Cooper Kellie B, Lapierre Stephanie, Carrera Seoane Montserrat, Lindstrom Katie, Pritschmann Ricarda, Donahue Marissa, Christou Demetra D, McVay Megan A, Jake-Schoffman Danielle E
Department of Health Education and Behavior, University of Florida, Gainesville, FL 32611, USA.
Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL 32611, USA.
Transl Behav Med. 2023 Apr 15;13(4):268-280. doi: 10.1093/tbm/ibac111.
Given the broad benefits of physical activity (PA) but low PA levels among breast cancer survivors (i.e., women who have received a breast cancer diagnosis), innovative and evidence-based techniques are needed to motivate and support exercise. This study systematically reviews the use of behavior change techniques (BCTs) in digital PA interventions for breast cancer survivors. Studies were retrieved from five electronic databases and were included if they (i) sampled exclusively female breast cancer survivors aged >18 years, (ii) involved a digital intervention with the primary purpose of increasing PA, (iii) included a BCT component, (iv) used a randomized or quasi-randomized design, and (v) were published from January 2000 to May 2022. Two coders independently extracted data. Twenty primary studies met the inclusion criteria and were included in this review. All interventions used at least one BCT (mean 4 ± 1, range 2-13); self-monitoring (85%) and goal setting (79%) were the most common BCTs. Twelve of 20 (60%) studies reported improvements in PA behavior in the intervention vs. control group, and self-monitoring and goal setting were the most commonly used BCTs in these studies. Of the 93 total BCTs, 66 were not used in any interventions in the review, including critical constructs for PA behavior change (e.g., biofeedback). BCTs, important facilitators of PA behavior change, are being underutilized in digital PA interventions for breast cancer survivors. Future research should incorporate more diverse BCTs to explore if they can add to the effectiveness of digital interventions for this population.
鉴于体育活动（PA）具有广泛益处，但乳腺癌幸存者（即已被诊断患有乳腺癌的女性）的体育活动水平较低，因此需要创新且基于证据的技术来激励和支持锻炼。本研究系统回顾了行为改变技术（BCTs）在针对乳腺癌幸存者的数字化体育活动干预中的应用。研究从五个电子数据库中检索而来，如果它们（i）仅对年龄大于18岁的女性乳腺癌幸存者进行抽样，（ii）涉及以增加体育活动为主要目的的数字化干预，（iii）包括行为改变技术组成部分，（iv）采用随机或准随机设计，以及（v）发表于2000年1月至2022年5月，则被纳入。两名编码员独立提取数据。二十项主要研究符合纳入标准并被纳入本综述。所有干预措施至少使用了一种行为改变技术（平均4±1，范围2 - 13）；自我监测（85%）和目标设定（79%）是最常见的行为改变技术。20项研究中有12项（60%）报告干预组与对照组相比体育活动行为有改善，自我监测和目标设定是这些研究中最常用的行为改变技术。在总共93种行为改变技术中，有66种在本综述的任何干预措施中均未使用，包括体育活动行为改变的关键要素（如生物反馈）。行为改变技术是体育活动行为改变的重要促进因素，但在针对乳腺癌幸存者的数字化体育活动干预中未得到充分利用。未来的研究应纳入更多样化的行为改变技术，以探索它们是否能增强针对该人群的数字化干预效果。
