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一项针对母亲身体活动的多进程动作控制网络干预措施的可行性随机对照试验。

A feasibility randomized controlled trial of a multi-process action control web-based intervention that targets physical activity in mothers.

机构信息

Behavioural Medicine Lab, University of Victoria, Victoria, Canada.

出版信息

Women Health. 2022 May-Jun;62(5):384-401. doi: 10.1080/03630242.2022.2072050. Epub 2022 May 15.

DOI:10.1080/03630242.2022.2072050
PMID:35575171
Abstract

The onset of motherhood is associated with a decline in moderate- to vigorous-physical activity (MVPA) and this deficit can remain for years to come. This study explored the feasibility of a web-based intervention, informed by the multi-process action control (M-PAC) framework, to promote PA in mothers. Forty-one inactive mothers of children <16 were randomized to a 10-week web-intervention ( = 20) or wait-list control ( = 21). Primary outcomes of recruitment and retention were measured with frequency counts; usability and satisfaction were measured via self-report questionnaires and qualitative interviews; secondary outcomes of MVPA and M-PAC constructs were assessed via self-report. Recruitment was 41%, retention was 88%, and satisfaction and usability were high. Participants logged in 7.94 (SD = 3.87) times and spent 37.71 (SD = 20.21) minutes per week on the web-intervention. Suggestions for intervention improvement included additional content targeting mothers, reminders, and optimized navigation. Intervention participants trended toward improved MVPA and M-PAC constructs, particularly action control processes of habit, self-identity, and behavioral regulation. The high feasibility ratings of recruitment, retention, satisfaction, and usability demonstrated that the study can be extended to a full-scale RCT with minor additions to the intervention such as content targeting mothers, reminders, and optimized navigation.

摘要

母亲身份的转变与中高强度体力活动(MVPA)的减少有关,而且这种不足可能会持续多年。本研究探讨了一种基于网络的干预措施的可行性,该措施以多过程行动控制(M-PAC)框架为指导,以促进母亲的身体活动。将 41 名不活跃的 16 岁以下儿童的母亲随机分为 10 周的网络干预组( = 20)或候补名单对照组( = 21)。通过频率计数测量招募和保留的主要结果;通过自我报告问卷和定性访谈测量可用性和满意度;通过自我报告评估 MVPA 和 M-PAC 结构的次要结果。招募率为 41%,保留率为 88%,满意度和可用性都很高。参与者每周登录 7.94(SD = 3.87)次,在网络干预上花费 37.71(SD = 20.21)分钟。干预改进的建议包括针对母亲的更多内容、提醒和优化导航。干预参与者在 MVPA 和 M-PAC 结构方面有改善的趋势,特别是习惯、自我认同和行为调节的行动控制过程。招募、保留、满意度和可用性的高可行性评分表明,该研究可以扩展到一项全面的 RCT,只需对干预措施进行一些小的添加,例如针对母亲的内容、提醒和优化导航。

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