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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Methods of quantifying change in multiple risk factor interventions.
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Methods of quantifying change in multiple risk factor interventions.

机译：量化多种危险因素干预措施中的变化的方法。

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OBJECTIVE: Risky behaviors such as smoking, alcohol abuse, physical inactivity, and poor diet are detrimental to health, costly, and often co-occur. Greater efforts are being targeted at changing multiple risk behaviors to more comprehensively address the health needs of individuals and populations. With increased interest in multiple risk factor interventions, the field will need ways to conceptualize the issue of overall behavior change. METHOD: Analyzing data from over 8000 participants in four multibehavioral interventions, we present five different methods for quantifying and reporting changes in multiple risk behaviors. RESULTS: The methods are: (a) the traditional approach of reporting changes in individual risk behaviors; (b) creating a combined statistical index of overall behavior change, standardizing scores across behaviors on different metrics; (c) using a behavioral index; (d) calculating an overall impact factor; and (e) using overarching outcome measures such as quality of life, relatedbiometrics, or cost outcomes. We discuss the methods' interpretations, strengths, and limitations. CONCLUSION: Given the lack of consensus in the field on how to examine change in multiple risk behaviors, we recommend researchers employ and compare multiple methods in their publications. A dialogue is needed to work toward developing a consensus for optimal ways of conceptualizing and reporting changes in multibehavioral interventions.
机译：目的：危险行为，例如吸烟，酗酒，缺乏运动和饮食不良，对健康有害，代价高昂，并且经常同时发生。目前正在加大努力以改变多种风险行为，以更全面地满足个人和人群的健康需求。随着人们对多种危险因素干预措施的兴趣日益浓厚，该领域将需要一些方法来概念化整体行为改变的问题。方法：分析来自四种多行为干预措施的8000多名参与者的数据，我们提出了五种不同的方法来量化和报告多种风险行为的变化。结果：这些方法是：（a）报告个人风险行为变化的传统方法; （b）建立整体行为变化的综合统计指标，以不同指标衡量跨行为的分数; （c）使用行为指数; （d）计算总体影响因子; （e）使用总体结果指标，例如生活质量，相关生物计量学或成本结果。我们讨论了方法的解释，优势和局限性。结论：鉴于在如何检查多种风险行为变化方面缺乏共识，我们建议研究人员在其出版物中采用和比较多种方法。需要进行对话以达成共识，以最佳化的方式来概念化和报告多行为干预措施的变化。

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