Acceptability of a theory-based sedentary behaviour reduction intervention for older adults ('On Your Feet to Earn Your Seat').
Acceptability of a theory-based sedentary behaviour reduction intervention for older adults ('On Your Feet to Earn Your Seat').
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DOI：
10.1186/s12889-015-1921-0
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发表时间：
2015-07-02
影响因子：
4.5
通讯作者：
Gardner B
中科院分区：
文献类型：
--
作者：
Matei R;Thuné-Boyle I;Hamer M;Iliffe S;Fox KR;Jefferis BJ;Gardner B
60岁及以上的成年人大部分时间都是久坐不动，是所有年龄段中体力活动最少的年龄段。这项早期研究探索了作为干预发展过程的一部分，以理论为基础的干预减少老年人坐着时间和增加活动的可接受性。一项为期8周的非对照试验在两个独立的英国成年人样本中进行，年龄在60-75岁之间。样本1是从庇护所招募的，假设他们久坐不动，活动不足，参与了2013年12月至2014年3月期间的活动。样本2是通过社区和信仰中心和一份通讯招募的，根据自我报告的不活动(每周150分钟中等到剧烈的活动)和久坐行为(≥6小时平均每天坐着)，参与了2014年3月至8月。参与者收到了一本小册子，其中列出了16条建议，包括如何通过光强度活动和养成活动习惯来改变坐着的状态，以及自我监控“记号单”。在基线、4周和8周的随访中，对体力活动、久坐行为和习惯进行了定量测量。在8周时，收集了记号单并进行了半结构化访谈。分别评估每个样本的可接受性，通过自然减员和遵守TIPS，行为和习惯改变的ANOVA，以及两个样本结合在一起的访谈主题分析。在样本1中，16名干预接受者中有12人完成了研究(25%的自然减少率)，平均依从性为40%(每个提示范围为15%-61%)，并且在久坐或体力活动行为或习惯方面没有明显的变化模式。在样本2中，27名干预接受者中有23人完成了(15%的磨损率)，平均依从率为58%(每个提示范围：39-82%)。样本2减少了平均坐时间和坐习惯，增加了步行、适度活动和活动习惯。定性数据表明，两个样本都对干预持积极态度，发现这些建议很容易遵循，并报告了健康和幸福感的改善。两个样本的低磨损率、适度的依从性和可得性，以及样本2的积极变化，表明干预是可以接受的。在样本1中，更高的磨损率，更低的粘附率，以及没有明显的行为影响，可能是由于季节性影响。干预措施已得到改进，以解决紧急的可接受性问题。一项探索性对照试验正在进行中。本文的在线版本(doi：10.1186/s12889-0151921-0)包含补充材料，授权用户可以使用。
Adults aged 60 years and over spend most time sedentary and are the least physically active of all age groups. This early-phase study explored acceptability of a theory-based intervention to reduce sitting time and increase activity in older adults, as part of the intervention development process. An 8-week uncontrolled trial was run among two independent samples of UK adults aged 60–75 years. Sample 1, recruited from sheltered housing on the assumption that they were sedentary and insufficiently active, participated between December 2013 and March 2014. Sample 2, recruited through community and faith centres and a newsletter, on the basis of self-reported inactivity (<150 weekly minutes of moderate-to-vigorous activity) and sedentary behaviour (≥6 h mean daily sitting), participated between March and August 2014. Participants received a booklet offering 16 tips for displacing sitting with light-intensity activity and forming activity habits, and self-monitoring ‘tick-sheets’. At baseline, 4-week, and 8-week follow-ups, quantitative measures were taken of physical activity, sedentary behaviour, and habit. At 8 weeks, tick-sheets were collected and a semi-structured interview conducted. Acceptability was assessed for each sample separately, through attrition and adherence to tips, ANOVAs for behaviour and habit changes, and, for both samples combined, thematic analysis of interviews. In Sample 1, 12 of 16 intervention recipients completed the study (25 % attrition), mean adherence was 40 % (per-tip range: 15–61 %), and there were no clear patterns of changes in sedentary or physical activity behaviour or habit. In Sample 2, 23 of 27 intervention recipients completed (15 % attrition), and mean adherence was 58 % (per-tip range: 39–82 %). Sample 2 decreased mean sitting time and sitting habit, and increased walking, moderate activity, and activity habit. Qualitative data indicated that both samples viewed the intervention positively, found the tips easy to follow, and reported health and wellbeing gains. Low attrition, moderate adherence, and favourability in both samples, and positive changes in Sample 2, indicate the intervention was acceptable. Higher attrition, lower adherence, and no apparent behavioural impact among Sample 1 could perhaps be attributable to seasonal influences. The intervention has been refined to address emergent acceptability problems. An exploratory controlled trial is underway. The online version of this article (doi:10.1186/s12889-015-1921-0) contains supplementary material, which is available to authorized users.
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影响因子：
3.2
作者：
French, David P.;Cooke, Richard;Sutton, Stephen
通讯作者：
Sutton, Stephen
影响因子：
2.5
作者：
Gardner B;Thuné-Boyle I;Iliffe S;Fox KR;Jefferis BJ;Hamer M;Tyler N;Wardle J
通讯作者：
Wardle J
DOI：
10.1249/mss.0b013e31821b94f7
发表时间：
2011-11-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Gardiner, Paul A.;Clark, Bronwyn K.;Owen, Neville
通讯作者：
Owen, Neville
影响因子：
39.3
作者：
Healy, Genevieve N.;Matthews, Charles E.;Owen, Neville
通讯作者：
Owen, Neville
影响因子：
--
作者：
Field, Elizabeth;Walker, Mike;Orrell, Martin
通讯作者：
Orrell, Martin