“SMART Health”试点研究方案：向运动专家、心理学家转介并提供基于技术的行为改变支持包，以促进有 2 型糖尿病风险或已被诊断为 2 型糖尿病的学校教师增加身体活动：初步疗效和可行性。

Preliminary efficacy and feasibility of referral to exercise specialists, psychologists and provision of a technology-based behavior change support package to promote physical activity in school teachers 'at risk' of, or diagnosed with, type 2 diabetes: The 'SMART Health' Pilot Study Protocol.

机构信息

University of Newcastle, Australia, Priority Research Centre for Physical Activity and Nutrition, Level 3 Advanced Technology Centre (ATC316), Callaghan, NSW 2308, Australia.

University of New England, Armidale, NSW 2351, Australia.

出版信息

Contemp Clin Trials. 2019 Mar;78:53-62. doi: 10.1016/j.cct.2019.01.007. Epub 2019 Jan 11.

DOI:10.1016/j.cct.2019.01.007

PMID:30639752

Abstract

INTRODUCTION

Type 2 diabetes mellitus (T2DM) is a global public health concern. Aerobic physical activity (PA) and resistance training (RT) play significant roles in the prevention and management of T2DM. The aim of this pilot trial is to determine the preliminary efficacy and confirm feasibility of referral to exercise physiologists, psychologists, and provision of a technology-based behavior change support package to promote aerobic PA and RT in school teachers 'at risk' of or diagnosed with T2DM.

RESEARCH DESIGN AND METHODS

The SMART (Support, Motivation and Physical Activity Research for Teachers') Health pilot study will be evaluated using a three-arm randomized controlled trial. The intervention will be guided by Social Cognitive Theory, Health Action Process Approach Model and Cognitive Behavioral Therapy strategies. The participants will be randomly allocated to one of three study groups: Group 1: wait-list control group; Group 2: 5 face-to-face visits with a psychologist and exercise specialist over 3 months; and Group 3: same as Group 2 plus technology-based behavior change support package for an additional 6 months. Assessments will be conducted at baseline, 3-, 9- (primary time-point) and 18-months post-baseline. The primary outcome will be PA measured with pedometers.

DISCUSSION

SMART Health is an innovative, multi-component intervention, that integrates referral to exercise specialists, psychologists and provision of a technology-based behavior support package to promote PA and RT in adults diagnosed with T2DM or 'at risk' of T2DM. The findings will be used to guide future PA interventions and to develop effective community-based diabetes prevention and treatment programs.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry No: ACTRN12616001309471.

摘要

简介

2 型糖尿病（T2DM）是一个全球性的公共卫生问题。有氧运动和抗阻运动在 T2DM 的预防和管理中发挥着重要作用。本试验旨在确定向运动生理学家转介、向心理学家咨询以及提供基于技术的行为改变支持包以促进有或没有 T2DM 的学校教师进行有氧运动和抗阻运动的初步效果，并确认其可行性。

研究设计和方法

SMART（支持、动机和体育活动研究教师）健康试验将采用三臂随机对照试验进行评估。该干预将以社会认知理论、健康行动过程方法模型和认知行为治疗策略为指导。参与者将随机分配到三个研究组之一：第 1 组：等待对照组；第 2 组：3 个月内接受 5 次与心理学家和运动专家的面对面访问；第 3 组：与第 2 组相同，外加 6 个月的基于技术的行为改变支持包。基线、3 个月、9 个月（主要时间点）和 18 个月后进行评估。主要结局指标是计步器测量的 PA。