脊髓损伤与社区干预中的身体活动研究（SCIPA Com）：结果
SCIPA Com: outcomes from the spinal cord injury and physical activity in the community intervention.
作者信息
de Oliveira B I R, Howie E K, Dunlop S A, Galea M P, McManus A, Allison G T
机构信息
School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
Department of Experimental and Regenerative Neurosciences, School of Animal Biology, University of Western Australia, Crawley, Western Australia, Australia.
出版信息
Spinal Cord. 2016 Oct;54(10):855-860. doi: 10.1038/sc.2015.235. Epub 2016 Jan 19.
STUDY DESIGN
Quasi-experimental translational study with pre- and post-measures.
OBJECTIVES
To determine the effects of the Spinal Cord Injury and Physical Activity in the Community (SCIPA Com) intervention on leisure-time physical activity (LTPA) and associated outcomes among participants with spinal cord injury (SCI).
SETTING
Young Men's Christian Associations and community fitness centers, Australia and New Zealand.
METHODS
SCIPA Com consisted of three stages: (i) training exercise professionals via the Train the Trainers Spinal Cord Injury course; (ii) implementation of supervised physical activity programs twice a week for 30 to 60 min for 8 to 12 weeks; and (iii) follow-up assessments on health outcomes over 9 months. Participants with SCI were classified as active or inactive by baseline LTPA levels and linear mixed methods compared LTPA between groups over time.
RESULTS
Sixty-four community-dwelling participants with SCI completed customized physical activity programs. Compared with baseline, there were significant improvements in LTPA (26 min per day, 95% confidence interval (CI): 16.6-35.4; P<0.001), functional goals (2, 95% CI: 1.72-2.37; P<0.001), self-esteem (1.5, 95% CI: 0.72-2.27; P<0.001) and overall quality of life (P<0.05). Over time, LTPA participation was greater among the active compared with the inactive group, although LTPA levels among the inactive improved compared with baseline.
CONCLUSIONS
Significant improvements in LTPA participation and health outcomes were observed, especially among inactive individuals with SCI. SCIPA Com is an ecologically valid intervention based on training and support provided to community exercise professionals who, although new to adapted training, delivered effective physical activity programs for those at risk of inactivity.
SPONSORSHIP
Transport Accident Commission (Project Number DP172) and the International Postgraduate Research Scholarship (IPRS), Curtin University.
研究设计
采用前后测量的准实验性转化研究。
目的
确定社区脊髓损伤与身体活动（SCIPA Com）干预对脊髓损伤（SCI）参与者休闲时间身体活动（LTPA）及相关结果的影响。
地点
澳大利亚和新西兰的基督教青年会及社区健身中心。
方法
SCIPA Com包括三个阶段：（i）通过脊髓损伤培训师培训课程培训运动专业人员；（ii）每周进行两次有监督的体育活动项目，每次30至60分钟，持续8至12周；（iii）在9个月内对健康结果进行随访评估。根据基线LTPA水平将SCI参与者分为活跃组或不活跃组，并采用线性混合方法比较两组随时间变化的LTPA情况。
结果
64名社区居住的SCI参与者完成了定制的体育活动项目。与基线相比，LTPA（每天26分钟，95%置信区间（CI）：16.6 - 35.4；P<0.001）、功能目标（2，95%CI：1.72 - 2.37；P<0.001）、自尊（1.5，95%CI：0.72 - 2.27；P<0.001）和总体生活质量（P<0.05）均有显著改善。随着时间推移，活跃组的LTPA参与度高于不活跃组，尽管不活跃组的LTPA水平与基线相比有所提高。
结论
观察到LTPA参与度和健康结果有显著改善，尤其是在不活跃的SCI个体中。SCIPA Com是一种基于对社区运动专业人员提供培训和支持的生态有效干预措施，这些专业人员虽然对适应性训练不熟悉，但为有不活动风险的人群提供了有效的体育活动项目。
资助
交通事故委员会（项目编号DP172）和科廷大学国际研究生研究奖学金（IPRS）。
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