为什么我们不能“说做就做”：理解生活方式医学中的意图-行为差距。
Why We Don't "Just Do It": Understanding the Intention-Behavior Gap in Lifestyle Medicine.
作者信息
Faries Mark D
机构信息
Stephen F. Austin State University and College of Medicine, Texas A&M University, Nacogdoches, Texas.
出版信息
Am J Lifestyle Med. 2016 Jun 22;10(5):322-329. doi: 10.1177/1559827616638017. eCollection 2016 Sep-Oct.
Abstract
Intention can be a poor predictor of actual health behavior change-now termed the . In other words, although patients intend to change and maintain their behavior, the data suggest that many will not follow through with their intention. This review introduces 5 factors that could help the practitioner understand the patient intention-behavior gap: (1) the motivation, (2) the trigger, (3) the response, (4) the capacity, and (4) the process. These key factors allow the lifestyle medicine practitioner to (1) understand the difficulties in changing patient behavior and (2) apply strategies to encourage successful change and maintenance of healthy lifestyle behavior in their patients.
摘要
意图可能并不是实际健康行为改变的良好预测指标——现在称之为……。换句话说，尽管患者打算改变并维持他们的行为，但数据表明许多人不会将意图贯彻到底。本综述介绍了5个有助于从业者理解患者意图与行为差距的因素：（1）动机，（2）触发因素，（3）反应，（4）能力，以及（4）过程。这些关键因素使生活方式医学从业者能够（1）理解改变患者行为的困难，以及（2）应用策略来鼓励患者成功改变并维持健康的生活方式行为。
相似文献
1
Why We Don't "Just Do It": Understanding the Intention-Behavior Gap in Lifestyle Medicine.为什么我们不能“说做就做”：理解生活方式医学中的意图-行为差距。
Am J Lifestyle Med. 2016 Jun 22;10(5):322-329. doi: 10.1177/1559827616638017. eCollection 2016 Sep-Oct.
3
Education-based disparities in knowledge of novel health risks: The case of knowledge gaps in HIV risk perceptions.基于教育的新型健康风险知识差距：以 HIV 风险认知中的知识差距为例。
Br J Health Psychol. 2018 May;23(2):420-435. doi: 10.1111/bjhp.12297. Epub 2018 Jan 31.
4
Using the temporal self-regulation theory to examine the influence of environmental cues on maintaining a healthy lifestyle.利用时间自我调节理论研究环境线索对维持健康生活方式的影响。
Br J Health Psychol. 2013 Nov;18(4):745-62. doi: 10.1111/bjhp.12015. Epub 2012 Dec 21.
5
Supporting Sustainable Food Consumption: Mental Contrasting with Implementation Intentions (MCII) Aligns Intentions and Behavior.支持可持续食品消费：将心理对比与执行意图相结合（MCII）可使意图与行为保持一致。
Front Psychol. 2016 Apr 29;7:607. doi: 10.3389/fpsyg.2016.00607. eCollection 2016.
6
Promoting and supporting self-management for adults living in the community with physical chronic illness: A systematic review of the effectiveness and meaningfulness of the patient-practitioner encounter.促进和支持社区中患有慢性身体疾病的成年人进行自我管理：对医患互动的有效性和意义的系统评价。
JBI Libr Syst Rev. 2009;7(13):492-582. doi: 10.11124/01938924-200907130-00001.
7
How to bridge the intention-behavior gap in food parenting: Automatic constructs and underlying techniques.如何弥合食品养育中的意图-行为差距：自动构建和潜在技术。
Appetite. 2018 Apr 1;123:191-200. doi: 10.1016/j.appet.2017.12.016. Epub 2017 Dec 24.
8
Behavioral Disinhibition Can Foster Intentions to Healthy Lifestyle Change by Overcoming Commitment to Past Behavior.行为抑制可通过克服对过去行为的执着来促进健康生活方式改变的意图。
PLoS One. 2015 Nov 11;10(11):e0142489. doi: 10.1371/journal.pone.0142489. eCollection 2015.
9
Social-cognitive factors of long-term physical exercise 7 years after orthopedic treatment.骨科治疗7年后长期体育锻炼的社会认知因素
Rehabil Psychol. 2017 May;62(2):89-99. doi: 10.1037/rep0000136.
10
From intention to behavior: Comprehending residents' waste sorting intention and behavior formation process.从意图到行为：理解居民垃圾分类意图和行为形成过程。
Waste Manag. 2020 Jul 15;113:41-50. doi: 10.1016/j.wasman.2020.05.031. Epub 2020 Jun 3.
引用本文的文献
1
Reducing meat consumption: Results from a German survey on attitudes, behaviour and willingness to change among adults.减少肉类消费：一项关于德国成年人态度、行为及改变意愿的调查结果
PLoS One. 2025 Aug 13;20(8):e0328346. doi: 10.1371/journal.pone.0328346. eCollection 2025.
2
Explaining adherence to contrasted physical activity and nutrition scenarios in post-treatment childhood cancer patients: A cross-sectional study using variables from the Theory of Planned Behavior.解释儿童癌症患者治疗后对不同体育活动和营养方案的依从性：一项使用计划行为理论变量的横断面研究。
Health Psychol Open. 2025 Jun 18;12:20551029251349874. doi: 10.1177/20551029251349874. eCollection 2025 Jan-Dec.
