慢性肌肉骨骼疼痛成人的社会生态因素与参加体育活动的自我效能之间的关系:综合综述。

IF 3.5 4区 医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-10-02 DOI:10.1093/ptj/pzae120
Mark Vorensky, Stephanie L Orstad, Allison Squires, Susan Parraga, Katherine Byrne, Ericka N Merriwether
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引用次数: 0

摘要

目的:闲暇时间或促进健康的体育活动(SEPA)的自我效能感是体育活动的一个社会心理决定因素。社会生态模型可以为 SEPA 提供一个可靠的视角。本研究的目的是综合慢性肌肉骨骼疼痛患者 SEPA 多层次相关性的证据。第二个目的是研究慢性肌肉骨骼疼痛患者的社会生态差异与 SEPA 的相关程度:方法:进行综合回顾。纳入的研究需要调查慢性肌肉骨骼疼痛(≥3 个月)成人中 SEPA 与人际、机构、社区和/或宏观系统层面的社会生态因素之间的关系。在 PubMed、EMBASE、PsycINFO 和 CINAHL 中进行了检索(2020 年 12 月 30 日和 2022 年 10 月 12 日),去除重复后共获得 4047 条记录。两名独立审稿人完成了筛选、全文审阅和数据提取工作。经过标题/摘要筛选和全文审阅,共纳入 17 项研究。恒定比较法包括:数据缩减、数据显示、数据比较和结论得出/验证。采用乔安娜-布里格斯研究所的评估工具对证据质量进行评估:关于 SEPA 与社会生态因素之间的关系,出现了五个主题:社会关系、社会比较、患者与提供者之间的关系、组织资源和体育活动的可及性。人际关系因素与 SEPA 之间关系的研究最为突出。一项研究从宏观系统层面研究并解决了SEPA的潜在差异:结论:研究发现,在人际层面上,存在着从支持到限制 SEPA 的一系列关系。机构、社区和宏观系统因素与 SEPA 之间的关系相对较少。研究发现,在社会生态模型中,健康差异与 SEPA 之间的关系存在文献空白:临床医生可利用本综述评估整个社会生态模式中的各种因素如何支持或威胁 SEPA。这可能是研究和解决 SEPA 健康差异的第一步。
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Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review.

Objective: Self-efficacy for leisure-time or health-promoting physical activity (SEPA) is a psychosocial determinant of physical activity. The socioecological model can provide a robust perspective of SEPA. The objective of this study was to synthesize the evidence on multilevel correlates of SEPA among individuals with chronic musculoskeletal pain. The second aim examined the extent to which socioecological disparities are associated with SEPA among individuals with chronic musculoskeletal pain.

Methods: An integrative review was conducted. Included studies needed to investigate the relationship between SEPA and socioecological factors at the interpersonal, institutional, community, and/or macrosystem level among adults with chronic musculoskeletal pain (≥3 months). Searches in PubMed, EMBASE, PsycINFO, and CINAHL were performed (December 30, 2020, and October 12, 2022), yielding 4047 records after duplicates were removed. Two independent reviewers completed screening, full-text reviews, and data extraction. After title and abstract screening and full-text reviews, 17 studies were included. The constant comparison method included: data reduction, data display, data comparison, and conclusion drawing/verification. Quality of evidence was assessed using the Joanna Briggs Institute appraisal tools.

Results: Five themes emerged with respect to relationships between SEPA and socioecological factors: social relations, social comparisons, patient-provider relationship, organizational resources, and accessibility to physical activity. Relationships between interpersonal factors and SEPA were most prominently studied. One study examined and addressed potential disparities in SEPA at the macrosystem level.

Conclusion: A spectrum of relationships from supporting to straining SEPA were found at the interpersonal level. Relationships between institutional, community, and macrosystem factors and SEPA were comparably sparse. Gaps in the literature were identified regarding how health disparities present across the socioecological model with respect to SEPA.

Impact: Clinicians can use this review to evaluate how SEPA can be supported or threatened by factors across the socioecological model. This may be a preliminary step towards examining and addressing health disparities in SEPA.

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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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