Nymberg Peter, Ekvall Hansson Eva, Stenman Emelie, Calling Susanna, Sundquist Kristina, Sundquist Jan, Zöller Bengt
Lund University/Region Skåne, Centre for Primary Health Care Research, Jan Waldenströmsgata 35, Skåne University Hospital Malmö, University Hospital, SE-205 02, Malmö, Sweden.
Department of Health Sciences, Division of Physiotherapy, Lund University, Baravägen 3, SE-221 00, Lund, Sweden.
Trials. 2018 Oct 17;19(1):563. doi: 10.1186/s13063-018-2932-9.
In the Swedish population aged between 50 and 64 years only 7.1% reach the recommended level of physical activity. Physical activity on prescription (PAP) has been used in Sweden since the beginning of the twenty-first century with moderate adherence of approximately 50%. Mindfulness seems to affect motivation to and satisfaction with physical activity. The aim is to test the feasibility of a study in routine care; i.e. to test if mindfulness can improve adherence to PAP, measured by changes in physical activity.
METHODS/DESIGN: We will include 90 sedentary individuals, aged 40-65 years, from primary health care centres in Sweden. Individuals will be randomised to only PAP, mindfulness and PAP or mindfulness only. The PAP group will be based on patients' preferences. The mindfulness groups will meet once a week for 8 weeks and practise 20 min of individual training per day. There will not be any motivational interview or physical activity on prescription in the group assigned to only mindfulness. The participants will complete the Five Facet Mindfulness Questionnaire, the Insomnia Severity Index and also answer questions concerning their lifestyle. Physical activity will be measured by ACTi Graph GT1X activity monitor at baseline and after 3 and 6 months. Patients with a severe psychological disease, unstable angina or a recent myocardial infarction will be excluded. The main outcome will be adherence to PAP in an ordinary primary health care setting. In this pilot study, we will also evaluate measures such as the recruitment rate, number of dropouts and adherence to mindfulness practice.
This study is the first to explore the effect of mindfulness on adherence to PAP and test the feasibility of the study design.
ClinicalTrials.gov, NCT02869854 . Registered on 26 August 2016.
在瑞典50至64岁的人群中，只有7.1%的人达到了建议的身体活动水平。自21世纪初以来，瑞典开始采用运动处方（PAP），其依从性约为50%，处于中等水平。正念似乎会影响身体活动的动机和满意度。本研究旨在检验在常规护理中开展一项研究的可行性；即检验正念是否能通过身体活动的变化来提高对PAP的依从性。
方法/设计：我们将纳入来自瑞典初级保健中心的90名年龄在40至65岁之间的久坐不动的个体。个体将被随机分为仅接受PAP组、正念与PAP组或仅接受正念组。PAP组将根据患者的偏好进行安排。正念组将每周会面一次，共8周，每天进行20分钟的个人训练。仅分配到正念组的参与者不会接受任何动机性访谈或运动处方。参与者将完成五因素正念问卷、失眠严重程度指数，并回答有关其生活方式的问题。身体活动将在基线时以及3个月和6个月后通过ACTi Graph GT1X活动监测器进行测量。患有严重心理疾病、不稳定型心绞痛或近期心肌梗死的患者将被排除。主要结局将是在普通初级保健环境中对PAP的依从性。在这项试点研究中，我们还将评估招募率、退出人数和正念练习依从性等指标。
本研究首次探讨了正念对PAP依从性的影响，并检验了研究设计的可行性。
ClinicalTrials.gov，NCT02869854。于2016年8月26日注册。
