Center for Human Nutrition, Cleveland Clinic, Cleveland, OH;, Email:
Assistant Clinical Professor, School of Health Science, Merrimack College, North Andover, MA.
Am J Health Behav. 2020 Sep 1;44(5):559-571. doi: 10.5993/AJHB.44.5.2.
In this scoping review, we examine the current state of literature on weight-related Multiple Health Behavior Change (MHBC). Specifically, we investigate: (1) MHBC versus single health behavior change (SHBC) interventions and (2) simultaneous versus sequential MHBC approaches. Secondarily, we explore (3) attributes that predict success in MHBC, and (4) the utilization of theoretical frameworks. We retrieved studies from PubMed, Web of Science, and Google Scholar within the 2000 to 2018 range. MHBC interventions proved superior for long-term weight loss when compared to SHBC approaches. However, the literature is limited. Studies investigating simultaneous and sequential MHBC approaches are also limited and have mixed results. Predictive characteristics of MHBC include behavior adherence, risk level, stage of change, self-efficacy, social support, environmental barriers, and treatment approaches. Whereas evidence evaluating theory in MHBC programs remains scant, there is promising research on constructs from the Transtheoretical Model and Social Cognitive Theory. MHBC approaches may better support weight loss efforts. However, further research is needed to understand the effects of behavior change order and timing, predictive features of participants and interventions, and theoretical framework utilization in these weight-loss programs.
在本次范围综述中，我们研究了与体重相关的多重健康行为改变（MHBC）的文献现状。具体而言，我们调查了：（1）MHBC 与单一健康行为改变（SHBC）干预措施，以及（2）同时与顺序 MHBC 方法。其次，我们探讨了（3）预测 MHBC 成功的属性，以及（4）理论框架的利用。我们从 PubMed、Web of Science 和 Google Scholar 中检索了 2000 年至 2018 年期间的研究。与 SHBC 方法相比，MHBC 干预措施在长期体重减轻方面更具优势。然而，文献有限。同时和顺序 MHBC 方法的研究也很有限，结果各异。MHBC 的预测特征包括行为依从性、风险水平、改变阶段、自我效能、社会支持、环境障碍和治疗方法。虽然评估 MHBC 计划中理论的证据仍然很少，但来自跨理论模型和社会认知理论的建构方面有一些很有前景的研究。MHBC 方法可能更有助于支持减肥努力。然而，需要进一步研究以了解行为改变顺序和时间、参与者和干预措施的预测特征以及这些减肥计划中理论框架的利用对减肥效果的影响。
