An Interactive Computer Session to Initiate Physical Activity in Sedentary Cardiac Patients: Randomized Controlled Trial

Autor: Almeida, Fabio A, Smith-Ray, Renae L, Dzewaltowski, David A, Glasgow, Russell E, Lee, Rebecca E, Thomas, Deborah SK, Xu, Stanley, Estabrooks, Paul A
Přispěvatelé: Human Nutrition, Foods, and Exercise
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
medicine.medical_specialty
exercise
physical
Heart Diseases
Population
Health Informatics
Fitness Centers
Motor Activity
Chest pain
lcsh:Computer applications to medicine. Medical informatics
behavioral research
law.invention
User-Computer Interface
Randomized controlled trial
law
Intervention (counseling)
Health care
medicine
Humans
Session (computer science)
education
Exercise
Aged
Original Paper
Internet
education.field_of_study
Cognitive Behavioral Therapy
business.industry
lcsh:Public aspects of medicine
Repeated measures design
lcsh:RA1-1270
treadmill test
Middle Aged
3. Good health
Computer Session
cardiovascular diseases
interactive media
Treatment Outcome
Exercise Test
Linear Models
Physical therapy
human computer interaction
lcsh:R858-859.7
Female
Sedentary Behavior
medicine.symptom
business
Risk Reduction Behavior
Zdroj: Journal of Medical Internet Research, Vol 17, Iss 8, p e206 (2015)
Journal of Medical Internet Research
Popis: Background: Physical activity (PA) improves many facets of health. Despite this, the majority of American adults are insufficiently active. Adults who visit a physician complaining of chest pain and related cardiovascular symptoms are often referred for further testing. However, when this testing does not reveal an underlying disease or pathology, patients typically receive no additional standard care services. A PA intervention delivered within the clinic setting may be an effective strategy for improving the health of this population at a time when they may be motivated to take preventive action. Objective: Our aim was to determine the effectiveness of a tailored, computer-based, interactive personal action planning session to initiate PA among a group of sedentary cardiac patients following exercise treadmill testing (ETT). Methods: This study was part of a larger 2x2 randomized controlled trial to determine the impact of environmental and social-cognitive intervention approaches on the initiation and maintenance of weekly PA for patients post ETT. Participants who were referred to an ETT center but had a negative-test (ie, stress tests results indicated no apparent cardiac issues) were randomized to one of four treatment arms: (1) increased environmental accessibility to PA resources via the provision of a free voucher to a fitness facility in close proximity to their home or workplace (ENV), (2) a tailored social cognitive intervention (SC) using a "5 As"-based (ask, advise, assess, assist, and arrange) personal action planning tool, (3) combined intervention of both ENV and SC approaches (COMBO), or (4) a matched contact nutrition control (CON). Each intervention was delivered using a computer-based interactive session. A general linear model for repeated measures was conducted with change in PA behavior from baseline to 1-month post interactive computer session as the primary outcome. Results: Sedentary participants (n=452; 34.7% participation rate) without a gym membership (mean age 58.57 years; 59% female, 78% white, 12% black, 11% Hispanic) completed a baseline assessment and an interactive computer session. PA increased across the study sample (F-1,F-441= 30.03, P
Databáze: OpenAIRE
Externí odkaz: