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Characteristics of smartphone-based dietary assessment tools: a systematic review. 基于智能手机的饮食评估工具的特点:一项系统综述。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-12-01 DOI: 10.1080/17437199.2021.2016066
Laura M König, Miranda Van Emmenis, Johanna Nurmi, Aikaterini Kassavou, Stephen Sutton

Smartphones have become popular in assessing eating behaviour in real-life and real-time. This systematic review provides a comprehensive overview of smartphone-based dietary assessment tools, focusing on how dietary data is assessed and its completeness ensured. Seven databases from behavioural, social and computer science were searched in March 2020. All observational, experimental or intervention studies and study protocols using a smartphone-based assessment tool for dietary intake were included if they reported data collected by adults and were published in English. Out of 21,722 records initially screened, 117 publications using 129 tools were included. Five core assessment features were identified: photo-based assessment (48.8% of tools), assessed serving/ portion sizes (48.8%), free-text descriptions of food intake (42.6%), food databases (30.2%), and classification systems (27.9%). On average, a tool used two features. The majority of studies did not implement any features to improve completeness of the records. This review provides a comprehensive overview and framework of smartphone-based dietary assessment tools to help researchers identify suitable assessment tools for their studies. Future research needs to address the potential impact of specific dietary assessment methods on data quality and participants' willingness to record their behaviour to ultimately improve the quality of smartphone-based dietary assessment for health research.

智能手机在现实生活和实时评估饮食行为方面已经变得很流行。本系统综述提供了基于智能手机的饮食评估工具的全面概述,重点关注如何评估饮食数据及其完整性。2020年3月,研究人员对行为、社会和计算机科学领域的七个数据库进行了搜索。所有使用基于智能手机的饮食摄入评估工具的观察性、实验性或干预性研究和研究方案,如果它们报告的数据是由成年人收集的,并以英语发表,则都被纳入其中。在最初筛选的21,722份记录中,使用129种工具纳入了117份出版物。确定了五个核心评估特征:基于照片的评估(48.8%的工具),评估的服务/份量(48.8%),食物摄入的自由文本描述(42.6%),食物数据库(30.2%)和分类系统(27.9%)。平均而言,一个工具使用两个功能。大多数研究没有实现任何功能来提高记录的完整性。本综述提供了基于智能手机的饮食评估工具的全面概述和框架,以帮助研究人员为他们的研究确定合适的评估工具。未来的研究需要解决特定饮食评估方法对数据质量和参与者记录其行为的意愿的潜在影响,以最终提高基于智能手机的健康研究饮食评估的质量。
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引用次数: 16
Analysis of dynamic psychological processes to understand and promote physical activity behaviour using intensive longitudinal methods: a primer. 动态心理过程分析,以了解和促进使用密集的纵向方法的身体活动行为:初级读本。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-12-01 DOI: 10.1080/17437199.2021.1987953
Geralyn R Ruissen, Bruno D Zumbo, Ryan E Rhodes, Eli Puterman, Mark R Beauchamp

Physical activity behaviour displays temporal variability, and is influenced by a range of dynamic psychological processes (e.g., affect) and shaped by various co-occurring events (e.g., social/environmental factors, interpersonal dynamics). Yet, most physical activity research tends not to examine the dynamic psychological processes implicated in adopting and maintaining physical activity. Intensive longitudinal methods (ILM) represent one particularly salient means of studying the complex psychological dynamics that underlie and result from physical activity behaviour. With the increased recent interest in using intensive longitudinal data to understand specific dynamic psychological processes, the field of exercise and health psychology is well-positioned to draw from state-of-the-art measurement and statistical approaches that have been developed and operationalised in other fields of enquiry. The purpose of this review is to provide an overview of some of the fundamental dynamic measurement and modelling approaches applicable to the study of physical activity behaviour change, as well as the dynamic psychological processes that contribute to such change.

