Motivational Feedback to Increase Walking Adherence

描述(由申请人提供)： 久坐的冠心病患者可以通过更多的体育锻炼来降低他们未来发生不良心血管事件和死亡的风险。许多已知的心血管疾病患者无法获得昂贵的专业心脏康复服务。这些患者可以通过由他们的初级保健医生发起的经济有效的体力活动促进干预得到很好的服务。以客观的体力活动监测为基础的计算机生成的、印刷的、量身定制的反馈可能是一种成本效益高的方式，可以提供密集的干预措施，促进心血管疾病患者的体力活动。在这个为期5年的研究过程中，理查森博士将开发必要的材料来提供这样的干预措施，并在随机对照试验中测试干预措施。理查森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变化理论、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实施方面。理查森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实习后，理查森博士在密歇根大学完成了为期两年的罗伯特·伍德·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缓和作用。她目前是密歇根大学家庭医学系的家庭医生和讲师，并在密歇根州安娜堡的退伍军人健康服务研究和发展服务中心担任联合职务。由约翰·皮特博士领导的密歇根大学一个经验丰富的研究团队将在整个获奖期指导理查森博士。皮特博士是创新的慢性病管理干预试验方面的专家。团队的共同导师和顾问包括健康行为改变理论、心脏病学、健康经济学和体力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，理查森博士将获得技能和知识，成为一名独立的研究员，并成为心血管疾病患者身体活动促进研究领域的领导者。

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.