Warner Lisa M, Wolff Julia K, Ziegelmann Jochen P, Schwarzer Ralf, Wurm Susanne
a Health Psychology , Freie Universität Berlin , Berlin , Germany.
b German Centre of Gerontology , Berlin , Germany.
Psychol Health. 2016 Oct;31(10):1145-65. doi: 10.1080/08870446.2016.1185523. Epub 2016 May 24.
A randomised controlled trial (RCT) was conducted to evaluate a three-hour face-to-face physical activity (PA) intervention in community-dwelling older German adults with four groups: The intervention group (IG) received behaviour change techniques (BCTs) based on the health action process approach plus a views-on-ageing component to increase PA. The second intervention group 'planning' (IGpl) contained the same BCTs, only substituted the views-on-ageing component against an additional planning task. An active control group received the same BCTs, however, targeting volunteering instead of PA. A passive control group (PCG) received no intervention.
The RCT comprised 5 time-points over 14 months in N = 310 participants aged 64+.
Self-reported as well as accelerometer-assessed PA.
Neither PA measure increased in the IG as compared to the other groups at any point in time. Bayes analyses supported these null-effects.
A possible explanation for this null-finding in line with a recent meta-analysis is that some self-regulatory BCTs may be ineffective or even negatively associated with PA in interventions for older adults as they are assumed to be less acceptable for older adults. This interpretation was supported by observed reluctance to participate in self-regulatory BCTs in the current study.
开展一项随机对照试验(RCT),以评估针对德国社区居住的老年成年人进行的为期三小时的面对面身体活动(PA)干预,分为四组:干预组(IG)接受基于健康行动过程方法的行为改变技术(BCTs),外加一个衰老观念组成部分以增加身体活动。第二个干预组“计划组”(IGpl)包含相同的行为改变技术,只是用一项额外的计划任务取代了衰老观念组成部分。一个积极对照组接受相同的行为改变技术,然而,目标是志愿服务而非身体活动。一个消极对照组(PCG)未接受任何干预。
该随机对照试验在310名64岁及以上的参与者中进行,为期14个月,包括5个时间点。
自我报告以及通过加速度计评估的身体活动。
与其他组相比,干预组在任何时间点的身体活动指标均未增加。贝叶斯分析支持了这些无效结果。
与最近的一项荟萃分析一致,这一无效结果的一个可能解释是,在针对老年人的干预中,一些自我调节的行为改变技术可能无效,甚至与身体活动呈负相关,因为它们被认为对老年人的可接受性较低。本研究中观察到的对参与自我调节行为改变技术的不情愿支持了这一解释。