Computer-Based Program to Promote Exercise Among Sedentary Employees

描述（由申请人提供）：体育活动在公共健康中发挥着关键作用。不幸的是，久坐不动的生活方式在美国非常普遍，久坐不动与肥胖、糖尿病、心血管疾病和某些癌症等健康风险之间存在着明确的联系。经济数据显示，缺乏运动和肥胖占美国医疗保健费用的近10%。近年来，许多量身定制的生活方式和锻炼促进计划已经通过互联网提供，并且已经证明，基于网络的锻炼计划可以有效地增加身体活动。然而，也有研究表明，大多数计划(a)没有达到目标受众（即，一般需要该计划的人不太可能使用它），3 (b)未能产生有效的计划所需的联系频率，(c)缺乏提供改变行为所需的社会支持的能力，(d)未能根据具体的，个性化的行为量身定制信息，(e)没有直接解决运动障碍。（六）不便于形成运动习惯。因此，我们建议(a)建立和更新一个已经被证明是有效的、基于网络的锻炼促进干预，针对久坐不动的员工；(b)通过公司的工作站生产力套件，使用谷歌（即谷歌应用程序市场）最近发布的标准应用程序编程接口（API），创新地将该计划集成到员工的日常工作流程中。拟议的程序将永远存在于员工的桌面上，并通过谷歌日历和Gmail无缝地整合到员工的日常活动中。一个工作/支持小组将根据在一个定义的用户域（例如，部门）中的员工来建立。与无处不在的谷歌工作场所应用程序的完全集成将使我们能够(a)接触到广泛的久坐不动的受众，减少参与的自我选择障碍；(b)增加接触时间（例如，当用户登录他/她的帐户时，他/她将被提醒当天计划的体育活动）；(c)根据用户的特征和特征（例如，健康水平、变化阶段、运动目标）制定高度定制的、个性化的、适应性的运动计划。运动历史，对特定运动行为的偏好，运动的原因，接近或回避行为，以及感知到的障碍),(d)将运动计划与日历和电子邮件功能集成，以启动行为意图，并可能提供与计划活动相近的替代行为，(e)发送定制的激励信息，(f)向用户发送个性化反馈，(g)包括社交网络功能。这些设计特点将共同促进定期体育活动，并支持形成定期体育活动的可持续习惯。

DESCRIPTION (provided by applicant): Physical activity plays a critical role in public health. Unfortunately, the prevalence of sedentary lifestyles is extremely high in the U.S., and there are well-established links between sedentariness and health risks such as obesity, diabetes, cardiovascular risks and certain cancers. Economic data suggest that physical inactivity and obesity account for nearly 10% of health-care costs in the U.S. In recent years many tailored lifestyle and exercise promoting programs have become available through the Internet, and it has been demonstrated that web-based exercise programs can effectively increase physical activity. However, it has also been shown that most programs (a) do not reach the target audience (i.e., in general people who need the program are less likely to use it),3 (b) fail to produce the frequency of contact needed for the program to be effective, (c) lack the capability of providing social support necessary to change behavior, (d) fail to tailor messages to specific, individualized behaviors, (e) do not directly address barriers to exercise, and (f) do not facilitate the formation of exercise habits. We therefore propose to (a) build upon and update an already proven to be efficacious, web-based exercise-promoting intervention that targets sedentary employees, and (b) innovatively integrate that program within an employee's daily workflow via the company's work-station productivity suite using a standard Application Programming Interface (API) recently released by Google (i.e., Google Apps Marketplace). The proposed program will be ever-present on the employee's desktop and seamlessly incorporated into the employee's everyday activities via Google Calendar and Gmail. A work/support group will be established based upon the employees that are in a defined user domain (e.g., department). The full integration with ubiquitous Google workplace applications will allow us to (a) reach a broad sedentary audience with fewer self- selection barriers to participation, (b) increase contact time (e.g., when the user logs into his/her account, he/she will be reminded of the planned physical activities for the day), (c) develop a highly tailored, personalized, and adaptive exercise plan based on the user's traits and characteristics (e.g., level of fitness, stage of change, exercise goals, exercise history, preference for specific exercise behaviors, reasons for exercising, approach or avoidance behavior, and perceived barriers), (d) integrate the exercise plan with calendar and email functions to prime behavioral intentions and potentially offer alternative behaviors in close time-proximity to the scheduled activity, (e) send tailored motivational messages, (f) send personalized feedback to the user, and (g) include social networking functionalities. Together these design features will promote regular physical activity and support forming a sustainable habit of regular physical activity. PUBLIC HEALTH RELEVANCE: The prevalence of sedentary lifestyles poses a significant and costly public health issue to the United States. This project builds upon and updates an already proven to be efficacious, web-based exercise- promoting intervention that targets sedentary employees. We propose to integrate a physical activity-promoting program with an employee's daily workflow via the company's work-station productivity suite using a standard Application Programming Interface (API) just released by Google (i.e., Google Apps Marketplace). This Google application has the potential to increase physical activity in the target group of sedentary workers.