即时适应性干预在身体活动促进中应用的范围综述
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男,硕士在读,护师

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甘肃省科技计划项目(基础研究计划-软科学专项)(2022-0303-ZCC-0082)


Just-in-time adaptive intervention in physical activity promotion:a scoping review
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    目的 对即时适应性干预在身体活动促进中应用的相关研究进行范围综述,为即时适应性干预研究的开展及临床应用提供参考。方法 以范围综述指南为方法学框架,系统检索国内外主要中英文数据库中的相关文献,检索时限为自建库至2024年6月20日,对纳入的文献进行汇总分析。结果 共纳入22篇文献。即时适应性干预交付载体多为智能手机及应用程序,干预人群包括学生、职业人群、老年人、超重/肥胖人群以及慢性病患者;理论基础包括行为改变理论和福格(Fogg)行为模型;干预的设计框架包括远期结局、近期结局、决策点、干预选项、适配变量和决策规则;干预的结局指标包括久坐时长、活动水平、步行距离、心理/情感状态、生活质量、生理参数、可行性、可接受性8个方面。结论 即时适应性干预具有生态学效度、自动化及趣味性优势,有助于提升干预人群的身体活动水平。未来需开展大样本、高质量的随机对照研究,重视受试者群体特征及需求,完善方案设计,优化学习算法,考虑干预交付实施的可行性和可接受性,提升即时适应性干预在活动促进中的渐进性影响。

    Abstract:

    Objective To conduct a scoping review to explore the application of Just-in-time adaptive intervention (JITAI) in physical activity promotion, and to provide reference for future research and clinical application.Methods Based on the scoping review framework proposed by Arksey and O′Malley, relevant literature regarding JITAI in physical activity promotion was searched in English-language and Chinese-language bibliographic databases from inception of each database to June 20, 2024.The included literature was summarized and analyzed.Results A total of 22 publications were included.JITAI was mainly conducted via smartphone and Apps.JITAI targeted students, occupational populations, older adults, overweight/obese people and patients with chronic di-seases.Theories for guiding the construction of JITAI were the Theory of Behavior Change and the Fogg Behavior Model.The intervention design framework included long-term outcome, short-term outcome, decision points, intervention options, tailoring variables and decision rules.The outcome indicators included eight aspects:sedentary time, activity level, walking distance, psychological/emotional state, quality of life, physiological parameters, feasibility and acceptability.Conclusion JITAI has the advantages of ecological validity, adapted and system-triggered support, and fun in increasing physical activity.In the future, it is necessary to conduct large-sample, high-quality randomized controlled studies, pay attention to the characteristics and needs of the representative populations, improve protocol design, optimize decision rules, consider the feasibility and acceptability of intervention delivery, thus to enhance the impact of JITAI in physical activity promotion.

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雷昱,张变子,刘萍,李海鸿.即时适应性干预在身体活动促进中应用的范围综述[J].护理学杂志,2024,39(23):111-117

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  • 收稿日期:2024-07-10
  • 最后修改日期:2024-09-22
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  • 在线发布日期: 2025-01-09