评估短信 + 计步器干预对急诊科出院后增加步数的效果：一项试点研究。
Evaluation of a text message + pedometer intervention to increase steps after emergency department discharge: a pilot study.
作者信息
Suffoletto Brian, Mayer Waverly, Toth Caitlin, Ashenburg Nick, Lin Michelle, Losak Michael, Kim David
机构信息
Department of Emergency Medicine, Stanford University, Stanford, USA.
出版信息
Aging Clin Exp Res. 2025 Apr 21;37(1):131. doi: 10.1007/s40520-025-03030-7.
BACKGROUND
Older adults face increased risk of functional impairments after Emergency Department (ED) discharge, yet no evidence-based interventions exist for this population.
OBJECTIVE
To evaluate the feasibility, safety, and effectiveness of Safe Steps, a text message + pedometer intervention designed to motivate individuals to meet step count goals.
METHODS
We recruited ED patients aged ≥ 60 with low physical activity. Participants received a pedometer in the ED, daily text messages to report steps, and weekly prompts to set step goals over 4 weeks. We assessed step count reporting rates, falls, and change in steps over time.
RESULTS
Among analyzed participants (n = 40), daily step reporting was high (95% of weeks with 2 + readings). No participants had falls due to the intervention. Step count increased by a mean of 359 steps per week (95% confidence interval 182-536).
CONCLUSION
Safe Steps appears feasible, safe, and may be effective for promoting activity after ED discharge.
背景
急诊科（ED）出院后的老年人面临功能障碍风险增加的问题，但针对该人群尚无循证干预措施。
目的
评估“安全步数”的可行性、安全性和有效性，这是一种旨在激励个体实现步数目标的短信 + 计步器干预措施。
方法
我们招募了身体活动水平低的60岁及以上的急诊科患者。参与者在急诊科领取了计步器，每天收到报告步数的短信，并在4周内每周收到设定步数目标的提示。我们评估了步数报告率、跌倒情况以及随时间变化的步数。
结果
在分析的参与者（n = 40）中，每日步数报告率很高（95%的周有2次及以上读数）。没有参与者因干预而跌倒。步数平均每周增加359步（95%置信区间182 - 536）。
结论
“安全步数”似乎可行、安全，可能对促进急诊科出院后的活动有效。
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