"Not just another walking program": Everyday Activity Supports You (EASY) model-a randomized pilot study for a parallel randomized controlled trial.
"Not just another walking program": Everyday Activity Supports You (EASY) model-a randomized pilot study for a parallel randomized controlled trial.
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DOI：
10.1186/2055-5784-1-4
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发表时间：
2015
影响因子：
1.7
通讯作者：
McKay HA
中科院分区：
文献类型：
--
作者：
Ashe MC;Winters M;Hoppmann CA;Dawes MG;Gardiner PA;Giangregorio LM;Madden KM;McAllister MM;Wong G;Puyat JH;Singer J;Sims-Gould J;McKay HA
保持身体活动是一个对健康有益的重要目标，然而许多人一天中的大部分时间都是坐着的。我们的日常活动支持你（EASY）模式旨在通过日常活动和实用步行来鼓励运动。这一阶段的主要目标是测试EASY模型的可行性（招聘和保留率）。这项为期6个月的研究于2013年5月至12月在加拿大温哥华进行，并于2014年2月进行数据分析。参与者是55-70岁的健康、不活动、居住在社区的妇女。我们通过当地社区报纸上的广告进行招募，并随机选择使用远程网络服务的参与者。该模型包括以下内容：以团体为基础的教育和社会支持，个性化的体育活动处方（称为活动4-1-1），以及使用Fitbit活动监视器。对照组只收到与健康相关的信息。主要结局指标为研究可行性描述（招募率和留任率）。我们还收集了有关活动模式（ActiGraph GT3X+加速度计）和健康相关结果的信息，如身体成分（使用标准技术的身高和体重）、血压（自动血压监测仪）和社会心理变量（问卷调查）。我们在当地社区报纸上登广告招募参与者。在3周的时间里，82名参与者打电话；筛选后，68%（56/82）符合纳入标准，45%（25/56）通过远程网络分配随机化。这包括13名干预组参与者和12名对照组参与者（教育）。在6个月时，12/13（92%）的干预参与者和8/12（67%）的对照参与者完成了最终评估。在控制基线值的情况下，干预组在6个月时比对照组平均每天多走2080步[95%可信区间（ci） 704, 4918]。EASY组的体重减轻- 4.3 [95% CI - 6.22, - 2.40] kg，舒张压降低- 8.54 [95% CI - 16.89, - 0.198] mmHg，组间平均差异均有利于EASY组。EASY试点研究是可行的；6个月时，干预组参与者的体力活动增加，体重和血压下降。本文的在线版本（doi:10.1186/2055-5784-1-4）包含补充材料，可供授权用户使用。
Maintaining physical activity is an important goal with positive health benefits, yet many people spend most of their day sitting. Our Everyday Activity Supports You (EASY) model aims to encourage movement through daily activities and utilitarian walking. The primary objective of this phase was to test study feasibility (recruitment and retention rates) for the EASY model. This 6-month study took place in Vancouver, Canada, from May to December 2013, with data analyses in February 2014. Participants were healthy, inactive, community-dwelling women aged 55–70 years. We recruited through advertisements in local community newspapers and randomized participants using a remote web service. The model included the following: group-based education and social support, individualized physical activity prescription (called Activity 4-1-1), and use of a Fitbit activity monitor. The control group received health-related information only. The main outcome measures were descriptions of study feasibility (recruitment and retention rates). We also collected information on activity patterns (ActiGraph GT3X+ accelerometers) and health-related outcomes such as body composition (height and weight using standard techniques), blood pressure (automatic blood pressure monitor), and psychosocial variables (questionnaires). We advertised in local community newspapers to recruit participants. Over 3 weeks, 82 participants telephoned; following screening, 68% (56/82) met the inclusion criteria and 45% (25/56) were randomized by remote web-based allocation. This included 13 participants in the intervention group and 12 participants in the control group (education). At 6 months, 12/13 (92%) intervention and 8/12 (67%) control participants completed the final assessment. Controlling for baseline values, the intervention group had an average of 2,080 [95% confidence intervals (CIs) 704, 4,918] more steps/day at 6 months compared with the control group. There was an average between group difference in weight loss of −4.3 [95% CI −6.22, −2.40] kg and reduction in diastolic blood pressure of −8.54 [95% CI −16.89, −0.198] mmHg, in favor of EASY. The EASY pilot study was feasible to deliver; there was an increase in physical activity and reduction in weight and blood pressure for intervention participants at 6 months. ClinicalTrials.gov identifier: NCT01842061 The online version of this article (doi:10.1186/2055-5784-1-4) contains supplementary material, which is available to authorized users.