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探索电子健康干预对女性身体活动的影响:一项随机对照试验的设计与原理

Exploring the effect of an eHealth intervention on women's physical activity: Design and rationale for a randomized controlled trial.

作者信息

Black Melissa, Brunet Jennifer

机构信息

School of Human Kinetics and School of Psychology, University of Ottawa, Ontario, Canada.

Institut du savoir Montfort (ISM), Hôpital Montfort, Ontario, Canada.

出版信息

Digit Health. 2022 May 9;8:20552076221093134. doi: 10.1177/20552076221093134. eCollection 2022 Jan-Dec.

Abstract

OBJECTIVE

This manuscript reports on the protocol for a three-arm randomized controlled trial aiming to assess the effect a self-determination theory-based eHealth intervention on physical activity among insufficiently active women who are overweight or obese.

METHODS

The intervention-of-interest provided (A) six weekly behavioural support emails, (B) a wearable activity tracker, and (C) a copy and verbal explanation of the Canadian physical activity guidelines, and was compared to an intervention that provided (B + C) and another that provided (C). Women from a local community were invited to participate in this study. Participants were recruited between September 2018 and March 2019. Data were collected using self-report and direct measures three times: at baseline (week 0), post-intervention (week 7), and at follow-up (week 21). The primary outcome was self-reported total metabolic equivalent minutes of physical activity per week (MET-m/week); exploratory outcomes included number of days of strength training per week, self-determination theory constructs (i.e. motivational regulations, basic psychological needs satisfaction and thwarting), and well-being indicators (i.e. affect, vitality, depression).

CONCLUSION

Findings will provide insight into which combination of intervention components may be more effective at promoting physical activity among insufficiently active women who are overweight or obese, and thus inform the design of future interventions aiming to promote physical activity.

摘要

目的

本手稿报告了一项三臂随机对照试验的方案,旨在评估基于自我决定理论的电子健康干预对超重或肥胖且活动不足的女性身体活动的影响。

方法

感兴趣的干预措施包括(A)每周六封行为支持电子邮件、(B)一个可穿戴活动追踪器以及(C)一份加拿大身体活动指南的副本及口头解释,并将其与提供(B + C)的干预措施以及提供(C)的另一项干预措施进行比较。邀请当地社区的女性参与本研究。参与者于2018年9月至2019年3月招募。使用自我报告和直接测量方法在三个时间点收集数据:基线(第0周)、干预后(第7周)和随访(第21周)。主要结局是自我报告的每周身体活动总代谢当量分钟数(MET - m/周);探索性结局包括每周力量训练天数、自我决定理论构建(即动机调节、基本心理需求满足和受挫)以及幸福感指标(即情感、活力、抑郁)。

结论

研究结果将深入了解哪些干预成分组合可能在促进超重或肥胖且活动不足的女性身体活动方面更有效,从而为未来旨在促进身体活动的干预措施设计提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8e1/9092584/b18ac28ec0a4/10.1177_20552076221093134-fig1.jpg

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