{"title":"使用系统评价和贝叶斯荟萃分析为行为改变干预设计提供信息:心力衰竭中的身体活动。","authors":"Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli","doi":"10.1080/17437199.2022.2090411","DOIUrl":null,"url":null,"abstract":"<p><p>Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (<i>MAP</i>) for the probability distribution for the log <i>OR</i> was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (<i>SD</i>) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (<i>N</i> = 2739). High pro-b-type natriuretic peptide (<i>MAP</i> = -1.16; 95%<i>CrI</i>: [-1.21; -1.11]) and self-reported symptoms (<i>MAP</i> = - 0.48; 95%<i>CrI</i>: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (<i>SD</i> = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (<i>MAP</i> = -0.46; 95%<i>CrI</i>: [-0.68; -0.24], <i>SD</i> = 0.36), and negative attitude (<i>MAP</i> = -0.40; 95%<i>CrI</i>: [-0.49; -0.31], <i>SD</i> = 0.26). Modifiable enablers were social support (<i>MAP</i> = 0.56; 95%<i>CrI</i>: [0.48; 0.63], <i>SD</i> = 0.26), self-efficacy (<i>MAP</i> = 0.43; 95%<i>CrI</i>: [0.32; 0.54], SD = 0.37), positive physical activity attitude (<i>MAP</i> = 0.92; 95%<i>CrI</i>: [0.77; 1.06], <i>SD</i> = 0.36).</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"17 3","pages":"456-484"},"PeriodicalIF":6.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure.\",\"authors\":\"Aliya Amirova, Lauren Taylor, Brittannia Volkmer, Nafiso Ahmed, Angel M Chater, Theodora Fteropoulli\",\"doi\":\"10.1080/17437199.2022.2090411\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (<i>MAP</i>) for the probability distribution for the log <i>OR</i> was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (<i>SD</i>) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (<i>N</i> = 2739). High pro-b-type natriuretic peptide (<i>MAP</i> = -1.16; 95%<i>CrI</i>: [-1.21; -1.11]) and self-reported symptoms (<i>MAP</i> = - 0.48; 95%<i>CrI</i>: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (<i>SD</i> = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (<i>MAP</i> = -0.46; 95%<i>CrI</i>: [-0.68; -0.24], <i>SD</i> = 0.36), and negative attitude (<i>MAP</i> = -0.40; 95%<i>CrI</i>: [-0.49; -0.31], <i>SD</i> = 0.26). Modifiable enablers were social support (<i>MAP</i> = 0.56; 95%<i>CrI</i>: [0.48; 0.63], <i>SD</i> = 0.26), self-efficacy (<i>MAP</i> = 0.43; 95%<i>CrI</i>: [0.32; 0.54], SD = 0.37), positive physical activity attitude (<i>MAP</i> = 0.92; 95%<i>CrI</i>: [0.77; 1.06], <i>SD</i> = 0.36).</p>\",\"PeriodicalId\":48034,\"journal\":{\"name\":\"Health Psychology Review\",\"volume\":\"17 3\",\"pages\":\"456-484\"},\"PeriodicalIF\":6.6000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Psychology Review\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/17437199.2022.2090411\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/17437199.2022.2090411","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure.
Embracing the Bayesian approach, we aimed to synthesise evidence regarding barriers and enablers to physical activity in adults with heart failure (HF) to inform behaviour change intervention. This approach helps estimate and quantify the uncertainty in the evidence and facilitates the synthesis of qualitative and quantitative studies. Qualitative evidence was annotated using the Theoretical Domains Framework and represented as a prior distribution using an expert elicitation task. The maximum a posteriori probability (MAP) for the probability distribution for the log OR was used to estimate the relationship between physical activity and each determinant according to qualitative, quantitative, and qualitative and quantitative evidence combined. The probability distribution dispersion (SD) was used to evaluate uncertainty in the evidence. Three qualitative and 16 quantitative studies were included (N = 2739). High pro-b-type natriuretic peptide (MAP = -1.16; 95%CrI: [-1.21; -1.11]) and self-reported symptoms (MAP = - 0.48; 95%CrI: [ -0.40; -0.55]) were suggested as barriers to physical activity with low uncertainty (SD = 0.18 and 0.19, respectively). Modifiable barriers were symptom distress (MAP = -0.46; 95%CrI: [-0.68; -0.24], SD = 0.36), and negative attitude (MAP = -0.40; 95%CrI: [-0.49; -0.31], SD = 0.26). Modifiable enablers were social support (MAP = 0.56; 95%CrI: [0.48; 0.63], SD = 0.26), self-efficacy (MAP = 0.43; 95%CrI: [0.32; 0.54], SD = 0.37), positive physical activity attitude (MAP = 0.92; 95%CrI: [0.77; 1.06], SD = 0.36).
期刊介绍:
The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.