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首页> 外文期刊>Journal of Clinical Medicine >Effectiveness of Combined Smartwatch and Social Media Intervention on Breast Cancer Survivor Health Outcomes: A 10-Week Pilot Randomized Trial
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Effectiveness of Combined Smartwatch and Social Media Intervention on Breast Cancer Survivor Health Outcomes: A 10-Week Pilot Randomized Trial

机译:结合智能手表和社交媒体干预对乳腺癌幸存者健康结果的有效性:10周试验随机试验

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Physical activity (PA) among breast cancer survivors (BCS) can improve this population’s health and quality of life (QoL). This study evaluated the effectiveness of a combined smartwatch- and social media-based health education intervention on BCS’s health outcomes. Thirty BCS ( X ˉ age = 52.6 ± 9.3 years; X ˉ Wt = 80.2 ± 19.6 kg) participated in this 10-week, 2-arm randomized trial, with BCS randomized into: (1) experimental group ( n = 16): received Polar M400 smartwatches for daily PA tracking and joined a Facebook group wherein Social Cognitive Theory-related PA tips were provided twice weekly; and (2) comparison group ( n = 14): only joined separate, but content-identical Facebook group. Outcomes included PA, physiological, psychosocial, and QoL variables. Specifically, PA and energy expenditure (EE) was assessed by ActiGraph GT3X+ accelerometers while physiological, psychosocial, and QoL were examined via validated instruments at baseline and post-intervention. No baseline group differences were observed for any variable. Ten BCS dropped out of the study (experimental: 4; comparison: 6). Compared to completers, dropouts differed significantly on several outcomes. Thus, a per-protocol analysis was performed, revealing significant group differences for changes in social support ( t = ?2.1, p = 0.05) and barriers ( t = ?2.2, p = 0.04). Interestingly, the comparison group demonstrated improvements for both variables while the intervention group demonstrated slightly decreased social support and no change in barriers. Notably, both groups demonstrated similarly increased daily light PA, moderate-to-vigorous PA, EE, and steps of 7.7 min, 5.1 min, 25.1 kcals, and 339 steps, respectively, over time. Despite extensive user training, several experimental BCS found the Polar M400 use difficult—possibly decreasing intervention adherence. Future interventions should utilize simpler smartwatches to promote PA among middle-aged clinicalon-clinical populations.
机译:乳腺癌幸存者(BCS)中的体育锻炼(PA)可以改善该人群的健康状况和生活质量(QoL)。这项研究评估了结合智能手表和社交媒体的健康教育干预措施对BCS健康结果的有效性。 30个BCS(X年龄= 52.6±9.3岁; X WT = 80.2±19.6 kg)参加了为期10周的2组随机试验,其中BCS随机分为:(1)实验组(n = 16):接受Polar M400智能手表进行每日PA追踪,并加入了一个Facebook小组,该小组每周两次提供与社会认知理论相关的PA技巧; (2)比较组(n = 14):仅加入了独立的但内容相同的Facebook组。结果包括PA,生理,社会心理和QoL变量。具体而言,通过ActiGraph GT3X +加速度计评估功率放大器和能量消耗(EE),同时在基线和干预后通过经过验证的仪器检查生理,社会心理和生活质量。没有观察到任何变量的基线组差异。十个BCS退出研究(实验:4;比较:6)。与完成者相比,辍学率在几个结果上有显着差异。因此,进行了一项基于协议的分析,发现在社会支持方面的变化(t =?2.1,p = 0.05)和障碍(t =?2.2,p = 0.04)存在显着的群体差异。有趣的是,比较组显示出两个变量的改善,而干预组显示出社会支持略有下降,障碍没有改变。值得注意的是,两组均显示出随着时间的推移,日照PA,中度至剧烈PA,EE的步幅相似,分别为7.7分钟,5.1分钟,25.1大卡和339步。尽管接受了广泛的用户培训,但一些实验性BCS发现Polar M400的使用非常困难-可能会降低干预依从性。未来的干预措施应利用更简单的智能手表在中年临床/非临床人群中推广PA。

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