The development of an intervention to promote walking in primary care

制定促进初级保健步行的干预措施

• 批准号: G0701821/1
• 负责人: David French
• 金额: $ 40.06万
• 依托单位: Coventry University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2008
• 资助国家: 英国
• 起止时间: 2008 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=G0701821%2F1
• 关键词: development; intervention; promote; walking; primary

Obesity has more than doubled in the UK over the past decade, largely because people are less active in their daily lives, e.g. by driving more and watching more television. Current government recommendations are that people should engage in at least 30 minutes of ?moderate or vigorous? exercise, for at least five days each week, to gain health protective benefits. However, over 60% of men and 70% of women in England and Wales do not meet these requirements, with activity decreasing with age. Health problems due to physical inactivity, such as diabetes, are expected to increase dramatically in the future as a consequence, and may soon overtake smoking as the behaviour which causes most ill-health and premature death. This research aims to promote ?brisk? walking, i.e. walking that results in being slightly out of breath. Walking can be done by most people without any special equipment, at times that suit them. We have developed an intervention that can be delivered in about 10-15 minutes. It asks participants to set realistic goals for increasing their walking, boosts confidence by asking participants to recall instances when they have achieved these goals, and helps people put their good intentions into action, by making concrete plans. It helped 130 volunteers increase their walking, as measured by pedometers, from an average of 20 mins/day to 32 mins/day. These increases were maintained for at least six weeks.This proposal aims to adapt this intervention so that it can be delivered in primary care by practice nurses and health trainers, targeted at patients for whom increasing physical activity is a health priority. It will be developed to be acceptable to those delivering it, easy to deliver as intended and acceptable to patients attending primary care. There is a need to develop a study of how much this intervention would affect walking if it were adopted more widely, and for how long increases would last. The intervention, including materials and training, will be developed and refined to maximise the acceptability of the intervention. Methods of evaluating the efficacy of this intervention will be developed, to recruit and retain people into the study, with acceptable measures of beliefs about walking, actual walking, and healthcare costs. It will also investigate the reasons why some people increase their walking and some do not. This will lay the basis for a more definitive study of the effectiveness of the intervention.

在过去的十年里，英国的肥胖症增加了一倍多，这主要是因为人们在日常生活中不那么活跃，比如开车更多，看电视更多。目前政府的建议是，人们应该从事至少30分钟的？温和的还是剧烈的？运动，每周至少五天，以获得健康保护的好处。然而，在英格兰和威尔士，超过60%的男子和70%的妇女不符合这些要求，活动随着年龄的增长而减少。因此，由于缺乏身体活动而引起的健康问题，如糖尿病，预计今后将急剧增加，并可能很快超过吸烟，成为造成最多健康不良和过早死亡的行为。这项研究旨在促进？轻快？步行，即导致轻微上气不接下气的步行。大多数人可以在没有任何特殊设备的情况下进行步行，在适合他们的时候。我们已经开发了一种干预措施，可以在大约10-15分钟内交付。它要求参与者为增加步行量设定现实的目标，通过要求参与者回忆他们实现这些目标的实例来增强信心，并通过制定具体计划来帮助人们将良好的意愿付诸行动。它帮助130名志愿者增加了他们的步行，通过计步器测量，从平均每天20分钟增加到32分钟。这项建议旨在调整这一干预措施，使其能够在初级保健中由实习护士和健康培训师提供，针对的是增加体力活动是健康优先事项的患者。它将被开发为可接受的那些提供它，易于提供预期和可接受的病人参加初级保健。有必要开展一项研究，研究如果更广泛地采用这种干预措施，会对步行产生多大影响，以及这种影响会持续多久。将制定和完善干预措施，包括材料和培训，以最大限度地提高干预措施的可接受性。将开发评估这种干预措施的有效性的方法，以招募和保留参与研究的人，并对步行，实际步行和医疗保健费用的信念进行可接受的测量。它还将调查为什么有些人增加他们的步行，有些人没有。这将为更明确地研究干预措施的有效性奠定基础。