Personalized Physical Activity & Nutrition Intervention for Overweight/Obese.....

个性化的身体活动

• 批准号: 7223770
• 负责人: JAMES Howard RIMMER
• 金额: $ 32.5万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7223770
• 关键词: adult human (21+); clinical research; computer assisted instruction; computer assisted patient care; diet therapy; exercise; human subject; human therapy evaluation; obesity; patient oriented research; person with disability; questionnaires; telemedicine

DESCRIPTION (provided by applicant): Developing effective and sustainable interventions to increase key health behaviors remains a critical issue in health promotion for people with disabilities. Our current research uses a personalized intervention approach with telephone coaching support to achieve increases in physical activity participation, lowering of body mass index (BMI), and reduced healthcare utilization. The proposed project will expand the scope of this promising research by (1) training multiple wellness coaches in the implementation of the intervention; (2) using a computer-assisted system to conduct baseline assessment, facilitate goal development, identify local resources, and monitor progress; (3) adding a nutrition component to examine the additive effects on health outcomes; and (4) recruiting a more diverse sample of persons with mobility disabilities from multiple sites. 228 obese individuals with mobility disabilities (spinal cord injury, multiple sclerosis, cerebral palsy, spina bifida) will be randomized into one of three conditions: (1) PEP-II, Personalized Physical Activity Program involving physical activity telephone coaching only; (2) PEP Plus, Personalized Physical Activity and Nutrition coaching; and (3) control group. Eligibility criteria include (a) permission from physician to participate in the study; (b) BMI of 30-40; (c) have the ability to converse in English; (d) not enrolled in another health promotion program; and (e) sedentary lifestyle over the previous six months. Primary outcomes include physical activity, nutrition, self-efficacy, blood pressure, blood lipids, and healthcare utilization costs. Intervention group participants will receive wellness telephone coaching in the following phases: (a) 0-6 months (Adoption) - weekly coaching; (b) 7-12 months (Maintenance) - bimonthly to monthly coaching; (c) 12-18 months (Follow up) - no coaching. We hypothesize that relative to controls, the intervention groups will evidence significant gains on measures of physical activity, nutrition intake, and self- efficacy, as well as significant reduction in healthcare utilization, BMI, blood pressure and blood lipids. On these same outcome measures, participants in the PEP Plus group are hypothesized to evidence significant gains relative to their PEP-II counterparts. Intention-to-treat analysis will be conducted using a series of mixed models that will compare the three treatment groups over time (pre-test and six, 12 and 18-month post-test).

描述（由申请人提供）：制定有效且可持续的干预措施以增加关键的健康行为仍然是促进残疾人健康的关键问题。我们目前的研究采用个性化干预方法和电话辅导支持，以提高体育活动参与度、降低体重指数 (BMI) 并减少医疗保健利用率。拟议的项目将通过以下方式扩大这项有前途的研究的范围：（1）培训多名健康教练实施干预措施； (2) 利用计算机辅助系统进行基线评估、促进目标制定、识别当地资源并监测进展情况； (3) 添加营养成分以检验对健康结果的累加效应； (4) 从多个地点招募更加多样化的行动残疾人样本。 228 名患有行动障碍（脊髓损伤、多发性硬化症、脑瘫、脊柱裂）的肥胖个体将被随机分配到以下三种情况之一：（1）PEP-II，仅涉及身体活动电话辅导的个性化身体活动计划； (2) PEP Plus，个性化身体活动和营养指导； (3)对照组。资格标准包括 (a) 获得医生的许可参与研究； (b) 体重指数为 30-40； (c) 具有用英语交谈的能力； (d) 未参加其他健康促进计划； (e) 过去六个月久坐的生活方式。主要结果包括体力活动、营养、自我效能、血压、血脂和医疗保健利用成本。干预小组参与者将在以下阶段接受健康电话辅导： (a) 0-6 个月（采用）- 每周辅导； (b) 7-12 个月（维护）- 每两个月一次到每月一次的辅导； (c) 12-18 个月（跟进）- 无辅导。我们假设，相对于对照组，干预组在体力活动、营养摄入和自我效能方面将取得显着进步，并且医疗保健利用率、体重指数、血压和血脂也会显着降低。在这些相同的结果指标上，假设 PEP Plus 组的参与者相对于 PEP-II 组的参与者有显着的收益。将使用一系列混合模型进行意向治疗分析，这些模型将随着时间的推移（测试前以及测试后 6、12 和 18 个月）比较三个治疗组。