Employing virtual advisors in preventive care for underserved communities: results from the COMPASS study.
Employing virtual advisors in preventive care for underserved communities: results from the COMPASS study.
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DOI：
10.1080/10810730.2013.798374
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发表时间：
2013
影响因子：
4.4
通讯作者：
Yin JL
中科院分区：
文献类型：
--
作者：
King AC;Bickmore TW;Campero MI;Pruitt LA;Yin JL
主要针对受过教育、有健康知识的个人的电子健康促进计划已经激增，人们担心这种趋势可能会加剧美国和其他地方的健康差距。在低收入老年人中测试了文化和语言适应虚拟顾问的功效，该顾问提供量身定制的身体活动建议和支持。40名55岁及以上的非活动成年人（92.5%为拉丁裔）被随机分配到4个月的虚拟顾问步行干预或等待名单对照组。与对照组（平均增加= 26.8 ± 67.0分钟/周; p = 0.0008）相比，虚拟顾问组（平均增加= 253.5 ± 248.7分钟/周）报告的每周步行分钟数的4个月增加更大。通过客观测量的每日步数（斜率分析p = .002）证实了虚拟顾问组的步行增加。除一名干预参与者外，所有参与者在研究后20周内继续与虚拟顾问进行一些互动（研究后会话的平均次数= 14.0 ± 20.5）。结果表明，提供文化和语言适应的体育活动建议的虚拟顾问导致服务不足的老年人相对于控制的步行有意义的4个月增加。这种互动技术只需要最低限度的语言和计算机知识，通过确保所有群体都受益于电子保健机会，可能有助于减少健康差距。
Electronically delivered health promotion programs that are aimed primarily at educated, health-literate individuals have proliferated, raising concerns that such trends could exacerbate health disparities in the United States and elsewhere. The efficacy of a culturally and linguistically adapted virtual advisor that provides tailored physical activity advice and support was tested in low-income older adults. Forty inactive adults (92.5% Latino) 55 years of age and older were randomized to a 4-month virtual advisor walking intervention or a waitlist control. Four-month increases in reported minutes of walking/week were greater in the virtual advisor arm (mean increase = 253.5 ± 248.7 minutes/week) relative to the control (mean increase = 26.8 ± 67.0 minutes/week; p = .0008). Walking increases in the virtual advisor arm were substantiated via objectively measured daily steps (slope analysis p = .002). All but one intervention participant continued some interaction with the virtual advisor in the 20-week poststudy period (mean number of poststudy sessions = 14.0 ± 20.5). The results indicate that a virtual advisor delivering culturally and linguistically adapted physical activity advice led to meaningful 4-month increases in walking relative to control among underserved older adults. This interactive technology, which requires minimal language and computer literacy, may help reduce health disparities by ensuring that all groups benefit from e-health opportunities.
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影响因子：
3.1
作者：
Hekler EB;Buman MP;Haskell WL;Conway TL;Cain KL;Sallis JF;Saelens BE;Frank LD;Kerr J;King AC
通讯作者：
King AC
影响因子：
3.9
作者：
HORVATH, AO;GREENBERG, LS
通讯作者：
GREENBERG, LS
影响因子：
1.3
作者：
Bickmore, TW;Caruso, L;Heeren, T
通讯作者：
Heeren, T
DOI：
10.1300/j005v29n01_06
发表时间：
2005-01-01
影响因子：
1.1
作者：
Cardelle, Alberto Jose Frick;Rodriguez, Elaine Giron
通讯作者：
Rodriguez, Elaine Giron
DOI：
10.1249/01.mss.0000177455.58960.aa
发表时间：
2005-09-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Jordan, AN;Jurca, GM;Blair, SN
通讯作者：
Blair, SN