Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL.
Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL.
Arch Phys Med Rehabil. 2021 Sep;102(9):1788-1800. doi: 10.1016/j.apmr.2021.01.071. Epub 2021 Feb 5.
To identify and summarize the behavior change techniques (BCTs) included in behavior change interventions for promoting physical activity in persons with multiple sclerosis (MS).
PubMed, PsycINFO, Cumulative Index to Nursing and Allied Health Complete, Scopus, and Embase were initially searched in November 2019, and data extraction began in June 2020.
The inclusion criteria for studies were: adults older than 18 years with diagnosed MS, English language, clinical trial designs (ie, pre-post or randomized controlled trials), group or individual interventions, and home or community-based settings wherein physical activity was defined as a primary or secondary outcome. Exclusion criteria for studies included protocol manuscripts pending results, case studies, studies focused on populations with multiple chronic diseases, and interventions targeting multiple behaviors. Two researchers completed screening for study selection, and a third researcher served as a referee. Of the initially identified 8681 studies, 54 studies met selection criteria.
Data extraction was completed by 3 researchers. Each article was coded by 2 of the 3 researchers, and a fourth researcher resolved discrepancies. Data extracted from each paper included study title, authors, country, year, sample size, study design, intervention details, physical activity outcomes, and BCTs.
Thirty-eight unique behavior change interventions were identified, and 53 of the 93 possible BCTs were included across the studies. The mean number of BCTs per study was 15, and studies and effect sizes across studies ranged from 0.04-1.49.
This review provides a comprehensive overview of BCTs as the active ingredients in behavior change interventions targeting physical activity in MS. Results from this study provide a compendium for future intervention development for increasing physical activity and improving overall health in MS.
确定并总结多发性硬化症患者身体活动促进行为改变干预措施中包含的行为改变技术（BCT）。
2019 年 11 月首次在 PubMed、PsycINFO、护理学及相关健康综合索引、Scopus 和 Embase 中进行了检索，数据提取始于 2020 年 6 月。
纳入研究的标准为：年龄大于 18 岁、被诊断为多发性硬化症、使用英语、临床试验设计（即，前后或随机对照试验）、群体或个体干预以及以家庭或社区为基础、将身体活动定义为主要或次要结局的研究。排除标准为研究方案手稿待结果公布、病例研究、关注多种慢性疾病人群的研究以及针对多种行为的干预措施。最初确定的 8681 项研究中，有 54 项符合选择标准。
由 3 位研究人员完成数据提取。每篇文章均由 3 位研究人员中的 2 位进行编码，第 4 位研究人员解决分歧。从每篇文章中提取的数据包括研究标题、作者、国家、年份、样本量、研究设计、干预细节、身体活动结局和 BCT。
确定了 38 项独特的行为改变干预措施，涵盖了研究中的 93 项 BCT 中的 53 项。每项研究的 BCT 平均数为 15，研究和研究间效应大小的范围为 0.04-1.49。
本综述全面概述了多发性硬化症患者身体活动促进行为改变干预措施中的 BCT，是干预措施的有效成分。本研究的结果为未来增加身体活动和改善多发性硬化症患者整体健康的干预措施开发提供了参考资料。
