Tudor-Locke Catrine
Walking Behavior Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA, 70808, USA.
Am J Lifestyle Med. 2009 Jul 1;3(1 Suppl):508-548. doi: 10.1177/1559827609331710.
The purpose of this article is to describe a pedometer-based physical activity intervention (and the research that has been conducted on this program) to provide insight into workable strategies focused on promoting lifestyle physical activity. The First Step Program (FSP) is facilitated theory-based behavior modification program, originally developed for individuals with Type 2 diabetes, which capitalizes on the unique properties of a pedometer to serve as a stimulus for walking and an instrument for individual goal-setting, self-monitoring, and feedback. Formative evaluation revealed that participants were highly enthusiastic about the program and pilot testing demonstrated an immediate and dramatic increase in walking behavior (by approximately 3,700 steps/day or 34 minutes of walking a day). A randomized and controlled evaluation produced similar results, as have head-to-head comparisons of participant outcomes produced by professional vs. peer delivery, and adaptations of the program to worksite and community-based delivery. The effectiveness of the FSP can be explained by a thoughtful consideration of pedometer characteristics, program features, and the people who participate. Sustained delivery is contingent on funding sources and administrative structures that support formalized implementation.
本文旨在描述一项基于计步器的身体活动干预措施（以及针对该项目开展的研究），以深入了解旨在促进生活方式身体活动的可行策略。第一步计划（FSP）是一个基于理论的行为修正促进项目，最初是为2型糖尿病患者开发的，该项目利用计步器的独特特性，作为步行的刺激因素以及个人目标设定、自我监测和反馈的工具。形成性评估显示，参与者对该项目高度热情，试点测试表明步行行为立即显著增加（每天约增加3700步或34分钟步行时间）。随机对照评估也得出了类似结果，专业人员与同伴实施该项目的参与者结果的直接比较以及该项目在工作场所和社区实施的调整也得出了类似结果。FSP的有效性可以通过对计步器特性、项目特点以及参与人群的深入思考来解释。持续实施取决于支持正式实施的资金来源和行政结构。
