Research Group on Evidence, Lifestyles & Health, University of the Balearic Islands, Palma de Mallorca, Spain.
Department of Fundamental Biology and Health Sciences, Research Group on Evidence, Lifestyles & Health, University of the Balearic Islands, Palma de Mallorca, Spain.
J Adv Nurs. 2017 Sep;73(9):2191-2200. doi: 10.1111/jan.13318. Epub 2017 May 15.
To analyse the efficacy of a 12-month multifactorial intervention by primary care nurses in increasing adherence to physical activity prescription (150 min/week) in patients with two or more cardiovascular risk factors and with cardiovascular risk up to 15% determined by the REGICOR equation.
In Spain, cardiovascular diseases are responsible for 30.5% of deaths. Regular physical activity decreases mortality risk due to cardiovascular diseases but the effectiveness of physical activity prescription in routine in primary care settings has been shown to be low.
Multicentre, single-blind, parallel randomized (in two different branches) clinical trial.
At least 368 participants will be recruited (184 control and 184 intervention), to show an 8% increase in adherence to the physical activity prescription (1.2% control group and 9.2% intervention group). Participants will be patients aged 35-75 years with at least two cardiovascular risk factors and with a cardiovascular risk of up to 15% measured using the Framingham-REGICOR equation. Intervention will be performed throughout baseline and three follow-up visits. A motivational interview, the trans-theoretical stages of changes of Prochaska and DiClemente and an individualized prescription of physical exercise using physical activity assets will be used in the intervention. Data will be collected at baseline and after the 1-year intervention.
The present study will allow us to find out whether this brief multifactorial intervention induces greater adherence to physical activity prescription than usual practice, improving the quality of patient care.
International Standard Randomized Controlled Trial Number (ISRCTN): ISRCTN76069254. Protocol version 1.1, 6 July 2015.
分析初级保健护士进行为期 12 个月的多因素干预对增加有两个或更多心血管危险因素且心血管风险高达 15%（通过 REGICOR 方程确定）的患者对体力活动处方（每周 150 分钟）的依从性的效果。
在西班牙，心血管疾病导致 30.5%的死亡。有规律的体力活动可降低因心血管疾病导致的死亡率，但在初级保健环境中常规开具体力活动处方的效果一直较低。
多中心、单盲、平行随机（分为两条不同分支）临床试验。
将招募至少 368 名参与者（对照组 184 名，干预组 184 名），以显示对体力活动处方的依从性增加 8%（对照组 1.2%，干预组 9.2%）。参与者将为年龄在 35-75 岁之间、至少有两个心血管危险因素且心血管风险高达 15%（使用 Framingham-REGICOR 方程测量）的患者。干预将在基线和三次随访期间进行。将使用动机访谈、Prochaska 和 DiClemente 的跨理论变化阶段和使用体力活动资产的个性化运动处方对患者进行干预。将在基线和 1 年干预后收集数据。
本研究将使我们能够了解这种简短的多因素干预是否比常规实践更能提高对体力活动处方的依从性，从而改善患者的护理质量。
国际标准随机对照试验编号（ISRCTN）：ISRCTN76069254。协议版本 1.1，2015 年 7 月 6 日。
