基于理论的干预对增加儿童青少年身体活动有效性的Meta分析
Effectiveness of theory-based interventions on physical activities increase among children and adolescents:a meta-analysis
陈佳欣 1彭雪清 2尤华3
作者信息
- 1. 南京医科大学护理学院,江苏 南京 211166
- 2. 成都市疾病预防控制中心,四川 成都 610000
- 3. 南京医科大学公共卫生学院,江苏 南京 211166
- 折叠
摘要
目的 探讨基于理论的干预对增加儿童青少年身体活动的干预效果.方法 系统检索中英文数据库中相关文献,时限为建库至2024年5月1日.由2名经过培训的研究者对文献进行独立筛选、质量评价、应用随机效应模型进行Meta分析,最后对理论使用及行为改变技术运用情况进行定性综合.结果 最终纳入45篇随机对照实验,16篇研究的Meta分析结果显示:与对照组相比,干预组儿童青少年的身体活动改变无统计学意义(SMD=0.18,95％CI:-0.22～0.59,P＞0.05),中高度身体活动改变无统计学意义(SMD=0.29,95％CI:-0.38～0.96,P＞0.05),步数改变无统计学意义(SMD=-0.03,95％CI:-0.27～0.21,P＞0.05).结论 现有文献的Meta分析暂不能得出基于理论的干预能有效增加儿童青少年身体活动的结论,仍需要进一步的研究了解干预有效性与具体干预组成部分之间的联系.
Abstract
Objective To explore the effect of theory-based interventions on increasing physical activities among children and adolescents.Methods Relevant literatures were systematically searched from Chinese and English databases with a time span from database establishment to May 1,2024.Two trained researchers independently screened the literatures and evaluated for quality.A random effects model was applied for meta-analysis,and qualitative synthesized analysis was fi-nally conducted for the application of behavior theories and behavior change techniques.Results A total of 45 randomized controlled trials were ultimately included,and meta-analysis on 16 studies showed no statistically significant changes in physical activities in children and adolescents in the intervention group compared to the control group(SMD=0.18,95％CI:-0.22-0.59,P＞0.05).No statistically significant change in moderate to vigorous physical activities(SMD=0.29,95％CI:-0.38-0.96,P＞0.05)and no statistically significant change in step counts(SMD=-0.03,95％CI:-0.27-0.21,P＞0.05).Conclusion Meta-analysis results of the existed literatures is not enough to conclude that theory-based interventions are effective in increasing physical activities among children and adolescents,and further research is still needed to understand the association between intervention effectiveness and specific intervention components.
关键词
理论/身体活动/儿童/青少年/干预研究/Meta分析Key words
Theory/Physical activity/Children/Adolescents/Intervention studies/Meta-analysis引用本文复制引用
出版年
2024
NETL
NSTL
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