プライマリケアにおけるリスクグループにおける身体活動を増加させるための理論に基づく行動介入の有効性 (ProActive UK):ランダム化試験
Ann-Louise Kinmonth1, Nicholas J Wareham, Wendy Hardeman
1General Practice and Primary Care Research Unit, Department of Public Health and Primary Care, University of Cambridge, UK. alk25@medschl.cam.ac.uk
Lancet (London, England)
|January 8, 2008
まとめ
行動介入の促進は,2型糖尿病のリスクのある座っている成人の身体活動を増加させなかった. 医療提供者は,このようなプログラムを委託する際には慎重に行うべきです.
科学分野:
- 公衆衛生は公衆衛生である.
- 行動科学は,行動科学である.
- 予防医学は,予防的な医療です.
背景:
- 身体活動の減少は,世界的な疾病負担に寄与しています.
- 以前の身体活動を増やすための試みは,成功しなかった.
- 糖尿病の家族リスクのある静止型個人は,重要なターゲット集団です.
研究 の 目的:
- 身体活動の増加における促進された行動介入の有効性を評価する.
- 自宅での介入と電話での介入を比較する.
- 2型糖尿病の家族リスクのある静止型個人をターゲットにします.
主な方法:
- 親に2型糖尿病の歴がある365人の座りやすい成人を募集した.
- 参加者は1年間の行動変化プログラム (自宅または電話) または簡潔なアドバイスのパンフレットにランダムに割り当てられました.
- 身体活動は,1年後の休憩時のエネルギー消費に対する比率として客観的に測定されました.
主要な成果:
- 分析には,1年間の追跡期間で321人の参加者 (88%) が含まれていました.
- 介入グループとアドバイス用チラシグループの間では,身体活動比率の有意な違いは見つかりませんでした.
- 面と向かってや電話による介入の両方とも,有効性の違いはなかった.
結論:
- 理論に基づいた行動介入は,身体活動の促進のための簡単なアドバイスの小冊子よりも効果的ではなかった.
- 医療提供者は,個々の予防医療サービスのための行動プログラムの委託を検討する際には注意を払うべきです.
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