在网络干预中,使用电子邮件和电话提示增强自我监控随机对照试验%A Greaney,Mary L %A Sprunck-Harrild,Kim %A Bennett,Gary G %A Puleo,Elaine %A Haines,Jess %A Viswanath,K Vish %A Emmons,Karen M %+社区研究中心,Dana-Farber癌症研究所,450 Brookline Ave, LW664, Boston, MA, 02215,美国,1 617 582 7940,mary_greaney@dfci.harvard.edu %K基于网络的健康促进干预%K自我监测%K提示%D 2012 %7 27.07.2012 %9原文%J J Med Internet Res %G English %X背景:自我监控是与持续健康行为改变相关的关键行为改变机制。尽管基于web的干预可以为自我监控提供用户友好的方法,但使用这些工具并不是最理想的。增加使用可以鼓励、促进和维持行为改变。目的:确定电子邮件提示或电子邮件加电话提示是否增加了为多种癌症风险降低项目创建的网站上行为的自我监控。方法:我们招募并登记了参与者(N = 100),在一个城市初级保健卫生中心的初级保健访问期间进行了基于网络的干预。每日自我监控的频率在研究网站上进行了跟踪。在第一周内至少跟踪一种行为3次或更多次的参与者被归类为符合跟踪阈值,并被分配到仅观察组(OO, n = 14)。这组人被跟踪,但没有收到提示。 Participants who did not meet the threshold during week 1 were randomly assigned to one of 2 prompting conditions: automated assistance (AA, n = 36) or automated assistance + calls (AAC, n = 50). During prompting periods (weeks 2–3), participants in the AA and AAC conditions received daily automated emails that encouraged tracking and two tailored self-monitoring reports (end of week 2, end of week 3) that provided feedback on tracking frequency. Individuals in the AAC condition also received two technical assistance calls from trained study staff. Frequency of self-monitoring was tracked from week 2 through week 17. Results: Self-monitoring rates increased in both intervention conditions during prompting and declined when prompting ceased. Over the 16 weeks of observation, there was a significant between-group difference in the percentage who met the self-monitoring threshold each week, with better maintenance in the AAC than in the AA condition (P < .001). Self-monitoring rates were greater in the OO group than in either the AA or AAC condition (P < .001). Conclusions: Prompting can increase self-monitoring rates. The decrease in self-monitoring after the promoting period suggests that additional reminder prompts would be useful. The use of technical assistance calls appeared to have a greater effect in promoting self-monitoring at a therapeutic threshold than email reminders and the tailored self-monitoring reports alone. Trial Registration: ClinicalTrials.gov NCT01415492; http://clinicaltrials.gov/ct2/show/NCT01415492 (Archived by WebCite at http://www.webcitation.org/68LOXOMe2) %M 22842775 %R 10.2196/jmir.1981 %U //www.mybigtv.com/2012/4/e96/ %U https://doi.org/10.2196/jmir.1981 %U http://www.ncbi.nlm.nih.gov/pubmed/22842775
Baidu
map