An mHealth-Facilitated Personalized Intervention for Physical Activity and Sleep in Community-Dwelling Older Adults.

An mHealth-Facilitated Personalized Intervention for Physical Activity and Sleep in Community-Dwelling Older Adults.
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移动健康促进的针对社区老年人身体活动和睡眠的个性化干预。

DOI:
10.1123/japa.2020-0463
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发表时间:
2022
影响因子:
1.5
通讯作者:
Gooneratne,NalakaS
Gooneratne,NalakaS
中科院分区:
医学4区
文献类型:
--
作者:
Li,Junxin;Szanton,SarahL;McPhillips,MirandaV;Lukkahatai,Nada;Pien,GraceW;Chen,KerCheng;Hladek,MelissaD;Hodgson,Nancy;Gooneratne,NalakaS

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这项随机对照试点试验测试了24周mHealth促进的个性化干预对21名社区老年人身体活动(PA)和睡眠的初步影响。干预措施包括个性化的运动处方,培训,目标设定和经济激励。移动健康策略,包括自我监测,激励信息,活动提醒和电话辅导,用于促进PA的参与。在基线和8周、16周和24周访视时,使用体动记录仪和问卷调查测量PA和睡眠。干预组的参与者在24周时的客观PA水平低于8周和16周,尽管PA水平仍高于基线水平。与对照组相比,干预在第8、16和24周增加了PA;在第16和24周改善了主观睡眠质量;在第24周增加了活动记录仪测量的睡眠时间和睡眠效率。mHealth PA干预可能有益于老年人的PA和睡眠。需要维持长期PA行为变化的策略。
This randomized controlled pilot trial tested the preliminary effect of a 24-week mHealth-facilitated, personalized intervention on physical activity (PA) and sleep in 21 community-dwelling older adults. The intervention included a personalized exercise prescription, training, goal setting, and financial incentives. mHealth strategies, including self-monitoring, motivational messages, activity reminders, and phone coaching, were used to facilitate PA participation. PA and sleep were measured using actigraphy and questionnaires at baseline and 8-, 16-, and 24-week visits. Participants in the intervention group had lower objective PA levels at 24 weeks than at 8 and 16 weeks, although levels of PA remained higher than at baseline. Compared with the control group, the intervention increased PA at 8, 16, and 24 weeks; improved subjective sleep quality at 16 and 24 weeks; and increased actigraphy-measured sleep duration and sleep efficiency at 24 weeks. mHealth PA interventions may benefit PA and sleep in older adults. Strategies for maintaining long-term PA behavioral changes are needed.