Review of PrimaryCare-Based Physical ActivityIntervention Studies.pptVIP

Review of Primary Care-Based Physical Activity Intervention Studies 組員：游麗芬 王錦雲 日期：91.7.26 Clinical Question What strategies are practical and effective to use in family practice settings to enhance levels of patient physical activity？ American College of Sports Medicine and Prevention state recommendations Aerobic exercise 30minutes a day Moderate intensity activity ﹙40-85%Vo2max﹚ 5 or more days per week Factually Only 32% of U.S. adult achieve that level. 48% and 36% studies reported having received advice regarding physical activity from their physicians. Barriers：efficacy？Competing demands？Lack of time？reimbursement？Standardized assessment？Procedure protocol？ Objective To summarize the literature on primary activity-based interventions for and increasing physical activity Recommendations for future research and for integrating successful strategies into practice RE-AIM Framework For evaluating the public health impact of health promotion activity Practice-oriented research and real world concerns than other evaluation models Emphasis on external validity and internal validity Selection Criteria Randomized controlled trial or quasiexperimental study Comparison group Intervention delivered In a Primary care setting Reported resulted on at least 1 measure of physical activity Sample Sample Size range from 63 to 6124 Age from 18 to 75 y/0 Excluded population Cardiovascular disease patient Because they are generally considered to comprise a separate body of literature and not be representative of the large population of patient Methodology Rating 6 criteria： Study design﹙0-3 point﹚ Analyses﹙0-1 point﹚ Dependent variable﹙0-1 point ﹚ Reach﹙0-1 point ﹚ Implementation﹙0-2 point ﹚ Attrition﹙0-2 point ﹚-折損率 ﹙指個案因時間而流失的比率﹚ OR – odds ratio 指有暴露族群與無暴露族群的得病機率 若95%信賴區間中若OR不包含1，表示有顯著差異 Results Total 15 studies report 10studies report 0-11 month outcomes 7 reports statistically significant physical activity outcomes 7 reporti