身体活动行为表现出时间变异性,受到一系列动态心理过程(例如,情感)的影响,并受到各种共同发生的事件(例如,社会/环境因素,人际动态)的影响。然而,大多数体育活动研究往往不考察动态的心理过程涉及采取和维持体育活动。密集纵向方法(ILM)是研究身体活动行为背后和结果的复杂心理动力学的一种特别突出的方法。随着最近人们对使用密集的纵向数据来理解特定的动态心理过程的兴趣的增加,运动和健康心理学领域很好地定位于从最先进的测量和统计方法中汲取,这些方法已经在其他研究领域得到了发展和应用。本综述的目的是概述一些基本的动态测量和建模方法,适用于研究体育活动行为的改变,以及动态的心理过程,有助于这种变化。
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引用次数: 8
Training diabetes healthcare practitioners in motivational interviewing: a systematic review. 培训糖尿病保健从业人员在动机性访谈:一个系统的回顾。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-01 Epub Date: 2021-05-24 DOI: 10.1080/17437199.2021.1926308
Tracey Kaczmarek, David J Kavanagh, Peter A Lazzarini, Jason Warnock, Jaap J Van Netten

Diabetes presents significant self-care challenges that require sustained motivation. Motivational Interviewing (MI) has substantial support in enhancing motivation for behavioural change, but its effective application in routine healthcare requires practitioners to acquire and use related skills. The aim of this systematic review was to investigate the impact of MI training on MI-related skills of practitioners who provide diabetes healthcare. PubMed, EMBASE and PsycINFO were searched using the terms motivational interviewing, motivation enhancement, and diabetes. Two assessors independently screened titles, abstracts and full texts for papers reporting the impact of MI training on diabetes healthcare practitioners' outcomes. Of 625 abstracts screened, 22 papers from 17 unique studies were included. All 17 studies reported some improvement in MI skills, with 14 finding improvements in more than 50% and three less than 35%. However, the risk of bias and outcome measures varied widely between studies. All studies showed diabetes healthcare practitioners acquired and applied MI skills post-training, to varying levels. Findings suggest training should include education, role play, and ongoing supervision to maintain skills.

糖尿病对自我保健提出了重大挑战,需要持续的动力。动机性访谈(MI)在增强行为改变的动机方面有很大的支持,但它在常规医疗保健中的有效应用需要从业人员获得和使用相关技能。本系统综述的目的是调查心肌梗死培训对提供糖尿病保健的从业人员心肌梗死相关技能的影响。PubMed, EMBASE和PsycINFO使用术语动机访谈,动机增强和糖尿病进行搜索。两名评估员独立筛选了报道心肌梗死培训对糖尿病医护人员结果影响的论文的标题、摘要和全文。在筛选的625篇摘要中,包括来自17项独特研究的22篇论文。所有17项研究都报告了MI技能的一些改善,其中14项研究发现改善超过50%,3项研究发现改善不到35%。然而,不同研究的偏倚风险和结果测量差异很大。所有的研究都表明,糖尿病医护人员在培训后获得并应用了不同程度的心肌梗死技能。研究结果表明,培训应包括教育、角色扮演和持续监督,以保持技能。
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引用次数: 6
Decision-making about genetic health information among family dyads: a systematic literature review. 家族二联体遗传健康信息决策:系统文献综述。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-01 Epub Date: 2021-09-29 DOI: 10.1080/17437199.2021.1980083
Wai Ki Law, Haley E Yaremych, Rebecca A Ferrer, Ebony Richardson, Yelena P Wu, Erin Turbitt

Decisions involving two individuals (i.e., dyadic decision-making) have been increasingly studied in healthcare research. There is evidence of bi-directional influences in decision-making processes among spousal, provider-patient and parent-child dyads. Genetic information can directly impact biologically related individuals. Thus, it is important to understand dyadic decision-making about genetic health information among family members. This systematic literature review aimed to identify literature examining decision-making among family dyads. Peer-reviewed publications were included if they reported quantitative empirical research on dyadic decision-making about genetic information, published between January 1998 and August 2020 and written in English. The search was conducted in 6 databases and returned 3167 articles, of which 15 met the inclusion criteria. Most studies were in the context of cancer genetic testing (n = 8) or reproductive testing or screening (n = 5). Studies reported two broad categories of decisions with dyadic influence: undergoing screening or testing (n = 10) and sharing information with family (n = 5). Factors were correlated between dyads such as attitudes, knowledge, behaviors and psychological wellbeing. Emerging evidence shows that dyad members influence each other when making decisions about receiving or sharing genetic information. Our findings emphasize the importance of considering both members of a dyad in intervention design and clinical interactions.

