TY - JOUR AU - Peels, Denise A AU - van Stralen, Maartje M AU - Bolman, Catherine AU - Golsteijn, Rianne HJ AU - de Vries, Hein AU - Mudde, Aart N AU - Lechner，Lilian PY - 2012 DA - 2012/03/02 TI -开发基于web的计算机定制的建议，以促进50岁以上人群的身体活动JO - J医学互联网Res SP - e39 VL - 14 IS - 2 KW -计算机定制的建议KW -身体活动KW -基于web的干预KW -老年人KW -锻炼KW -环境KW - RE-AIM模型AB -背景:Active Plus项目是一项系统开发的理论和基于证据的计算机定制干预措施，被发现对改变50岁以上人群的体育活动行为有效。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。目的:深入了解将Active Plus项目的第一个印刷版本系统地翻译成一个改编的(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:我们通过将印刷品传递干预的传递模式扩展到附加的基于web的干预，优化了干预的潜在范围和效果。这些干预措施是根据过程评价的结果、亚组内效果的分析以及原始干预措施工作机制的评估进行调整的。我们预先测试了新的干预材料和基于网络的干预版本。 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). SN - 1438-8871 UR - //www.mybigtv.com/2012/2/e39/ UR - https://doi.org/10.2196/jmir.1742 UR - http://www.ncbi.nlm.nih.gov/pubmed/22390878 DO - 10.2196/jmir.1742 ID - info:doi/10.2196/jmir.1742 ER -