推送通知对高血压患者身体活动和摄入量的影响:微随机试验即时适应干预的微随机试验
Jessica R Golbus1,2, Michael P Dorsch3, Yuxuan Chen4
1Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, 2723 Cardiovascular Center, 1500 E Medical Center Dr. SPC 5853, Ann Arbor, MI, 48109, United States, 1 7342325045.
Journal of medical Internet research
|January 7, 2026
概括
使用推送通知的数字高血压管理没有改善身体活动或摄入量. 然而,这些通知显著增加了用户对移动健康应用程序的参与度.
科学领域:
- 数字健康数字健康
- 心血管健康 心血管健康
- 行为科学 行为科学
背景情况:
- 实现适当的血压控制仍然是患者和医疗保健提供者面临的重大挑战.
- 使用推送通知促进生活方式的数字高血压管理解决方案正在出现,但它们的有效性尚未得到充分证实.
研究的目的:
- 评估定制的推送通知对高血压患者体力活动和摄入量的独立和短期影响.
- 评估微随机推送通知对随机对照试验中的生活方式修改的影响.
主要方法:
- myBPmyLife研究是一项为期6个月的随机对照试验,涉及自我报告高血压的参与者.
- 微随机推送通知促进身体活动和低饮食在每天4个时间点发送.
- 主要结果包括活动后的步数通知和饮食后的低食物选择通知,使用加权最小平方方法进行分析.
主要成果:
- 对于身体活动的推送通知在通知后60分钟内没有显著增加步数 (P=.40).
- 饮食通知在24小时内没有显著影响低食物选择 (P=.23).
- 探索性分析显示,在通知后60分钟内,移动应用程序的使用,点击,搜索和低搜索显著增加 (P<.001).
结论:
- 在这种高血压管理干预中,推送通知没有证明对体力活动水平或饮食中的摄入量有短期影响.
- 该研究强调,虽然没有观察到直接的行为变化,但推送通知有效地提高了用户对数字健康平台的参与度.
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