The efficacy of online physical activity interventions with added mobile elements within adults aged 50 years and over: Randomized controlled trial

IF 3.8 2区心理学 Q1 PSYCHOLOGY, APPLIED

Applied psychology. Health and well-being Pub Date : 2024-06-26 DOI:10.1111/aphw.12568

Eline H. G. M. Collombon, Catherine A. W. Bolman, Gert-Jan de Bruijn, Denise A. Peels, Peter Verboon, Lilian Lechner

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Abstract

Electronic health (eHealth) and mobile health (mHealth) could stimulate physical activity (PA) in a time-efficient and cost-effective way. This randomized controlled trial aims to investigate effects on moderate-to-vigorous PA (MVPA) of different combined computer- and mobile-based PA interventions targeted at adults aged 50 years and over. Participants (N = 954) were randomly allocated to a basic existing computer-based intervention (Active Plus [AP] or I Move [IM]) supplemented with one of three mobile elements being (1) activity tracker (AT), (2) ecological momentary intervention (EMI), or (3) chatbot (CB) or a control group (CG). MVPA was assessed via the SQUASH at baseline (T0), 3 months (T1), and 6 months (T2) and via accelerometers at T0 and T2. No intervention effects were found on objective (p = .502) and subjective (p = .368) MVPA for main research groups (AP/IM + AT, AP/IM + EMI, AP/IM + CB). Preliminary MVPA findings for subgroups (AP + AT, AP + EMI, AP + CB, IM + AT, IM + EMI, IM + CB) combined with drop-out data showed potential for the computer-based intervention AP with an integrated AT. Based on these preliminary findings, eHealth developers can be recommended to integrate ATs with existing computer-based PA interventions. However, further research is recommended to confirm the findings as a result of the exploratory nature of the subgroup analyses.

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对 50 岁及以上成年人进行添加移动元素的在线体育锻炼干预的效果：随机对照试验。

电子健康（eHealth）和移动健康（mHealth）能以省时、经济有效的方式促进体育锻炼（PA）。这项随机对照试验旨在研究不同的基于计算机和移动设备的综合体育锻炼干预措施对中等强度体育锻炼（MVPA）的影响，目标人群为 50 岁及以上的成年人。参与者（N = 954）被随机分配到以现有计算机为基础的基本干预措施（Active Plus [AP] 或 I Move [IM]），并辅以三种移动元素中的一种，即（1）活动追踪器（AT）、（2）生态瞬间干预（EMI）或（3）聊天机器人（CB）或对照组（CG）。在基线（T0）、3 个月（T1）和 6 个月（T2）时通过 SQUASH 进行 MVPA 评估，在 T0 和 T2 时通过加速度计进行 MVPA 评估。主要研究组（AP/IM + AT、AP/IM + EMI、AP/IM + CB）的客观 MVPA（p = .502）和主观 MVPA（p = .368）均未发现干预效果。分组（AP + AT、AP + EMI、AP + CB、IM + AT、IM + EMI、IM + CB）的初步 MVPA 研究结果与辍学数据相结合，显示了基于计算机的干预 AP 与综合 AT 的潜力。根据这些初步研究结果，可以建议电子保健开发人员将自动咨询与现有的基于计算机的 PA 干预结合起来。然而，由于亚组分析的探索性质，建议进一步研究以证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied psychology. Health and well-being PSYCHOLOGY, APPLIED-

CiteScore

12.10

自引率

2.90%

发文量

期刊介绍： Applied Psychology: Health and Well-Being is a triannual peer-reviewed academic journal published by Wiley-Blackwell on behalf of the International Association of Applied Psychology. It was established in 2009 and covers applied psychology topics such as clinical psychology, counseling, cross-cultural psychology, and environmental psychology.