@Article{信息:doi 10.2196 / / jmir。1745年,作者=“Leijon, Matti和Arvidsson, Daniel和Nilsen, Per和Stark Ekman, Diana和Carlfjord, Siw和Andersson, Agneta和Johansson, Anne Lie和Bendtsen, Preben”,标题=“通过基于亭的电子筛查和常规初级卫生保健的简短干预来改善身体活动:患者主动与工作人员推荐”,期刊=“J医学互联网研究”,年=“2011”,月=“11月”,日=“22”,卷=“13”,数=“4”,页=“e99”,关键词=“计算机定制;电子健康;生活方式的行为;锻炼;背景:交互式行为改变技术(如计算机程序、互联网网站和移动电话)可能有助于在常规初级卫生保健中实施生活方式行为干预。有效的、完全自动化的解决方案不涉及初级卫生保健人员,可以为行为改变提供低成本的支持。目的:我们探讨了通过独立信息亭部署的电子筛查和短暂干预(e-SBI)在常规初级卫生保健中促进久坐患者的身体活动的有效性。我们进一步测试了主动进行e-SBI的患者与由初级卫生保健人员转诊的患者的有效性是否存在差异。方法:e-SBI筛查身体活动水平、改变动机、执行测试的态度和身体特征,并提供量身定制的反馈,支持行为改变。 A total of 7863 patients performed the e-SBI from 2007 through 2009 in routine primary health care in {\"O}sterg{\"o}tland County, Sweden. Of these, 2509 were considered not sufficiently physically active, and 311 of these 2509 patients agreed to participate in an optional 3-month follow-up. These 311 patients were included in the analysis and were further divided into two groups based on whether the e-SBI was performed on the patient{\textasciiacute}s own initiative (informed by posters in the waiting room) or if the patient was referred to it by staff. A physical activity score representing the number of days being physically active was compared between baseline e-SBI and the 3-month follow-up. Based on physical activity recommendations, a score of 5 was considered the cutoff for being sufficiently physically active. Results: In all, 137 of 311 patients (44{\%}) were sufficiently physically active at the 3-month follow-up. The proportion becoming sufficiently physically active was 16/55 (29{\%}), 40/101 (40{\%}), and 81/155 (52{\%}) for patients with a physical activity score at baseline of 0, 1 to 2, and 3 to 4, respectively. The patient-initiated group and staff-referred group had similar mean physical activity scores at baseline (2.1, 95{\%} confidence interval [CI] 1.8-2.3, versus 2.3, 95{\%} CI 2.1-2.5) and at follow-up, (4.1, 95{\%} CI 3.4-4.7, vs 4.2, 95{\%} CI 3.7-4.8). Conclusions: Among the sedentary patients in primary health care who participated in the follow-up, the e-SBI appeared effective at promoting short-term improvement of physical activity for about half of them. The results were similar when the e-SBI was patient-initiated or staff-referred. The e-SBI may be a low-cost complement to lifestyle behavior interventions in routine primary health care and could work as a stand-alone technique not requiring the involvment of primary health care staff. ", issn="1438-8871", doi="10.2196/jmir.1745", url="//www.mybigtv.com/2011/4/e99/", url="https://doi.org/10.2196/jmir.1745", url="http://www.ncbi.nlm.nih.gov/pubmed/22107702" }
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