接受度的坐姿减少干预肥胖的老年人。
Acceptability of a sitting reduction intervention for older adults with obesity.
机构信息
Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
出版信息
BMC Public Health. 2018 Jun 7;18(1):706. doi: 10.1186/s12889-018-5616-1.
BACKGROUND
Older adults spend more time sitting than any other age group, contributing to poor health outcomes. Effective behavioral interventions are needed to encourage less sitting among older adults, specifically those with obesity, but these programs must be acceptable to the target population. We explored participant acceptance of a theory-based and technology-enhanced sitting reduction intervention designed for older adults (I-STAND).
METHODS
The 12-week I-STAND intervention consisted of 6 health coaching contacts, a study workbook, a Jawbone UP band to remind participants to take breaks from sitting, and feedback on sitting behaviors (generated from wearing an activPAL device for 7 days at the beginning and mid-point of the study). Semi-structured interviews were conducted with 22 participants after they completed the intervention. Interview transcripts were iteratively coded by a team, and thematic analysis was used to identify and refine emerging themes.
RESULTS
Overall, participants were satisfied with the I-STAND intervention, thought the sedentary behavior goals of the intervention were easy to incorporate, and found the technologies to be helpful additions to (but not substitutes for) health coaching. Barriers to standing more included poor health, ingrained sedentary habits, lack of motivation to change sedentary behavior, and social norms that dictate when it is appropriate to sit/stand. Facilitators to standing more included increased awareness of sitting, a sense of accountability, daily activities that involved standing, social support, and changing ways of interacting in the home environment. Participants reported that the intervention improved physical health, increased energy, increased readiness to engage in physical activity, improved mood, and reduced stress.
CONCLUSIONS
The technology-enhanced sedentary behavior reduction intervention was acceptable, easy to incorporate, and had a positive perceived health impact on older adults with obesity.
TRIAL REGISTRATION
The I-STAND study was registered at clinicaltrials.gov (ID: NCT02692560 ) February 2016.
背景
老年人比其他任何年龄段的人花更多的时间坐着，这导致了健康状况不佳。需要有效的行为干预措施来鼓励老年人减少久坐，特别是肥胖的老年人，但这些计划必须被目标人群接受。我们探讨了一项针对老年人（I-STAND）的基于理论和技术增强的减少久坐干预措施的参与者接受度。
方法
为期 12 周的 I-STAND 干预措施包括 6 次健康辅导电话、一本研究手册、一个 Jawbone UP 手环，提醒参与者休息一下，不要久坐，以及对坐姿行为的反馈（通过在研究开始时和中点佩戴 activPAL 设备 7 天获得）。在参与者完成干预后，对 22 名参与者进行了半结构化访谈。采访记录由一个团队进行迭代编码，并使用主题分析来识别和提炼新兴主题。
结果
总体而言，参与者对 I-STAND 干预措施感到满意，认为干预的久坐行为目标很容易融入，并且认为技术是健康辅导的有益补充（而不是替代）。增加站立的障碍包括健康状况不佳、久坐习惯根深蒂固、缺乏改变久坐行为的动力以及规定何时适合坐/站的社会规范。增加站立的促进因素包括增加对坐姿的认识、责任感、涉及站立的日常活动、社会支持以及改变家庭环境中的互动方式。参与者报告说，该干预措施改善了身体健康、增加了能量、增加了进行体育活动的准备、改善了情绪和减轻了压力。
结论
这项基于技术的减少久坐行为的干预措施是可以接受的，易于融入，并且对肥胖的老年人有积极的健康影响。
注册
I-STAND 研究于 2016 年 2 月在 clinicaltrials.gov 注册（编号：NCT02692560）。
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