An mHealth Intervention to Increase Activity Among Patients at Risk for Type 2 Diabetes

移动健康干预措施可增加有 2 型糖尿病风险的患者的活动

• 批准号: 9321312
• 负责人: PHILIP M. POLGREEN
• 金额: $ 19.06万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9321312
• 关键词: Accelerometer; Car Phone; Clinical; Control Groups; Data; Devices; Diabetes Mellitus; Diabetes prevention; Diagnosis; Disease; Effectiveness; Effectiveness of Interventions; Environment; Equipment; Exercise; Feedback; Future; Goals; Health; Incentives; Interdisciplinary Study; Intervention; Lead; Life; Location; Maps; Monitor; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Patients; Performance; Physical activity; Populations at Risk; Prevention; Program Sustainability; Randomized; Rewards; Risk; Risk Factors; Structure; Testing; Time; Update; Walking; Work; base; behavior change; cohort; cost; design; diabetes management; exercise program; fitbit; improved; interest; mHealth; monitoring device; mortality; peer support; pragmatic trial; prototype; public health relevance; sedentary; sedentary lifestyle; social; therapy design; tool; virtual; walking speed; web app

 DESCRIPTION (provided by applicant): Patients with type two diabetes (T2D) frequently lead sedentary life styles which are not only a risk factor for diabetes, but can also exacerbate the disease. Recommending increased physical activity is therefore a cornerstone of T2D prevention and management. Historically, increasing activity was synonymous with exercise; however, we now know that even much more modest activity levels (e.g., simply walking) or merely decreasing the proportion of sedentary time may be sufficient to improve health outcomes. Some interventions designed to increase activity have shown promise; others have been less successful. The availability of inexpensive pedometers, and, more recently, low cost triaxial accelerometers, has now made it much easier to monitor activity levels and provide feedback to users. These devices are ideal for capturing activity associated with walking, the most popular and acceptable form of exercise for patients with T2D, but only if patients actually wear them. Thus, there is a need to develop pragmatic approaches that encourage patients to not only wear these monitoring devices, but also to motivate them to increase their activity. The overarching goal is of this proposal is to develop new practical, affordable, and easy-to-use approaches to increase activity among patients at risk for developing T2D and those already diagnosed with T2D. To achieve this goal we will test MapTrek, an m-health game or our own design that uses low cost triaxial accelerometers to encourage patients to walk more, and we will test this m-health intervention against a control group using the accelerometers alone. The data we generate will help inform a larger pragmatic trial to investigate long-term clinical outcomes and costs.

 描述（由申请人提供）：2型糖尿病（T2 D）患者经常导致久坐不动的生活方式，这不仅是糖尿病的风险因素，而且还可能加重疾病。因此，建议增加体力活动是T2 D预防和管理的基石。从历史上看，增加活动是运动的同义词;然而，我们现在知道，即使是更适度的活动水平（例如，仅仅步行）或仅仅减少久坐时间的比例可能足以改善健康结果。一些旨在增加活动的干预措施已显示出希望;另一些则不太成功。廉价的计步器以及最近的低成本三轴加速度计的可用性现在使得监测活动水平和向用户提供反馈变得更加容易。这些设备非常适合捕捉与行走相关的活动，这是T2 D患者最受欢迎和可接受的运动形式，但前提是患者实际佩戴它们。因此，需要开发实用的方法，鼓励患者不仅佩戴这些监测设备，而且激励他们增加活动。该提案的总体目标是开发新的实用，负担得起和易于使用的方法，以增加有发生T2 D风险的患者和已诊断为T2 D的患者的活动。为了实现这一目标，我们将测试MapTrek，一个移动健康游戏或我们自己的设计，使用低成本的三轴加速度计来鼓励患者多走路，我们将测试这种移动健康干预对控制组单独使用加速度计。我们生成的数据将有助于为更大规模的务实试验提供信息，以调查长期临床结果和成本。