在心肺疾病中通过正念步骤促进步行:基于网络的随机对照试验,以步行计为媒介,进行心身干预
Kristen M Kraemer1, Daniel Litrownik2, Peter M Wayne2
1Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, United States.
JMIR formative research
|October 28, 2025
概括
基于网络的心身干预 (Mindful Steps) 显示了心力衰竭和COPD患者增加身体活动的可行性和可接受性. 该研究表明,每天步数和自我效率的积极趋势,需要进一步调查.
科学领域:
- 心脏病学和肺病学.
- 行为医学是一种行为医学.
- 数字健康干预措施 数字健康干预措施
背景情况:
- 身体不活动在心力衰竭 (HF) 和慢性阻塞性肺病 (COPD) 中普遍存在,使患者的结果恶化.
- 需要可访问的干预措施来促进这些人群的体力活动.
- 心身策略显示出推动健康行为改变的潜力.
研究的目的:
- 评估"明智步骤"干预措施的可行性和可接受性.
- 评估一个基于网络的,步计介导的心身计划,用于患有HF和COPD的个体.
- 探索干预对身体活动和相关心理社会因素的影响.
主要方法:
- 一项试点随机对照试验,将"Mindful Steps"与稳定的高风和COPD患者的常规护理进行比较.
- "正念的步骤"的干预包括脚步计,现场心身炼课程和一个网络平台,持续了12个月.
- 主要结局是招聘,留住,接受和坚持;次要结局包括步数和心理社会措施.
主要成果:
- 该研究实现了76%的保留率,表明了良好的可行性和可接受性.
- "正念步骤"组的参与者在3,6个月和9个月的每日步数中显示出积极的趋势.
- 探索性结果显示,情绪意识,内在动机和炼自我效能有所改善.
结论:
- "明智的步骤"干预是可行的,可以接受的,并证明了HF和COPD患者的参与.
- 对增加体力活动和改善心理社会因素的积极信号支持进一步的研究.
- 成功转向完全远程格式强调了未来数字健康研究的适应性.
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