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通过心理团体干预促进心脏康复中的身体活动:一项随机对照试验。

Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial.

机构信息

Department of Sport Psychology, University of Freiburg, Schwarzwaldstrasse 175, 79117, Freiburg, Germany.

Schwarzwaldklinik Bad Krozingen, Herbert-Hellmann-Allee 44, 79189, Freiburg, Germany.

出版信息

J Behav Med. 2019 Dec;42(6):1104-1116. doi: 10.1007/s10865-019-00047-y. Epub 2019 May 7.

DOI:10.1007/s10865-019-00047-y
PMID:31065889
Abstract

We examined the long-term effectiveness of a group-based psychological intervention ("MoVo-LISA") to promote physical activity in patients with coronary heart disease. In this randomized controlled trial, N = 202 inactive patients with coronary heart disease were assigned to the control group (n = 102; treatment as usual) or the intervention group (n = 100; treatment as usual plus MoVo-LISA). Physical activity was assessed at baseline, 6 weeks (post-treatment), 6 months, and 12 months after discharge. ANCOVA for repeated measures revealed a significant interaction effect [p < .001; η = .214] indicating a large effect [d = 1.03] of the intervention on behavior change post-treatment. At 12-month follow-up, the level of physical activity in the intervention group was still 94 min per week higher than in the control group (p < .001; d = 0.57). Results of this RCT indicate that the MoVo-LISA intervention substantially improves the level of physical activity among initially inactive patients with coronary heart disease up to 1 year after the intervention.

摘要

我们研究了一种基于群体的心理干预(“MoVo-LISA”)对促进冠心病患者身体活动的长期效果。在这项随机对照试验中,我们将 202 名不活跃的冠心病患者分配到对照组(n=102;常规治疗)或干预组(n=100;常规治疗加 MoVo-LISA)。在出院后 6 周(治疗后)、6 个月和 12 个月时评估身体活动。重复测量的方差分析显示出显著的交互效应(p <.001;η =.214),表明干预对治疗后行为改变有较大影响(d = 1.03)。在 12 个月的随访中,干预组的身体活动水平仍比对照组高 94 分钟/周(p <.001;d = 0.57)。这项 RCT 的结果表明,MoVo-LISA 干预方案可显著提高初始不活跃的冠心病患者的身体活动水平,在干预后 1 年内效果依然显著。

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