期刊文章ggunther Eysenbach在日常初级卫生保健中，通过基于kiosk的电子筛查和简单干预改善身体活动:患者发起的与工作人员推荐的%A Leijon,Matti %A Arvidsson,Daniel %A Nilsen,Per %A Stark Ekman,Diana %A Carlfjord,Siw %A Andersson,Agneta %A Johansson,Anne Lie %A Bendtsen,Preben %+ Lund大学/地区初级卫生保健研究中心Skåne, CRC, 28号楼，11层，72入口，SUS Malmö， Malmö，瑞典，46 40 391 379，电脑定制的eHealth生活方式行为%K运动%K自动化%D 2011 %7 22.11.2011 %9原论文互动行为改变技术(例如，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工作人员，可以为改变行为提供低成本的支持。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)对促进常规初级卫生保健中久坐患者的身体活动的有效性。我们进一步测试了在主动接受e-SBI治疗的患者和由初级卫生保健工作人员推荐接受e-SBI治疗的患者之间是否存在有效性差异。方法:e-SBI筛选身体活动水平、改变动机、执行测试的态度和身体特征，并提供支持行为改变的定制反馈。2007年至2009年，共有7863名患者在瑞典Östergötland县的常规初级卫生保健中接受了e-SBI。其中，2509名患者被认为没有进行足够的体育锻炼，这2509名患者中有311名同意参加可选的3个月随访。这311名患者被纳入分析，并根据e-SBI是由患者自己主动实施的(通过候诊室的海报得知)，还是由工作人员推荐实施的，进一步分为两组。 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. %M 22107702 %R 10.2196/jmir.1745 %U //www.mybigtv.com/2011/4/e99/ %U https://doi.org/10.2196/jmir.1745 %U http://www.ncbi.nlm.nih.gov/pubmed/22107702