基于“扩展”计划行为理论的促进普通人群步行的干预措施:一项等待名单随机对照试验。
An intervention to promote walking amongst the general population based on an 'extended' theory of planned behaviour: a waiting list randomised controlled trial.
机构信息
Department of Public Health & Primary Care, Trinity College Centre for Health Sciences, Adelaide & Meath Hospital Dublin, Incorporating the National Childrens Hospital, Dublin 24, Ireland.
出版信息
Psychol Health. 2010 Jan;25(1):71-88. doi: 10.1080/08870440902893716.
Theory of planned behaviour (TPB) studies have identified perceived behavioural control (PBC) as the key determinant of walking intentions. The present study investigated whether an intervention designed to alter PBC and create walking plans increased TPB measures concerning walking more, planning and objectively measured walking. One hundred and thirty UK adults participated in a waiting-list randomised controlled trial. The intervention consisted of strategies to boost PBC, plus volitional strategies to enact walking intentions. All TPB constructs were measured, along with self-reported measures of action planning and walking, and an objective pedometer measure of time spent walking. The intervention increased PBC, attitudes, intentions and objectively measured walking from 20 to 32 min a day. The effects of the intervention on intentions and behaviour were mediated by PBC, although the effects on PBC were not mediated by control beliefs. At 6 weeks follow-up, participants maintained their increases in walking. The findings of this study partially support the proposed causal nature of the extended TPB as a framework for developing and evaluating health behaviour change interventions. This is the first study using the TPB to develop, design and evaluate the components of an intervention which increased objectively measured behaviour, with effects mediated by TPB variables.
计划行为理论(TPB)的研究已经确定了知觉行为控制(PBC)是步行意愿的关键决定因素。本研究旨在探讨旨在改变 PBC 并制定步行计划的干预措施是否会增加与更多步行、计划和客观测量的步行有关的 TPB 措施。130 名英国成年人参加了一项等候名单随机对照试验。干预措施包括增强 PBC 的策略,以及将步行意愿付诸行动的意志策略。所有 TPB 结构都进行了测量,以及自我报告的行动计划和步行测量,以及客观计步器测量的步行时间。干预措施将 PBC、态度、意愿和客观测量的步行时间从每天 20 分钟增加到 32 分钟。干预措施对意图和行为的影响通过 PBC 介导,尽管对 PBC 的影响不受控制信念的影响。在 6 周的随访中,参与者保持了他们的步行增加量。这项研究的结果部分支持了扩展 TPB 的因果性质假设,即作为开发和评估健康行为改变干预措施的框架。这是第一项使用 TPB 来开发、设计和评估增加客观测量行为的干预措施的组成部分的研究,其效果通过 TPB 变量介导。