涉及两个人的决策(即二元决策)在医疗保健研究中得到了越来越多的研究。有证据表明,配偶、供养者-病人和父母-子女对决策过程有双向影响。遗传信息可以直接影响生物相关的个体。因此,了解家族成员遗传健康信息的二元决策是很重要的。本系统的文献综述旨在找出研究家庭二联体决策的文献。同行评审的出版物如果报告了1998年1月至2020年8月期间发表的关于遗传信息二元决策的定量实证研究,并以英文撰写,则被纳入其中。在6个数据库中检索,得到3167篇文章,其中15篇符合纳入标准。大多数研究是在癌症基因检测(n = 8)或生殖检测或筛查(n = 5)的背景下进行的。研究报告了两大类具有双重影响的决策:接受筛查或测试(n = 10)和与家人分享信息(n = 5)。二人组之间的相关因素包括态度、知识、行为和心理健康。新出现的证据表明,二分体成员在决定接受或分享遗传信息时,会相互影响。我们的研究结果强调了在干预设计和临床相互作用中考虑两组成员的重要性。
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引用次数: 7
Parent-child bonding and attachment during pregnancy and early childhood following congenital heart disease diagnosis. 先天性心脏病诊断后妊娠期和幼儿期的亲子关系和依恋。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-01 Epub Date: 2021-06-08 DOI: 10.1080/17437199.2021.1927136
Stephanie Tesson, Phyllis N Butow, Kate Marshall, Peter Fonagy, Nadine A Kasparian

Diagnosis and treatment of congenital heart disease (CHD) can present challenges to the developing parent-child relationship due to periods of infant hospitalization and intensive medical care, parent-infant separations, child neurodevelopmental delay and feeding problems, and significant parent and child distress and trauma. Yet, the ways in which CHD may affect the parent-child relationship are not well-understood. We systematically reviewed the evidence on parental bonding, parent-child interaction, and child attachment following CHD diagnosis, according to a pre-registered protocol (CRD42019135687). Six electronic databases were searched for English-language studies comparing a cardiac sample (i.e., expectant parents or parents and their child aged 0-5 years with CHD) with a healthy comparison group on relational outcomes. Of 22 unique studies, most used parent-report measures (73%) and yielded mixed results for parental bonding and parent-child interaction quality. Observational results also varied, although most studies (4 of 6) found difficulties in parent-child interaction on one or more affective or behavioural domains (e.g., lower maternal sensitivity, lower infant responsiveness). Research on parental-fetal bonding, father-child relationships, and child attachment behaviour was lacking. Stronger evidence is needed to determine the nature, prevalence, and predictors of relational disruptions following CHD diagnosis, and to inform targeted screening, prevention, and early intervention programs for at-risk dyads.

先天性心脏病(CHD)的诊断和治疗可能会给正在发展的亲子关系带来挑战,因为婴儿住院和重症监护、亲子分离、儿童神经发育迟缓和喂养问题,以及显著的父母和儿童的痛苦和创伤。然而,冠心病影响亲子关系的方式还没有得到很好的理解。我们根据预先注册的协议(CRD42019135687)系统地回顾了冠心病诊断后父母关系、亲子互动和儿童依恋的证据。研究人员检索了6个电子数据库,以寻找将心脏样本(即孕妇或父母及其0-5岁患有冠心病的孩子)与健康对照组的相关结果进行比较的英语研究。在22项独特的研究中,大多数使用了父母报告的方法(73%),并且在父母关系和亲子互动质量方面得出了不同的结果。观察结果也各不相同,尽管大多数研究(6项中的4项)发现,在一个或多个情感或行为领域(例如,母亲敏感性较低,婴儿反应性较低)中,亲子互动存在困难。对亲子关系、父子关系和儿童依恋行为的研究较少。需要更有力的证据来确定冠心病诊断后关系中断的性质、患病率和预测因素,并为有风险的双性恋提供有针对性的筛查、预防和早期干预计划。
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引用次数: 11
The common sense model of illness self-regulation: a conceptual review and proposed extended model. 疾病自我调节的常识模型:一个概念回顾和提出的扩展模型。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-01 Epub Date: 2021-02-01 DOI: 10.1080/17437199.2021.1878050
Martin S Hagger, Sheina Orbell

