INTERNET-DELIVERED OBESITY AND CARDIOMETABOLIC DISEASE PREVENTION

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 缺乏运动是心脏病和2型糖尿病的主要风险因素，也是肥胖的原因之一。尽管开展了大规模的公共卫生运动，促进人们采用和维持体育锻炼的生活方式，但最近的证据表明，95%的美国成年人没有达到目前的体育锻炼建议。为了应对久坐不动的行为，国家体力活动计划呼吁，创新体力活动促进战略，建立持续的体力活动能力建设伙伴关系，并定期评估/评估体力活动行为变化。这项研究试图通过研究小组和当地一家卫生保健诊所之间的协调伙伴关系来增加短期和长期的身体活动行为，并随后降低疾病风险。这一伙伴关系需要由临床医生实施和传播一项由互联网提供的创新的身体活动行为改变计划，以促进他们的患者群体的身体活动行为改变和疾病风险降低。互联网提供的体力活动计划已经由研究团队在非临床环境中进行了验证，并将被翻译为从诊所提供，并评估在这种环境下的有效性。我们预计，互联网交付方法将克服缺乏时间、专业知识和支持障碍，这是临床医生经常提到的健康干预可行性和可持续性失败的原因。我们还预计，患者体力活动水平的增加将与心脏代谢性疾病风险因素的减少相关。这一客观证据与对临床医生使用的结构化定性评估和互联网提供的干预的障碍相结合，将为继续翻译研究和有效性研究的未来修改和改进提供信息。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Physical inactivity is a major risk factor for heart disease, Type 2 diabetes, and is a contributor to obesity. Despite significant public health campaigns promoting the adoption and maintenance of physically active lifestyles, recent evidence indicates that 95% of U.S. adults are not meeting the current physical activity recommendations. To combat the persistence of sedentary behavior, the National Physical Activity Plan calls for, innovative physical activity promotion strategies, sustained partnerships for physical activity capacity building, and regular evaluation/assessment of physical activity behavior change. This study is attempting to increase short- and longer-term physical activity behaviors and subsequently reduce disease risk through a coordinated partnership between the research team and a local health care clinic. The partnership entails implementation and dissemination of an innovative internet-delivered physical activity behavior change program by clinicians to promote physical activity behavior change and disease risk reduction in their patient population. The internet-delivered physical activity program has been validated by the research team in a non-clinical setting and will be translated for delivery from the clinic and assessed for efficacy in this setting. We expect that the internet-delivery approach will overcome the lack of time, expertise, and support barriers often cited by clinicians for health intervention feasibility and sustainability failure. We also expect that increased physical activity levels by patients will be associated with reductions in cardiometabolic disease risk factors. This objective evidence combined with structured qualitative evaluation of clinician use and barriers of the internet-delivered intervention will inform future modification and refinement for continued translational research and effectiveness studies.