A Social Exergame Intervention to Promote Physical Activity, Social Support, and Well-Being in Family Caregivers
A Social Exergame Intervention to Promote Physical Activity, Social Support, and Well-Being in Family Caregivers
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DOI：
10.1093/geront/gnad028
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发表时间：
2023-03-14
期刊：
影响因子：
5.7
通讯作者：
Lachman, Margie E.
中科院分区：
文献类型：
--
作者：
Lin, Xin Yao;Zhang, Lin;Lachman, Margie E.
背景和目的家庭照顾者经常经历高水平的压力，社会孤立，久坐不动的生活方式，以及不良的心理和身体健康。一个exergame干预开发，以促进身体活动和幸福的家庭照顾者，并测试社会支持作为一种机制的行为改变。研究设计和方法目前的研究是一项随机试点试验（N = 76），比较Go&Grow（社会与非社会exergame）的有效性，以促进幸福，通过增加社会支持和体力活动的家庭照顾者超过6周的干预。结果治疗组在幸福感（苦恼管理）和社会支持（对接触质量的满意度）方面的提高明显高于对照组。社会支持作为中介和调节机制：治疗组在社会交往质量满意度方面比对照组增加更多，从而导致更多的积极情感和更少的孤独感。此外，那些在治疗组中增加更多的整体社会支持和了解他人的经验，增加了他们的步骤比那些较少的支持，而步骤的变化为控制组是不相关的支持水平。那些在治疗组谁使用更多的社交功能的应用程序有更大的增加步骤相比，那些谁使用它less.Discussion和影响社会支持技术干预是一个很有前途的方向，以促进照顾者的福祉和身体活动。社会支持作为一种行为改变机制，可以为未来久坐不动和社会孤立的家庭护理人员提供更具参与性、可持续、便携和可扩展的干预措施。临床试验注册号：NCT 05032872
Background and Objectives Family caregivers often experience a high level of stress, social isolation, a sedentary lifestyle, and poor mental and physical health. An exergame intervention was developed to promote physical activity and well-being in family caregivers and to test social support as a mechanism for behavior change. Research Design and Methods The current study was a randomized pilot trial (N = 76) to compare the effectiveness of Go&Grow (social vs nonsocial exergame) to promote well-being through increased social support and physical activity for family caregivers over a 6-week intervention. Results The treatment group increased significantly more than the control group in well-being (management of distress) and social support (satisfaction with contact quality). Social support served as a mechanism (mediator and moderator): The treatment group increased more than the control group in satisfaction with social contact quality, which led to more positive affect and less loneliness. Moreover, those in the treatment group who increased more in overall social support and knowing others' experiences increased their steps more than those with less support, whereas the change in steps for the control group was not related to a support level. Those in the treatment group who used more social features of the app had a greater increase in steps compared with those who used it less. Discussion and Implications Social support in technology interventions is a promising direction to promote caregivers' well-being and physical activity. Social support served as a mechanism of behavior change that can inform more engaging, sustainable, portable, and scalable interventions in the future for sedentary and socially isolated family caregivers. Clinical Trial Registration Number: NCT05032872