INTERNET-DELIVERED OBESITY AND CARDIOMETABOLIC DISEASE PREVENTION

这个子项目是许多利用资源的研究子项目之一 由NIH/NCRR资助的中心拨款提供。子项目的主要支持 而子项目的主要调查员可能是由其他来源提供的， 包括其它NIH来源。 列出的子项目总成本可能 代表子项目使用的中心基础设施的估计数量， 而不是由NCRR赠款提供给子项目或子项目工作人员的直接资金。 缺乏身体活动是心脏病、2型糖尿病的主要危险因素，也是肥胖的一个因素。 尽管有大量的公共卫生活动促进采用和维持身体活动的生活方式，但最近的证据表明，95%的美国成年人没有达到目前的身体活动建议。 为了打击久坐行为的持续存在，国家体育活动计划呼吁创新的体育活动促进战略，体育活动能力建设的持续伙伴关系，以及对体育活动行为变化的定期评估/评估。 这项研究试图增加短期和长期的身体活动行为，并通过研究小组和当地医疗诊所之间的协调合作，降低疾病风险。 该伙伴关系需要临床医生实施和传播一项创新的互联网交付的身体活动行为改变计划，以促进患者群体的身体活动行为改变和疾病风险降低。 研究团队已在非临床环境中验证了互联网交付的身体活动计划，并将从诊所翻译交付，并评估该环境中的疗效。 我们期望互联网交付方法将克服临床医生经常引用的缺乏时间，专业知识和支持的障碍，因为健康干预的可行性和可持续性失败。 我们还预计，患者体力活动水平的增加将与心脏代谢疾病风险因素的减少有关。 这一客观证据与临床医生使用的结构化定性评价和互联网提供的干预的障碍相结合，将为未来的修改和完善提供信息，以继续进行转化研究和有效性研究。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. Primary support for the subproject and the subproject's principal investigator may have been provided by other sources, including other NIH sources. The Total Cost listed for the subproject likely represents the estimated amount of Center infrastructure utilized by the subproject, not direct funding provided by the NCRR grant to the subproject or subproject staff. 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.