% 0期刊文章% @ 1438 - 8871 V %我Gunther Eysenbach % 14% 2% N P e39 % T开发基于web的Computer-Tailored建议50岁以上人群中促进身体活动%皮,丹尼斯% van Stralen, Maartje M % Bolman,凯瑟琳% Golsteijn, Rianne HJ % de Vries,嗯% Mudde,阿尔特莱希N %,莉莲% +心理学系,荷兰的开放大学,Valkenburgerweg 177,邮政信箱2960,海尔伦,在6419年,荷兰,576年45 31日22 96,denise.peels@ou.nl计算机定制建议体育活动基于网络的干预老年人运动环境RE-AIM模型背景:Active Plus项目是一个系统开发的基于理论和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是有效的。Active Plus项目第一版的过程和效果结果被转化为使用RE-AIM框架的适应性干预措施。RE-AIM模型通常用于评估干预措施的潜在公共卫生影响，并区分五个维度:覆盖范围、有效性、采用、实施和维护。目的:了解如何将Active Plus项目的第一个印刷交付版本系统地翻译为一个改编的(基于web的)后续项目。本研究的重点是覆盖范围和有效性维度，因为这些维度受原始Active Plus项目结果的影响最大。方法:我们通过将印刷交付干预的交付模式扩展为额外的基于网络的干预来优化干预的潜在范围和效果。根据过程评估的结果、对亚组内效果的分析以及对原始干预措施工作机制的评估，对干预措施进行了调整。我们预先测试了新的干预材料和基于网络的干预版本。随后，在聚类随机对照试验中实施新的干预条件。 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). %M 22390878 %R 10.2196/jmir.1742 %U //www.mybigtv.com/2012/2/e39/ %U https://doi.org/10.2196/jmir.1742 %U http://www.ncbi.nlm.nih.gov/pubmed/22390878