The feasibility and RE-AIM evaluation of the TAME health pilot study

International Journal of Behavioral Nutrition and Physical Activity

Research

Arleen F Brown¹  Maria C Swartz²  Eloisa Martinez²  Kristofer Jennings²  Kenneth J Ottenbacher²  Elizabeth J Lyons²  Steve R Fisher²  Zakkoyya H Lewis³ 

[1] University of California Los Angeles, 200 UCLA Medical Plz, 90095, Los Angeles, CA, USA;University of Texas Medical Branch, 301 University Blvd, 77551, Galveston, TX, USA;University of Texas Medical Branch, 301 University Blvd, 77551, Galveston, TX, USA;Beachbody LLC, 3301 Exposition Blvd, 90404, Santa Monica, CA, USA;

关键词: Physical activity;    Technology;    Primary care;    Activity monitor;    Older adults;    RE-AIM;    Pragmatic;    Jawbone;    Pedometer;   

DOI  :  10.1186/s12966-017-0560-5

 received in 2017-02-14, accepted in 2017-08-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundConducting 5 A’s counseling in clinic and utilizing technology-based resources are recommended to promote physical activity but little is known about how to implement such an intervention. This investigation aimed to determine the feasibility and acceptability, using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, of a pragmatic, primary care-based intervention that incorporated 5 A’s counseling and self-control through an activity monitor.MethodsPrimary care patients (n = 40) 55–74 years of age were recruited and randomized to receive a pedometer or an electronic activity monitor (EAM), Jawbone UP24, to monitor activity for 12 weeks. Participants were also invited to a focus group after completing the intervention. Stakeholders (n = 36) were recruited to provide feedback.ResultsThe intervention recruitment rate was 24.7%. The attrition rate was 20% with a significantly higher rate for the pedometer group (p = 0.02). The EAM group increased their minutes of physical activity by 11.1 min/day while the pedometer maintained their activity (0.2 min/day), with no significant group difference. EAM participants liked using their monitor and would continue wearing it while the pedometer group was neutral to these statements (p < 0.05). Over the 12 weeks there were 490 comments and 1094 “likes” given to study peers in the corresponding application for the UP24 monitor. Some EAM participants enjoyed the social interaction feature while others were uncomfortable talking to strangers. Participants stated they would want counseling from a counselor and not their physician or a nurse. Other notable comments included incorporating multiple health behaviors, more in-person counseling with a counselor, and having a funding source for sustainability.ConclusionsOverall, the study was well-received but the results raise a number of considerations. Practitioners, counselors, and researchers should consider the following before implementing a similar intervention: 1) utilize PA counselors, 2) target multiple health behaviors, 3) form a social support group, 4) identify a funding source for sustainability, and 5) be mindful of concerns with technology.Trial registrationclinicaltrials.gov- NCT02554435. Registered 24 August 2015.

【 授权许可】

CC BY   
© The Author(s). 2017