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动机性访谈联合可穿戴健身追踪器对不活跃成年人动机和身体活动的影响:一项随机对照试验。

The combined effect of motivational interviewing and wearable fitness trackers on motivation and physical activity in inactive adults: A randomized controlled trial.

机构信息

Klein Buendel, Golden, CO, USA.

University of Southern California, Keck School of Medicine, Department of Population and Public Health, Los Angeles, CA, USA.

出版信息

J Sports Sci. 2023 Jan;41(1):45-55. doi: 10.1080/02640414.2023.2195228. Epub 2023 Mar 25.

DOI:10.1080/02640414.2023.2195228
PMID:36966352
Abstract

Despite overwhelming adoption of wearable fitness trackers (WFT), it is unclear if they affect physical activity (PA) engagement or PA motivation. We hypothesized that combining a WFT with an effective intervention, motivational interviewing (MI), would positively influence both motivation and PA. A 12-week randomized controlled trial was conducted in 40 adults who did not meet PA recommendations. The four conditions were: a PA education (Educational control,  = 10), a WFT (WFT,  = 10), bi-weekly MI sessions (MI,  = 10), or both interventions (WFT+,  = 10). Motivation and PA were measured through an online survey and actigraphy pre- and post-intervention. Both the WFT+ and MI groups improved autonomous forms and decreased controlled forms of motivation. They also had higher basic psychological needs scores when compared to the Education group post-intervention. We detected no changes in PA. High autonomous motivation at baseline predicted higher post-intervention PA in the WFT+ group but predicted lower post-intervention PA in the WFT group. Results suggests that MI alone or with a WFT can improve basic psychological needs and autonomous forms of motivation for PA, but not PA participation. Individual differences in motivation at baseline may moderate the effect of a WFT on PA. This study was registered at clinicaltrials.gov (NCT490014).

摘要

尽管可穿戴健身追踪器(WFT)已被广泛采用,但尚不清楚它们是否会影响身体活动(PA)的参与度或 PA 的动机。我们假设将 WFT 与有效的干预措施——动机性访谈(MI)相结合,将积极影响动机和 PA。本研究在 40 名未达到 PA 建议的成年人中进行了为期 12 周的随机对照试验。四种条件为:PA 教育(教育对照组,n=10)、WFT(n=10)、每两周进行一次 MI 课程(MI 组,n=10)或同时进行两种干预(WFT+组,n=10)。动机和 PA 通过在线调查和活动记录仪在干预前后进行测量。WFT+组和 MI 组的自主动机形式都有所提高,而控制动机形式则有所下降。与教育组相比,干预后他们的基本心理需求评分也更高。我们没有发现 PA 有任何变化。较高的自主动机基线预测 WFT+组在干预后的 PA 更高,但预测 WFT 组在干预后的 PA 更低。结果表明,MI 单独或与 WFT 结合使用可以提高 PA 的基本心理需求和自主动机形式,但不能提高 PA 的参与度。基线时动机的个体差异可能会调节 WFT 对 PA 的影响。本研究已在 clinicaltrials.gov(NCT049014)注册。

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