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开发基于个体化微信小程序的干预措施以增加代谢综合征个体对饮食建议的依从性，应用行为改变轮。

Development of an individualized WeChat mini program-based intervention to increase adherence to dietary recommendations applying the behaviour change wheel among individuals with metabolic syndrome.

机构信息

Nursing Department, Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

School of Nursing, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Ann Med. 2023;55(2):2267587. doi: 10.1080/07853890.2023.2267587. Epub 2023 Oct 29.

DOI:10.1080/07853890.2023.2267587
PMID:37898907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10836251/
Abstract

BACKGROUND

Metabolic Syndrome (MetS) is a serious public health issue. Dietary changes form the core of MetS treatment. The adherence to dietary recommendations is critical for reducing the severity of MetS components and preventing complications. However, the adherence to dietary recommendations was not adequate among adults with MetS. This study utilizes the Behaviour Change Wheel (BCW) to develop an individualized WeChat mini program-based behavioural change intervention aimed at strengthening adherence to dietary recommendations in people with MetS.

METHODS

The BCW theory was used to design an individualized WeChat mini program-based behavioural change intervention. A descriptive qualitative study was conducted to identify the determinants of adherence to dietary recommendations in individuals with MetS. The study was conducted at the health promotion centre of a prominent general university hospital in Zhejiang, China. Subsequently, the intervention functions (IFs) and policy categories were selected following the identified determinants. Afterwards, behaviour change techniques (BCTs) were chosen to translate into potential intervention strategies, and the delivery mode was determined.

RESULTS

Our study identified fifteen barriers to improve the adherence to dietary recommendations in this population. These were linked with six IFs: education, training, persuasion, enablement, modelling, and environmental restructuring. Then, twelve BCTs were linked with the IFs and fifteen barriers. The delivery mode was a WeChat mini program. After these actions, an individualized WeChat mini program-based behavioural change intervention was developed to enhance adherence to dietary recommendations for individuals with MetS.

CONCLUSIONS

The BCW theory helped scientifically and systematically develop an individualized WeChat mini program-based behavioural change intervention for individuals with MetS. In the future, our research team will refine and upgrade the WeChat mini program and then test the usability and effectiveness of the individualized WeChat mini program-based behavioural change intervention program.

摘要

背景

代谢综合征（MetS）是一个严重的公共卫生问题。饮食改变是 MetS 治疗的核心。坚持饮食建议对于减轻 MetS 成分的严重程度和预防并发症至关重要。然而，代谢综合征患者对饮食建议的依从性并不理想。本研究利用行为改变轮（BCW）为目标人群开发基于微信小程序的个性化行为改变干预措施，以加强代谢综合征患者对饮食建议的依从性。

方法

采用 BCW 理论设计基于微信小程序的个性化行为改变干预措施。开展描述性定性研究，确定代谢综合征患者对饮食建议依从性的决定因素。研究在浙江某知名综合大学附属医院的健康促进中心进行。随后，根据确定的决定因素选择干预功能（IFs）和政策类别。然后，选择行为改变技术（BCTs）将其转化为潜在的干预策略，并确定传递模式。

结果

我们的研究确定了提高该人群对饮食建议依从性的十五个障碍。这些障碍与六个 IFs 相关：教育、培训、说服、赋权、示范和环境重构。然后，十二个 BCTs 与 IFs 和十五个障碍相关联。传递模式为微信小程序。采取这些措施后，开发了一种基于微信小程序的个性化行为改变干预措施，以提高代谢综合征患者对饮食建议的依从性。

结论

BCW 理论有助于科学系统地为代谢综合征患者开发基于微信小程序的个性化行为改变干预措施。未来，我们的研究团队将对微信小程序进行细化和升级，然后测试基于微信小程序的个性化行为改变干预计划的可用性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444b/10836251/129ef21dea8e/IANN_A_2267587_F0009_C.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/444b/10836251/782474cd465b/IANN_A_2267587_F0006_C.jpg
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