I JMIR出版公司基于互联网和移动的量身定制的干预措施，以加强心脏卡塔尔世界杯8强波胆分析康复后身体活动的维持:随机对照试验的短期结果% a Antypas,Konstantinos % a Wangberg,Silje C %+挪威综合护理和远程医疗中心，北挪威大学医院，邮政信箱35号，特罗姆瑟，N-9038，挪威，47 97613265konstantinos.antypas@telemed.no %K康复%K心血管疾病%K运动疗法%K电子健康%K远程医疗%K互联网%K手机%K自我管理%K体育活动%K劝导沟通%K健康行为%D 2014 %7 11.03.2014 %9原始论文%J J医学互联网Res %G英语%X背景:为心血管疾病二级预防和心脏康复而增加体力活动具有多种治疗益处，包括降低死亡率。基于互联网和移动设备的身体活动干预在帮助用户提高或维持身体活动水平方面，特别是在心血管疾病二级预防和心脏康复方面，已经显示出有希望的结果。与这些干预措施的有效性相关的一个组成部分是针对个人量身定制内容。目的:我们的试验评估了纵向定制的基于互联网和移动的身体活动干预作为面对面心脏康复住院的延伸的效果。我们假设，定制干预的用户将比非定制干预的用户更好地保持他们的身体活动水平。方法:研究人群包括挪威一个心脏康复项目的成年参与者，他们有家庭互联网接入和移动电话。参与者每月被随机分为定制或非定制(对照)干预组。 All participants had access to a website with information regarding cardiac rehabilitation, an online discussion forum, and an online activity calendar. Those using the tailored intervention received tailored content based on models of health behavior via the website and mobile fully automated text messages. The main outcome was self-reported level of physical activity, which was obtained using an online international physical activity questionnaire at baseline, at discharge, and at 1 month and 3 months after discharge from the cardiac rehabilitation program. Results: Included in the study were 69 participants. One month after discharge, the tailored intervention group (n=10) had a higher median level of overall physical activity (median 2737.5, IQR 4200.2) than the control group (n=14, median 1650.0, IQR 2443.5), but the difference was not significant (Kolmogorov-Smirnov Z=0.823, P=.38, r=.17). At 3 months after discharge, the tailored intervention group (n=7) had a significantly higher median level of overall physical activity (median 5613.0, IQR 2828.0) than the control group (n=12, median 1356.0, IQR 2937.0; Kolmogorov-Smirnov Z=1.397, P=.02, r=.33). The median adherence was 45.0 (95% CI 0.0-169.8) days for the tailored group and 111.0 (95% CI 45.1-176.9) days for the control group; however, the difference was not significant (P=.39). There were no statistically significant differences between the 2 groups in stage of change, self-efficacy, social support, perceived tailoring, anxiety, or depression. Conclusions: Because of the small sample size and the high attrition rate at the follow-up visits, we cannot make conclusions regarding the efficacy of our approach, but the results indicate that the tailored version of the intervention may have contributed to the long-term higher physical activity maintained after cardiac rehabilitation by participants receiving the tailored intervention compared with those receiving the nontailored intervention. Trial Registration: ClinicalTrials.gov: NCT01223170; http://clinicaltrials.gov/show/NCT01223170 (Archived by WebCite at http://www.webcitation.org/6Nch4ldcL). %M 24618349 %R 10.2196/jmir.3132 %U //www.mybigtv.com/2014/3/e77/ %U https://doi.org/10.2196/jmir.3132 %U http://www.ncbi.nlm.nih.gov/pubmed/24618349