Real-time social support through a mobile virtual community to improve healthy behavior in overweight and sedentary adults: a focus group analysis.

Real-time social support through a mobile virtual community to improve healthy behavior in overweight and sedentary adults: a focus group analysis.
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DOI:
10.2196/jmir.1770
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发表时间:
2011-07-14
影响因子:
7.4
通讯作者:
Lindgren T
Lindgren T
中科院分区:
医学2区
文献类型:
--
作者:
Fukuoka Y;Kamitani E;Bonnet K;Lindgren T

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改变生活方式可以预防或延缓 2 型糖尿病的发病。移动电话等通信技术可以用作实现这些生活方式改变的手段。本分析的目的是探索基于手机的健康生活方式计划的潜在组成部分的适用性,并了解继续参与手机健康生活方式计划的动机和障碍。我们于 2010 年 5 月和 6 月进行了 6 个焦点小组(4 个女性组和 2 个男性组),共有 35 名焦点小组参与者。 3 位研究人员使用 ATLAS.ti 软件程序中的定性描述方法对定性数据进行了分析。焦点小组的纳入标准如下:(1) 年龄在 30 至 69 岁之间,(2) 会说和读英语,(3) 在工作或休闲时间有久坐的生活方式(通过简短体力活动调查问卷筛选),以及 (4) 根据自我报告的体重和身高,体重指数 (BMI) >25 kg/m2(亚洲人 >23 kg/m2),或 5) 有自我报告的体重指数糖尿病前期状况。平均年龄为 51 (SD 10.6) 岁; 54% (n = 19) 是白人; 71% (n = 25) 在研究注册前的最后一个月内每周至少使用一次手机;平均 BMI 为 32.5 (SD 6.5) kg/m2。在定性分析中,出现了以下 4 个主要主题及其副主题:(1) 实时社会支持(来自类似参与饮食或体育活动计划的参与者的实时同伴支持,以及来自医疗保健提供者或研究人员的专业支持),(2) 定制手机计划,(3) 自我监控和激励,以及 (4) 计划的潜在障碍和可持续性(对失败、年龄和移动技术的恐惧,以及随着时间的推移失去兴趣)。来自不同年龄和种族群体的参与者都对基于手机的生活方式计划感兴趣。这样一个包含我们确定的主题的计划可能能够帮助激励参与者增加身体活动并改善饮食。
The onset of type 2 diabetes mellitus can be prevented or delayed by lifestyle changes. Communication technologies such as a mobile phone can be used as a means of delivering these lifestyle changes. The purposes of this analysis were to explore applicability of potential components of a mobile phone-based healthy lifestyle program and to understand motivators and barriers to continued engagement in a mobile phone healthy lifestyle program. We conducted 6 focus groups (4 female and 2 male groups) in May and June 2010 with 35 focus group participants. The qualitative data were analyzed by 3 researchers using a qualitative description method in an ATLAS.ti software program. Inclusion criteria for enrollment in a focus group were as follows: (1) being aged from 30 to 69 years, (2) speaking and reading English, (3) having a sedentary lifestyle at work or during leisure time (screened by the Brief Physical Activity Survey questionnaire), and (4) having a body mass index (BMI) >25 kg/m2 (Asian >23 kg/m2) based on self-reported weight and height or 5) having a self-reported prediabetic condition. The mean age was 51 (SD 10.6) years; 54% (n = 19) were white; 71% (n = 25) used a mobile phone at least once a week during the last month prior to the study enrollment; and mean BMI was 32.5 (SD 6.5) kg/m2. In the qualitative analyses, the following 4 major themes and their subthemes emerged: (1) real-time social support (real-time peer support from participants who are similarly engaged in a diet or physical activity program, and professional support from health care providers or a researcher), (2) tailoring of mobile phone programs (3) self-monitoring and motivation, and (4) potential barriers and sustainability of the program (fear of failing, age and mobile technologies, and loss of interest over time). Participants from a wide range of age and racial groups expressed interest in a mobile phone-based lifestyle program. Such a program that incorporates the themes that we identified may be able to help motivate participants to increase their physical activity and to improve their diet.
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