Physical Education Department, Hohai University, Nanjing 210024, China.
School of Educational Studies, Universiti Sains Malaysia, Penang 11800, Malaysia.
Int J Environ Res Public Health. 2022 Jun 15;19(12):7337. doi: 10.3390/ijerph19127337.
Planning interventions such as action planning (AP) and coping planning (CP) have been recognized as influential strategies in promoting physical activity (PA), but mixed results of existing evidence have been observed. This study aims to perform a systematical meta-analysis to evaluate the efficacy of planning interventions for improving PA in the general population. Eight databases, including Medline, Embase, PsycINFO, Cochrane Library, Web of Science, ProQuest, CNKI, and Wanfang Data, were searched to locate relevant randomized controlled trials (RCTs) from their inception to 31 December 2021. In total, 41 trials with 5439 samples were included in this systematic review, and 35 trials were used in our meta-analysis. The results showed that PA was better promoted in the planned intervention group compared to the control group (SMD = 0.35, 95% CI = 0.25-0.44, I = 61.4%). Based on the subgroup analyses, we found that planning strategies were more effective among patients, males, when adopting AP intervention, when using the face-to-face sessions delivery mode, and when reinforcements were conducted during the follow-up. The findings of this study indicate that planning interventions significantly improved PA behavior, and, in some contexts, the effects performed better. Future research needs to be conducted to explore the underlying mechanisms of planning interventions and validate their effects more extensively.
计划干预措施，如行动计划 (AP) 和应对计划 (CP)，已被认为是促进身体活动 (PA) 的有效策略，但现有的证据结果存在差异。本研究旨在进行系统的荟萃分析，以评估计划干预措施在普通人群中提高 PA 的效果。从建库至 2021 年 12 月 31 日，我们检索了包括 Medline、Embase、PsycINFO、Cochrane Library、Web of Science、ProQuest、CNKI 和万方在内的 8 个数据库，以查找相关的随机对照试验 (RCT)。共有 41 项试验，涉及 5439 个样本，被纳入本系统综述，其中 35 项试验纳入荟萃分析。结果表明，计划干预组的 PA 水平高于对照组 (SMD = 0.35, 95% CI = 0.25-0.44, I = 61.4%)。根据亚组分析，我们发现计划策略在患者、男性、采用 AP 干预、面对面会议模式、随访时进行强化时效果更好。本研究结果表明，计划干预措施显著改善了 PA 行为，在某些情况下效果更好。未来需要进一步研究探索计划干预措施的潜在机制，并更广泛地验证其效果。
