% 0期刊文章% @ 2291 - 5222 V %我JMIR出版物%卡塔尔世界杯8强波胆分析 6% 2% N P e42 % T同伴辅导通过移动医疗定位在帕金森患者体力活动:可行性研究% Colon-Semenza,克里斯蒂娜%莱瑟姆,南希·K % Quintiliani丽莎M %埃利斯,特里D % + Neurorehabilitation中心部门的物理治疗和训练,健康与康复科学学院:波士顿大学萨金特学院，635 Commonwealth Ave, Boston, MA, 02215, United States, 1 6173537571, tellis@bu.edu %K帕金森病%K运动%K远程医疗%K社会支持%K健身追踪器%D 2018 %7 15.02.2018 %9原始论文%J JMIR Mhealth Uhealth %G英语%X背景:长期参与运动和体育活动可以缓解帕金森病(PD)患者的残疾进展并提高生活质量。尽管如此，绝大多数PD患者都是久坐不动的。迫切需要一种可行、安全、可接受和有效的方法来帮助PD患者进行积极的生活方式。通过移动医疗(mHealth)进行同伴辅导可能是一种可行的方法。目的:本研究的目的是开发PD特定同伴教练培训计划和使用移动健康技术的远程同伴指导步行计划，目的是增加PD患者的身体活动。我们着手研究这些项目的可行性、安全性和可接受性，并初步证明同行学员在行走活动、自我效能和残疾方面的个体水平变化。方法:在10名PD患者中开发并测试了一个同伴教练培训计划和一个使用mHealth的远程同伴指导步行计划。我们将具有PD(同伴教练)的身体活跃的人与具有PD(同伴指导员)的久坐的人相匹配，结果是5对组合。通过网络和面对面的授课方式，我们对同行教练进行了PD、锻炼、积极倾听和动机性访谈的基本知识培训。 Peer coaches and mentees wore FitBit Zip activity trackers and participated in daily walking over 8 weeks. Peer dyads interacted daily via the FitBit friends mobile app and weekly via telephone calls. Feasibility was determined by examining recruitment, participation, and retention rates. Safety was assessed by monitoring adverse events during the study period. Acceptability was assessed via satisfaction surveys. Individual-level changes in physical activity were examined relative to clinically important differences. Results: Four out of the 5 peer pairs used the FitBit activity tracker and friends function without difficulty. A total of 4 of the 5 pairs completed the 8 weekly phone conversations. There were no adverse events over the course of the study. All peer coaches were “satisfied” or “very satisfied” with the training program, and all participants were “satisfied” or “very satisfied” with the peer-mentored walking program. All participants would recommend this program to others with PD. Increases in average steps per day exceeding the clinically important difference occurred in 4 out of the 5 mentees. Conclusions: Remote peer coaching using mHealth is feasible, safe, and acceptable for persons with PD. Peer coaching using mHealth technology may be a viable method to increase physical activity in individuals with PD. Larger controlled trials are necessary to examine the effectiveness of this approach. %M 29449201 %R 10.2196/mhealth.8074 %U http://mhealth.www.mybigtv.com/2018/2/e42/ %U https://doi.org/10.2196/mhealth.8074 %U http://www.ncbi.nlm.nih.gov/pubmed/29449201