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首页> 外文期刊>Annals of behavioral medicine : >Are simultaneously delivered health behavior change interventions the way of the future?: A Comment on King et al.
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Are simultaneously delivered health behavior change interventions the way of the future?: A Comment on King et al.

机译：同时提供的健康行为改变干预措施是否是未来的方式？：对King等的评论。

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Non-communicable chronic diseases are associated with a small number of modifiable health risk behaviors, such as diet, tobacco use, physical activity, and alcohol consumption [1]. Unfortunately, the prevalence of these health risk behaviors is high and they tend to occur in clusters [2]. As such, the evaluation of population-based interventions that can influence multiple health behaviors to reduce the burden of chronic disease and health care costs seem to make good (economic) sense. The scarcity of studies evaluating such interventions is therefore surprising, and many questions on how such interventions are best delivered remain unanswered. For example, it is unknown how many health behaviors can be targeted effectively in a single intervention without "overloading" participants. Similarly, it is unclear whether such interventions are best to be implemented sequentially (one behavior after another) or simultaneously (all at once).In this respect, King et al. have conducted a timely and interesting study. The study focused on two health behaviors (diet and physical activity) with four intervention groups: a sequential exercise-first group, a sequential diet-first group, a simultaneous group, and a control group. The time interval between sequential interventions was 4 months. At the end of the 12-month intervention, the results showed that the behaviors targeted first in the sequential interventions had changed more than the behaviors targeted secondly. However, in the simultaneous intervention both behaviors had changed equally with a magnitude close to that of the first behavior in the sequential interventions. The authors conclude that delivering physical activity interventions simultaneously may result in the most positive sustained outcomes across two health behaviors.
机译：非传染性慢性疾病与少量可改变的健康风险行为有关，例如饮食，吸烟，体育锻炼和饮酒[1]。不幸的是，这些健康风险行为的患病率很高，并且倾向于成群出现[2]。因此，对可以影响多种健康行为以减轻慢性病负担和保健费用的基于人群的干预措施的评估似乎具有良好的（经济）意义。因此，缺乏评估此类干预措施的研究令人惊讶，而且关于如何最好地实施此类干预措施的许多问题仍未得到解答。例如，未知在一次干预中可以有效地针对多少健康行为而无需“超负荷”参加者。同样，目前尚不清楚这种干预是最好依次执行（一个行为一个接一个）或同时（一次全部）执行的。已经进行了及时而有趣的研究。该研究集中在四个干预组的两个健康行为（饮食和体育锻炼）上：先进行运动先后组，先饮食控制先后组，同时进行组和对照组。连续干预之间的时间间隔为4个月。在为期12个月的干预结束时，结果表明，顺序干预中首先针对的行为发生了变化，而其次是针对性行为。但是，在同时进行的干预中，两种行为均发生了相同程度的变化，其大小接近顺序干预中的第一种行为。作者得出的结论是，同时进行体育锻炼可能会导致两种健康行为产生最积极的持续结果。

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