Randomized controlled trial of a web-based primary care intervention for multiple health risk behaviors
Randomized controlled trial of a web-based primary care intervention for multiple health risk behaviors
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DOI：
10.1016/j.ypmed.2005.07.010
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发表时间：
2005-09-01
影响因子：
5.1
通讯作者：
McAnally, HM
中科院分区：
文献类型：
--
作者：
Kypri, K;McAnally, HM
背景缺乏身体活动、水果和蔬菜摄入量低、危险饮酒和吸烟是疾病和伤害的主要风险因素。本研究的目的是获得估计的疗效，减少前三个这些行为。该设计是一项随机对照试验：2003年在新西兰一所大学参加学生健康服务的218名患者（17-24岁）被分配到：（A）基于网络的评估和个性化反馈（n = 72）;或（13）仅评估（n = 74）;或（C）最小接触（n = 72）。结果指标为6周后水果和蔬菜摄入量、体力活动和饮酒量符合推荐标准的比例。86%的参与者获得了随访评估，没有证据表明存在差异性减员。A组与C组相比，在水果和蔬菜消费和体力活动方面符合推荐的比例有显著差异。危险性饮酒患病率没有显着差异组。差异似乎归因于干预。这种干预可以在初级保健中常规提供，其疗效可以在一项大型随机对照试验中评估。(c)2005年爱思唯尔公司All rights reserved.
Background. Physical inactivity, low fruit and vegetable intake, hazardous drinking, and smoking are leading risk factors for disease and injury. The aim of this study was to obtain estimates of efficacy in reducing the first three of these behaviors.Method. The design was a randomized controlled trial: 218 patients (17-24 years) attending a student health service at a New Zealand university in 2003 were assigned to: (A) web-based assessment and personalized feedback (n = 72); or (13) assessment only (n = 74); or (C) minimal contact (n = 72). Outcome measures were the proportion meeting recommendations for fruit and vegetable consumption, physical activity, and alcohol consumption 6 weeks later.Results. Follow-up assessments were attained for 86% of participants, with no evidence of differential attrition. There were significant differences in the proportion meeting recommendations for fruit and vegetable consumption and physical activity in group A relative to C. Hazardous drinking prevalence did not vary significantly by group.Conclusions. Differences appear attributable to the intervention. The intervention could be routinely provided in primary care, and its efficacy could be assessed in a large randomized controlled trial. (c) 2005 Elsevier Inc. All rights reserved.