Multidimensional individualised Physical ACTivity (Mi-PACT)--a technology-enabled intervention to promote physical activity in primary care: study protocol for a randomised controlled trial.
Multidimensional individualised Physical ACTivity (Mi-PACT)--a technology-enabled intervention to promote physical activity in primary care: study protocol for a randomised controlled trial.
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DOI：
10.1186/s13063-015-0892-x
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发表时间：
2015-08-28
期刊：
影响因子：
2.5
通讯作者：
Thompson D
中科院分区：
文献类型：
--
作者：
Peacock OJ;Western MJ;Batterham AM;Stathi A;Standage M;Tapp A;Bennett P;Thompson D
身体活动不足是一个主要的公共健康问题。需要新的具有成本效益的方法，刺激身体活动的有意义的长期变化，特别是在初级保健环境中。越来越清楚的是，体育活动具有独立的健康益处。技术的进步意味着现在可以生成多维身体活动“配置文件”，提供更完整的身体活动表示，并提供可以针对个人的各种选择。Mi-PACT是一项随机对照试验，旨在研究个性化的多维身体活动反馈和自我监测以及教练支持课程是否会增加身体活动并改善高危男性和女性的健康结果。我们的目标是招募216名年龄在40至70岁之间，处于心血管疾病和/或II型糖尿病中或高风险的初级保健患者。采用2：1的不平等分配比例（干预：对照），受试者将被随机分配到两组之一，常规护理或干预。对照组将接受全科医生（GP）的常规护理，并接受有关身体活动健康的标准化信息。干预组将获得身体活动监测器，并访问基于网络的平台，为期3个月，以实现自我监测，并提供有关身体活动多维性质的个性化反馈。此外，在为期3个月的干预期间，将在支持性一对一辅导课程中与参与者讨论5次这种技术支持的反馈。主要结局指标是身体活动，将在基线、干预后和12个月时使用活动监测器直接评估7天。次要指标（在这些时间点）包括体重减轻、脂肪量以及代谢控制、动力和幸福感的标志物。这项研究的结果将深入了解综合身体活动分析和自我监测结合面对面支持对未来有慢性病风险的患者身体活动和健康结果的影响。ISRCTN 18008011试验注册日期：2013年7月31日
Low physical activity is a major public health problem. New cost-effective approaches that stimulate meaningful long-term changes in physical activity are required, especially within primary care settings. It is becoming clear that there are various dimensions to physical activity with independent health benefits. Advances in technology mean that it is now possible to generate multidimensional physical activity ‘profiles’ that provide a more complete representation of physical activity and offer a variety of options that can be tailored to the individual. Mi-PACT is a randomised controlled trial designed to examine whether personalised multidimensional physical activity feedback and self-monitoring alongside trainer-supportive sessions increases physical activity and improves health outcomes in at-risk men and women. We aim to recruit 216 patients from within primary care aged 40 to 70 years and at medium or high risk of cardiovascular disease and/or type II diabetes mellitus. Adopting an unequal allocation ratio (intervention: control) of 2:1, participants will be randomised to one of two groups, usual care or the intervention. The control group will receive usual care from their general practitioner (GP) and standardised messages about physical activity for health. The intervention group will receive physical activity monitors and access to a web-based platform for a 3-month period to enable self-monitoring and the provision of personalised feedback regarding the multidimensional nature of physical activity. In addition, this technology-enabled feedback will be discussed with participants on 5 occasions during supportive one-to-one coaching sessions across the 3-month intervention. The primary outcome measure is physical activity, which will be directly assessed using activity monitors for a 7-day period at baseline, post intervention and at 12 months. Secondary measures (at these time-points) include weight loss, fat mass, and markers of metabolic control, motivation and well-being. Results from this study will provide insight into the effects of integrated physical activity profiling and self-monitoring combined with in-person support on physical activity and health outcomes in patients at risk of future chronic disease. ISRCTN18008011 Trial registration date: 31 July 2013