使用智能手机应用程序与行为改变技术相结合对成人和老年人身体活动水平的影响:顺序多重分配随机试验
Maria do Socorro Morais Pereira Simoes1, Neli Leite Proença1, Vinícius Tonon Lauria1
1Departamento de Ciências do Movimento Humano, Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, 136 Silva Jardim St, Room 338, Santos, 11.015-020, Brazil, 55 13-99800-0315.
Journal of medical Internet research
|January 30, 2026
概括
这项研究表明,适应性智能手机应用程序与行为改变技术有效地增加体力活动 (PA) 并减少久坐时间. 量身定制的信息和游戏化提高了参与度,促进了持续的健康行为改变.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 运动生理学 运动生理学
背景情况:
- 随着时间的推移,智能手机应用程序对体力活动 (PA) 的参与度往往会下降.
- 适应性干预试验对于根据个体反应量身定制基于技术的健康行为干预至关重要.
研究的目的:
- 评估智能手机应用程序结合行为改变技术对成人和老年人的身体活动水平的影响.
- 用步数作为主要指标来评估静坐行为和中度至强度体力活动 (MVPA) 的变化.
主要方法:
- 这是一项为期24周,单盲,顺序多重分配的随机试验,涉及53名参与者.
- 参与者被随机分为接受应用程序定制消息,游戏化或教育信息的组,非响应者被重新随机分为适应性干预.
- 行为改变技术包括目标设定,自动监控,排名,虚拟章,定制消息和面对面的会议.
主要成果:
- 使用应用程序和定制消息的参与者 (1组) 的每日步数显著增加 (最终与初始:797.2步/天,P<.001).
- 在所有参与者中,观察到每周久坐行为显著减少 (B=-70.8分/周,P<.001).
- 适应性干预组的受访者在整个研究期间,每天步数持续增加.
结论:
- 使用智能手机应用程序和行为改变技术的适应性干预有效地提高了身体活动水平.
- 在数字健康干预中逐步纳入行为改变技术和新兴刺激,可以促进身体活动的持久行为变化.
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