@Article{信息:doi 10.2196 / / jmir。1742年，作者=“Peels, Denise A和van Stralen, Maartje M和Bolman, Catherine和Golsteijn, Rianne HJ和de Vries, Hein和Mudde, Aart N和Lechner, Lilian”，标题=“基于web的计算机定制建议的发展，以促进50岁以上人群的体育活动”，期刊=“J Med Internet Res”，年=“2012”，月=“Mar”，日=“02”，卷=“14”，数=“2”，页=“e39”，关键词=“计算机定制建议;身体活动;基于web的干预;老年人;锻炼;环境;背景:Active Plus项目是一个系统开发的理论和基于证据的计算机定制干预，被发现在改变50岁以上人群的体育活动行为方面有效。Active Plus项目第一版的过程和效果结果被转化为使用RE-AIM框架的适应性干预。RE-AIM模型通常用于评估干预措施的潜在公共卫生影响，并区分了五个维度:覆盖面、有效性、采用、实施和维持。 Objective: To gain insight into the systematic translation of the first print-delivered version of the Active Plus project into an adapted (Web-based) follow-up project. The focus of this study was on the reach and effectiveness dimensions, since these dimensions are most influenced by the results from the original Active Plus project. Methods: We optimized the potential reach and effect of the interventions by extending the delivery mode of the print-delivered intervention into an additional Web-based intervention. The interventions were adapted based on results of the process evaluation, analyses of effects within subgroups, and evaluation of the working mechanisms of the original intervention. We pretested the new intervention materials and the Web-based versions of the interventions. Subsequently, the new intervention conditions were implemented in a clustered randomized controlled trial. Results: Adaptations resulted in four improved tailoring interventions: (1) a basic print-delivered intervention, (2) a basic Web-based intervention, (3) a print-delivered intervention with an additional environmental component, and (4) a Web-based version with an additional environmental component. Pretest results with participants showed that all new intervention materials had modest usability and relatively high appreciation, and that filling in an online questionnaire and performing the online tasks was not problematic. We used the pretest results to improve the usability of the different interventions. Implementation of the new interventions in a clustered randomized controlled trial showed that the print-delivered interventions had a higher response rate than the Web-based interventions. Participants of both low and high socioeconomic status were reached by both print-delivered and Web-based interventions. Conclusions: Translation of the (process) evaluation of an effective intervention into an adapted intervention is challenging and rarely reported. We discuss several major lessons learned from our experience. Trial Registration: Nederlands Trial Register (NTR): 2297; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2297 (Archived by WebCite at http://www.webcitation.org/65TkwoESp). ", issn="1438-8871", doi="10.2196/jmir.1742", url="//www.mybigtv.com/2012/2/e39/", url="https://doi.org/10.2196/jmir.1742", url="http://www.ncbi.nlm.nih.gov/pubmed/22390878" }