实施科学中行为改变理论框架的发展与衍变的范围综述  

The development and evolution of theoretical frameworks for behavior change in the implementation science:a scoping review

作　　者：周壹文 顾莺[1] 余卓文[1] 王颖雯[1] ZHOU Yiwen;GU Ying;YU Zhuowen;WANG Yingwen(Children’s Hospital of Fudan University,Shanghai 201102,P.R.China)

机构地区：[1]复旦大学附属儿科医院,上海201102

出　　处：《中国循证医学杂志》2023年第6期715-724,共10页Chinese Journal of Evidence-based Medicine

摘　　要：目的对理论域框架(TDF)、行为改变轮(BCW)和行为改变技术(BCT)分类法进行文献范畴分析。方法计算机检索PubMed、EMbase、EBSCO、Web of Science、CNKI、WanFang Data、VIP、CBM数据库,搜集关于行为改变理论框架建立与发展衍变的相关研究,检索时限为建库至2022年9月4日。由2名研究者独立筛选文献、提取资料后,进行定性分析和总结。结果最终纳入11个研究,通过对其分析和整合,呈现了TDF,BCW和BCT分类法的建立和发展过程。结论TDF、BCW和BCT分类法是核心的行为改变理论框架,既可独立使用,又能相互映射融合,为实施研究中分析障碍和促进因素,设计干预措施提供理论指导,具有较好的推广价值,国内的应用较少,需要在本土环境下拓展应用。Objective To analyze the development and evolution of the theoretical domains framework(TDF),behavior change wheel(BCW),and behavior change technique(BCT).Methods The PubMed,EMbase,EBSCO,Web of Science,CNKI,WanFang Data,VIP and CBM databases were electronically searched to collect related studies on the establishment and development of theoretical frameworks for behavior change from the inception to September 4,2022.Two researchers independently screened the literature,extracted the data,and conducted qualitative analysis and summary.Results A total of 11 studies were included,and the establishment and development of TDF,BCW and BCT taxonomy was analyzed,integrated and presented in this article.Conclusion TDF,BCW and BCT taxonomy are the fundamental theoretical framework of behavior change,which can be used independently and can be mapped and integrated with each other,providing theoretical guidance for the analysis of obstacles and promoting factors in the implementation of research and the design of intervention measures,with good promotion value.However,there are few domestic applications,so expanding the application in the local environment is necessary.

关 键 词：理论域框架 行为改变轮 行为改变技术 范围综述 

分 类 号：R-03[医药卫生]