Application of transtheoretical model on promoting motor behavior among older adults in the community: a scoping review
10.3760/cma.j.cn115682-20240511-02618
- VernacularTitle:跨理论模型在社区老年人运动行为促进中应用的范围综述
- Author:
Jie GAO
1
;
Huixiu HU
;
Chao SUN
;
Yajie ZHAO
;
Huanhuan LUO
;
Yuqing HAO
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Keywords:
Aged;
Transtheoretical model;
Community health nursing;
Scoping review;
Changes in motor activity
- From:
Chinese Journal of Modern Nursing
2024;30(32):4348-4358
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To carry out a scoping review on characteristics and effects of intervention program for promoting motor behavior among older adults in the community based on transtheoretical model (TTM), so as to explore the mechanism and connotation of TTM guiding strategy selection in the intervention program.Methods:The literature on the intervention program for promoting motor behavior among older adults in the community based on TTM was systematically searched in PubMed, Embase, CINAHL, Cochrane Library, PsycINFO, China National Knowledge Infrastructure and Wanfang Data. The search period was from database establishment to October 11, 2023. Two researchers conducted a summary and data analysis of the included literature.Results:A total of 15 articles were included, and the intervention framework included two types according to behavior change stages and behavior change patterns. The intervention strategy mainly included 17 items, such as emphasizing the benefits of exercise and drawbacks of no-exercise, establishing family support relationships, sharing exemplary experiences, rewarding, setting reminders, and signing commitments. The intervention strategies mainly involved 14 forms such as health lectures, one-on-one communication, exercise commitment letters, exercise logs, group communication meetings, and material/honor. The outcome measures consisted of feasibility (safety, retention, attendance, satisfaction) and effectiveness (exercise compliance, behavioral stage changes, physical function, self-efficacy, decision balance and so on) .Conclusions:The stages of change in TTM can guide the design of intervention frameworks for promoting motor behavior among older adults in the community, and the change program can guide the intervention strategies and design of application forms. The characteristic of the TTM based intervention program for promoting motor behavior among older adults in the community is that it contains intervention strategies that are suitable for each stage of behavior, and has short-term effectiveness and feasibility in terms of results. It is necessary to further clarify the details of the intervention program to explore its long-term effectiveness, and conduct follow-up.
