背景:尽管目前有康复计划,对于慢性阻塞性肺疾病(COPD)和心力衰竭(HF)患者,长期参与体力活动仍是一项重大挑战.非常需要在这些人群中促进身体活动的新策略。关于身心干预和基于网络的干预的益处的新兴文献为发展MindfulSteps干预以增加行走行为提供了理论基础。
目的:本研究旨在通过适应现有的基于网络的身体活动干预和结合身心锻炼来开发一种新颖的多模式身心锻炼干预。并初步测试新干预措施的实施,正念的步骤,在一项针对患有COPD和/或HF的老年人的随机对照可行性试验中。
方法:在第1阶段,在理论概念模型和文献综述的指导下,对COPD和HF的身体活动的促进因素和障碍,我们召集了一个专家小组,身心实践者,和临床医生为小说的发展提供信息,多模式干预。在第2阶段,我们正在进行一项关于MindfulSteps干预的随机对照可行性试验,其中包括个人身心锻炼课程,一个教育网站,在线身心视频,以及具有步数反馈和目标的计步器,以增加COPD和/或HF患者的步行行为。结果包括可行性措施以及以患者为中心的措施。
结果:该研究目前正在进行中。第一阶段干预开发于2019年3月完成,第二阶段数据收集于2019年4月开始。
结论:通过整合基于网络的身体活动干预和身心锻炼的组成部分,我们创作了一部小说,影响COPD和HF患者长期体力活动参与的多模式计划。这项开发工作和试点研究将提供设计未来临床试验所需的有价值的信息,以评估这种多模式方法的疗效。
背景:ClinicalTrials.govNCT03003780;https://clinicaltrials.gov/ct2/show/NCT03003780。
■DERR1-10.2196/27826。
BACKGROUND: Despite current rehabilitation programs, long-term engagement in physical activity remains a significant challenge for patients with chronic obstructive pulmonary disease (COPD) and heart failure (HF). Novel strategies to promote physical activity in these populations are greatly needed. Emerging literature on the benefits of both mind-body interventions and web-based interventions provide the rationale for the development of the Mindful Steps intervention for increasing walking behavior.
OBJECTIVE: This
study aims to develop a novel multimodal mind-body exercise intervention through adaptation of an existing web-based physical activity intervention and incorporation of mind-body exercise, and to pilot test the delivery of the new intervention, Mindful Steps, in a randomized controlled feasibility
trial in older adults with COPD and/or HF.
METHODS: In phase 1, guided by a theoretical conceptual model and review of the literature on facilitators and barriers of physical activity in COPD and HF, we convened an expert panel of researchers, mind-body practitioners, and clinicians to inform development of the novel, multimodal intervention. In phase 2, we are conducting a pilot randomized controlled feasibility trial of the Mindful Steps intervention that includes in-person mind-body exercise classes, an educational website, online mind-body videos, and a pedometer with step-count feedback and goals to increase walking behavior in patients with COPD and/or HF. Outcomes include feasibility measures as well as patient-centered measures.
RESULTS: The
study is currently ongoing. Phase 1 intervention development was completed in March 2019, and phase 2 data collection began in April 2019.
CONCLUSIONS: Through the integration of components from a web-based physical activity intervention and mind-body exercise, we created a novel, multimodal program to impact long-term physical activity engagement for individuals with COPD and HF. This developmental work and pilot
study will provide valuable information needed to design a future clinical
trial assessing efficacy of this multimodal approach.
BACKGROUND: ClinicalTrials.gov NCT03003780; https://clinicaltrials.gov/ct2/show/NCT03003780.
UNASSIGNED: DERR1-10.2196/27826.