Gilson Nicholas D, Pavey Toby G, Wright Olivia Rl, Vandelanotte Corneel, Duncan Mitch J, Gomersall Sjaan, Trost Stewart G, Brown Wendy J
The University of Queensland, School of Human Movement and Nutrition Sciences, St Lucia Campus, Brisbane, Australia.
School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia.
BMC Public Health. 2017 May 18;17(1):467. doi: 10.1186/s12889-017-4380-y.
Chronic diseases are high in truck drivers and have been linked to work routines that promote inactivity and poor diets. This feasibility study examined the extent to which an m-Health financial incentives program facilitated physical activity and healthy dietary choices in Australian truck drivers.
Nineteen men (mean [SD] age = 47.5 [9.8] years; BMI = 31.2 [4.6] kg/m) completed the 20-week program, and used an activity tracker and smartphone application (Jawbone UP™) to regulate small positive changes in occupational physical activity, and fruit, vegetable, saturated fat and processed/refined sugar food/beverage choices. Measures (baseline, end-program, 2-months follow-up; April-December 2014) were accelerometer-determined proportions of work time spent physically active, and a workday dietary questionnaire. Statistical (repeated measures ANOVA) and thematic (interviews) analyses assessed program impact.
Non-significant increases in the mean proportions of work time spent physically active were found at end-program and follow-up (+1%; 7 mins/day). Fruit (p = 0.023) and vegetable (p = 0.024) consumption significantly increased by one serve/day at end-program. Non-significant improvements in saturated fat (5%) and processed/refined sugar (1%) food/beverage choices were found at end-program and follow-up. Overall, 65% (n = 11) of drivers demonstrated positive changes in physical activity, and at least one dietary choice (e.g. saturated fat) at follow-up. Drivers found the financial incentives component of the program to be a less effective facilitator of change than the activity tracker and smartphone application, although this technology was easier to use for monitoring of physical activity than healthy dietary choices.
Not all drivers benefitted from the program. However, positive changes for different health behaviours were observed in the majority of participants. Outcomes from this feasibility study inform future intervention development for studies with larger samples.
ANZCTR12616001513404 . Registered November 2nd, 2016 (retrospectively registered).
卡车司机慢性病发病率较高，这与导致缺乏运动和不良饮食的工作日常有关。本可行性研究考察了移动健康财务激励计划在多大程度上促进了澳大利亚卡车司机的身体活动和健康饮食选择。
19名男性（平均[标准差]年龄=47.5[9.8]岁；体重指数=31.2[4.6]kg/m²）完成了为期20周的计划，并使用活动追踪器和智能手机应用程序（卓棒UP™）来调节职业身体活动以及水果、蔬菜、饱和脂肪和加工/精制糖食品/饮料选择方面的微小积极变化。测量指标（基线、计划结束时、2个月随访；2014年4月至12月）包括通过加速度计确定的工作时间内身体活动的比例，以及一份工作日饮食问卷。统计分析（重复测量方差分析）和主题分析（访谈）评估了该计划的影响。
在计划结束时和随访时，工作时间内身体活动的平均比例有不显著的增加（+1%；每天7分钟）。在计划结束时，水果（p=0.023）和蔬菜（p=0.024）的摄入量显著增加，每天增加一份。在计划结束时和随访时，饱和脂肪（5%）和加工/精制糖（1%）食品/饮料的选择有不显著的改善。总体而言，65%（n=11）的司机在随访时身体活动以及至少一项饮食选择（如饱和脂肪）有积极变化。司机们发现该计划的财务激励部分在促进改变方面不如活动追踪器和智能手机应用程序有效，尽管这项技术在监测身体活动方面比健康饮食选择更容易使用。
并非所有司机都从该计划中受益。然而，大多数参与者在不同健康行为方面有积极变化。这项可行性研究的结果为未来更大样本量研究的干预措施制定提供了参考。
ANZCTR12616001513404。于2016年11月2日注册（追溯注册）。
