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一项针对参与康复咨询项目的身体残疾患者身体活动行为的纵向队列研究方案:ReSpAct。

Protocol of a longitudinal cohort study on physical activity behaviour in physically disabled patients participating in a rehabilitation counselling programme: ReSpAct.

作者信息

Alingh Rolinde A, Hoekstra Femke, van der Schans Cees P, Hettinga Florentina J, Dekker Rienk, van der Woude Lucas H V

机构信息

Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.

出版信息

BMJ Open. 2015 Jan 29;5(1):e007591. doi: 10.1136/bmjopen-2015-007591.

Abstract

INTRODUCTION

Stimulating physical activity behaviour in persons with a physical disability is important, especially after discharge from rehabilitation. A tailored counselling programme covering both the period of the rehabilitation treatment and the first months at home seems on the average effective. However, a considerable variation in response is observed in the sense that some patients show a relevant beneficial response while others show no or only a small response on physical activity behaviour. The Rehabilitation, Sports and Active lifestyle (ReSpAct) study aims to estimate the associations of patient and programme characteristics with patients' physical activity behaviour after their participation in a tailored counselling programme.

METHODS AND ANALYSIS

A questionnaire-based nationwide longitudinal prospective cohort study is conducted. Participants are recruited from 18 rehabilitation centres and hospitals in The Netherlands. 2000 participants with a physical disability or chronic disease will be followed during and after their participation in a tailored counselling programme. Programme outcomes on physical activity behaviour and patient as well as programme characteristics that may be associated with differences in physical activity behaviour after programme completion are being assessed. Data collection takes place at baseline and 14, 33 and 52 weeks after discharge from rehabilitation.

ETHICS AND DISSEMINATION

The study protocol has been approved by the Medical Ethics Committee of the University Medical Centre Groningen and at individual participating institutions. All participants give written informed consent. The study results will provide new insights into factors that may help explain the differences in physical activity behaviour of patients with a physical disability after they have participated in the same physical activity and sports stimulation programme. Thereby, it will support healthcare professionals to tailor their guidance and care to individual patients in order to stimulate physical activity after discharge in a more efficient and effective way.

TRIAL REGISTRATION NUMBER

NTR3961.

摘要

引言

激发身体残疾者的身体活动行为非常重要,尤其是在康复出院后。一个涵盖康复治疗期间和在家的头几个月的量身定制的咨询项目平均看来是有效的。然而,在反应方面观察到相当大的差异,即一些患者表现出相关的有益反应,而另一些患者对身体活动行为没有反应或只有很小的反应。康复、运动与积极生活方式(ReSpAct)研究旨在评估患者和项目特征与患者参与量身定制的咨询项目后的身体活动行为之间的关联。

方法与分析

进行一项基于问卷的全国性纵向前瞻性队列研究。参与者从荷兰的18个康复中心和医院招募。2000名身体残疾或患有慢性病的参与者在参与量身定制的咨询项目期间及之后将被跟踪。正在评估身体活动行为的项目结果以及可能与项目完成后身体活动行为差异相关的患者和项目特征。数据收集在康复出院后的基线以及14周、33周和52周进行。

伦理与传播

该研究方案已获得格罗宁根大学医学中心医学伦理委员会以及各个参与机构的批准。所有参与者均给予书面知情同意。研究结果将为可能有助于解释身体残疾患者在参与相同的身体活动和运动刺激项目后身体活动行为差异的因素提供新的见解。从而,它将支持医疗保健专业人员根据个体患者量身定制他们的指导和护理,以便更有效率和效果地激发出院后的身体活动。

试验注册号

NTR3961。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb8/4316554/269b80dfe085/bmjopen2015007591f01.jpg

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