The common sense model of illness self-regulation outlines the dynamic processes by which individuals perceive, interpret, and respond to health threats and illness-related information. An extended version of the model is proposed, which specifies additional constructs and processes to explain how lay perceptions of health threats impact coping responses and health-related outcomes. The extended model provides detail on: (a) the mediating process by which individuals' illness representations relate to illness outcomes through adoption of coping procedures; (b) how illness representations are activated by presentation of health-threatening stimuli; (c) behavioral and treatment beliefs as determinants of coping procedures and illness outcomes alongside illness representations; and (d) effects of moderators of relations between cognitive representations, coping procedures, and illness outcomes. The extended model sets an agenda for future research that addresses knowledge gaps regarding how individuals represent and cope with health threats, and may inform effective illness-management interventions. We identify the kinds of research required to provide robust evidence for the extended model propositions. We call for research that employs incipient illness samples, utilizes designs that capture dynamic processes in the model such as cross-lagged panel and intervention designs, and adopts illness-specific measures of coping procedures rather than relying on generic instruments.

疾病自我调节的常识模型概述了个体感知、解释和应对健康威胁和疾病相关信息的动态过程。提出了该模型的扩展版本,其中指定了额外的结构和过程,以解释外行人对健康威胁的感知如何影响应对反应和健康相关结果。扩展模型提供了以下方面的细节:(a)个体的疾病表征通过采用应对程序与疾病结果相关联的中介过程;(b)疾病表征如何因呈现威胁健康的刺激而被激活;(c)行为和治疗信念作为应对程序和疾病结果以及疾病表征的决定因素;(d)认知表征、应对程序和疾病结果之间关系的调节因子的作用。扩展模型为今后的研究确定了一个议程,以解决关于个人如何表现和应对健康威胁的知识差距,并可能为有效的疾病管理干预措施提供信息。我们确定了为扩展模型命题提供有力证据所需的研究类型。我们呼吁研究采用早期疾病样本,利用模型中捕捉动态过程的设计,如交叉滞后面板和干预设计,并采用针对疾病的应对程序措施,而不是依赖于通用工具。
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引用次数: 65
What sixty years of research says about the effectiveness of patient education on health: a second order meta-analysis. 60年的研究表明病人健康教育的有效性:一个二级元分析。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-09-01 Epub Date: 2021-08-24 DOI: 10.1080/17437199.2021.1967184
Bianca A Simonsmeier, Maja Flaig, Thomas Simacek, Michael Schneider

Although meta-analyses have examined the association between patient education and health, the validity and quality of this evidence have not been comprehensively assessed. This second order meta-analysis combined previous meta-analyses that examined the effectiveness of patient education on health outcomes as an overall weighted grand mean d¯¯. Further, measures of methodological quality, meaningful variability across first order meta-analyses, and evidence for publication bias were examined. Forty meta-analyses were identified, investigating 156 associations between patient education and health summarizing data from over 776 studies including more than 74.947 patients. Quantitative analyses showed that patient education positively affects health outcomes with d¯¯ = 0.316 (95% CI [0.304, 0.329]). Summarizing data exclusively from randomized controlled trials indicated a causal effect. Patient education was effective for patients with neoplasms, diabetes, mental and behavioral disorders, diseases of the circulatory system, the respiratory system, and the musculoskeletal system. Patient education was effective in the reduction of medication use, pain, and visits to medical facilities, and significantly improved physiological, physical, psychological outcomes, and patients' general function. Overall, the findings reveal firm evidence for the effectiveness of patient education on health outcomes. However, theory-based interventions are lacking and need to be implemented to enable a successful transfer from theory to practice.

