South Eastern Sydney and Illawarra Area Health Service, NSW, Australia.
Patient Educ Couns. 2010 Aug;80(2):212-8. doi: 10.1016/j.pec.2009.11.012.
To determine the effectiveness of a pedometer-based telephone intervention on the physical activity levels of cardiac patients who did not attend a CRP.
A randomised controlled trial was conducted with 215 patients referred to a CRP but who could not or chose not to attend. The 6-week intervention included self-monitoring of physical activity using a pedometer and step calendar; and behavioural counselling and goal setting sessions. Data were collected at baseline, 6 weeks and 6 months.
Study groups did not differ significantly at baseline. After 6 weeks, improvements in total physical activity time (p=0.027), total physical activity sessions (p=0.003), walking time (p=0.013) and walking sessions (p=0.002) in the intervention group were significantly greater than the control group after adjusting for baseline differences, and remained significant at 6 months.
The findings that the pedometer-based telephone intervention was successful in increasing physical activity levels in cardiac patients who did not attend a CRP could result in major health benefits for this group of people.
The pedometer-based telephone intervention could be offered as an effective and accessible option for patients not attending a CRP to increase and maintain their physical activity levels after hospitalisation.
确定基于计步器的电话干预对未参加 CTP 的心脏病患者身体活动水平的有效性。
对 215 名被转诊至 CTP 但无法或选择不参加的患者进行了一项随机对照试验。为期 6 周的干预措施包括使用计步器和步骤日历进行身体活动自我监测;以及行为咨询和目标设定会议。在基线、6 周和 6 个月时收集数据。
研究组在基线时无显著差异。经过 6 周,在调整基线差异后,干预组的总身体活动时间(p=0.027)、总身体活动次数(p=0.003)、步行时间(p=0.013)和步行次数(p=0.002)的改善明显大于对照组,并且在 6 个月时仍然显著。
基于计步器的电话干预成功地提高了未参加 CTP 的心脏病患者的身体活动水平,这可能会为这群人带来重大的健康益处。
对于未参加 CTP 的患者,基于计步器的电话干预可以作为一种有效且易于获得的选择,以增加和维持他们在住院后的身体活动水平。