Motivational Feedback to Increase Walking Adherence

描述（由申请人提供）： 患有冠状动脉疾病的久坐者可以通过增加身体活动来降低未来不良心血管事件和死亡的风险。许多已知患有心血管疾病的人无法获得昂贵的专业心脏康复服务。这些患者将很好地服务于一个具有成本效益的身体活动促进干预，可以启动他们的初级保健医生。基于身体活动的客观监测的计算机生成的、打印介导的、定制的反馈可能是提供强化干预以促进心血管疾病患者身体活动的具有成本效益的方式。在这个为期5年的研究过程中，Richardson博士将开发提供这种干预所需的材料，并在随机对照试验中测试干预措施。Richardson博士在获奖过程中将获得的知识和技能将集中在健康行为改变理论，随机对照行为临床试验的进行，成本效益分析和负责任的研究行为。Richardson博士在麻省理工学院获得理论数学学士学位，在哈佛医学院获得医学学位。在杰斐逊医学院完成家庭医学住院医师培训后，Richardson博士在密歇根大学完成了为期两年的Robert Wood约翰逊临床学者奖学金，在此期间，她研究了心血管风险对体力活动和死亡率之间关系的调节作用。她目前是密歇根大学家庭医学系的家庭医生和讲师，并在密歇根州安阿伯的VA健康服务研究和发展服务中担任联合职务。由创新慢性病管理干预试验专家John Piette博士领导的密歇根大学经验丰富的研究人员团队将在整个颁奖期间指导Richardson博士。该团队的共同导师和顾问包括健康行为改变理论、心脏病学、健康经济学和身体活动研究领域的专家。在这个为期5年的职业发展奖的支持下，Richardson博士将获得技能和知识，成为心血管疾病患者身体活动促进研究领域的独立研究者和领导者。

DESCRIPTION (provided by applicant): Sedentary individuals with coronary artery disease can decrease their risk of future adverse cardiovascular events and death by becoming more physically active. Many people with known cardiovascular disease do not have access to expensive, specialized cardiac rehabilitation services. These patients would be well served by a cost-effective physical activity promotion intervention that could be initiated by their primary care physician. Computer generated, print mediated, tailored feedback based on objective monitoring of physical activity may be a cost-effective way to deliver intensive interventions to promote physical activity for patients with cardiovascular disease. In this 5-year course of study, Dr. Richardson will develop the materials necessary to deliver such an intervention and to test the intervention in a randomized controlled trial. The knowledge and skills that Dr. Richardson will acquire during the course of the award will focus on health behavior change theory, the conduct of randomized controlled behavioral clinical trials, cost-effectiveness analysis and the responsible conduct of research. Dr. Richardson received her undergraduate degree in theoretical mathematics from MIT and her medical degree from Harvard Medical School. After completing her residency in Family Medicine at Jefferson Medical College, Dr. Richardson completed a two year Robert Wood Johnson Clinical Scholar Fellowship at the University of Michigan during which she studied the moderating effects of cardiovascular risk on the relationship between physical activity and mortality. She is currently a Family Physician and a lecturer in the University of Michigan Department of Family Medicine with a joint appointment in the VA Health Services Research and Development Service in Ann Arbor, MI. An experienced team of University of Michigan investigators, lead by Dr. John Piette who is an expert in innovative chronic disease management intervention trials, will guide Dr. Richardson throughout the award period. Co-mentors and advisors on the team include experts in the areas of health behavior change theory, cardiology, health economics, and physical activity research. With the support of this 5-year career development award, Dr. Richardson will acquire the skills and knowledge to become an independent investigator and a leader in the field of physical activity promotion research for patients with cardiovascular disease.