Acceptability of a sitting reduction intervention for older adults with obesity.
Acceptability of a sitting reduction intervention for older adults with obesity.
复制标题
DOI：
10.1186/s12889-018-5616-1
复制
发表时间：
2018-06-07
影响因子：
4.5
通讯作者：
Rosenberg DE
中科院分区：
文献类型：
--
作者：
Matson TE;Renz AD;Takemoto ML;McClure JB;Rosenberg DE
老年人坐着的时间比其他任何年龄组都多，导致健康状况不佳。需要有效的行为干预措施来鼓励老年人，特别是肥胖症患者减少久坐，但这些计划必须为目标人群所接受。我们探讨了参与者对专为老年人设计的基于理论和技术增强的减少坐姿干预措施（I-STAND）的接受程度。为期12周的I-STAND干预包括6个健康指导联系人、一本研究工作手册、一个Jawbone UP带（用于提醒参与者从坐姿中休息）以及关于坐姿行为的反馈（在研究开始和中期佩戴activPAL设备7天）。半结构式访谈进行了22名参与者后，他们完成了干预。访谈记录由一个团队反复编码，主题分析用于确定和完善新出现的主题。总体而言，参与者对I-STAND干预感到满意，认为干预的久坐行为目标很容易纳入，并发现这些技术是健康指导的有益补充（但不是替代品）。站立的障碍更多地包括健康状况不佳、根深蒂固的久坐习惯、缺乏改变久坐行为的动力以及决定何时坐/站的社会规范。站立的促进因素更多地包括对坐的认识提高、责任感、涉及站立的日常活动、社会支持以及改变在家庭环境中的互动方式。参与者报告说，干预改善了身体健康，增加了能量，增加了参与体育活动的准备，改善了情绪，减轻了压力。技术增强的久坐行为减少干预是可以接受的，易于整合，并对肥胖老年人的健康有积极的影响。I-STAND研究于2016年2月在clinicaltrials.gov（ID：NCT 02692560）注册。本文的在线版本（10.1186/s12889-018-5616-1）包含补充材料，可供授权用户使用。
Older adults spend more time sitting than any other age group, contributing to poor health outcomes. Effective behavioral interventions are needed to encourage less sitting among older adults, specifically those with obesity, but these programs must be acceptable to the target population. We explored participant acceptance of a theory-based and technology-enhanced sitting reduction intervention designed for older adults (I-STAND). The 12-week I-STAND intervention consisted of 6 health coaching contacts, a study workbook, a Jawbone UP band to remind participants to take breaks from sitting, and feedback on sitting behaviors (generated from wearing an activPAL device for 7 days at the beginning and mid-point of the study). Semi-structured interviews were conducted with 22 participants after they completed the intervention. Interview transcripts were iteratively coded by a team, and thematic analysis was used to identify and refine emerging themes. Overall, participants were satisfied with the I-STAND intervention, thought the sedentary behavior goals of the intervention were easy to incorporate, and found the technologies to be helpful additions to (but not substitutes for) health coaching. Barriers to standing more included poor health, ingrained sedentary habits, lack of motivation to change sedentary behavior, and social norms that dictate when it is appropriate to sit/stand. Facilitators to standing more included increased awareness of sitting, a sense of accountability, daily activities that involved standing, social support, and changing ways of interacting in the home environment. Participants reported that the intervention improved physical health, increased energy, increased readiness to engage in physical activity, improved mood, and reduced stress. The technology-enhanced sedentary behavior reduction intervention was acceptable, easy to incorporate, and had a positive perceived health impact on older adults with obesity. The I-STAND study was registered at clinicaltrials.gov (ID: NCT02692560) February 2016. The online version of this article (10.1186/s12889-018-5616-1) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
120.7
作者：
Flegal, Katherine M.;Carroll, Margaret D.;Curtin, Lester R.
通讯作者：
Curtin, Lester R.
影响因子：
4.7
作者：
Demiris, George;Chaudhuri, Shomir;Thompson, Hilaire J.
通讯作者：
Thompson, Hilaire J.
影响因子：
7.7
作者：
Katzmarzyk PT
通讯作者：
Katzmarzyk PT
DOI：
10.3390/ijerph110100773
发表时间：
2014-01-07
影响因子：
--
作者：
Chastin SF;Fitzpatrick N;Andrews M;DiCroce N
通讯作者：
DiCroce N
影响因子：
5
作者：
Matthews, Charles E.;Chen, Kong Y.;Troiano, Richard P.
通讯作者：
Troiano, Richard P.