文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

运用行为改变轮盘开发一款智能手机应用程序“保持活跃”,以增加妊娠期糖尿病女性的身体活动量。

Applying the behaviour change wheel to develop a smartphone application 'stay-active' to increase physical activity in women with gestational diabetes.

机构信息

Department of Sport and Exercise Medicine, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Windmill Road, Oxford, OX3 7LD, UK.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England.

出版信息

BMC Pregnancy Childbirth. 2022 Mar 26;22(1):253. doi: 10.1186/s12884-022-04539-9.


DOI:10.1186/s12884-022-04539-9
PMID:35346075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8962081/
Abstract

BACKGROUND: Physical activity (PA) interventions are an important but underutilised component in the management of gestational diabetes mellitus (GDM). The challenge remains how to deliver cost effective PA interventions that have impact on individual behaviour. Digital technologies can support and promote PA remotely at scale. We describe the development of a behaviourally informed smartphone application (Stay-Active) for women attending an NHS GDM clinic. Stay-Active will support an existing motivational interviewing intervention to increase and maintain PA in this population. METHODS: The behaviour change wheel (BCW) eight step theoretical approach was used to design the application. It provided a systematic approach to understanding the target behaviour, identifying relevant intervention functions, and specifying intervention content. The target behaviour was to increase and maintain PA. To obtain a behavioural diagnosis, qualitative evidence was combined with focus groups on the barriers and facilitators to PA in women with GDM. The findings were mapped onto the Capability Opportunity Motivation-Behaviour (COM-B) model and Theoretical Domains Framework to identify what needs to change for the target behaviour and linked to appropriate intervention functions. Finally, behaviour changes techniques (BCT) and modes of delivery that are most likely to serve the intervention functions were selected. Current evidence, patient focus groups and input from key stakeholders informed Stay-Active's development. RESULTS: We found that psychological capability, reflective and automatic motivation, social and physical opportunity needed to change to increase PA in women with GDM. The four key intervention functions identified were Enablement, Education, Persuasion and Training. Stay-Active incorporates these four intervention functions delivering ten BCTs including: goal setting, credible source, self-monitoring, action planning, prompts and cues. The final design of Stay-Active delivers these BCTs via an educational resource centre, with goal setting and action planning features, personalised performance feedback and individualised promotional messages. CONCLUSION: The BCW has enabled the systematic and comprehensive development of Stay-Active to promote PA in women with GDM within an NHS Maternity service. The next phase is to conduct a trial to assess the feasibility and acceptability of a multi-component intervention that combines Stay-Active with PA Motivational Interviewing.

摘要

背景:身体活动(PA)干预是管理妊娠糖尿病(GDM)的重要但未充分利用的组成部分。挑战仍然是如何提供具有成本效益的 PA 干预措施,从而对个人行为产生影响。数字技术可以大规模地支持和促进远程 PA。我们描述了为在 NHS GDM 诊所就诊的女性开发的一种基于行为的智能手机应用程序(Stay-Active)。Stay-Active 将支持现有的动机访谈干预措施,以增加和维持该人群的 PA。

方法:应用行为变化轮(BCW)的八步理论方法来设计应用程序。它为理解目标行为、确定相关干预功能以及指定干预内容提供了系统的方法。目标行为是增加和维持 PA。为了进行行为诊断,结合了关于 GDM 女性 PA 障碍和促进因素的焦点小组的定性证据。研究结果被映射到能力机会动机-行为(COM-B)模型和理论领域框架上,以确定目标行为需要改变的内容,并与适当的干预功能相关联。最后,选择了最有可能为干预功能服务的行为改变技术(BCT)和交付模式。当前的证据、患者焦点小组和关键利益相关者的投入为 Stay-Active 的开发提供了信息。

结果:我们发现,在 GDM 女性中增加 PA 需要改变心理能力、反思和自动动机、社会和物理机会。确定的四个关键干预功能是赋权、教育、说服和培训。Stay-Active 包含这四个干预功能,提供十种 BCT,包括:目标设定、可信来源、自我监测、行动计划、提示和线索。Stay-Active 的最终设计通过教育资源中心提供这些 BCT,具有目标设定和行动计划功能、个性化绩效反馈和个性化促销信息。

结论:BCW 使 Stay-Active 的系统和全面开发成为可能,以促进 NHS 产科服务中 GDM 女性的 PA。下一阶段是进行一项试验,评估将 Stay-Active 与 PA 动机访谈相结合的多组件干预措施的可行性和可接受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a10/8962081/7e1b51d58bad/12884_2022_4539_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a10/8962081/5487d986f9c5/12884_2022_4539_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a10/8962081/7e1b51d58bad/12884_2022_4539_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a10/8962081/5487d986f9c5/12884_2022_4539_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a10/8962081/7e1b51d58bad/12884_2022_4539_Fig2_HTML.jpg

相似文献

[1]
Applying the behaviour change wheel to develop a smartphone application 'stay-active' to increase physical activity in women with gestational diabetes.

