利用健康行为改变的多理论模型(MTM)解释健康行为:系统综述。

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Perspectives Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.34172/hpp.42887
Sidath Kapukotuwa, Tara Nerida, Kavita Batra, Manoj Sharma
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引用次数: 0

摘要

背景:在健康促进研究中,尤其是在努力改变健康行为时,利用理论框架至关重要。本系统性综述旨在通过使用第四代健康行为改变多理论模型(MTM)进行的研究,对其有效性的证据进行评估和综合:在 MEDLINE、CINAHL 和 Academic Search Premier 上进行了全面的文章检索。检索的重点是 2016 年至 2023 年 12 月期间使用 MTM 的研究,并遵循了系统性综述的 PRISMA 指南:通过筛选标题、摘要和全文,初步筛选出 7583 篇文章。共有 69 篇文章符合纳入标准。这些研究涵盖了全球不同的目标群体和健康行为,分为定性研究、横断面研究和实验研究。六项定性研究揭示了不同健康行为的 MTM 主题。56 项横断面研究表明,尽管统计意义各不相同,但心理疗法的构建有效地预测了行为的改变。七项实验证明了 MTM 在启动和维持改变中的作用。对于由 49 项研究操作的启动模式,平均调整 R2 为 38.4%(SD=16.4%)。对于由 45 项研究操作的维持模式,平均调整 R2 为 38.9%(标准差=15.5%):本系统综述证实,MTM 是理解、预测和促进健康行为改变的有效框架。该模型的普遍适用性和有效性凸显了其作为设计未来健康促进策略和干预措施的基础工具的潜力,这些策略和干预措施旨在实现积极而持久的行为改变。
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Utilization of the multi-theory model (MTM) of health behavior change to explain health behaviors: A systematic review.

Background: The utilization of a theoretical framework is vital in health promotion research, particularly when endeavoring to modify health behaviors. This systematic review aimed at evaluating and synthesizing evidence through studies conducted using the fourth-generation multi-theory model (MTM) of health behavior change for its effectiveness.

Methods: A comprehensive article search was performed across MEDLINE, CINAHL, and Academic Search Premier. The search focused on studies utilizing MTM from 2016 to December 2023, following the PRISMA guidelines for systemic reviews.

Results: An initial pool of 7583 articles was narrowed down through screening of titles, abstracts, and full texts. A total of 69 articles met the inclusion criteria. These studies, encompassing a global range of diverse target groups and health behaviors, were categorized as qualitative, cross-sectional, or experimental. The six qualitative studies revealed MTM themes for diverse health behaviors. The fifty-six cross-sectional studies showed MTM constructs effectively predicting behavior change, albeit with varying statistical significance. The seven experiments demonstrated MTM's role in initiating and sustaining change. For the initiation model, operationalized by 49 studies, the mean adjusted R2 was 38.4% (SD=16.4%). For the sustenance model, operationalized by 45 studies, the mean adjusted R2 was 38.9% (SD=15.5%).

Conclusion: This systematic review corroborates the MTM as a potent framework for understanding, predicting, and facilitating health behavior changes. Its universal applicability and effectiveness underscore the model's potential as a foundational tool in designing future health promotion strategies and interventions aimed at positive and enduring behavior modifications.

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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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