基于理论的行为干预措施的有效性,以增加初级保健中风险组的体育活动 (ProActive UK):一个随机试验
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
概括
与简单的建议小册子相比,促进行为干预并没有增加2型糖尿病风险的久坐不动的成年人的体力活动. 医疗保健提供者在委托此类计划时应谨慎.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 预防医学 预防医学
背景情况:
- 身体活动的减少有助于全球疾病负担.
- 以前增加体育活动的努力一直没有成功.
- 具有糖尿病家族风险的久坐不动的人群是关键的目标人群.
研究的目的:
- 评估促进行为干预在增加身体活动中的有效性.
- 为了比较家庭和电话交付的干预措施.
- 针对具有2型糖尿病家族风险的久坐不动的个人.
主要方法:
- 招募了365名久坐不动的成年人,他们的父母有2型糖尿病史.
- 参与者被随机分配到一年的行为改变计划 (家庭或电话) 或简短的咨询小册子.
- 身体活动被客观地衡量为1年内休息能量消耗与休息能量消耗的比例.
主要成果:
- 分析包括321名参与者 (88%),随访1年.
- 干预组和咨询小册子组之间没有发现身体活动比率的显著差异.
- 面对面和电话干预都没有显示出有效性的差异.
结论:
- 方便的,基于理论的行为干预措施并不比简单的咨询小册子更有效促进身体活动.
- 医疗保健提供者在考虑委托个人预防性医疗保健服务的行为计划时应谨慎行事.
相关概念视频
01:12What is an Experiment?
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
01:18Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
01:25Models of Health Promotion and Illness Prevention I
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...