Behavioral Intervention to Foster Healthy Lifestyle Physical Activity After Complex Lumbar Surgery: A Randomized Controlled Trial.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

Two hundred fifty adults recovering from complex lumbar surgery were enrolled and randomized to a behavioral intervention group or an attention control group. The intervention consisted of a structured behavioral program grounded in social cognitive theory, including a walking contract, pedometer use, education on activity benefits, and frequent reinforcing telephone contacts over twelve months. Controls received physical activity information and fewer scheduled contacts. The primary outcome was the within-patient change in weekly energy expenditure from walking, measured using the Paffenbarger Physical Activity and Exercise Index, from enrollment to four months. Secondary outcomes included changes in total physical activity at four and twelve months. Overall, the results of the study revealed that both groups increased physical activity, but patients receiving the behavioral intervention demonstrated significantly greater increases in walking-related energy expenditure at four months, with sustained benefits at twelve months. These findings suggest that embedding behavioral counseling into postoperative spine care effectively promotes long-term lifestyle physical activity.