Development of a Novel Intervention (Mindful Steps) to Promote Long-Term Walking Behavior in Chronic Cardiopulmonary Disease: Protocol for a Randomized Controlled Trial.
Development of a Novel Intervention (Mindful Steps) to Promote Long-Term Walking Behavior in Chronic Cardiopulmonary Disease: Protocol for a Randomized Controlled Trial.
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DOI：
10.2196/27826
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发表时间：
2021-04-29
影响因子：
1.7
通讯作者：
Yeh GY
中科院分区：
文献类型：
--
作者：
Litrownik D;Gilliam EA;Wayne PM;Richardson CR;Kadri R;Rist PM;Moy ML;Yeh GY
尽管目前有康复计划，但长期从事体力活动对慢性阻塞性肺疾病(COPD)和心力衰竭(HF)患者来说仍然是一个巨大的挑战。迫切需要新的战略来促进这些人群的体育活动。关于心身干预和基于网络的干预的益处的新兴文献为开发用于增加行走行为的正念步骤干预提供了理论基础。本研究旨在通过适应现有的基于网络的体力活动干预和纳入心身锻炼来开发一种新的多模式心身运动干预，并在患有COPD和/或心力衰竭的老年人中进行随机对照可行性试验，初步测试新干预措施的交付。在第一阶段，在理论概念模型和文献回顾的指导下，我们召集了一个由研究人员、心身实践者和临床医生组成的专家小组，为新的多模式干预的发展提供信息。在第二阶段，我们正在进行一项意念步骤干预的试点随机对照可行性试验，其中包括面对面的心身锻炼课程、一个教育网站、在线心身视频，以及带有步数反馈和目标的计步器，以增加COPD和/或心力衰竭患者的步行行为。结果包括可行性措施和以患者为中心的措施。这项研究目前正在进行中。第一阶段干预开发于2019年3月完成，第二阶段数据收集于2019年4月开始。通过整合基于网络的身体活动干预和心身锻炼的组成部分，我们创建了一个新颖的多模式计划，以影响慢性阻塞性肺疾病和心力衰竭患者的长期身体活动参与。这项开发工作和试点研究将提供设计未来临床试验所需的有价值的信息，评估这种多模式方法的有效性。ClinicalTrials.gov NCT03003780；https://clinicaltrials.gov/ct2/show/NCT03003780-10.2196/3003780
Despite current rehabilitation programs, long-term engagement in physical activity remains a significant challenge for patients with chronic obstructive pulmonary disease (COPD) and heart failure (HF). Novel strategies to promote physical activity in these populations are greatly needed. Emerging literature on the benefits of both mind–body interventions and web-based interventions provide the rationale for the development of the Mindful Steps intervention for increasing walking behavior. This study aims to develop a novel multimodal mind–body exercise intervention through adaptation of an existing web-based physical activity intervention and incorporation of mind–body exercise, and to pilot test the delivery of the new intervention, Mindful Steps, in a randomized controlled feasibility trial in older adults with COPD and/or HF. In phase 1, guided by a theoretical conceptual model and review of the literature on facilitators and barriers of physical activity in COPD and HF, we convened an expert panel of researchers, mind–body practitioners, and clinicians to inform development of the novel, multimodal intervention. In phase 2, we are conducting a pilot randomized controlled feasibility trial of the Mindful Steps intervention that includes in-person mind–body exercise classes, an educational website, online mind–body videos, and a pedometer with step-count feedback and goals to increase walking behavior in patients with COPD and/or HF. Outcomes include feasibility measures as well as patient-centered measures. The study is currently ongoing. Phase 1 intervention development was completed in March 2019, and phase 2 data collection began in April 2019. Through the integration of components from a web-based physical activity intervention and mind–body exercise, we created a novel, multimodal program to impact long-term physical activity engagement for individuals with COPD and HF. This developmental work and pilot study will provide valuable information needed to design a future clinical trial assessing efficacy of this multimodal approach. ClinicalTrials.gov NCT03003780; https://clinicaltrials.gov/ct2/show/NCT03003780 DERR1-10.2196/27826
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影响因子：
4.3
作者：
Coombs, Ngaire;Stamatakis, Emmanuel;Lee, I-Min
通讯作者：
Lee, I-Min
影响因子：
4.7
作者：
Dorsch, Michael P.;Farris, Karen B.;Koelling, Todd M.
通讯作者：
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影响因子：
3.8
作者：
Cattadori G;Segurini C;Picozzi A;Padeletti L;Anzà C
通讯作者：
Anzà C
影响因子：
2.7
作者：
Cramer, Holger;Lauche, Romy;Paul, Anna
通讯作者：
Paul, Anna
DOI：
10.1097/gme.0000000000000257
发表时间：
2014-11
期刊：
Menopause (New York, N.Y.)
影响因子：
--
作者：
Fischer M;Fugate-Woods N;Wayne PM
通讯作者：
Wayne PM