scholarly journals The Effect of the Benson Relaxation Technique on the Quality of Sleep and Working Life of Surgical Technologists in Shiraz

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Zinat Mohebbi ◽  
Maryam Shaygan ◽  
Maryam Ghanavati
Keyword(s):  
Sleep Quality ◽  
Controlled Trial ◽  
Intervention Group ◽  
Working Life ◽  
Relaxation Technique ◽  
Control Group ◽  
Quality Of Sleep ◽  
Quality Of Working Life ◽  
Surgical Technologists

Background: This study evaluated the effect of the Benson relaxation method on the quality of sleep and working life of surgical technologists. Methods: This randomized controlled trial was done on 180 surgical technologists who worked in 9 hospitals in Shiraz. Before the beginning of the intervention, participants were randomly assigned to either experimental or control conditions (simple randomization). The experimental group listened to an audiotape of the Benson relaxation technique twenty minutes periods, two times a day for four weeks, while the control group did not receive any intervention at all. The Pittsburgh sleep quality index and Walton quality of working life (QWL) questionnaires were used to measure the sleep quality and working life of surgical technologists, respectively. Results: Independent t-tests indicated that after the intervention, there were significant improvements regarding the total mean scores of quality of sleep (Mean (SD) Intervention = 2.88 (1.36), Mean (SD) Control = 15.1 (3.41), P < 0.001), and working life (Mean (SD) Intervention = 133.78 (9.22), Mean (SD) Control = 62.18 (19.68, P < 0.001) and their domains in the intervention group compared to the control group. Conclusions: Our findings are an important contribution to the previous research regarding the Benson relaxation technique as a non-drug, economical method. The current results can help health professionals for determine which psychological techniques are needed to be emphasized for promoting sleep quality and quality of working life in surgical technologists.

scholarly journals GERIATRIC GYMNASTIC TO QUALITY OF SLEEP IN PTSW SENJARAWI BANDUNG

2018 ◽  
Vol 2 (2) ◽  
pp. 223
Author(s):  
Meilirianta Meilirianta ◽  
Maspupah Maspupah
Keyword(s):  
Sleep Quality ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Quality Of Sleep ◽  
Control Group Design ◽  
Equivalent Control ◽  
The Impact

Introduction. Elderly has decreased in many body system including the impact on sleep disorder. The purpose of this study was to analize effect of geriatric gymnastic on sleep quality of the elderly. Methods. This research used quasy experiment methods with pre and post test only non equivalent control group design. The population in this study was the elderly as many as 82 people. Sample in this research was 30 participants that are defi ned with total sampling method who was appropriated with the criteria. Sampel was devided into two groups which are 15 people of intervention group and 15 people of control group. Data instrument in measuring the quality of sleep used PSQI (Pittsburgh Sleep Quality Index) by observation. Result. There was a signifi cant effect of geriatric gymnasticon sleep quality of the elderly at Tresna Werdha Senjarawi Social Home Bandung with t-test, p-value 0.000 or < 0.05. Discussion. The geriatric gymnastics can be designed more interest the elderly to follow this activities regulary so can overcome sleep disorders in the elderly.Keywords : Quality of Sleep, Geriatric Gymnastic, Elderly

scholarly journals EFEK PIJAT KAKI TERHADAP KUALITAS TIDUR IBU MENOPAUSE

2020 ◽  
Vol 6 (3) ◽  
pp. 293-297
Author(s):  
Rahmi Nurrasyidah
Keyword(s):  
Sleep Quality ◽  
Intervention Group ◽  
Pharmacological Therapy ◽  
Control Group ◽  
Quality Of Sleep ◽  
Average Quality ◽  
Post Test ◽  
Improve Sleep Quality ◽  
And Control

