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首页> 外文期刊>Journal of substance abuse treatment >Developing a Fitbit-supported lifestyle physical activity intervention for depressed alcohol dependent women
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Developing a Fitbit-supported lifestyle physical activity intervention for depressed alcohol dependent women

机译：为抑郁的酒精依赖妇女制定体育票价的生活方式健身干预

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Abstract Purpose Women in alcohol treatment are more likely to relapse when in unpleasant, negative emotional states. Given the demonstrated benefits of exercise for decreasing depression, negative affect, and urges to drink, helping women engage in a lifestyle physical activity (LPA) intervention in early recovery may provide them a tool they can utilize “in the moment” in order to cope with negative emotional states and alcohol craving when relapse risk is highest. New digital fitness technologies (e.g., Fitbit activity monitor with web and mobile applications) may facilitate increases in physical activity (PA) through goal setting and self-monitoring. Method We piloted a 12-week LPA + Fitbit intervention focused on strategically using bouts of PA to cope with affect and alcohol cravings to prevent relapse in 20 depressed women (mean age = 39.5 years) in alcohol treatment. Results Participants wore their Fitbit on 73% of days during the intervention period. An average of 9174 steps/day were taken on the days the Fitbit was worn. Participants completed 4.7 of the 6 scheduled phone PA counseling sessions (78%). Among women who completed the intervention ( n = 15), 44% remained abstinent throughout the entire course of treatment. On average, women were abstinent on 95% of days during the 12-week intervention. Participants reported an increase in using PA to cope with either negative affect or urges to drink from baseline to end of treatment ( p 0.05). Further, participants reported high satisfaction with the LPA + Fitbit intervention and with the Fitbit tracker. Conclusions Further research is needed to evaluate the LPA + Fitbit intervention in a more rigorous randomized controlled trial. If the LPA + Fitbit intervention proves to be helpful during early recovery, this simple, low-cost and easily transported intervention can provide a much-needed alternate coping strategy to help reduce relapse risk among women in alcohol treatment. Highlights ? Depressed alcohol dependent women increase physical activity with a Fitbit-supported physical activity intervention. ? Increases in activity levels are associated with reductions in anxiety and depressive symptoms. ? Women report utilizing bouts of physical activity to help cope with negative affect and alcohol cravings. ? A future RCT is necessary to test the efficacy of the LPA + Fitbit intervention on outcomes.
机译：摘要目的妇女在令人不快的负面情绪状态时更容易复发。鉴于持续抑郁症的效果，负面影响和催化的效果，帮助妇女在早期恢复中的生活方式的身体活动（LPA）干预可能为他们提供他们可以利用“此刻”以应对的工具当复发风险最高时，带负面情绪状态和酒精渴望。新的数字健身技术（例如，带有Web和移动应用程序的Fitbit活动监视器）可以通过目标设置和自我监控来促进身体活动（PA）的增加。方法我们试点为期12周的LPA + Fitbit干预，致力于使用PA的竞争力，以应对影响和酒精渴望，以防止在酒精治疗中的20名抑郁症（平均年龄= 39.5岁）中复发。结果参与者在干预期间的73％的时间内佩戴其Fitbit。花Fit佩戴的日子平均拍摄9174步。参与者完成了6个预定的电话咨询课程中的4.7个（78％）。在完成干预的妇女中（n = 15），在整个治疗过程中，44％仍然戒备。平均而言，在12周干预期间，妇女在95％的时间内戒断。参与者报告使用PA增加对负面影响或促使从基线到治疗结束（P <0.05）。此外，参与者与LPA + Fitbit干预和Fitbit跟踪器报告了很高的满意度。结论需要进一步研究来评估更严格的随机对照试验中的LPA + Fitbit干预。如果LPA + Fitbit干预在早期恢复期间证明是有帮助的，这种简单，低成本和易于运输的干预措施可以提供急需的替代应对策略，以帮助减少妇女酗酒中的复发风险。强调 ？抑郁的酒精依赖性女性将体育活动增加了合适的体育活动干预。还活性水平的增加与减少焦虑和抑郁症状有关。还妇女报告利用身体活动的回合来帮助应对负面影响和酗酒。还未来的RCT是测试LPA + Fitbit干预对结果的疗效的必要条件。

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