虽然荟萃分析研究了患者教育与健康之间的关系,但这一证据的有效性和质量尚未得到全面评估。这个二级荟萃分析结合了以前的荟萃分析,这些荟萃分析检验了患者教育对健康结果的有效性,作为总体加权大平均值d¯¯。此外,还对方法学质量、一阶元分析中有意义的变异性和发表偏倚的证据进行了检验。我们确定了40项荟萃分析,调查了156项患者教育与健康之间的关联,总结了超过776项研究的数据,其中包括超过74947名患者。定量分析显示,患者教育对健康结局有积极影响,d¯¯= 0.316 (95% CI[0.304, 0.329])。总结随机对照试验的数据表明存在因果关系。患者教育对肿瘤、糖尿病、精神和行为障碍、循环系统疾病、呼吸系统疾病和肌肉骨骼系统疾病的患者是有效的。患者教育在减少药物使用、疼痛和医疗设施就诊方面是有效的,并显著改善了生理、身体、心理结果和患者的一般功能。总的来说,研究结果为患者教育对健康结果的有效性提供了确凿的证据。然而,缺乏以理论为基础的干预措施,需要实施以实现从理论到实践的成功转移。
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引用次数: 17
Interventions to change purchasing behaviour in supermarkets: a systematic review and intervention content analysis. 改变超市购买行为的干预措施:系统回顾与干预内容分析。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-06-01 DOI: 10.1080/17437199.2021.1911670
Sarah E Golding, Paulina Bondaronek, Amanda K Bunten, Lucy Porter, Vera Maynard, Debi Rennie, Caroline Durlik, Anna Sallis, Tim Chadborn

This systematic review and intervention content analysis used behavioural science frameworks to characterise content and function of interventions targeting supermarket shoppers' purchasing behaviour, and explore if coherence between content and function was linked to intervention effectiveness. Study eligibility: in-store interventions (physical supermarkets) with control conditions, targeting objectively measured food and/or non-alcoholic drink purchases, published in English (no date restrictions). Eleven electronic databases were searched; reference lists of systematic reviews were hand-searched. Methodological quality was assessed using the GATE checklist. A content analysis was performed to characterise intervention content and function, and theoretical coherence between these, using the Behaviour Change Wheel, Behaviour Change Techniques Taxonomy, and Typology of Interventions in Proximal Physical Micro-Environments (TIPPME). Forty-six articles (49 interventions) met inclusion criteria; 26 articles (32 interventions) were included in the content analysis. Twenty behaviour change techniques (BCTs), and four TIPPME intervention types were identified; three BCTs ('Prompts/cues', 'Material incentive', and 'Material reward') were more common in effective interventions. Nineteen interventions solely employed theoretically appropriate BCTs. Theoretical coherence between BCTs and intervention functions was more common in effective interventions. Effective interventions included price promotions and/or in-store merchandising. Future research should explore the effect of specific BCTs using factorial study designs. PROSPERO Registration: CRD42017071065.

这项系统回顾和干预内容分析使用行为科学框架来描述针对超市购物者购买行为的干预措施的内容和功能,并探讨内容和功能之间的一致性是否与干预有效性有关。研究资格:有控制条件的店内干预(实体超市),目标是客观测量的食品和/或非酒精饮料的购买,以英文出版(无日期限制)。检索了11个电子数据库;手工检索系统评价的参考文献列表。使用GATE检查表评估方法学质量。使用行为改变轮、行为改变技术分类法和近端物理微环境干预类型学(TIPPME)进行了内容分析,以表征干预的内容和功能,以及这些内容之间的理论一致性。46篇文章(49项干预措施)符合纳入标准;内容分析纳入26篇文章(32项干预措施)。确定了20种行为改变技术(bct)和4种TIPPME干预类型;三种bct(“提示/线索”、“物质激励”和“物质奖励”)在有效干预中更为常见。19项干预措施仅采用理论上合适的bct。bct与干预功能之间的理论一致性在有效干预中更为常见。有效的干预措施包括价格促销和/或店内销售。未来的研究应该使用析因研究设计来探索特定bct的影响。普洛斯彼罗注册号:CRD42017071065。
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引用次数: 7
A conceptual model of alcohol use and adherence to antiretroviral therapy: systematic review and theoretical implications for mechanisms of action. 酒精使用和抗逆转录病毒治疗依从性的概念模型:系统评价和作用机制的理论含义。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-01 DOI: 10.1080/17437199.2020.1806722
Sarah E Woolf-King, Alan Z Sheinfil, Jeremy Ramos, Jacklyn D Foley, Dezarie Moskal, Madison Firkey, David Kellen, Stephen A Maisto

