Using the Internet for life style changes in diet and physical activity: A feasibility study
Using the Internet for life style changes in diet and physical activity: A feasibility study
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DOI：
10.2196/jmir.6.3.e28
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发表时间：
2004-07-01
影响因子：
7.4
通讯作者：
Jensen, AH
中科院分区：
文献类型：
--
作者：
Anhoj, J;Jensen, AH
背景：LinkMedica-Heart是一个新颖的基于互联网的项目，旨在支持那些寻求通过改变饮食和体育活动来改善生活方式的人。该计划目前正在临床研究中进行评估，目前的研究是基于LinkMedica-Heart互联网计划的可行性测试。目的：本研究的目的是评估LinkMedica-Heart，我们设计的一个基于互联网的程序，用于支持和维持患者主导的生活方式改变。方法：本研究采用定性研究方法对灵丹妙药的可行性进行研究。9名全科医生应邀参加。每位医生被要求向不少于两名患者介绍LinkMedica-Heart，每位医生最多介绍五名患者。患者和全科医生都被要求参加为期6个月的项目测试。在6个月结束时，与全科医生举行评估会议，并与全科医生选择的一些参与患者进行单独访谈。结果：5名全科医生和25名患者参与了研究。全科医生和患者对基于互联网的生活方式改变计划的前景充满热情。然而，这个项目并不能在很长一段时间内维持病人的忠诚度。医生们发现这个程序太复杂了，难以操作，而且程序的结果也不可信。相比之下，患者对方案设计的抱怨较少，但发现方案给出的建议过于复杂和详细，总的来说，没有增加患者对生活方式改变的认识。结论：我们的研究证实了人们对网络项目的需求和接受态度，该项目支持那些想要改善生活方式和健康的人。LinkMedica-Heart目前的形式并不能满足这些需求。我们建议对程序进行一些设计更改和改进。
Background: LinkMedica-Heart is a novel Internet based program intended to support people who seek to improve their life style by means of changes in diet and physical activity. The program is currently under evaluation in a clinical study and the present study is a feasibility test of the LinkMedica-Heart Internet based program.Objective: The aim of this study was to evaluate LinkMedica-Heart, an Internet based program we designed for support and maintenance of patient-led life style changes.Methods: The feasibility study of LinkMedica-Heart presented here is a qualitative study. Nine general practitioners were invited to participate. Each practitioner was asked to introduce LinkMedica-Heart to not less than two patients, with a maximum of five patients per practitioner. Patients and general practitioners were both asked to participate in testing the program for a period of 6 months. At the end of 6 months, evaluation meetings were held with the general practitioners, and separate interviews took place with some of the participating patients who were selected by the GPs.Results: Five general practitioners and 25 patients participated in the study. The general practitioners and the patients were enthusiastic about the prospect of an Internet based life style change program. However, the program was not able to sustain patient loyalty over an extended period. The doctors found that the program was much too complicated to navigate and that the results from the program could not be trusted. The patients in contrast had fewer complaints about the program design, but found that the advice given by the program was too elaborate and detailed and, in general, did not add to the patient's knowledge on life style change.Conclusion: Our study confirms that there is a need for, and a receptive attitude toward a Web-based program that supports people who want to improve their life style and health. LinkMedica-Heart in its present form does not satisfy these needs. We suggest a number of design changes and improvements to the program.