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2 型糖尿病患者使用 MyHealthAvatar-Diabetes 智能手机应用程序减少久坐时间的随机对照可行性研究。

Randomised Controlled Feasibility Study of the MyHealthAvatar-Diabetes Smartphone App for Reducing Prolonged Sitting Time in Type 2 Diabetes Mellitus.

机构信息

Division of Sport, Health and Exercise Sciences, Department of Life Sciences, Brunel University London, Kingston Lane, Uxbridge UB8 3PH, UK.

Centre for Human Performance, Exercise and Rehabilitation, Brunel University London, Kingston Lane, Uxbridge UB8 3PH, UK.

出版信息

Int J Environ Res Public Health. 2020 Jun 19;17(12):4414. doi: 10.3390/ijerph17124414.

Abstract

This study evaluated the feasibility and acceptability of a self-regulation smartphone app for reducing prolonged sitting in people with Type 2 diabetes mellitus (T2DM). This was a two-arm, randomised, controlled feasibility trial. The intervention group used the MyHealthAvatar-Diabetes smartphone app for 8 weeks. The app uses a number of behaviour change techniques aimed at reducing and breaking up sitting time. Eligibility, recruitment, retention, and completion rates for the outcomes (sitting, standing, stepping, and health-related measures) assessed trial feasibility. Interviews with participants explored intervention acceptability. Participants with T2DM were randomised to the control ( = 10) and intervention groups ( = 10). Recruitment and retention rates were 71% and 90%, respectively. The remaining participants provided 100% of data for the study measures. The MyHealthAvatar-Diabetes app was viewed as acceptable for reducing and breaking up sitting time. There were preliminary improvements in the number of breaks in sitting per day, body fat %, glucose tolerance, attitude, intention, planning, wellbeing, and positive and negative affect in favour of the intervention group. In conclusion, the findings indicate that it would be feasible to deliver and evaluate the efficacy of the MyHealthAvatar-Diabetes app for breaking up sitting time and improving health outcomes in a full trial.

摘要

本研究评估了一款自我调节智能手机应用程序在减少 2 型糖尿病(T2DM)患者久坐时间方面的可行性和可接受性。这是一项双臂、随机、对照的可行性试验。干预组使用 MyHealthAvatar-Diabetes 智能手机应用程序 8 周。该应用程序使用了多种行为改变技术,旨在减少和打断久坐时间。通过评估参与率、招募率、保留率和结局(坐姿、站立、走动和与健康相关的测量)完成率来评估试验的可行性。对参与者的访谈探讨了干预的可接受性。T2DM 患者被随机分配到对照组(n=10)和干预组(n=10)。招募率和保留率分别为 71%和 90%。其余参与者提供了 100%的研究测量数据。MyHealthAvatar-Diabetes 应用程序被认为可以减少和打断久坐时间,具有可接受性。干预组在每天久坐的休息次数、体脂%、葡萄糖耐量、态度、意图、计划、幸福感以及积极和消极情绪方面有初步改善。总之,这些发现表明,在一项完整的试验中,提供和评估 MyHealthAvatar-Diabetes 应用程序打破久坐时间和改善健康结果的疗效是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7915/7345154/9e69124826ab/ijerph-17-04414-g001.jpg

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