PDF(Pubmed)
Abstract：
UNASSIGNED: To describe the development of the Specific, Measurable, Action-Oriented, Realistic, and Timed (SMART) Coaching Protocol to increase exercise self-efficacy in middle-aged and older adults participating in Live Long Walk Strong (LLWS) Rehabilitation Program. LLWS Rehabilitation Program is an innovative physical therapist (PT) delivered outpatient intervention for middle- and older-aged adults with slow gait speed.
UNASSIGNED: Phase II randomized controlled trial (RCT) with masked outcome assessment. We applied the Knowledge to Action Framework to develop and implement the LLWS SMART Coaching Protocol within an RCT for the LLWS Rehabilitation Program. Data will be collected at baseline and post intervention at 2, 8 and 16 weeks.
UNASSIGNED: Outpatient; VA Boston Healthcare System.
UNASSIGNED: Community-dwelling veterans (N=198) (older than 50 years) with slow gait speed (<1.0 m/s).
UNASSIGNED: Participants will be randomized to the LLWS Rehabilitation Program, an 8-week (10-session) PT-delivered intervention, or wait-list control group. Each study visit will introduce a new SMART Coaching module focused on goal setting, exercise adherence, and addressing internal and external barriers to meeting exercise goals.
UNASSIGNED: Primary outcome is gait speed and secondary outcome is the Self-Efficacy for Exercise Scale.
UNASSIGNED: Incorporating cognitive behavioral tools in physical therapy intervention research is critical for targeting motivational processes needed for exercise behavior change.
UNASSIGNED: Phase II randomized controlled trial (RCT) with masked outcome assessment. We applied the Knowledge to Action Framework to develop and implement the LLWS SMART Coaching Protocol within an RCT for the LLWS Rehabilitation Program. Data will be collected at baseline and post intervention at 2, 8 and 16 weeks.
UNASSIGNED: Outpatient; VA Boston Healthcare System.
UNASSIGNED: Community-dwelling veterans (N=198) (older than 50 years) with slow gait speed (<1.0 m/s).
UNASSIGNED: Participants will be randomized to the LLWS Rehabilitation Program, an 8-week (10-session) PT-delivered intervention, or wait-list control group. Each study visit will introduce a new SMART Coaching module focused on goal setting, exercise adherence, and addressing internal and external barriers to meeting exercise goals.
UNASSIGNED: Primary outcome is gait speed and secondary outcome is the Self-Efficacy for Exercise Scale.
UNASSIGNED: Incorporating cognitive behavioral tools in physical therapy intervention research is critical for targeting motivational processes needed for exercise behavior change.
摘要：
■为了描述特定的发展，可测量,面向行动,现实,和定时（SMART）辅导方案，以提高参加LiveLongWalkStrong（LLWS）康复计划的中老年人的运动自我效能。LLWS康复计划是一项创新的物理治疗师（PT），为步态速度慢的中老年人提供门诊干预。
■具有掩盖结局评估的II期随机对照试验（RCT）。我们在LLWS康复计划的RCT中应用了知识行动框架来开发和实施LLWSSMART辅导协议。将在基线和干预后2、8和16周收集数据。
■门诊患者；VA波士顿医疗系统。
■社区居住的退伍军人（N=198）（年龄超过50岁），步态速度慢（<1.0m/s）。
■参与者将被随机分配到LLWS康复计划，为期8周(10次)的PT交付干预，或等待列表控制组。每次学习访问将引入一个新的SMART教练模块，专注于目标设定，坚持锻炼，并解决实现锻炼目标的内部和外部障碍。
■主要结果是步态速度，次要结果是运动自我效能量表。
■在物理治疗干预研究中纳入认知行为工具对于针对运动行为改变所需的动机过程至关重要。
■具有掩盖结局评估的II期随机对照试验（RCT）。我们在LLWS康复计划的RCT中应用了知识行动框架来开发和实施LLWSSMART辅导协议。将在基线和干预后2、8和16周收集数据。
■门诊患者；VA波士顿医疗系统。
■社区居住的退伍军人（N=198）（年龄超过50岁），步态速度慢（<1.0m/s）。
■参与者将被随机分配到LLWS康复计划，为期8周(10次)的PT交付干预，或等待列表控制组。每次学习访问将引入一个新的SMART教练模块，专注于目标设定，坚持锻炼，并解决实现锻炼目标的内部和外部障碍。
■主要结果是步态速度，次要结果是运动自我效能量表。
■在物理治疗干预研究中纳入认知行为工具对于针对运动行为改变所需的动机过程至关重要。
