Telephone-based support for physical activity: Results and lessons learned during the COVID-19 pandemic.

Telephone-based support for physical activity: Results and lessons learned during the COVID-19 pandemic.
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DOI:
10.1371/journal.pone.0268429
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发表时间:
2022
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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身体活动对保持身心健康至关重要。于COVID-19疫情期间,亲身参与体力活动的机会有限。本文描述了COVID-19大流行期间不同种族/民族患者基于电话的身体活动支持策略。在大流行期间,在一家拥有现场运动设施转诊的大型联邦合格健康中心的成年患者有资格过渡到个人健身顾问的电话支持。基线调查评估身体活动和环境特征;后续电话使用动机访谈和身体活动目标设定策略。从2020年3月23日至7月23日,72名患者参与了270次电话,或每位参与者3.8(±2.1)次电话。参与者平均年龄为51.3(±11.6)岁,87.5%为女性,31.9%为西班牙裔/拉丁裔,47.2%为非西班牙裔黑人。与大流行前不符合指南的患者相比,大流行前符合身体活动指南的患者报告了更多的计划锻炼(100.0% vs. 55.3%; p<0.001),在家锻炼天数(5.0 vs. 1.7; p<0.001)和个人身体活动目标的完成(57.0% vs. 39.7%; p = 0.11)。有家庭跑步机的患者参与呼叫率是没有跑步机的患者的两倍(RR = 2.22; 95%CI:1.35,3.64),但没有其他家庭环境特征预测参与率。大流行前的体力活动行为似乎可以预测大流行的体力活动,基于电话的体力活动支持对一些参与者保持体力活动是有效的。这项工作的长期应用将支持健康行为改变的诊所-社区伙伴关系的连续性,并为没有现场锻炼设施的社区卫生中心提供患者体力活动支持的模型。
Physical activity is essential to maintain physical and mental well-being. During the COVID-19 pandemic, in-person physical activity opportunities were limited. This paper describes a telephone-based physical activity support strategy among racially/ethnically diverse patients during the COVID-19 pandemic. Adult patients at a large, Federally Qualified Health Center with an on-site exercise facility referral were eligible to transition to telephone support with personal fitness advisors during the pandemic stay-at-home orders. Baseline surveys assessed physical activity and environmental characteristics; follow-up phone calls used motivational interviewing and physical activity goal setting strategies. From March 23-July 23, 2020, 72 patients participated in 270 phone calls, or 3.8 (±2.1) calls per participant. Participants were, on average, aged 51.3 (±11.6) years, 87.5% female, 31.9% Hispanic/Latino, and 47.2% non-Hispanic Black. Patients meeting physical activity guidelines pre-pandemic reported more planned exercise (100.0% vs. 55.3%; p<0.001), exercise days at home (5.0 vs. 1.7; p<0.001), and accomplishment of personal physical activity goals (57.0% vs. 39.7%; p = 0.11) than patients not meeting guidelines pre-pandemic. Patients with a home treadmill participated in twice the rate of calls compared to those without (RR = 2.22; 95%CI:1.35,3.64), but no other home environmental characteristics predicted participation rate. Pre-pandemic physical activity behavior appeared to predict pandemic physical activity and telephone-based physical activity support was effective for maintaining physical activity for some participants. Long term applications of this work will support continuity of clinic-community partnerships for health behavior change and provide a model for patient physical activity support by community health centers without on-site exercise facilities.
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