Tomasone Jennifer R, Arbour-Nicitopoulos Kelly P, Latimer-Cheung Amy E, Martin Ginis Kathleen A
a School of Kinesiology & Health Studies , Queen's University , Kingston, Ontario , Canada.
b Faculty of Kinesiology & Physical Education , University of Toronto , Toronto , Canada.
Disabil Rehabil. 2018 Mar;40(5):527-537. doi: 10.1080/09638288.2016.1261415. Epub 2016 Dec 28.
Get in Motion (GIM) is an evidence-based telephone counseling service that promotes leisure-time physical activity (LTPA) among Canadian adults with spinal cord injury (SCI). The first phase of GIM sustained intentions for, and increased participation in, LTPA; however, it is unclear how GIM led to these outcomes. The purpose of this study was to explore the implementation correlates of change in LTPA intentions and behavior in the second phase of GIM.
The frequency, duration, and content of counseling sessions were tailored to meet clients' (N = 46; 50.0% male; 50.0% paraplegia; 51.46 (SD 12.36) years old) needs and preferences. Intervention dose and content were monitored using Counseling Session Checklists. Clients self-reported their intentions for and actual aerobic and strength-training LTPA participation at baseline, 2-, 4-, and 6-months, and their perceptions of service quality at 6-months.
The second phase of GIM effectively sustained LTPA intentions and increased time spent on moderate-to-vigorous strength-training and total LTPA. Increases in clients' moderate-to-vigorous aerobic LTPA were significantly positively related to intervention dose, intervention content (both informational and behavioral strategies), and clients' perceptions of service credibility.
This study identified intervention dose and content as key implementation variables for an LTPA telephone counseling service for adults with SCI. Implications for Rehabilitation An evidence- and theory-based telephone counseling service can effectively sustain LTPA intentions and increase LTPA behavior among adults with SCI. The first two months of the service are a critical period for enhancing LTPA participation and for minimizing dropouts. The provision of both informational and behavioral strategies is important for increasing aerobic LTPA levels among adults with SCI.
“动起来”（GIM）是一项基于证据的电话咨询服务，旨在促进加拿大脊髓损伤（SCI）成年患者的休闲体育活动（LTPA）。GIM的第一阶段维持了LTPA的意愿，并增加了LTPA的参与度；然而，尚不清楚GIM是如何导致这些结果的。本研究的目的是探讨GIM第二阶段中LTPA意愿和行为变化的实施相关因素。
咨询会议的频率、时长和内容根据客户（N = 46；50.0%为男性；50.0%为截瘫；年龄51.46（标准差12.36）岁）的需求和偏好进行调整。使用咨询会议清单监测干预剂量和内容。客户在基线、2个月、4个月和6个月时自我报告他们进行有氧和力量训练LTPA的意愿及实际参与情况，并在6个月时报告他们对服务质量的看法。
GIM的第二阶段有效地维持了LTPA意愿，并增加了中度至剧烈强度力量训练的时间以及总的LTPA时间。客户中度至剧烈有氧LTPA的增加与干预剂量、干预内容（信息和行为策略）以及客户对服务可信度的看法显著正相关。
本研究确定干预剂量和内容是针对SCI成年患者的LTPA电话咨询服务的关键实施变量。康复启示 一项基于证据和理论的电话咨询服务可以有效地维持SCI成年患者的LTPA意愿并增加其LTPA行为。服务的前两个月是提高LTPA参与度和减少退出率的关键时期。提供信息和行为策略对于提高SCI成年患者的有氧LTPA水平很重要。