3
Association of Technology-Related Skills and Self-Efficacy With Willingness to Participate in Heart Failure Telemonitoring: Cross-Sectional Observational Study.与技术相关的技能和自我效能感与参与心力衰竭远程监测意愿的关联：横断面观察性研究
JMIR Form Res. 2025 Jun 12;9:e68992. doi: 10.2196/68992.
4
Communities against cancer: a qualitative study assessing the effectiveness of a community engagement initiative in improving cancer awareness for marginalised communities.社区抗癌：一项定性研究，评估社区参与倡议在提高边缘化社区癌症意识方面的有效性。
BMC Public Health. 2025 May 31;25(1):2011. doi: 10.1186/s12889-025-23179-0.
5
The Role of Optimism and Self-Efficacy in the Relationship between Academic Stress and Depressive Symptoms in Medical Students Including the Use and Knowledge of Structural Health Promotion Offers.乐观和自我效能感在医学生学业压力与抑郁症状关系中的作用，包括对结构性健康促进服务的利用和认知
Med Sci Educ. 2024 Dec 18;35(2):807-822. doi: 10.1007/s40670-024-02240-4. eCollection 2025 Apr.
6
We move together: a realist evaluation of the Safe Motherhood Action Groups in Eastern Province, Zambia.我们携手共进：对赞比亚东部省安全孕产行动小组的现实主义评估。
BMJ Glob Health. 2025 Apr 22;10(4):e015961. doi: 10.1136/bmjgh-2024-015961.
7
An Online Evidence-Based Education Resource Is Useful and Can Change People's Perceptions About Running and Knee Health.一个基于证据的在线教育资源很有用，并且可以改变人们对跑步与膝盖健康的看法。
JOSPT Open. 2024 Jul;2(3):246-255. doi: 10.2519/josptopen.2024.0149. Epub 2024 Jun 21.
8
Patient Adoption of Digital Use Cases in Family Medicine and a Nuanced Implementation Approach for Family Doctors: Quantitative Web-Based Survey Study.家庭医学中患者对数字用例的采用情况以及家庭医生的细致实施方法：基于网络的定量调查研究
JMIR Form Res. 2025 Mar 5;9:e58867. doi: 10.2196/58867.
9
Smoking and contraception containing ethinylestradiol: A mixed-methods study into women's intentions to quit smoking.吸烟与含乙炔雌二醇的避孕药：一项关于女性戒烟意愿的混合方法研究。
Womens Health (Lond). 2024 Jan-Dec;20:17455057241307085. doi: 10.1177/17455057241307085.
10
Psychological Factors That Contribute to the Use of Video Consultations in Health Care: Systematic Review.促成医疗保健中使用视频会诊的心理因素：系统评价
J Med Internet Res. 2024 Dec 11;26:e54636. doi: 10.2196/54636.
本文引用的文献
1
Can personality close the intention-behavior gap for healthy eating? An examination with the HEXACO personality traits.人格特质能弥合健康饮食中的意图-行为差距吗？基于HEXACO人格特质的考察
Psychol Health Med. 2016 Oct;21(7):845-55. doi: 10.1080/13548506.2015.1112416. Epub 2015 Nov 20.
2
Effects of Acute Aerobic Exercise on Executive Function in Older Women.急性有氧运动对老年女性执行功能的影响。
J Sports Sci Med. 2015 Aug 11;14(3):574-83. eCollection 2015 Sep.
3
Promoting the translation of intentions into action by implementation intentions: behavioral effects and physiological correlates.通过执行意图将意图转化为行动：行为效应及生理关联
Front Hum Neurosci. 2015 Jul 14;9:395. doi: 10.3389/fnhum.2015.00395. eCollection 2015.
4
Mediterranean Diet and Age-Related Cognitive Decline: A Randomized Clinical Trial.地中海饮食与与年龄相关的认知衰退：一项随机临床试验。
JAMA Intern Med. 2015 Jul;175(7):1094-1103. doi: 10.1001/jamainternmed.2015.1668.
5
Coping with Weight-related Discrepancies: Initial Development of the WEIGHTCOPE.应对与体重相关的差异：体重应对量表（WEIGHTCOPE）的初步开发
Womens Health Issues. 2015 May-Jun;25(3):267-75. doi: 10.1016/j.whi.2015.02.003. Epub 2015 Apr 2.
6
Differential Effects of Acute Exercise on Distinct Aspects of Executive Function.急性运动对执行功能不同方面的差异化影响。
Med Sci Sports Exerc. 2015 Jul;47(7):1460-9. doi: 10.1249/MSS.0000000000000542.
7
Can personality bridge the intention-behavior gap to predict who will exercise?人格特质能否弥合意图与行为之间的差距，从而预测谁会进行锻炼？
Am J Health Behav. 2015 Jan;39(1):140-7. doi: 10.5993/AJHB.39.1.15.
8
Approach, avoidance and weight-related testing: An investigation of frontal EEG asymmetry.趋近、回避与体重相关测试：前额叶脑电图不对称性研究
Psychol Health Med. 2015;20(7):790-801. doi: 10.1080/13548506.2014.959530. Epub 2014 Sep 15.
9
Executive function moderates the intention-behavior link for physical activity and dietary behavior.执行功能调节身体活动和饮食行为的意图-行为关系。
Psychol Health. 2008;23(3):309-26. doi: 10.1080/14768320701212099.
10
Individual differences in executive function predict distinct eating behaviours.个体在执行功能上的差异可以预测不同的饮食行为。
Appetite. 2014 Sep;80:123-30. doi: 10.1016/j.appet.2014.05.007. Epub 2014 May 15.
Zotero 插件