Web of Science: 52 cites, Scopus: 56 cites, Google Scholar: cites,
Short-Term Effectiveness of a Mobile Phone App for Increasing Physical Activity and Adherence to the Mediterranean Diet in Primary Care : A Randomized Controlled Trial (EVIDENT II Study)
Recio-Rodriguez, Jose I (Department of Nursing and Physiotherapy. University of Salamanca)
Agudo-Conde, Cristina (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Martín-Cantera, Carlos (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
González-Viejo, Mª Natividad (Torre Ramona Health Center, Aragon Health Service)
Fernandez-Alonso, Mª Del Carmen (Casa del Barco Health Center, Castilla y León Health Service)
Arietaleanizbeaskoa, Maria Soledad (Primary Health Care Research Unit of Bizkaia.Basque Health Service-Osakidetza)
Schmolling-Guinovart, Yolanda (University of Castilla-La Mancha. Río Tajo Health Center, Castilla-La Mancha Health Service)
Maderuelo-Fernandez, Jose-Angel (Centro de Salud La Almedilla (Salamanca, Castella i Lleó))
Rodriguez-Sanchez, Emiliano (Department of Medicine. University of Salamanca)
Gomez-Marcos, Manuel A. (Department of Medicine. University of Salamanca)
Garcia-Ortiz, Luis (Department of Biomedical and Diagnostic Sciences. University of Salamanca)
Universitat Autònoma de Barcelona

Data: 2016
Resum: The use of mobile phone apps for improving lifestyles has become generalized in the population, although little is still known about their effectiveness in improving health. We evaluate the effect of adding an app to standard counseling on increased physical activity (PA) and adherence to the Mediterranean diet, 3 months after implementation. A randomized, multicenter clinical trial was carried out. A total of 833 participants were recruited in six primary care centers in Spain through random sampling: 415 in the app+counseling group and 418 in the counseling only group. Counseling on PA and the Mediterranean diet was given to both groups. The app+counseling participants additionally received training in the use of an app designed to promote PA and the Mediterranean diet over a 3-month period. PA was measured with the 7-day Physical Activity Recall (PAR) questionnaire and an accelerometer; adherence to the Mediterranean diet was assessed using the Mediterranean Diet Adherence Screener questionnaire. Participants were predominantly female in both the app+counseling (249/415, 60. 0%) and counseling only (268/418, 64. 1%) groups, with a mean age of 51. 4 (SD 12. 1) and 52. 3 (SD 12. 0) years, respectively. Leisure-time moderate-to-vigorous physical activity (MVPA) by 7-day PAR increased in the app+counseling (mean 29, 95% CI 5-53 min/week; P =. 02) but not in the counseling only group (mean 17. 4, 95% CI -18 to 53 min/week; P =. 38). No differences in increase of activity were found between the two groups. The accelerometer recorded a decrease in PA after 3 months in both groups: MVPA mean -55. 3 (95% CI -75. 8 to -34. 9) min/week in app+counseling group and mean -30. 1 (95% CI -51. 8 to -8. 4) min/week in counseling only group. Adherence to the Mediterranean diet increased in both groups (8. 4% in app+counseling and 10. 4% in counseling only group), with an increase in score of 0. 42 and 0. 53 points, respectively (P <. 001), but no difference between groups (P =. 86). Leisure-time MVPA increased more in the app+counseling than counseling only group, although no difference was found when comparing the increase between the two groups. Counseling accompanied by printed materials appears to be effective in improving adherence to the Mediterranean diet, although the app does not increase adherence. Clinicaltrials. gov NCT02016014; https://clinicaltrials. gov/ct2/show/NCT02016014 (Archived by WebCite at http://www. webcitation. org/6mnopADbf).
Ajuts: Instituto de Salud Carlos III PI13-00618
Instituto de Salud Carlos III PI13-01526
Instituto de Salud Carlos III PI13-00058
Instituto de Salud Carlos III PI13-01635
Instituto de Salud Carlos III PI13-02528
Instituto de Salud Carlos III PI12-01474
Instituto de Salud Carlos III RD12-0005
Instituto de Salud Carlos III RD16-0007
Nota: Altres ajuts: This study was funded by the Regional Health Management of Castilla y León (GRS 1191/B/15, GRS 909/B/14, GRS 770/B/13), and the Infosalud Foundation.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Physical activity ; Food ; Information and communication technologies ; Arterial aging
Publicat a: Journal of medical Internet research, Vol. 18 (december 2016) , ISSN 1438-8871

DOI: 10.2196/jmir.6814
PMID: 27993759

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