Peters S, Hentschke C, Pfeifer K
Lehrstuhl Bewegung und Gesundheit, Institut für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Rehabilitation (Stuttg). 2013 Jun;52(3):173-81. doi: 10.1055/s-0033-1343490. Epub 2013 Jun 12.
Internet-based interventions open a chance to improve the sustainability of rehabilitation in general and of exercise therapy in particular. The internet can be the sole intervention component on the one hand as well as a supportive tool for a traditional "Face-to-Face" intervention on the other hand. In this article, 2 studies in the setting of health promotion are outlined. Those studies evaluated an e-Training program in different administration forms.
Study 1: 90 adults with a sedentary lifestyle were randomized into 3 treatment groups: Group fitness ("Face-to-Face"), individually supervised training ("Face-to-Face") and e-Training (internet-based). The respective intervention took place across 3 months and each continued for a maintenance phase of 4 months. Muscular fitness, sports activities and health-related quality of life were assessed at 3 points in time: right before the intervention, after the first 3 months, and finally, after the maintenance -phase. Study 2: 509 adults with a high self-rated risk of recurrent back pain participated in the intervention "Rückengesundheit ERlangen", which lasted for 6 months: a combined program with its content delivered "Face-to-Face" and via e-Training. The analysis was conducted in a pre-post design without control group. Several psychosocial outcome variables were assessed (e.g., fear-avoidance beliefs/FABQ-D) and the cardio-pulmonary endurance capacity.
In study 1 and in study 2, significant improvements over time in all intervention groups were measured in nearly all of the dependent variables, with the exception of the physical component summary of health-related quality of life (HRQL) (SF-36) in study 1, as well as its mental component summary (SF-36) and the endurance capacity in study 2. In study 1, the graphical comparison (confidence interval) of e-Training with the "Face-to-Face" interventions shows a similar efficacy of both of them. A gender-specific evaluation reveals that the mental component of HRQL in women is significantly more improved by the group fitness intervention than by e-Training. Study 2 shows significant positive changes in the pre-post comparison regarding psychosocial risk factors of the chronification of back pain and for men significant improvements of the endurance capacity. However, no causal link could be established because of the -limitation of the study design.
基于互联网的干预为提高康复治疗的可持续性，尤其是运动疗法的可持续性提供了契机。一方面，互联网可以作为唯一的干预组成部分；另一方面，也可以作为传统“面对面”干预的辅助工具。本文概述了两项健康促进背景下的研究。这些研究评估了不同管理形式的电子培训项目。
研究1：90名久坐不动的成年人被随机分为3个治疗组：团体健身（“面对面”）、个人监督训练（“面对面”）和电子培训（基于互联网）。各自的干预持续3个月，每个组都有一个为期4个月的维持阶段。在3个时间点评估肌肉健康、体育活动和与健康相关的生活质量：干预前、前3个月后以及维持阶段结束后。研究2：509名自评复发性背痛风险较高的成年人参与了为期6个月的“埃尔朗根背部健康”干预项目：一个结合了“面对面”授课内容和电子培训的项目。分析采用前后对照设计，无对照组。评估了几个心理社会结果变量（如恐惧回避信念/FABQ-D）和心肺耐力。
在研究1和研究2中，几乎所有干预组的所有因变量随时间均有显著改善，但研究1中与健康相关生活质量（HRQL）的身体成分总结（SF-36）以及研究2中的心理成分总结（SF-36）和耐力能力除外。在研究1中，电子培训与“面对面”干预的图形比较（置信区间）显示二者效果相似。按性别进行的评估表明，团体健身干预对女性HRQL心理成分的改善显著优于电子培训。研究2显示，在前后比较中，背痛慢性化的心理社会风险因素有显著的积极变化，男性的耐力能力有显著改善。然而，由于研究设计的局限性，无法建立因果联系。
