在COVID-19期间为患有慢性疾病的个人提供完全基于Web的营养和运动计划的可接受性和有效性:随机对照试验
Puneeta Tandon1, Kathleen P Ismond1, Graeme Purdy2
1Department of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
Journal of medical Internet research
|March 24, 2025
概括
这项研究表明,基于网络的营养和运动计划 (Heal-Me) 对慢性病患者来说是非常可接受的. 虽然它没有改善所有身体功能措施,但它增强了福祉和营养自我管理.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 慢性疾病管理 慢性疾病管理
- 康复科学是康复的科学.
背景情况:
- 个人营养和运动干预措施对于慢性疾病是有效的,但可访问性有限.
- 基于Web的交付,与不同的人员支持,需要进一步评估可接受性和有效性.
研究的目的:
- 评估一个完全数字化的,基于网络的营养和运动干预措施 (Heal-Me),从招聘到完成.
- 为了比较两个级别的人员支持 (轻度和强度) 与对照组的有效性.
主要方法:
- 一项随机对照试验招募了患有癌症,慢性肺病或移植史的成年人.
- 参与者被分配到一个数字指南 (对照),Heal-Me Light (小组课程) 或Heal-Me Intensive (小组课程 + 一对一的课程).
- 主要结局包括坚持和下肢功能尺度 (LEFS) 变化;次要结局通过视频会议和问卷评估身体功能,福祉和饮食.
主要成果:
- 在两个Heal-Me组中观察到高坚持率 (82%) 和参与者满意度.
- 两组之间LEFS分数没有显著差异,但Heal-Me干预改善了2分钟步骤测试和幸福感.
- 与轻组相比,密集组在感知营养自我管理方面表现出更大的改善.
结论:
- 基于网络的,半监督的营养和运动干预措施对于患有慢性疾病的人来说是非常可接受和有效的.
- 未来的研究应该考虑基线的身体功能,敏感的结果措施和经验丰富的参与者更高强度的数字干预.
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