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测试招募频率,实施忠实性和心力衰竭活动教练研究 (HEALTHY) 结果的可行性:试点随机对照试验

Andreas Blomqvist¹, Maria Bäck^1,2, Leonie Klompstra¹

¹Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

JMIR formative research

|January 8, 2025

概括

这项研究发现,活动教练应用程序在心力衰竭 (HF) 的老年人中显示出高度的坚持和改善与健康有关的生活质量. 建议进行进一步的研究,以加强对未来疗效研究的招聘.

科学领域:

心脏病学心脏病学
数字健康数字健康
老年病的医生老年病的医生

背景情况:

身体不活动和久坐不动行为是心力衰竭 (HF) 患者死亡率和生活质量下降的重要风险因素.
移动健康 (mHealth) 干预措施在促进慢性疾病中的身体活动和自我护理方面表现有前途.

研究的目的:

评估活动教练应用程序的招聘频率,实施忠实性和可行性,以支持体育活动和减少患有HF的老年人的久坐行为.
评估应用程序对健康相关生活质量 (HR-QoL) 和目标实现的影响.

主要方法:

一项试点随机对照试验 (RCT) 涉及使用mHealth工具Optilogg.g使用HF的老年人.
参与者被随机分配到干预组 (活动教练应用程序) 或对照组 (假版) 12 周.
使用加速度计测量目标体育活动,使用堪萨斯城心肌病问卷 (KCCQ) 测量HR-QoL,并使用目标实现量化评估目标实现.

主要成果:

招聘产生了30%的初始同意和20%的成功入学率.
每天和每周对活动教练应用程序的坚持率高,分别为69%和88%.
与对照组相比,干预组的HR-QoL (P=.027) 和身体限制得分 (P=.04) 显著改善.

结论:

虽然招聘率低于预期,但活动教练应用程序显示了高坚持性和提高身体活动和HR-QoL的潜力,在高频率的老年人中.
建议在未来的疗效研究中采用积极的招募策略.

关键词:

老化的老化衰老的老化数字健康数字健康疾病管理疾病管理的可行性和可行性.心脏衰竭是因为心脏衰竭.移动健康移动健康移动健康移动健康移动健康的移动健康年龄较大的成年人.身体活动身体活动人们的生活质量.一个久坐不动的生活.智能手机的智能手机智能手机的智能手机.

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