Suppr超能文献

识别基于群体的健康行为改变干预中的变化过程:基于群体干预行动机制(MAGI)框架的开发

Identifying change processes in group-based health behaviour-change interventions: development of the mechanisms of action in group-based interventions (MAGI) framework.

作者信息

Borek Aleksandra J, Abraham Charles, Greaves Colin J, Gillison Fiona, Tarrant Mark, Morgan-Trimmer Sarah, McCabe Rose, Smith Jane R

机构信息

University of Exeter Medical School, University of Exeter, Exeter, UK.

Department for Health, University of Bath, Bath, UK.

出版信息

Health Psychol Rev. 2019 Sep;13(3):227-247. doi: 10.1080/17437199.2019.1625282. Epub 2019 Jun 13.

Abstract

Group-based interventions are widely used to promote health-related behaviour change. While processes operating in groups have been extensively described, it remains unclear how behaviour change is generated in group-based health-related behaviour-change interventions. Understanding how such interventions facilitate change is important to guide intervention design and process evaluations. We employed a mixed-methods approach to identify, map and define change processes operating in group-based behaviour-change interventions. We reviewed multidisciplinary literature on group dynamics, taxonomies of change technique categories, and measures of group processes. Using weight-loss groups as an exemplar, we also reviewed qualitative studies of participants' experiences and coded transcripts of 38 group sessions from three weight-loss interventions. Finally, we consulted group participants, facilitators and researchers about our developing synthesis of findings. The resulting 'Mechanisms of Action in Group-based Interventions' (MAGI) framework comprises six overarching categories: (1) group intervention design features, (2) facilitation techniques, (3) group dynamic and development processes, (4) inter-personal change processes, (5) selective intra-personal change processes operating in groups, and (6) contextual influences. The framework provides theoretical explanations of how change occurs in group-based behaviour-change interventions and can be applied to optimise their design and delivery, and to guide evaluation, facilitator training and further research.

摘要

基于群体的干预措施被广泛用于促进与健康相关的行为改变。虽然群体中运作的过程已被广泛描述,但在基于群体的与健康相关的行为改变干预中,行为改变是如何产生的仍不清楚。了解此类干预措施如何促进改变对于指导干预设计和过程评估很重要。我们采用了混合方法来识别、梳理和定义在基于群体的行为改变干预中运作的改变过程。我们回顾了关于群体动力学、改变技术类别的分类法以及群体过程测量的多学科文献。以减肥群体为例,我们还回顾了关于参与者体验的定性研究,并对来自三项减肥干预措施的38次群体会议记录进行了编码。最后,我们就我们正在形成的研究结果综合咨询了群体参与者、促进者和研究人员。由此产生的“基于群体的干预措施中的作用机制”(MAGI)框架包括六个总体类别:(1)群体干预设计特征,(2)促进技术,(3)群体动态和发展过程,(4)人际改变过程,(5)在群体中运作的选择性个体内改变过程,以及(6)背景影响。该框架为基于群体的行为改变干预中如何发生改变提供了理论解释,可用于优化其设计和实施,并指导评估、促进者培训和进一步研究。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验