Ahmann Elizabeth, Saviet Micah, Conboy Lisa, Smith Katherine, Iachini Barbara, DeMartin Ron
Maryland University of Integrative Health, Laurel, MD, USA & Springer Institute, Cheverly, MD, USA.
Springer Institute, Cheverly, MD, USA.
Am J Lifestyle Med. 2023 Jun 20;18(2):162-180. doi: 10.1177/15598276231180117. eCollection 2024 Mar-Apr.
The Transtheoretical Model of Change identifies key stages in behavior change, including a maintenance stage occurring when a behavior has been upheld for at least 6 months. Health and wellness coaching has demonstrated support for health behavior change, but maintenance of gains has received little attention. Our rapid systematic literature review characterizes both the research exploring sustained gains with health and wellness coaching and what is known about sustained gains after the completion of a health and wellness coaching engagement. Guided by The Cochrane Rapid Reviews Methods Group "Interim Guidance," we drew 231 studies from the 2018 and 2020 Sforzo et al "Compendium of the health and wellness coaching literature," and "Addendum…" appendices. Initial screening and coding for inclusion and exclusion criteria yielded 28 studies for data extraction. We examined studies across outcome categories (physiological, behavioral, psychological, and health risk assessment) to determine whether outcome measures were: not sustained; partially sustained; fully sustained; or improved from immediate post-intervention to a later follow-up period. Twenty-five of the 28 studies reviewed demonstrated partially, or fully, sustained or improved outcomes in one or more variables studied, with sustained gains demonstrated across outcome categories, strengthening confidence in HWC as a facilitator of lasting change.
行为改变的跨理论模型确定了行为改变的关键阶段，包括当一种行为持续至少6个月时出现的维持阶段。健康与福祉指导已被证明有助于健康行为的改变，但对维持所取得的成果却很少受到关注。我们的快速系统文献综述描述了探索健康与福祉指导带来的持续成果的研究，以及在健康与福祉指导结束后关于持续成果的已知情况。在Cochrane快速综述方法小组的“临时指南”的指导下，我们从2018年和2020年Sforzo等人的“健康与福祉指导文献汇编”以及“附录……”附录中提取了231项研究。对纳入和排除标准进行初步筛选和编码后，得到28项研究用于数据提取。我们检查了跨结果类别的研究（生理、行为、心理和健康风险评估），以确定结果测量是否为：未持续；部分持续；完全持续；或从干预后立即到后期随访期有所改善。所审查的28项研究中有25项表明，在一个或多个研究变量中，结果部分或完全得到了持续或改善，且在各个结果类别中都显示出持续的成果，这增强了人们对健康与福祉指导作为持久改变促进因素的信心。
