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Visa fullständig version : Effektiviteten av olika interventionsformer


z_bumbi
2010-09-14, 11:35
BMC Public Health. 2010 Sep 8;10(1):538. [Epub ahead of print]
The effectiveness of interventions to change six health behaviours: a review of reviews.

Jepson RG, Harris FM, Platt S, Tannahill C.
Abstract

ABSTRACT:

BACKGROUND: Several World Health Organisation reports over recent years have highlighted the high incidence of chronic diseases such as diabetes, coronary heart disease and cancer. Contributory factors include unhealthy diets, alcohol and tobacco use and sedentary lifestyles. This paper reports the findings of a review of reviews of behavioural change interventions to reduce unhealthy behaviours or promote healthy behaviours. We included six different health-related behaviours in the review: healthy eating, physical exercise, smoking, alcohol misuse, sexual risk taking (in young people) and illicit drug use. We excluded reviews which focussed on pharmacological treatments or those which required intensive treatments (e.g. for drug or alcohol dependency).

METHODS: The Cochrane Library, Database of Abstracts of Reviews of Effectiveness (DARE) and several Ovid databases were searched for systematic reviews of interventions for the six behaviours (updated search 2008). Two reviewers applied the inclusion criteria, extracted data and assessed the quality of the reviews. The results were discussed in a narrative synthesis.

RESULTS: We included 103 reviews published between 1995 and 2008. The focus of interventions varied, but those targeting specific individuals were generally designed to change an existing behaviour (e.g. cigarette smoking, alcohol misuse), whilst those aimed at the general population or groups such as school children were designed to promote positive behaviours (e.g. healthy eating). Almost 50% (n=48) of the reviews focussed on smoking (either prevention or cessation). Interventions that were most effective across a range of health behaviours included physician advice or individual counselling, and workplace- and school-based activities. Mass media campaigns and legislative interventions also showed small to moderate effects in changing health behaviours. Generally, the evidence related to short-term effects rather than sustained/longer-term impact and there was a relative lack of evidence on how best to address inequalities.

CONCLUSIONS: Despite limitations of the review of reviews approach, it is encouraging that there are interventions that are effective in achieving behavioural change. Further emphasis in both primary studies and secondary analysis (e.g. systematic reviews) should be placed on assessing the differential effectiveness of interventions across different population subgroups to ensure that health inequalities are addressed.

Hela reviewn gratis. (http://www.biomedcentral.com/1471-2458/10/538)

mangs
2010-09-14, 11:49
Jag må vara lite trög just nu men vad har de egentligen kommit fram till?

Om man tar alla beteendena ovan så borde väl det beteende där man avviker mest från "normalskalan" var det som kan påverka ens välmående mest. Dvs, en person som sover oerhört dåligt men i övrigt lever "hälsosamt" borde få mest utav att åtgärda just detta istället för att optimera kost etc ytterligare.

Att införa en förändring/förbättring till en grupp av människor som överlag inte har något problem men på sikt skulle undvika försämra den är svårare att få igenom jämfört med en individ som redan har ett problem som man vill åtgärda.

z_bumbi
2010-09-15, 13:33
Jag må vara lite trög just nu men vad har de egentligen kommit fram till?

De har gått igenom olika metoder som visat sig effektiva vid sex olika hälsobeteenden. Inte helt förvånande så funkar de där man har kontakt med en person något så när regelbundet bättre än de flesta andra varianterna (jag har inte läst alla områdena ännu så något undantag kanske finns).