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本文引用的文献

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Development and Evaluation of a Nutrition and Physical Activity Counseling Module for First-Year Medical Students.针对一年级医学生的营养与体育活动咨询模块的开发与评估
Med Educ Online. 2004 Dec;9(1):4359. doi: 10.3402/meo.v9i.4359.
2
If Exercise is Medicine, Where is Exercise in Medicine? Review of U.S. Medical Education Curricula for Physical Activity-Related Content.如果运动即良药,那么医学中的运动在哪里?对美国医学教育课程中与身体活动相关内容的综述。
J Phys Act Health. 2015 Sep;12(9):1336-43. doi: 10.1123/jpah.2014-0316. Epub 2014 Dec 2.
3
Physical activity counseling in medical school education: a systematic review.医学院校教育中的体育活动咨询:一项系统综述。
Med Educ Online. 2014 Jul 24;19:24325. doi: 10.3402/meo.v19.24325. eCollection 2014.
4
Changing minds, changing lives from the top down: an investigation of the dissemination and adoption of a Canada-wide educational intervention to enhance health care professionals' intentions to prescribe physical activity.自上而下改变观念,改变生活:一项关于在加拿大范围内开展的教育干预措施的传播与采用情况的调查,该干预旨在增强医疗保健专业人员开具体育活动处方的意愿。
Int J Behav Med. 2015 Jun;22(3):336-44. doi: 10.1007/s12529-014-9414-6.
5
'Changing minds': determining the effectiveness and key ingredients of an educational intervention to enhance healthcare professionals' intentions to prescribe physical activity to patients with physical disabilities.“改变观念”:确定一项教育干预措施的有效性及其关键要素,以增强医疗保健专业人员向身体残疾患者开具身体活动处方的意愿。
Implement Sci. 2014 Mar 1;9:30. doi: 10.1186/1748-5908-9-30.
6
The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions.行为改变技术分类(第 1 版):93 种分层聚类技术:为行为改变干预措施报告构建国际共识。
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Interactive effects of fitness and statin treatment on mortality risk in veterans with dyslipidaemia: a cohort study.健身与他汀类药物治疗对血脂异常退伍军人死亡率的交互影响:队列研究。
Lancet. 2013 Feb 2;381(9864):394-9. doi: 10.1016/S0140-6736(12)61426-3. Epub 2012 Nov 28.
8
Global physical activity levels: surveillance progress, pitfalls, and prospects.全球身体活动水平:监测进展、陷阱和展望。
Lancet. 2012 Jul 21;380(9838):247-57. doi: 10.1016/S0140-6736(12)60646-1.
9
Canadian Physical Activity Guidelines for the Early Years (aged 0-4 years).加拿大 0-4 岁儿童体育活动指南。
Appl Physiol Nutr Metab. 2012 Apr;37(2):345-69. doi: 10.1139/h2012-018. Epub 2012 Mar 27.
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Concurrent validation of the OMNI-resistance exercise scale of perceived exertion with Thera-band resistance bands.与Thera 带阻力带的 OMNI 抗阻运动感知用力量表的同时验证。
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将运动咨询纳入医学院课程:一种基于工作坊的行为改变技术方法。

Integrating Exercise Counseling Into the Medical School Curriculum: A Workshop-Based Approach Using Behavior Change Techniques.

作者信息

Brennan Andrea M, D'Urzo Katrina A, Fenuta Alyssa M, Houlden Robyn L, Tomasone Jennifer R

机构信息

School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada (AMB, KAD, AMF, JRT).

Division of Endocrinology, Queen's University, Kingston, Ontario, Canada (RLH).

出版信息

Am J Lifestyle Med. 2017 Jul 31;15(1):84-107. doi: 10.1177/1559827617722754. eCollection 2021 Jan-Feb.

DOI:10.1177/1559827617722754
PMID:33447173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7781054/
Abstract

Physician physical activity (PA) counseling remains low due partly to lack of knowledge, emphasizing the importance of providing learning opportunities to develop competency, given the strong associations between PA and health. This study aimed to describe the behavior change techniques (BCTs) used in an "Exercise Expo" workshop and examine the workshop's effectiveness for improving social cognitions to discuss exercise with patients. Second-year medical students (N = 54; M ± SD = 25.4 ± 2.95 years) completed questionnaires assessing attitudes, perceived behavior control (PBC), subjective norms, and intentions to provide PA counseling pre- and postworkshop. Repeated-measures analyses of variance evaluated changes in these theory of planned behavior constructs. The most used BCTs included presenting information from credible sources, with opportunities for practicing the behavior and receiving feedback. Significant increases in attitudes, PBC and intentions to discuss PA were observed from pre-post Exercise Expo ( ≤ .01). No statistically significant differences in subjective norms were observed ( = .06). The Exercise Expo significantly improved social cognitions for PA counseling among medical students. Future interventions should target improvements in subjective norms to increase the likelihood the workshop improves PA counseling behavior. The evidence supports the usefulness of a workshop-based educational strategy to enhance medical students' social cognitions for PA counseling.

摘要

由于缺乏相关知识,医生对身体活动(PA)的咨询水平仍然较低。鉴于PA与健康之间的紧密联系,提供学习机会以培养能力显得尤为重要。本研究旨在描述在“运动博览会”工作坊中使用的行为改变技术(BCTs),并检验该工作坊在改善与患者讨论运动的社会认知方面的有效性。二年级医学生(N = 54;M ± SD = 25.4 ± 2.95岁)在工作坊前后完成了问卷调查,评估他们对提供PA咨询的态度、感知行为控制(PBC)、主观规范和意图。重复测量方差分析评估了计划行为理论结构中的这些变化。最常用的BCTs包括提供来自可靠来源的信息,以及提供行为练习和接受反馈的机会。从运动博览会前到会后,观察到在讨论PA的态度、PBC和意图方面有显著增加(≤.01)。在主观规范方面未观察到统计学上的显著差异(=.06)。运动博览会显著改善了医学生对PA咨询的社会认知。未来的干预措施应针对改善主观规范,以增加工作坊改善PA咨询行为的可能性。证据支持基于工作坊的教育策略在增强医学生对PA咨询的社会认知方面的有用性。