School of Allied Health, Human Services and Sport, Physiotherapy, La Trobe University, Melbourne, Victoria, Australia.
Community Rehabilitation, Alfred Health, Melbourne, Victoria, Australia.
Health Promot J Austr. 2023 Oct;34(4):809-824. doi: 10.1002/hpja.697. Epub 2023 Feb 12.
What are the effects of a brief intervention to promote physical activity (PA) delivered in a health care setting other than primary care?
MEDLINE, EMBASE, CINAHL and PsycINFO were used to identify randomised controlled trials which evaluated the effect of brief interventions to increase PA, delivered in a health care setting. Review outcomes included subjectively or objectively measured PA, adherence to prescribed interventions, adverse events, health-related quality of life, self-efficacy and stage of change in relation to PA. Where possible, clinically homogenous studies were combined in a meta-analysis.
Twenty-five eligible papers were included. Brief counselling interventions were associated with increased PA compared to control, for both self-reported PA (mean difference 34 minutes/week, 95% confidence intervals [95% CI] 9-60 minutes), and pedometer (MD 1541 steps/day, 95% CI 433-2649) at medium term follow up.
Our findings suggest that some brief interventions to increase PA, delivered in the health care setting, are effective at increasing PA in the medium term. There is limited evidence for the long-term efficacy of such interventions. The wide variation in types of interventions makes it difficult to determine which intervention features optimize outcomes. SO WHAT?: Brief counselling interventions delivered in a health care setting may support improved PA. Clinicians working in health care settings should consider the implementation of brief interventions to increase PA in vulnerable patient groups, including older adults and those with chronic illness.
在初级保健以外的医疗保健环境中进行的促进身体活动（PA）的简短干预有哪些效果？
使用 MEDLINE、EMBASE、CINAHL 和 PsycINFO 来确定评估在医疗保健环境中进行的简短干预以增加 PA 的随机对照试验。审查结果包括主观或客观测量的 PA、对规定干预措施的依从性、不良事件、与 PA 相关的健康相关生活质量、自我效能和变化阶段。在可能的情况下，将具有临床同质性的研究合并进行荟萃分析。
纳入了 25 篇符合条件的论文。与对照组相比，简短的咨询干预与 PA 增加相关，包括自我报告的 PA（平均差异 34 分钟/周，95%置信区间 [95%CI] 9-60 分钟）和计步器（MD 1541 步/天，95%CI 433-2649）在中期随访中。
我们的研究结果表明，在医疗保健环境中进行的一些增加 PA 的简短干预措施在中期内可有效增加 PA。这种干预措施的长期效果证据有限。干预措施类型的广泛差异使得难以确定哪些干预措施最优化结果。那么问题来了：在医疗保健环境中提供的简短咨询干预措施可能会支持 PA 的改善。在医疗保健环境中工作的临床医生应考虑实施简短干预措施，以增加包括老年人和慢性病患者在内的脆弱患者群体的 PA。
