Paul Lorna, Wyke Sally, Brewster Stephen, Sattar Naveed, Gill Jason M R, Alexander Gillian, Rafferty Danny, McFadyen Angus K, Ramsay Andrew, Dybus Aleksandra
a School of Medicine , University of Glasgow , Glasgow , UK.
b Institute of Health and Wellbeing , University of Glasgow , Glasgow , UK.
Top Stroke Rehabil. 2016 Jun;23(3):170-7. doi: 10.1080/10749357.2015.1122266. Epub 2016 Jan 8.
Following stroke, people are generally less active and more sedentary which can worsen outcomes. Mobile phone applications (apps) can support change in health behaviors. We developed STARFISH, a mobile phone app-based intervention, which incorporates evidence-based behavior change techniques (feedback, self-monitoring and social support), in which users' physical activity is visualized by fish swimming.
To evaluate the potential effectiveness of STARFISH in stroke survivors.
Twenty-three people with stroke (12 women; age: 56.0 ± 10.0 years, time since stroke: 4.2 ± 4.0 years) from support groups in Glasgow completed the study. Participants were sequentially allocated in a 2:1 ratio to intervention (n = 15) or control (n = 8) groups. The intervention group followed the STARFISH program for six weeks; the control group received usual care. Outcome measures included physical activity, sedentary time, heart rate, blood pressure, body mass index, Fatigue Severity Scale, Instrumental Activity of Daily Living Scale, Ten-Meter Walk Test, Stroke Specific Quality of Life Scale, and Psychological General Well-Being Index.
The average daily step count increased by 39.3% (4158 to 5791 steps/day) in the intervention group and reduced by 20.2% (3694 to 2947 steps/day) in the control group (p = 0.005 for group-time interaction). Similar patterns of data and group-time interaction were seen for walking time (p = 0.002) and fatigue (p = 0.003). There were no significant group-time interactions for other outcome measures.
Use of STARFISH has the potential to improve physical activity and health outcomes in people after stroke and longer term intervention trials are warranted.
中风后，人们通常活动减少且久坐不动，这会使病情恶化。手机应用程序（应用）可以支持健康行为的改变。我们开发了基于手机应用的干预措施“海星计划”（STARFISH），该措施纳入了循证行为改变技术（反馈、自我监测和社会支持），用户的身体活动通过鱼游动的方式可视化呈现。
评估“海星计划”对中风幸存者的潜在效果。
来自格拉斯哥支持小组的23名中风患者（12名女性；年龄：56.0±10.0岁，中风后时间：4.2±4.0年）完成了该研究。参与者按2:1的比例依次被分配到干预组（n = 15）或对照组（n = 8）。干预组遵循“海星计划”六周；对照组接受常规护理。结局指标包括身体活动、久坐时间、心率、血压、体重指数、疲劳严重程度量表、日常生活活动能力量表、十米步行测试、中风特定生活质量量表和心理总体幸福感指数。
干预组平均每日步数增加了39.3%（从4158步/天增至5791步/天），而对照组减少了20.2%（从3694步/天降至2947步/天）（组间时间交互作用p = 0.005）。步行时间（p = 0.002）和疲劳（p = 0.003）的数据模式和组间时间交互作用与之相似。其他结局指标未发现显著的组间时间交互作用。
使用“海星计划”有可能改善中风患者的身体活动和健康结局，有必要进行长期干预试验。
