Centre for Addiction and Mental Health, 100 Stokes Street, Toronto, Ontario, Canada.
Public Health Ontario, 480 University Avenue, Toronto, Ontario, Canada.
Syst Rev. 2018 Mar 1;7(1):38. doi: 10.1186/s13643-018-0702-0.
Health behaviors directly impact the health of individuals, and populations. Since individuals tend to engage in multiple unhealthy behaviors such as smoking, excessive alcohol use, physical inactivity, and eating an unhealthy diet simultaneously, many large community-based interventions have been implemented to reduce the burden of disease through the modification of multiple health behaviors. Smoking cessation can be particularly challenging as the odds of becoming dependent on nicotine increase with every unhealthy behavior a smoker exhibits. This paper presents a protocol for a rapid realist review which aims to identify factors associated with effectively changing tobacco use and target two or more additional unhealthy behaviors.
An electronic literature search will be conducted using the following bibliographic databases: MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), The Cochrane Library, Social Science Abstracts, Social Work Abstracts, and Web of Science. Two reviewers will screen titles and abstracts for relevant research, and the selected full papers will be used to extract data and assess the quality of evidence. Throughout this process, the rapid realist approach proposed by Saul et al., 2013 will be used to refine our initial program theory and identify contextual factors and mechanisms that are associated with successful multiple health behavior change.
This review will provide evidence-based research on the context and mechanisms that may drive the success or failure of interventions designed to support multiple health behavior change. This information will be used to guide curriculum and program development for a government funded project on improving smoking cessation by addressing multiple health behaviors in people in Canada.
PROSPERO CRD42017064430.
健康行为直接影响个人和人群的健康。由于个体倾向于同时从事多种不健康行为，如吸烟、过度饮酒、缺乏身体活动和不健康饮食，许多大型基于社区的干预措施已经实施，通过修改多种健康行为来减轻疾病负担。戒烟可能特别具有挑战性，因为吸烟者表现出的每一种不健康行为都会增加对尼古丁的依赖几率。本文介绍了一项快速现实主义审查的方案，旨在确定与有效改变烟草使用和针对两个或更多其他不健康行为相关的因素。
将使用以下书目数据库进行电子文献搜索：MEDLINE、Embase、PsycINFO、护理和联合健康文献累积索引（CINAHL）、考科兰图书馆、社会科学文摘、社会工作文摘和 Web of Science。两名审查员将筛选标题和摘要中的相关研究，选择的全文将用于提取数据并评估证据质量。在整个过程中，将使用 Saul 等人提出的快速现实主义方法，2013 年，以完善我们的初始方案理论，并确定与成功的多种健康行为改变相关的背景因素和机制。
该审查将提供有关可能推动旨在支持多种健康行为改变的干预措施成功或失败的背景和机制的循证研究。这些信息将用于指导加拿大政府资助的改善戒烟项目的课程和项目开发，该项目通过解决人们的多种健康行为来解决戒烟问题。
PROSPERO CRD42017064430。
