Marcus B H, Goldstein M G, Jette A, Simkin-Silverman L, Pinto B M, Milan F, Washburn R, Smith K, Rakowski W, Dubé C E
Division of Behavioral and Preventive Medicine, Miriam Hospital, Providence, RI 02906, USA.
Prev Med. 1997 May-Jun;26(3):382-8. doi: 10.1006/pmed.1997.0158.
In accordance with the U.S. Preventive Services Task Force recommendations, the current pilot study tests the feasibility and efficacy of a physician-delivered physical activity counseling intervention.
A sequential comparison group design was used to examine change in self-reported physical activity between experimental (counseling and self-help materials) and control (usual care) patients at base-line and 6 weeks after the initial office visit. Patients in both groups were contacted by telephone 2 weeks after their office visit and asked about the physical activity counseling at their most recent physician visit. Experimental patients also received a follow-up appointment to discuss physical activity with their physician 4 weeks after their initial visit.
Counseling was feasible for physicians to do and produced short-term increases in physical activity levels. Both groups increased their physical activity, but the increase in physical activity was greater for patients who reported receiving a greater number of counseling messages.
Physician-delivered physical activity interventions may be an effective way to achieve wide-spread improvements in the physical activity of middle-aged and older adults.
根据美国预防服务工作组的建议,当前的试点研究测试了由医生提供的身体活动咨询干预措施的可行性和有效性。
采用序贯比较组设计,以检查实验(咨询和自助材料)组和对照组(常规护理)患者在基线时以及初次就诊后6周自我报告的身体活动变化。两组患者在就诊后2周通过电话联系,询问他们最近一次看医生时的身体活动咨询情况。实验组患者在初次就诊后4周还接受了一次随访预约,以便与医生讨论身体活动情况。
咨询对医生来说是可行的,并能在短期内提高身体活动水平。两组的身体活动都有所增加,但报告收到更多咨询信息的患者身体活动增加幅度更大。
由医生提供的身体活动干预措施可能是广泛改善中老年人身体活动的有效方法。