(如压力管理)比其他领域(如性行为)更为明显。
结论:干预措施改善了与健康相关的行为;然而,功效因参与者和干预措施的特点而异。这项荟萃分析提供了关于跨健康领域和人群的行为改变干预措施的疗效信息;这些知识可以为公共卫生干预措施的设计和开发以及这些研究的未来荟萃分析提供信息。
Am J Public Health. 2010-2-18
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