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凡事皆应尽可能简单,但不能再简单了:迈向一项关于积累健康行为改变干预措施有效内容证据的方案。

Everything should be as simple as possible, but no simpler: towards a protocol for accumulating evidence regarding the active content of health behaviour change interventions.

作者信息

Peters Gjalt-Jorn Ygram, de Bruin Marijn, Crutzen Rik

机构信息

a Department of Methodology & Statistics, Faculty of Psychology , Open University , Heerlen , The Netherlands.

出版信息

Health Psychol Rev. 2015;9(1):1-14. doi: 10.1080/17437199.2013.848409. Epub 2013 Oct 21.

Abstract

There is a need to consolidate the evidence base underlying our toolbox of methods of behaviour change. Recent efforts to this effect have conducted meta-regressions on evaluations of behaviour change interventions, deriving each method's effectiveness from its association to intervention effect size. However, there are a range of issues that raise concern about whether this approach is actually furthering or instead obstructing the advancement of health psychology theories and the quality of health behaviour change interventions. Using examples from theory, the literature and data from previous meta-analyses, these concerns and their implications are explained and illustrated. An iterative protocol for evidence base accumulation is proposed that integrates evidence derived from both experimental and applied behaviour change research, and combines theory development in experimental settings with theory testing in applied real-life settings. As evidence gathered in this manner accumulates, a cumulative science of behaviour change can develop.

摘要

有必要巩固我们行为改变方法工具箱所依据的证据基础。近期为此所做的努力对行为改变干预措施的评估进行了元回归分析,从每种方法与干预效应大小的关联中得出其有效性。然而,存在一系列问题,令人担忧这种方法实际上是在推动还是阻碍健康心理学理论的发展以及健康行为改变干预措施的质量。通过理论、文献以及先前元分析的数据中的例子,对这些担忧及其影响进行了解释和说明。提出了一个证据基础积累的迭代方案,该方案整合了来自实验性和应用性的行为改变研究的证据,并将实验环境中的理论发展与应用于现实生活环境中的理论检验相结合。随着以这种方式收集的证据不断积累,行为改变的累积科学便能够得以发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57f/4376231/517c4ec786bd/rhpr-9-001-g001.jpg

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