Twitter-Based Social Support Added to Fitbit Self-Monitoring for Decreasing Sedentary Behavior: Protocol for a Randomized Controlled Pilot Trial With Female Patients From a Women's Heart Clinic.
Twitter-Based Social Support Added to Fitbit Self-Monitoring for Decreasing Sedentary Behavior: Protocol for a Randomized Controlled Pilot Trial With Female Patients From a Women's Heart Clinic.
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DOI：
10.2196/20926
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发表时间：
2020-12-04
影响因子：
1.7
通讯作者：
Prochaska JJ
中科院分区：
文献类型：
--
作者：
Oppezzo M;Tremmel J;Desai M;Baiocchi M;Ramo D;Cullen M;Prochaska JJ
久坐是慢性病发展的独立风险行为。由于大多数干预措施都集中在身体活动和锻炼上，因此需要对创新和可获得的干预措施进行单独调查，以减少全天的久坐行为。Twitter是一个社交媒体平台，应用于健康通信和促进对健康行为改变的社会支持。这项试点研究旨在测试在私人Twitter群组中提供日常行为改变策略的可行性，可接受性和初步功效，以促进点对点支持并减少女性全天的久坐行为。Twitter组与Fitbit结合进行自我监测活动，并与仅使用Fitbit的对照组进行比较。在2组设计中，参与者被随机分配到Twitter + Fitbit治疗组或仅Fitbit对照组。参与者是通过斯坦福大学的研究资料库系统招募的，经过资格筛选，然后被邀请参加一个介绍会。在提供知情同意书后，他们被随机分组。所有参与者都收到了为期13周的定制每周步数目标和Fitbit。治疗组的参与者被放置在一个私人Twitter支持小组中，每天接收由理论告知的自动行为改变“推文”，并通过文本定期自动鼓励与小组沟通。在整个治疗和随访期间每天收集Fitbit数据。在基线、治疗结束（13周）和治疗后8.5周收集基于网络的调查和加速度计数据。最初的研究设计资金来自妇女心脏诊所和斯坦福大学克莱曼研究所。进行这项试点研究的资金来自美国国立卫生研究院的国家心脏、肺和血液研究所，奖励号为K 01 HL 136702。在开始数据收集之前，所有程序均已于2018年获得斯坦福大学机构审查委员会（#32127）的批准。本研究的招募于2019年5月进行。在筛选的858人中，113人符合资格标准，68人参加了信息会议，45人同意参加这项试点研究。一名参与者退出了干预，从45名参与者中的39名（占样本的87%）获得了完整的随访数据。数据收集时间为2019年6月至12月的6个月。目前正在分析可行性、可接受性和初步疗效结果，并将于2021年冬季报告。这项试点研究正在评估在Twitter社会支持小组中提供行为改变策略以减少女性久坐行为的可行性，可接受性和初步疗效。这些调查结果将为更大规模的评价提供信息。通过一个可访问、可定制和灵活的平台，Twitter提供的干预措施为许多治疗变化和滴定提供了可能，从而测试了不同行为改变策略、同龄人组成和感兴趣的健康行为的影响。ClinicalTrials.gov NCT 02958189，https://clinicaltrials.gov/ct2/show/NCT02958189 DERR 1 -10.2196/20926
Prolonged sitting is an independent risk behavior for the development of chronic disease. With most interventions focusing on physical activity and exercise, there is a separate need for investigation into innovative and accessible interventions to decrease sedentary behavior throughout the day. Twitter is a social media platform with application for health communications and fostering of social support for health behavior change. This pilot study aims to test the feasibility, acceptability, and preliminary efficacy of delivering daily behavior change strategies within private Twitter groups to foster peer-to-peer support and decrease sedentary behavior throughout the day in women. The Twitter group was combined with a Fitbit for self-monitoring activity and compared to a Fitbit-only control group. In a 2-group design, participants were randomized to a Twitter + Fitbit treatment group or a Fitbit-only control group. Participants were recruited via the Stanford Research Repository System, screened for eligibility, and then invited to an orientation session. After providing informed consent, they were randomized. All participants received 13 weeks of tailored weekly step goals and a Fitbit. The treatment group participants, placed in a private Twitter support group, received daily automated behavior change “tweets” informed by theory and regular automated encouragement via text to communicate with the group. Fitbit data were collected daily throughout the treatment and follow-up period. Web-based surveys and accelerometer data were collected at baseline, treatment end (13 weeks), and at 8.5 weeks after the treatment. The initial study design funding was obtained from the Women’s Heart Clinic and the Stanford Clayman Institute. Funding to run this pilot study was received from the National Institutes of Health’s National Heart, Lung, and Blood Institute under Award Number K01HL136702. All procedures were approved by Stanford University’s Institutional Review Board, #32127 in 2018, prior to beginning data collection. Recruitment for this study was conducted in May 2019. Of the 858 people screened, 113 met the eligibility criteria, 68 came to an information session, and 45 consented to participate in this pilot study. One participant dropped out of the intervention, and complete follow-up data were obtained from 39 of the 45 participants (87% of the sample). Data were collected over 6 months from June to December 2019. Feasibility, acceptability, and preliminary efficacy results are being analyzed and will be reported in the winter of 2021. This pilot study is assessing the feasibility, acceptability, and preliminary efficacy of delivering behavior change strategies in a Twitter social support group to decrease sedentary behavior in women. These findings will inform a larger evaluation. With an accessible, tailorable, and flexible platform, Twitter-delivered interventions offer potential for many treatment variations and titrations, thereby testing the effects of different behavior change strategies, peer-group makeups, and health behaviors of interest. ClinicalTrials.gov NCT02958189, https://clinicaltrials.gov/ct2/show/NCT02958189 DERR1-10.2196/20926
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影响因子：
24
作者：
Chomistek, Andrea K.;Manson, JoAnn E.;Stefanick, Marcia L.;Lu, Bing;Sands-Lincoln, Megan;Going, Scott B.;Garcia, Lorena;Allison, Matthew A.;Sims, Stacy T.;LaMonte, Michael J.;Johnson, Karen C.;Eaton, Charles B.
通讯作者：
Eaton, Charles B.
影响因子：
3.7
作者：
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影响因子：
5.5
作者：
Cadmus-Bertram, Lisa A.;Marcus, Bess H.;Morey, Brittany L.
通讯作者：
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影响因子：
2.2
作者：
Cole-Lewis, Heather;Ezeanochie, Nnamdi;Turgiss, Jennifer
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影响因子：
9.3
作者：
DWECK, CS;CHIU, CY;HONG, YY
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HONG, YY