Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults.

Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults.
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DOI:
10.1186/1479-5868-10-104
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发表时间:
2013-09-02
期刊:
The international journal of behavioral nutrition and physical activity
影响因子:
--
通讯作者:
Lechner L
Lechner L
中科院分区:
其他
文献类型:
--
作者:
Peels DA;Bolman C;Golsteijn RH;de Vries H;Mudde AN;van Stralen MM;Lechner L

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这项研究深入了解了基于网络或印刷版的定制 Active Plus 干预措施(有或没有环境方法)在促进 50 岁以上身体活动 (PA) 方面的长期功效(即 12 个月的结果)。还研究了亚组之间效果的差异。在一项整群随机对照试验中,对干预组(即印刷版基本版(PB;N = 439)、印刷版环境版(PE;N = 435)、网络版基本版(WB;N = 423)、网络版环境版(WE;N = 432))和等候名单对照组(N = 411)进行了研究。干预参与者在 4 个月内收到了 3 次量身定制的建议。使用多水平线性回归分析测试对 PA(即自我报告的每周充分 PA 的分钟数和天数)的长期影响(干预开始后 12 个月,即干预完成后 8 个月)。参与者的年龄、性别、体重指数、教育水平、PA意图和慢性身体限制的存在被认为是该效应的潜在调节因素。总体而言,Active Plus 干预对于增加每周充足 PA 的天数有效(B=0.49;p=.005),但对于增加每周 PA 的分钟数无效(B=84.59;p=.071)。每个干预条件分析表明,PB 干预(Bdays=0.64;p=.002;Bmin=111.36;p=.017)和 PE 干预(Bdays=0.70;p=.001;Bmin=157.41;p=.001)可有效增加 PA 天数和分钟数。基于网络的条件均未显着增加 PA,而对照组则降低了 PA。与对 PA 分钟数的干预效果相反,对 PA 周天数的影响明显受到参与者充分身体活动的基线意图的影响。一般来说,12 个月后,印刷版干预措施比网络干预措施产生了更强的效果。参与者的基线意图是干预效果的唯一显着调节因素。所有其他评估的用户特征都没有显着调节干预的效果,这可能表明干预措施足以适应不同的参与者特征。应采取更多努力来提高基于网络的干预措施的可持续性。荷兰试用登记册:NTR2297。
This study provides insight into the long-term efficacy (i.e. 12 month results) of the Web-based or print-delivered tailored Active Plus intervention (with and without environmental approach) to promote physical activity (PA) among the over-fifties. Differences in effect among subgroups are studied as well. Intervention groups (i.e. print-delivered basic (PB; N = 439), print-delivered environmental (PE; N = 435), Web-based basic (WB; N = 423), Web-based environmental (WE; N = 432)) and a waiting list control group (N = 411) were studied in a clustered randomized controlled trial. Intervention participants received tailored advice three times within 4 months. Long-term effects (12 months after the intervention has started, i.e. 8 months after the intervention was completed) on PA (i.e. self-reported weekly minutes and days of sufficient PA) were tested using multilevel linear regression analyses. Participants’ age, gender, BMI, educational level, PA intention and the presence of a chronic physical limitation were considered to be potential moderators of the effect. Overall, the Active Plus intervention was effective in increasing weekly days of sufficient PA (B=0.49; p=.005), but ineffective in increasing weekly minutes of PA (B=84.59; p=.071). Per intervention condition analysis showed that the PB-intervention (Bdays=0.64; p=.002; Bmin=111.36; p=.017) and the PE-intervention (Bdays=0.70; p=.001; Bmin=157.41; p=.001) were effective in increasing days and minutes of PA. Neither Web-based conditions significantly increased PA, while the control group decreased their PA. In contrast to the intervention effect on minutes of PA, the effect on weekly days of PA was significantly moderated by the participants’ baseline intention to be sufficiently physically active. In general, after 12 months the print-delivered interventions resulted in stronger effects than the Web-based interventions. The participants’ baseline intention was the only significant moderator of the intervention effect. All other assessed user characteristics did not significantly moderate the effect of the intervention, which might indicate that the intervention is sufficiently tailored to the different participant characteristics. Additional efforts should be taken to increase the sustainability of Web-based interventions. Dutch Trial Register: NTR2297.
DOI: 10.2105/ajph.89.9.1322
发表时间: 1999-09-01
影响因子: 12.7
作者:
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者: Boles, SM
DOI: 10.1007/s12160-012-9384-3
发表时间: 2012-10
影响因子: 3.8
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DOI: 10.2196/jmir.1742
发表时间: 2012-03-01
影响因子: 7.4
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通讯作者: Lechner, Lilian
DOI: 10.1249/01.mss.0000191185.58467.be
发表时间: 2006-03-01
影响因子: 4.1
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通讯作者: Jolliffe, CJ
DOI: 10.1186/1479-5868-9-52
发表时间: 2012-04-30
期刊: The international journal of behavioral nutrition and physical activity
影响因子: --
作者:
Davies CA;Spence JC;Vandelanotte C;Caperchione CM;Mummery WK
通讯作者: Mummery WK