A randomized controlled clinical trial of the Seattle Protocol for Activity in older adults.

A randomized controlled clinical trial of the Seattle Protocol for Activity in older adults.
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DOI:
10.1111/j.1532-5415.2011.03454.x
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发表时间:
2011-07
影响因子:
6.3
通讯作者:
Larson EB
Larson EB
中科院分区:
医学1区
文献类型:
--
作者:
Teri L;McCurry SM;Logsdon RG;Gibbons LE;Buchner DM;Larson EB

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与教育健康促进计划(HP)、联合治疗(SPA+HP)和常规医疗控制条件(RMC)相比,评估针对低运动量老年人的体力活动计划(西雅图活动协议:SPA)的有效性。采用2×2析因设计的单盲随机对照试验。地点:2001年11月至2004年9月,在华盛顿州金县的社区中心。273名居住在社区、认知能力完好的老年人(平均年龄79.2岁;女性占62%)。SPA(在帮助下设定每周家庭锻炼目标的课堂练习)和HP(与增进健康相关的适龄主题的信息),随机分为四种情况:仅SPA组(n=69)、仅HP组(n=73)、SPA+HP组(n=67)和RMC对照组(n=)。积极治疗的参与者在三个月内参加了九个小组课程,随后在一年内参加了五个强化课程。自评健康(SF-36)和抑郁(GDS)。还收集了身体表现、治疗依从性以及自评健康和情感功能的二级评分。在3个月后,SPA的参与者比HP或RMC的参与者锻炼得更多,自我报告的健康、力量和总体幸福感显著更好(p<0.05)。在18个月的时间里,SPA参与者保持了健康和身体功能的好处,并继续比非SPA参与者进行更多的锻炼。SPA+HP的疗效并不明显好于单独使用SPA。更好的坚持与更好的结果相关。老年人参加低水平的定期锻炼可以建立和维持一个家庭锻炼计划,从而产生直接和长期的身体和情感益处。
Evaluate the efficacy of a physical activity program (Seattle Protocol for Activity: SPA) for low-exercising older adults, compared to educational health promotion program (HP), combination treatment (SPA+HP), and routine medical care control conditions (RMC). Single-blinded, randomized controlled trial with 2 × 2 factorial design. SETTING: November 2001 to September 2004, in community centers in King County, Washington. 273 community-residing, cognitively intact older adults (mean age, 79.2 y; 62% women). SPA (in-class exercises with assistance setting weekly home exercise goals), and HP (information about age-appropriate topics relevant to enhancing health), with randomization to four conditions: SPA only (n = 69), HP only (n = 73), SPA+HP (n = 67), and RMC control (n = 64). Active treatment participants attended nine group classes over three months, followed by five booster sessions over one year. Self-rated health (SF-36) and depression (GDS). Secondary ratings of physical performance, treatment adherence, and self-rated health and affective function were also collected. At 3-months, participants in SPA exercised more and had significantly better self-reported health, strength, and general well-being (p<.05) than participants in HP or RMC. Over 18 months, SPA participants maintained health and physical function benefits, and had continued to exercise more than non-SPA participants. SPA+HP was not significantly better than SPA alone. Better adherence was associated with better outcomes. Older adults participating in low levels of regular exercise can establish and maintain a home-based exercise program that yields immediate and long-term physical and affective benefits.
DOI: 10.1093/gerona/63.9.997
发表时间: 2008-09
期刊: The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子: --
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通讯作者: Bliwise DL
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期刊: ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
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发表时间: 2000-10-01
期刊: CONTROLLED CLINICAL TRIALS
影响因子: --
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发表时间: 2004-04-01
影响因子: 4
作者:
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通讯作者: Brown, W J