School of Psychology, University of Aberdeen, Scotland, UK.
Psychol Health. 2011 Apr;26(4):399-417. doi: 10.1080/08870440903456877. Epub 2010 Sep 1.
Brief planning interventions, usually delivered within paper and pencil questionnaires, have been found to be effective in changing health behaviours. Using a double-blind randomised controlled trial, this study examined the efficacy of two types of planning interventions (action plans and coping plans) in increasing physical activity levels when they are delivered via the internet. Following the completion of self-reported physical activity (primary outcome) and theory of planned behaviour (TPB) measures at baseline, students (N = 1273) were randomised into one of four conditions on the basis of a 2 (received instructions to form action plans or not) × 2 (received instructions to form coping plans or not) factorial design. Physical activity (primary outcome) and TPB measures were completed again at two-month follow-up. An objective measure (attendance at the university's sports facilities) was employed 6 weeks after a follow-up for a duration of 13 weeks (secondary outcome). The interventions did not change self-reported physical activity, attendance at campus sports facilities or TPB measures. This might be due to low adherence to the intervention protocol (ranging from 58.8 to 76.7%). The results of this study suggest that the planning interventions under investigation are ineffective in changing behaviour when delivered online to a sample of participants unaware of the allocation to different conditions. Possible moderators of the effectiveness of planning interventions in changing health behaviours are discussed.
简短的规划干预措施,通常通过纸质和电子问卷来实施,已被证明能有效地改变健康行为。本研究采用双盲随机对照试验,考察了通过互联网提供两种类型的规划干预措施(行动计划和应对计划)对增加身体活动水平的效果。在基线时完成自我报告的身体活动(主要结果)和计划行为理论(TPB)测量后,根据 2(是否收到制定行动计划的指示)×2(是否收到制定应对计划的指示)的析因设计,将学生(N=1273)随机分为四组之一。在两个月的随访时再次完成身体活动(主要结果)和 TPB 测量。在随访后的 6 周内,进行了为期 13 周的客观测量(参加大学校园体育设施的情况)(次要结果)。干预措施并未改变自我报告的身体活动、参加校园体育设施或 TPB 测量。这可能是由于对干预方案的低依从性(从 58.8%到 76.7%)。本研究结果表明,当向不了解不同条件分配的参与者样本在线提供规划干预措施时,这些干预措施在改变行为方面无效。讨论了可能影响规划干预措施在改变健康行为方面有效性的调节因素。