'On Your Feet to Earn Your Seat', a habit-based intervention to reduce sedentary behaviour in older adults: study protocol for a randomized controlled trial.

'On Your Feet to Earn Your Seat', a habit-based intervention to reduce sedentary behaviour in older adults: study protocol for a randomized controlled trial.
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DOI:
10.1186/1745-6215-15-368
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发表时间:
2014-09-20
期刊:
影响因子:
2.5
通讯作者:
Wardle J
Wardle J
中科院分区:
医学4区
文献类型:
--
作者:
Gardner B;Thuné-Boyle I;Iliffe S;Fox KR;Jefferis BJ;Hamer M;Tyler N;Wardle J

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许多老年人都是久坐不动的(也就是说,花相当多的时间坐着),也不怎么运动(也就是说,很少运动)。本协议描述了一项基于理论的行为改变干预的探索性试验,以小册子的形式概述了简单的活动(“提示”),旨在减少老年人的久坐行为并增加身体活动。这种干预是基于“习惯形成”模型,该模型提出,持续的重复会导致行为变得自动,随着时间的推移,持续的活动收益。根据医学研究理事会的复杂干预准则,正在反复制定干预措施。活动建议的选择是通过对老年人的半结构化访谈和焦点小组,以及多学科专家小组的意见得出的。在25名老年人中进行的接受性初步现场测试将为进一步改进提供信息。一项探索性随机对照试验将在初级保健环境中进行,将提示手册与对照情况说明书进行比较。从英国伦敦北部的全科诊所招募年龄在60至74岁之间的退休、不活动和久坐的成年人(n = 120),他们没有身体损伤,不能进行轻微的身体活动。主要结果是招聘率和流失率。次要结果是12周内行为、习惯、健康和幸福的变化。数据将用于未来更大规模的确定随机对照试验的研究程序。当前对照试验ISRCTN47901994。本文的在线版本(doi:10.1186/1745-6215-15-368)包含补充材料,可供授权用户使用。
Many older adults are both highly sedentary (that is, spend considerable amounts of time sitting) and physically inactive (that is, do little physical activity). This protocol describes an exploratory trial of a theory-based behaviour change intervention in the form of a booklet outlining simple activities (‘tips’) designed both to reduce sedentary behaviour and to increase physical activity in older adults. The intervention is based on the ‘habit formation’ model, which proposes that consistent repetition leads to behaviour becoming automatic, sustaining activity gains over time. The intervention is being developed iteratively, in line with Medical Research Council complex intervention guidelines. Selection of activity tips was informed by semi-structured interviews and focus groups with older adults, and input from a multidisciplinary expert panel. An ongoing preliminary field test of acceptability among 25 older adults will inform further refinement. An exploratory randomized controlled trial will be conducted within a primary care setting, comparing the tips booklet with a control fact sheet. Retired, inactive and sedentary adults (n = 120) aged 60 to 74 years, with no physical impairments precluding light physical activity, will be recruited from general practices in north London, UK. The primary outcomes are recruitment and attrition rates. Secondary outcomes are changes in behaviour, habit, health and wellbeing over 12 weeks. Data will be used to inform study procedures for a future, larger-scale definitive randomized controlled trial. Current Controlled Trials ISRCTN47901994. The online version of this article (doi:10.1186/1745-6215-15-368) contains supplementary material, which is available to authorized users.
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