Alcohol consumption is one of the most prevalent correlates of antiretroviral therapy (ART) adherence, yet causal processes underlying this association remain largely unexplored. The goal of this systematic review was to develop a conceptual model that describes the causal effect of alcohol consumption on ART nonadherence. We reviewed 230 studies that examined the association between alcohol consumption and ART adherence with three primary aims: (1) to replicate and extend previous reviews of the literature, (2) to summarize and critique study designs capable of answering questions about temporal overlap and (3) to summarize potential mechanisms of action. A model of alcohol-associated ART nonadherence was proposed to guide future work, integrating general theories of ART adherence and theory on the psychological and behavioral effects of alcohol intoxication. The conceptual model describes two mechanistic processes-prospective memory impairment and interactive toxicity beliefs/avoidance behaviors-involved in alcohol-associated intentional and unintentional nonadherence, respectively. This model can be used to guide future research on the causal processes involved in the frequently observed correlation between alcohol consumption and adherence.

饮酒是抗逆转录病毒治疗(ART)依从性最普遍的相关因素之一,但这种关联背后的因果过程在很大程度上仍未被探索。本系统综述的目的是建立一个概念模型,描述饮酒对抗逆转录病毒治疗不依从性的因果影响。我们回顾了230项研究,这些研究考察了饮酒与抗逆转录病毒治疗依从性之间的关系,主要目的有三个:(1)重复和扩展先前的文献综述,(2)总结和批评能够回答时间重叠问题的研究设计,(3)总结潜在的作用机制。结合ART依从性的一般理论和酒精中毒的心理和行为影响理论,提出了一个与酒精相关的ART不依从性模型来指导未来的工作。概念模型分别描述了与酒精相关的有意和无意不依从性相关的两个机制过程——前瞻性记忆损伤和相互毒性信念/回避行为。这个模型可以用来指导未来关于经常观察到的酒精消费和依从性之间的相关性的因果过程的研究。
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引用次数: 11
Maintenance motives for physical activity among older adults: a systematic review and meta-analysis. 老年人保持体力活动的动机:系统回顾和荟萃分析。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2021-12-01 Epub Date: 2020-12-11 DOI: 10.1080/17437199.2020.1858926
Mary Katherine Huffman, Jason Brian Reed, Theresa Kathleen Carpenter, Steve Amireault

The purpose of this systematic review was to examine if the motives of satisfaction with outcomes, enjoyment of behavior, self-determination, and identity are related to physical activity (PA) maintenance in older adults. We also explored whether the strength of these associations varies as a function of sample characteristics (i.e., age, gender, physical health status) and maintenance context. Five electronic databases (PubMed, PsycINFO, SportDiscus, CINAHL, and ProQuest Dissertations and Theses) were searched, and sixteen studies (k) with a sample mean age ≥ 55 years were included. When the number of studies was ≥ 5 for a given motive, a pooled correlation coefficient was calculated using the inverse-variance method under the random-effects model assumption. Self-determination was positively associated with PA maintenance [r (95% CI) = 0.189 (0.127, 0.249); k = 11]. This association was stronger and more homogeneous for samples described as having a physical health condition (r = 0.212; k = 6) and studies judged to be at risk of bias due to missing data (r = 0.223; k = 8). Few studies (< 5) investigated satisfaction with outcomes, enjoyment of behavior, and identity, which precludes any summary judgment for these three motives. PROSPERO Registration Number: CRD42018088161.

本系统回顾的目的是检查老年人对结果满意、行为享受、自我决定和身份认同的动机是否与身体活动(PA)维持有关。我们还探讨了这些关联的强度是否随样本特征(即年龄、性别、身体健康状况)和维持环境的变化而变化。检索5个电子数据库(PubMed、PsycINFO、SportDiscus、CINAHL和ProQuest dissertation and Theses),纳入16项研究(k),样本平均年龄≥55岁。当给定动机的研究数≥5时,在随机效应模型假设下,采用反方差法计算合并相关系数。自我决定与PA维持呈正相关[r (95% CI) = 0.189 (0.127, 0.249);k = 11]。对于被描述为身体健康状况的样本,这种关联更强,更均匀(r = 0.212;K = 6),由于缺少数据,判定研究存在偏倚风险(r = 0.223;k = 8)。很少有研究(< 5)调查了对结果、行为享受和身份的满意度,这排除了对这三种动机的任何简易判断。普洛斯彼罗注册号:CRD42018088161。
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引用次数: 5
期刊
Health Psychology Review
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