TY -的AU -穆勒,安德烈马提亚AU -邱,塞琳娜AU -莫里斯,托尼PY - 2016 DA - 2016/01/07 TI -短信锻炼促进老年人的中高收入国家:随机对照试验乔- J地中海互联网Res SP - e5六世- 18 - 1 KW -运动KW -短信KW -手机KW -老年人KW - mHealth KW -亚洲KW -健康行为KW——行为维护KW -身体活动KW -马来西亚AB -背景:移动技术促进运动有效;然而，大多数证据来自对高收入国家年轻群体的研究。考虑到移动电话在发展中地区的普及以及老年人使用移动电话的兴趣增加，调查短消息服务(SMS)是否会影响中高收入国家老年人的运动参与是很重要的。目的:主要目的是研究短信对老年人运动频率的短期和长期影响。次要目标是调查短信如何影响研究参与者的运动频率，以及干预对次要结果的影响。方法:马来西亚身体活动促进健康研究(mypath)是一项24周、2组、平行随机对照试验，在马来西亚城市进行。参加者是通过居民协会和宗教设施的健康讲座招募的。使用手机且不经常锻炼的马来西亚老年人(55-70岁)有资格参与这项研究。随机分配到短信组的参与者在12周内会收到一本锻炼手册和每周5条短信。 The content of the SMS text messages was derived from effective behavior change techniques. The non-SMS texting arm participants received only the exercise booklet. Home visits were conducted to collect outcome data: (1) exercise frequency at 12 and 24 weeks, (2) secondary outcome data (exercise self-efficacy, physical activity–related energy expenditure, sitting time, body mass index, grip and leg strength) at baseline and at 12 and 24 weeks. Intention-to-treat procedures were applied for data analysis. Semistructured interviews focusing primarily on the SMS text messages and their impact on exercise frequency were conducted at weeks 12 and 24. Results: In total, 43 participants were randomized into the SMS texting arm (n=22) and the non-SMS texting arm (n=21). Study-unrelated injuries forced 4 participants to discontinue after a few weeks (they were not included in any analyses). Overall retention was 86% (37/43). After 12 weeks, SMS texting arm participants exercised significantly more than non-SMS texting arm participants (mean difference 1.21 times, bias-corrected and accelerated bootstrap [BCa] 95% CI 0.18-2.24). Interview analysis revealed that the SMS text messages positively influenced SMS texting arm participants who experienced exercise barriers. They described the SMS text messages as being encouraging, a push, and a reminder. After 24 weeks, there was no significant difference between the research arms (mean difference 0.74, BCa 95% CI –0.30 to 1.76). There were no significant effects for secondary outcomes. Conclusions: This study provides evidence that SMS text messaging is effective in promoting exercise in older adults from an upper-middle-income country. Although the effects were not maintained when SMS text messaging ceased, the results are promising and warrant more research on behavioral mobile health interventions in other regions. Trial Registration: Clinicaltrials.gov NCT02123342; http://clinicaltrials.gov/ct2/show/NCT02123342 (Archived by WebCite at http://www.webcitation.org/6eGSsu2EI). SN - 1438-8871 UR - //www.mybigtv.com/2016/1/e5/ UR - https://doi.org/10.2196/jmir.5235 UR - http://www.ncbi.nlm.nih.gov/pubmed/26742999 DO - 10.2196/jmir.5235 ID - info:doi/10.2196/jmir.5235 ER -