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生态瞬时评估在老年人身体活动中应用的范围综述OA

Application of ecological momentary assessment in physical activity in older adults:a scoping review

中文摘要英文摘要

目的 对生态瞬时评估(ecological momentary assessment,EMA)在老年人身体活动中应用的相关研究进行范围综述,旨在为老年人制定健康干预策略提供参考.方法 以范围综述指南为方法学框架,系统检索中国知网、万方数据知识服务平台、维普网、中国生物学数据库、PubMed、Web of Science核心集、Embase、Cochrane Library数据库中EMA应用于老年人身体活动的研究,检索时限为建库至2025年6月1日,对纳入文献进行系统整理分析.结果 共纳入13篇文献,EMA工具包括移动健康平台、可穿戴设备和日记,对老年人身体活动及其影响因素进行实时监测和数据采集,包括等时间间隔和随机触发2组采集方式,有效克服了场景和时间限制,在应答率、真阳性率、平均应答时间等方面具有良好的可行性和依从性.结论 EMA可有效识别老年人身体活动及相关背景因素,并分析其因果关联.未来应进一步完善生态瞬时评估的设计方案及实施流程,拓展应用场景,为老年人制定精准化健康干预策略提供参考.

Objective To conduct a scoping review of studies on the application of ecological momentary assessment(EMA)in physical activity among older adults,and to provide references for the formulation of health intervention strategies for this group of population.Methods Guided by the scoping review methodology,we systematically searched studies on the application of EMA in physical activity of older adults from CNKI,Wanfang Data,VIP,CBM,PubMed,Web of Science Core Collection,Embase,and Cochrane Library,covering the period from database inception to June 1,2025.The retrieved literature was systematically collated and analyzed.Results A total of 13 studies were included.EMA tools,such as mobile health platforms,wearable devices,and diaries,enabled real-time monitoring and data collection on physical activity and its influencing factors in older adults.By adopting both fixed-interval and random-triggered sampling methods,these tools effectively overcame spatial and temporal constraints and demonstrated good feasibility and compliance in terms of response rates,true positive rates,and average response time.Conclusion EMA can effectively identify physical activity and related contextual factors,and analyze their causal associations in older adults.In the future,it is necessary to further improve the design scheme and implementation process of EMA,expand its application scenarios,and provide references for formulating precise health intervention strategies for older adults.

张宇;刘艳丽;张洁;窦晓蓓;盛广鑫;李子怡;修文君;段杰芳

山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355山东中医药大学 护理学院,山东 济南 250355

医药卫生

老年人身体活动生态瞬时评估范围综述

older adultsphysical activityecological momentary assessmentscoping review

《护理学报》 2026 (8)

30-35,6

山东省高等学校哲学社会科学研究项目(2024ZSZX 060)

10.16460/j.issn2097-6569.2026.08.030

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