作者: Byron Lai , Hui-Ju Young , C. Scott Bickel , Robert W. Motl , James H. Rimmer
DOI: 10.1097/PHM.0000000000000743
关键词: Randomized controlled trial 、 Medicine 、 MEDLINE 、 Psychological intervention 、 Health informatics 、 Physical therapy 、 Transtheoretical model 、 Social cognitive theory 、 Behavior change 、 Intervention (counseling)
摘要: This review synthesized physical activity and exercise intervention literature for the past 10 yrs people with cognitive disabilities including characteristics, behavior change strategies, types of technologies used to improve targeted outcomes. Systematic searches yielded 132 eligible studies. The major disability groups were multiple sclerosis (41%), stroke (15%), spinal cord injury (12%). Research designs primarily involved randomized controlled trials (61%) versus quasi-experimental (39%). Approximately 20% interventions some form following technology: information communication technology (48%), interactive (37%), or electronic gauges (30%). Eighteen percent studies strategies based on behavioral theory, which was typically combined promote increase adherence in generally larger study samples. three prevailing theories included social theory (58%), supportive accountability (21%), transtheoretical model (21%). Upon completing intervention, reported significant outcomes (80%). Exercise research PWD has grown both quantity quality, but several gaps remain. Study findings provide a roadmap future understudied populations highlight as drivers research.