在乳腺癌和前列腺癌幸存者的行为设计游戏化和身体活动中
Alexander C Fanaroff1, Jennifer A Orr2, Chinyere Anucha2
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Penn Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA; Penn Center for Digital Cardiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
游戏化干预显著增加了黑人和西班牙裔癌症幸存者的身体活动,提供了一种可扩展的方法来降低高风险人群中的心血管风险.
科学领域:
- 瘤学中的心血管健康
- 行为干预措施 行为干预
- 在癌症幸存率的健康差异.
背景情况:
- 与非西班牙裔白人幸存者相比,黑人和西班牙裔癌症幸存者在治疗后面临更高的心血管事件风险.
- 这种差异与少数群体中较大的心血管风险因素和较低的体力活动水平有关.
- 在癌症治疗中使用的心脏毒性疗法加剧了这些风险.
研究的目的:
- 评估远程传递的,游戏化的干预对身体活动水平的影响.
- 将游戏化干预与注意力控制组进行比较.
- 评估干预对黑人和西班牙裔癌症幸存者的影响,这些人有现有的心血管风险因素.
主要方法:
- 一项随机临床试验招募了患有心血管风险因素的黑人和西班牙裔癌症幸存者,他们接受了心脏毒性治疗.
- 在24周的干预期内,参与者被分配到注意力控制组 (n=76) 或游戏化组 (n=74) 中.
- 使用可穿戴设备测量每日步骤来监测身体活动,主要结果是平均每日步骤的变化.
主要成果:
- 与对照组相比,游戏化组在干预和随访期间的平均每日步数显著增加.
- 游戏化手臂的参与者也经历了每周中度至强度体力活动的显著增加.
- 该研究的平均参与年龄为64岁,其中81%是女性,64%是黑人,35%是西班牙裔参与者.
结论:
- 与标准护理相比,游戏化有效地增加了黑人和西班牙裔癌症幸存者的身体活动.
- 这种干预提供了一个可扩展的策略,以减轻高风险癌症幸存者群体的心血管风险.
- 进一步的研究可以探索长期坚持和更广泛地实施游戏化的健康干预措施.
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