癌症患者或有癌症风险的成年人的多种健康行为改变：一项系统综述。
Multiple health behavior change in adults with or at risk for cancer: a systematic review.
作者信息
Green Amanda C, Hayman Laura L, Cooley Mary E
机构信息
College of Nursing & Health Sciences, University of Massachusetts, Boston, MA, USA.
College of Nursing & Health Sciences, and Associate Vice-Provost for Research, University of Massachusetts, Boston, MA, USA.
出版信息
Am J Health Behav. 2015 May;39(3):380-94. doi: 10.5993/AJHB.39.3.11.
OBJECTIVES
To identify components of efficacious interventions for multiple health behavior change (MHBC) in adult cancer survivors or adults at high risk for cancer.
METHODS
A systematic review of MHBC interventions was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework.
RESULTS
Ten studies met inclusion criteria. Most studies changed at least 2 health behaviors. Diet, exercise, and smoking cessation were consistently changed with in-person interventions. Longer duration interventions using phone or mail contact had a positive association with changing diet and exercise.
CONCLUSIONS
MHBC interventions positively influenced behavior change in adults with cancer and those at high risk for cancer. Future studies should focus on increasing dissemination and implementation of efficacious interventions.
目的
确定针对成年癌症幸存者或癌症高危成年人的多种健康行为改变（MHBC）有效干预措施的组成部分。
方法
使用系统评价和Meta分析的首选报告项目框架对MHBC干预措施进行系统评价。
结果
十项研究符合纳入标准。大多数研究改变了至少两种健康行为。通过面对面干预，饮食、运动和戒烟行为持续得到改变。使用电话或邮件联系的较长疗程干预与饮食和运动改变呈正相关。
结论
MHBC干预对癌症患者和癌症高危成年人的行为改变产生了积极影响。未来的研究应侧重于增加有效干预措施的传播和实施。
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