BMC Pregnancy Childbirth. 2022-3-26

[2]
A feasibility study using motivational interviewing and a smartphone application to promote physical activity (+Stay-Active) for women with gestational diabetes.

BMC Pregnancy Childbirth. 2024-5-14

[3]
Study protocol: use of a smartphone application to support the implementation of a complex physical activity intervention (+) in women with gestational diabetes mellitus-protocol for a non-randomised feasibility study.

BMJ Open. 2022-9-28

[4]
Developing the PEAK mood, mind, and marks program to support university students' mental and cognitive health through physical exercise: a qualitative study using the Behaviour Change Wheel.

BMC Public Health. 2024-7-23

[5]
Using the COM-B model and Behaviour Change Wheel to develop a theory and evidence-based intervention for women with gestational diabetes (IINDIAGO).

BMC Public Health. 2023-5-15

[6]
The DAFNEplus programme for sustained type 1 diabetes self management: Intervention development using the Behaviour Change Wheel.

Diabet Med. 2021-5

[7]
Designing the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) self-management and support programme for UK African and Caribbean communities: a culturally tailored, complex intervention under-pinned by behaviour change theory.

BMC Public Health. 2019-8-20

[8]
Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer.

BMC Pregnancy Childbirth. 2018-4-11

[9]
Descriptive contents analysis of ParticiPAte CP: a participation-focused intervention to promote physical activity participation in children with cerebral palsy.

Disabil Rehabil. 2022-11

[10]
A Co-design approach to develop a motivational intervention to promote physical activity engagement and maintenance among individuals in residential substance use disorder treatment settings.

Psychol Sport Exerc. 2025-5

引用本文的文献

[1]
A Digital Lifestyle App for Hypertension During Pregnancy: Mixed Methods Intervention Development Study Using the Person-Based Approach.

JMIR Form Res. 2025-7-18

[2]
Development of a Physical Activity Maintenance intervention for people with PERsistent musculoskeletal pain (PAMPER): a mixed-methods study protocol.

BMJ Open. 2025-6-10

[3]
User Perceptions of Behavioral Change Strategies in Diabetes Apps: Feedback From Online Support Groups.

J Diabetes Sci Technol. 2025-5-24

[4]
Development and usability of the "Cognitive Evergreenland" app to engage individuals at high risk of dementia in lifestyle interventions.

Sci Rep. 2025-3-15

[5]
A physical activity counseling intervention to promote health among pregnant women: a study protocol of randomized clinical trial.

BMC Pregnancy Childbirth. 2025-3-8

[6]
A qualitative evaluation of the effectiveness of behaviour change techniques used in the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) intervention.

BMC Public Health. 2025-2-11

[7]
Designing a behaviour change intervention to address the behavioural risk factors for stillbirth: A study protocol.

HRB Open Res. 2023-7-26

[8]
Behavioral Intervention Functions in Type 2 Diabetes Apps: Literature Review.

J Diabetes Sci Technol. 2024-12-23

[9]
Personalized and Culturally Tailored Features of Mobile Apps for Gestational Diabetes Mellitus and Their Impact on Patient Self-Management: Scoping Review.

JMIR Diabetes. 2024-12-12

[10]
Women's perspectives to improve prenatal care for gestational diabetes: A systematic review and meta-aggregation of qualitative studies.

Acta Obstet Gynecol Scand. 2025-2

本文引用的文献

[1]
The use of the behaviour change wheel in the development of ParticipACTION's physical activity app.

Prev Med Rep. 2020-10-11

[2]
Effect of motivational interviewing on gestational weight gain and fetal growth in pregnant women with type 2 diabetes.

BMJ Open Diabetes Res Care. 2019-11-7

[3]
Breaking barriers: using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time.

BMC Public Health. 2019-8-16

[4]
Short- and Long-term Effects of a Mobile Phone App in Conjunction With Brief In-Person Counseling on Physical Activity Among Physically Inactive Women: The mPED Randomized Clinical Trial.

JAMA Netw Open. 2019-5-3

[5]
Women with gestational diabetes mellitus want clear and practical messages from credible sources about physical activity during pregnancy: a qualitative study.

J Physiother. 2018-12-17

[6]
Physical activity level in women with gestational diabetes mellitus: Lifestyle INtervention for Diabetes prevention After pregnancy (LINDA-Brasil) study.

J Diabetes. 2018-12-4

[7]
Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review.

Obes Sci Pract. 2018-9-4

[8]
The Effect of Physical Activity Interventions Comprising Wearables and Smartphone Applications on Physical Activity: a Systematic Review and Meta-analysis.

Sports Med Open. 2018-9-3

[9]
Enablers and barriers to physical activity in overweight and obese pregnant women: an analysis informed by the theoretical domains framework and COM-B model.

BMC Pregnancy Childbirth. 2018-5-21

[10]
Enablers and barriers for women with gestational diabetes mellitus to achieve optimal glycaemic control - a qualitative study using the theoretical domains framework.

BMC Pregnancy Childbirth. 2018-4-11

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

推荐工具

医学文档翻译智能文献检索