Program on Breast Cancer & Environmental Risk Factors, Cornell University, Ithaca, NY 14853-6401, USA.
Prev Med. 2010 May-Jun;50(5-6):230-4. doi: 10.1016/j.ypmed.2010.02.006. Epub 2010 Feb 25.
Small Steps Are Easier Together (SmStep) was a locally-instituted, ecologically based intervention to increase walking by women.
Participants were recruited from 10 worksites in rural New York State in collaboration with worksite leaders and Cooperative Extension educators. Worksite leaders were oriented and chose site specific strategies. Participants used pedometers and personalized daily and weekly step goals. Participants reported steps on web logs and received weekly e-mail reports over 10 weeks in the spring of 2008.
Of 188 enrollees, 114 (61%) reported steps. Weekly goals were met by 53% of reporters. Intention to treat analysis revealed a mean increase of 1503 daily steps. Movement to a higher step zone over their baseline zone was found for: 52% of the sedentary (n=80); 29% of the low active (n=65); 13% of the somewhat active (n=28); and 18% of the active participants (n=10). This placed 36% of enrollees at the somewhat active or higher zones (23% at baseline, p<0.005).
Workers increased walking steps through a goal-based intervention in rural worksites. The SmStep intervention provides a model for a group-based, locally determined, ecological strategy to increase worksite walking supported by local community educators and remote messaging using email and a web site.
“小步一起走”（SmStep）是一项在纽约州农村地区实施的基于生态学的干预措施，旨在提高女性的步行量。
参与者是在与工作场所领导人和合作推广教育者合作的情况下从纽约州农村的 10 个工作场所招募的。工作场所领导接受培训并选择特定于现场的策略。参与者使用计步器和个性化的日常和每周目标。参与者在网络日志上报告步骤，并在 2008 年春季的 10 周内每周通过电子邮件收到报告。
在 188 名登记参与者中，有 114 名（61%）报告了步骤。53%的报告者达到了每周目标。意向治疗分析显示，平均每天增加了 1503 步。在他们的基线区域，发现有：52%的久坐者（n=80）；29%的低活跃者（n=65）；13%的有些活跃者（n=28）；以及 18%的活跃参与者（n=10）进入了更高的步区。这使 36%的参与者处于有些活跃或更高的区域（基线时为 23%，p<0.005）。
工人通过农村工作场所的基于目标的干预措施增加了步行量。SmStep 干预措施为基于群体的、本地确定的、生态策略提供了一个模型，该策略通过本地社区教育者和使用电子邮件和网站的远程消息传递来支持工作场所的步行量增加。
