电子健康干预措施“MyPlan 1.0”对到普通科就诊的成年人身体活动的影响:一项准实验性试验。
The Effect of the eHealth Intervention 'MyPlan 1.0' on Physical Activity in Adults Who Visit General Practice: A Quasi-Experimental Trial.
机构信息
Department of Movement and Sports Sciences, Ghent University, 9000 Gent, Belgium.
Department of Experimental-Clinical and Health Psychology, Ghent University, 9000 Gent, Belgium.
出版信息
Int J Environ Res Public Health. 2018 Jan 30;15(2):228. doi: 10.3390/ijerph15020228.
Physical inactivity is one of the major risk factors for poor health in the world. Therefore, effective interventions that promote physical activity are needed. Hence, we developed an eHealth intervention for adults, i.e., 'MyPlan 1.0', which includes self-regulation techniques for behaviour change. This study examined the effect of 'MyPlan 1.0' on physical activity (PA) levels in general practice. 615 adults (≥18 years) were recruited in 19 Flemish general practices, for the intervention group ( = 328) or for the wait-list control group ( = 183). Participants in the intervention group received the web-based intervention 'MyPlan 1.0' and were prompted to discuss their personal advice/action plan with their general practitioner. Participants in the wait-list control group only received general advice from the website. Self-reported physical activity was assessed with the International Physical Activity Questionnaire (IPAQ) at baseline and after one month. A three-level (general practice, adults, time) regression analysis was conducted in MLwiN. Significant intervention effects were found for total PA and moderate to vigorous PA with an increase for the intervention group compared to a decrease in the control condition. However, there was a high dropout rate in the intervention group (76%) and the wait-list control group (57%). Our self-regulation intervention was effective in increasing physical activity levels in adults. Future studies should consider strategies to prevent the large dropout from participants.
身体活动不足是世界范围内导致健康状况不佳的主要危险因素之一。因此,需要采取有效的干预措施来促进身体活动。因此,我们为成年人开发了一种电子健康干预措施,即“MyPlan 1.0”,其中包括用于行为改变的自我调节技术。本研究考察了“MyPlan 1.0”对一般实践中身体活动(PA)水平的影响。在 19 家佛兰德普通诊所招募了 615 名成年人(≥18 岁),分为干预组(n=328)和候补名单对照组(n=183)。干预组的参与者接受了基于网络的干预措施“MyPlan 1.0”,并被提示与他们的全科医生讨论他们的个人建议/行动计划。候补名单对照组的参与者仅从网站获得一般建议。在基线和一个月后,使用国际体力活动问卷(IPAQ)评估自我报告的体力活动。在 MLwiN 中进行了三级(普通实践、成年人、时间)回归分析。与对照组相比,干预组的总体力活动和中等到剧烈体力活动有显著的干预效果,表现为干预组的体力活动增加,而对照组的体力活动减少。然而,干预组(76%)和候补名单对照组(57%)的辍学率很高。我们的自我调节干预措施在增加成年人的体力活动水平方面是有效的。未来的研究应考虑采取策略来防止参与者大量辍学。