A multiple technology-based physical activity intervention for Latina adolescents in the USA: randomized controlled trial study protocol for Chicas Fuertes.

A multiple technology-based physical activity intervention for Latina adolescents in the USA: randomized controlled trial study protocol for Chicas Fuertes.
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DOI:
10.1186/s13063-022-06105-2
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发表时间:
2022-02-23
期刊:
影响因子:
2.5
通讯作者:
Zive M
Zive M
中科院分区:
医学4区
文献类型:
--
作者:
Larsen B;Greenstadt E;Olesen B;Osuna L;Godino J;Marcus B;Dunsiger S;Meyer D;Zive M

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在美国的拉美裔青少年中,身体活动率是所有人口亚群中最低的;这与肥胖、2型糖尿病和其他与不活动有关的疾病的终生风险显著较高相平行。尽管如此,到目前为止,还没有完全有效的临床试验专门测试针对这一人群的体力活动干预。移动技术(包括短信、智能手机应用和社交媒体)的高使用率表明,这可能是一个适当的干预渠道,同时也具有广泛覆盖的潜力。这篇文章描述了Chias Fuertes的方案,这是一项针对拉美裔青少年的基于移动技术的体力活动干预的全功率随机试验。我们计划在加利福尼亚州圣地亚哥招募200名拉丁裔青少年(年龄13-18岁),目前从事每周150 分钟的中等至剧烈体力活动,将1:1分配到干预组或对照组。那些被随机分配到干预组的人将接受一对一的目标设定课程,然后是为期6个月的基于移动技术的干预,包括个性化网站、Fitbit活动跟踪器和APP、基于Fitbit数据的单独定制短信以及Instagram上的日常干预内容。那些被随机分配到控制组的人只接受Fitbit活动跟踪器。主要结果是每周MVPA分钟从基线到6个月的变化,客观测量(Actigraph Accelerator和Fitbit Inspire HR)和主观测量(7天体力活动回忆访谈)。其他结果是在12个 月时保持活动变化,以及心理社会结构的变化,包括社会支持和自我效能、对移动技术渠道的参与以及干预交付的成本。我们还在审查干预的潜在调解人和调解人。使用混合效应回归模型分析干预的效果,调整未通过随机化平衡的任何潜在混杂因素。对测量的MVPA加速度计的所有分析也针对磨损时间进行了调整。CHICAS Fuertes试验使用广泛可用的移动技术来针对拉美青少年的关键健康行为和体力活动,拉美青少年是生活方式相关疾病的高终生风险人群。结果将说明干预的有效性和可接受性,这一干预具有广泛传播的潜力。临床试验.政府NCT04190225.注册日期:2019年11月20日
Latina adolescents in the USA report some of the lowest rates of physical activity of any demographic subgroup; this is paralleled by a markedly higher lifetime risk of obesity, type 2 diabetes, and other conditions related to inactivity. Despite this, to date, no fully powered clinical trials have tested physical activity interventions specifically for this population. High use of mobile technologies (including text messages, smartphone apps, and social media) suggests this could be an appropriate intervention channel, while also having potential for broad reach. This paper describes the protocol for Chicas Fuertes, a fully powered randomized trial of a mobile technology-based physical activity intervention for Latina adolescents. We plan to recruit 200 Latina teens (age 13–18) in San Diego, CA, currently engaging in ≤ 150 min/week of moderate-to-vigorous physical activity (MVPA) to be assigned 1:1 to the intervention or control groups. Those randomly assigned to the intervention group receive a one-on-one goal setting session followed by 6 months of mobile technology-based intervention, including a personalized website, Fitbit activity tracker and app, individually tailored text messages based on Fitbit data, and daily intervention content on Instagram. Those randomized to the control group receive only a Fitbit activity tracker. The main outcome is change in weekly minutes of MVPA from baseline to 6 months, measured both objectively (ActiGraph accelerometers and Fitbit Inspire HR) and subjectively (7-Day Physical Activity Recall Interview). Additional outcomes are maintenance of activity change at 12 months and changes in psychosocial constructs, including social support and self-efficacy, engagement with mobile technology channels, and costs of intervention delivery. We are also examining the potential mediators and moderators of the intervention. The efficacy of the intervention is analyzed using a mixed effects regression model, adjusting for any potential confounders not balanced by randomization. All analyses of accelerometer measured MVPA are also adjusted for wear time. The Chicas Fuertes trial uses widely available mobile technologies to target critical health behavior, physical activity, in Latina teens, a population with a high lifetime risk of lifestyle-related diseases. The results will speak to the efficacy and acceptability of the intervention, which has the potential for broad dissemination. ClinicalTrials.govNCT04190225. Registered on November 20, 2019
DOI: 10.1097/00005768-199807000-00009
发表时间: 1998-07-01
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