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首页> 外文OA文献 >Pilot Randomised Controlled Trial of a Web-Based Intervention to Promote Healthy Eating, Physical Activity and Meaningful Social Connections Compared with Usual Care Control in People of Retirement Age Recruited from Workplaces
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Pilot Randomised Controlled Trial of a Web-Based Intervention to Promote Healthy Eating, Physical Activity and Meaningful Social Connections Compared with Usual Care Control in People of Retirement Age Recruited from Workplaces

机译：与工作场所退休年龄的正常护理控制相比，基于网络的干预试验以促进健康饮食，体育锻炼和有意义的社交关系的随机对照试验

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Background - Lifestyle interventions delivered during the retirement transition might promote healthier ageing. We report a pilot randomised controlled trial (RCT) of a web-based platform (Living, Eating, Activity and Planning through retirement; LEAP) promoting healthy eating (based on a Mediterranean diet (MD)), physical activity (PA) and meaningful social roles.ududMethods - A single blinded, two-arm RCT with individual allocation. Seventy-five adult regular internet users living in Northeast England, within two years of retirement, were recruited via employers and randomised in a 2:1 ratio to receive LEAP or a ‘usual care’ control. Intervention arm participants were provided with a pedometer to encourage self-monitoring of PA goals. Feasibility of the trial design and procedures was established by estimating recruitment and retention rates, and of LEAP from usage data. At baseline and 8-week follow-up, adherence to a MD derived from three 24-hour dietary recalls and seven-day PA by accelerometry were assessed. Healthy ageing outcomes (including measures of physiological function, physical capability, cognition, psychological and social wellbeing) were assessed and acceptability established by compliance with measurement protocols and completion rates. Thematically analysed, semi-structured, qualitative interviews assessed acceptability of the intervention, trial design, procedures and outcome measures.ududResults - Seventy participants completed the trial; 48 (96%) participants in the intervention and 22 (88%) in the control arm. Participants had considerable scope for improvement in diet as assessed by MD score. LEAP was visited a median of 11 times (range 1–80) for a mean total time of 2.5 hours (range 5.5 min– 8.3 hours). ‘Moving more‘, ‘eating well’ and ‘being social’ were the most visited modules. At interview, participants reported that diet and PA modules were important and acceptable within the context of healthy ageing. Participants found both trial procedures and outcome assessments acceptable.ududConclusions - The trial procedures and the LEAP intervention proved feasible and acceptable. Effectiveness and cost-effectiveness of LEAP to promote healthy lifestyles warrant evaluation in a definitive RCT.
机译：背景-在退休过渡期间进行的生活方式干预可能会促进更健康的老龄化。我们报告了基于网络的平台（通过退休生活，饮食，活动和计划； LEAP）的试点随机对照试验（RCT），该试验促进了健康饮食（基于地中海饮食（MD）），体育锻炼（PA）和有意义的饮食社会角色。 ud udMethods-具有独立分配功能的单盲，两臂RCT。在退休后的两年内，居住在英格兰东北部的75名成人定期互联网用户是通过雇主招募的，并按2：1的比例随机分配以接受LEAP或“日常护理”控制。干预组参与者被提供了计步器，以鼓励对PA目标的自我监控。通过估计招募和保留率以及使用数据中的LEAP，可以确定试验设计和程序的可行性。在基线和8周的随访中，评估了通过3次24小时饮食召回和7天PA加速度计得出的MD依从性。通过评估测量方案和完成率，评估健康的衰老结果（包括生理功能，身体功能，认知，心理和社会福祉的测量），并建立可接受性。经过主题分析，半结构化，定性的访谈，评估了干预措施，试验设计，程序和结果指标的可接受性。 ud ud结果-七十名参与者完成了试验；干预组中有48名（96％）参与者，对照组中有22名（88％）。根据MD评分，参与者的饮食改善空间很大。对LEAP的访问中位数为11次（范围为1–80），平均总时间为2.5小时（范围为5.5分钟至8.3小时）。 “运动更多”，“饮食健康”和“社交”是访问量最高的模块。在访谈中，参与者报告说饮食和PA模块在健康老龄化的背景下很重要且可以接受。参与者发现试验程序和结果评估均可接受。 ud ud结论-试验程序和LEAP干预被证明是可行且可接受的。 LEAP促进健康生活方式的有效性和成本效益值得在明确的RCT中进行评估。

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