Matthews Lynsay, Kirk Alison, Macmillan Freya, Mutrie Nanette
Physical Activity for Health Research Group, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland UK.
Institute for Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, Scotland UK.
Transl Behav Med. 2014 Mar;4(1):60-78. doi: 10.1007/s13142-013-0235-y.
Despite the strong evidence base for the efficacy of physical activity in the management of type 2 diabetes, a limited number of physical activity interventions have been translated and evaluated in everyday practice. This systematic review aimed to report the findings of studies in which an intervention, containing physical activity promotion as a component, has been delivered within routine diabetes care. A comprehensive search was conducted for articles reporting process data relating to components of the RE-AIM (Reach, Effectiveness, Adoption, Implementation and/or Maintenance) framework. Twelve studies met the selection criteria. Of the nine studies which measured physical activity as an outcome, eight reported an increase in physical activity levels, five of which were significant. Tailoring recruitment, resources and intervention delivery to the target population played a positive role, in addition to the use of external organisations and staff training. Many interventions were of short duration and lacked long-term follow-up data. Findings revealed limited and inconsistent reporting of useful process data.
尽管有强有力的证据表明体育活动对2型糖尿病的管理有效，但在日常实践中，将体育活动干预措施进行转化并评估的数量有限。本系统评价旨在报告那些将包含促进体育活动作为一个组成部分的干预措施在常规糖尿病护理中实施的研究结果。对报告与RE-AIM（覆盖范围、有效性、采用率、实施和/或维持）框架各组成部分相关的过程数据的文章进行了全面检索。12项研究符合入选标准。在9项将体育活动作为一项结果进行测量的研究中，8项报告体育活动水平有所提高，其中5项具有显著性。除了利用外部组织和员工培训外，针对目标人群量身定制招募、资源和干预措施的实施发挥了积极作用。许多干预措施持续时间较短，且缺乏长期随访数据。研究结果显示，有用的过程数据报告有限且不一致。
