哪些行为改变技巧在提高老年人的自我效能和身体活动行为方面最有效？一项系统综述。
Which behaviour change techniques are most effective at increasing older adults' self-efficacy and physical activity behaviour? A systematic review.
作者信息
French David P, Olander Ellinor K, Chisholm Anna, Mc Sharry Jennifer
机构信息
Manchester Centre for Health Psychology, School of Psychological Sciences, University of Manchester, Coupland 1 Building, Oxford Road, Manchester, M13 9PL, UK,
出版信息
Ann Behav Med. 2014 Oct;48(2):225-34. doi: 10.1007/s12160-014-9593-z.
BACKGROUND
Increasing self-efficacy is an effective mechanism for increasing physical activity, especially for older people.
PURPOSE
The aim of this review was to identify behaviour change techniques (BCTs) that increase self-efficacy and physical activity behaviour in non-clinical community-dwelling adults 60 years or over.
METHODS
A systematic search identified 24 eligible studies reporting change in self-efficacy for physical activity following an intervention. Moderator analyses examined whether the inclusion of specific BCTs (as defined by CALO-RE taxonomy) was associated with changes in self-efficacy and physical activity behaviour.
RESULTS
Overall, interventions increased self-efficacy (d = 0.37) and physical activity (d = 0.14). Self-regulatory techniques such as setting behavioural goals, prompting self-monitoring of behaviour, planning for relapses, providing normative information and providing feedback on performance were associated with lower levels of both self-efficacy and physical activity.
CONCLUSIONS
Many commonly used self-regulation intervention techniques that are effective for younger adults may not be effective for older adults.
背景
增强自我效能是增加身体活动的有效机制，对老年人尤其如此。
目的
本综述的目的是确定能提高60岁及以上非临床社区居住成年人自我效能和身体活动行为的行为改变技术（BCTs）。
方法
系统检索确定了24项符合条件的研究，这些研究报告了干预后身体活动自我效能的变化。调节分析考察了纳入特定的行为改变技术（如CALO-RE分类法所定义）是否与自我效能和身体活动行为的变化相关。
结果
总体而言，干预提高了自我效能（d=0.37）和身体活动水平（d=0.14）。自我调节技术，如设定行为目标、促使自我监测行为、制定复发计划、提供规范信息和提供绩效反馈，与较低水平的自我效能和身体活动相关。
结论
许多对年轻人有效的常用自我调节干预技术对老年人可能无效。
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