Wu Qiwei Luna, Brannon Grace Ellen
School of Communication, College of Liberal Arts and Social Sciences, Cleveland State University, 2121 Euclid Ave., MU 233, Cleveland, OH 44115, USA.
Department of Communication, College of Liberal Arts, University of Texas at Arlington, 700 West Nedderman Drive, FAB 118, Arlington, TX 76019, USA.
PEC Innov. 2022 Dec;1:100058. doi: 10.1016/j.pecinn.2022.100058. Epub 2022 Jun 23.
COVID-19 has exacerbated pre-existing rates of overweight and obesity in the United States. mHealth technologies are gaining in popularity for its potential to reduce obesity, if facilitated by patient-centered communication. This study explores predictors of overweight and obese individuals' exercise levels during COVID-19.
2191 respondents who visited a doctor in the past year and self-reported being overweight were selected from the 2020 Health Information National Trends Survey (HINTS). Respondents reported their physical activity, beliefs about obesity, health tracking behaviors, and communication with providers during the pandemic. Structural equation modeling was used to explore connections among the variables.
Patient-provider (e-)communication was significantly associated with changes in people's obesity-related beliefs and mHealth tracking usage, predicting moderate exercise during the pandemic.
The findings illustrate the need for patient-centered communication encounters to include discussions on mHealth technologies and accessible methods of engaging in physical activity.Innovation: This study examined secondary data provided by overweight and obese individuals from the early days of the COVID-19 pandemic; this population may benefit from targeted health interventions using mHealth technologies. Our findings suggest that healthcare providers should engage patients through mHealth technology and seek to improve digital health literacy to progress physical activity nationwide.
新冠疫情加剧了美国此前已有的超重和肥胖率。移动健康技术因其在以患者为中心的沟通促进下具有降低肥胖的潜力而越来越受欢迎。本研究探讨了新冠疫情期间超重和肥胖个体运动水平的预测因素。
从2020年健康信息国家趋势调查（HINTS）中选取了2191名在过去一年看过医生且自我报告超重的受访者。受访者报告了他们在疫情期间的身体活动、对肥胖的看法、健康追踪行为以及与医疗服务提供者的沟通情况。采用结构方程模型来探索变量之间的联系。
患者与医疗服务提供者之间的（电子）沟通与人们与肥胖相关看法的改变以及移动健康追踪的使用显著相关，可预测疫情期间的适度运动。
研究结果表明，以患者为中心的沟通需要包括关于移动健康技术以及参与体育活动的可行方法的讨论。创新点：本研究分析了新冠疫情早期超重和肥胖个体提供的二手数据；这一人群可能会从使用移动健康技术的针对性健康干预中受益。我们的研究结果表明，医疗服务提供者应通过移动健康技术与患者互动，并努力提高数字健康素养，以推动全国范围内的体育活动。