ABSTRACT  Background : Sleep disturbance is a problem that is often complained of by women who experience a menopause transition. This has an impact on quality of life, moods, productivity, and physical health. Foot massage therapy is a non-pharmacological therapy performed to improve sleep quality. Non-pharmacological therapy is an option because it is cheaper and more effective when compared with medical administration.  Purpose :This study determined an effect of foot massage on the sleep quality of menopausal mothers.  Method : This is an experimental study with a post test only control group design. The sample consisted of 23 respondents aged 45-55 years. The intervention group included 12 respondents and the control group included 11 respondents. The intervention group performed foot massage for 10 minutes on each leg. Sleep quality in the intervention group was measured 24 hours after massage. The control group did not do foot massage. Results :  the average respondent of intervention and control groups were in the best sleep quality (76100). In the control group, poor sleep quality was found in the wakefulness sleep category. There was no difference in the average quality of sleep in mothers who did foot massage and did not do foot massage (p> 0.001) with a difference in average (95% CI) 4.5 (3.6-12.5). Conclusion : There was no difference in the average quality of sleep between intervention and control group.  Sugestion : Based on the results of the study, the authors recommend the need for further research on foot massage with an increase in  duration of the intervention and it is necessary to investigate the variations of foot massage methods with aromatherapy to improve sleep quality. Further research needs to be done with more samples and better RCT methods.  Keywords: Foot massage, sleep quality, Menopause   ABSTRAK  Latar Belakang : Gangguan tidur adalah masalah yang sering dikeluhkan ibu yang mengalami transisi menopause. Hal ini berdampak pada kualitas hidup, suasana hati, produktivitas, dan kesehatan fisik. Terapi pijat kaki merupakan terapi non farmakologi yang dilakukan untuk meningkatkan kualitas tidur. Terapi non-farmakologi menjadi pilihan karena biaya yang lebih murah dan lebih efektif bila dibandingkan dengan pemberian medikamentosa. Tujuan : Untuk mengetahui pengaruh pijat kaki terhadap kualitas tidur ibu menopause.  Metode : Desain Penelitian ini adalah penelitian eksperimental dengan desain post test only control group desain. Sampel terdiri dari 23 responden yang berumur 45-55 tahun dengan rincian kelompok intervensi 12 responden dan kelompok kontrol 11 responden. Kelompok intervensi dilakukan pijat kaki selama 10 menit pada setiap kaki. Kualitas tidur pada kelompok intervensi diukur 24 jam setelah dilakukan pemijatan. Kelompok kontrol tidak dilakukan pijat kaki.  Hasil : Rata-rata responden pada kelompok intervensi maupun kontrol berada pada kualitas tidur terbaik (76-100). Pada kelompok kontrol, didapatkan kualitas tidur yang buruk pada kategori terbangun saat tidur (Awakenings). Tidak terdapat perbedaan rerata kualitas tidur pada ibu yang dilakukan pijat kaki dan tidak dilakukan pijat kaki (p>0,001) dengan perbedaan rerata (IK 95%) 4.5 (3.6-12.5).  Kesimpulan : Tidak terdapat perbedaan rerata kualitas tidur pada kelompok intervensi maupun kontrol. .  Saran  : Penulis merekomendasikan perlunya dilakukan penelitian lebih lanjut mengenai pijat kaki dengan peningkatan durasi intervensi serta perlu diteliti mengenai variasi metoda pijat kaki dengan aromaterapi untuk meningkatkan kualitas tidur. Penelitian selanjutnya perlu dilakukan dengan sampel yang lebih banyak dengan metode uji kilnis yang lebih baik.  Kata Kunci : Pijat kaki, kualitas tidur, Ibu Menopause

scholarly journals The Effect of Zinc Supplementation on Sleep Quality of ICU Nurses: A Double Blinded Randomized Controlled Trial

2017 ◽  
Vol 66 (4) ◽  
pp. 191-200 ◽  
Author(s):  
Afshin Gholipour Baradari ◽  
Abbas Alipour ◽  
Ali Mahdavi ◽  
Hassan Sharifi ◽  
Seyed Mahmood Nouraei ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Zinc Supplementation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Serum Zinc ◽  
Zinc Level ◽  
Control Group ◽  
Serum Zinc Level ◽  
Randomized Controlled

This study examined the effect of zinc supplementation on the sleep quality (SQ) of intensive care unit (ICU) nurses. In a double-blind, randomized controlled trial, 54 ICU nurses were randomly assigned to the intervention group ( n = 27) that received 220 mg zinc sulfate capsules every 72 hours for 1 month and the control group ( n = 26) that received placebo. Sleep quality of ICU nurses was measured by calculating the total quality sleep score using the Pittsburgh Sleep Quality Index (PSQI). The serum zinc level was a secondary outcome. All measurements were calculated at both baseline and 1 month after intervention. The total PSQI, subjective SQ, and sleep latency scores for the intervention group were significantly lower than the control group, which means that the SQ of ICU nurses in the intervention group improved from baseline. The serum zinc level of the intervention group at the end of the study was significantly higher than the control group, which means that zinc supplementation improved participants’ serum zinc level. Based on these findings, the researcher suggested that zinc supplementation could be associated with better SQ, subjective SQ, and sleep latency in this group of workers.

scholarly journals Differences Of Murratal Arrahman And Klenengan On The Quality Of Sleeping For Postpartum Mother

2020 ◽  
Vol 10 (2) ◽  
pp. 149-153
Author(s):  
Ahmaniyah Ahmaniyah ◽  
Anni Annisa’
Keyword(s):  
Sleep Quality ◽  
Postpartum Period ◽  
Intervention Group ◽  
Perineal Pain ◽  
Control Group ◽  
Quality Of Sleep ◽  
Sleep Patterns ◽  
Disturbed Sleep ◽  
Postpartum Mothers

During the postpartum period, there were many difficulties in resting and disturbed sleep patterns in the first three days due to perineal pain, discomfort in the bladder and disorders of babies who often cry because of the transition period. in the postpartum period, the majority of mothers experience disturbed sleep patterns and sleep quality, namely sleep patterns and sleep duration. The aims of this study was to determine the differences in the quality of postpartum sleep that was given the Murratal Arrahman therapy with Klenengan music. The sample in this study were postpartum mothers on days 3 to 7 with normal type of delivery obtained from random simple sampling and this study was a quasy experiment with pre-test and post-test only with control group design and for the measurement of sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Result study Sleep quality between the intervention group and the control group was not significantly different (P = 0.33). Likewise, the quality of sleep in each time interval between the intervention group and the control group showed a significant difference, where the P value 0.05 and conclusion there is a difference between the provision of arrahman and klenengan murratal therapy and it can affect the quality of sleep of postpartum mothers, namely the quality of sleep. postpartum mothers are better off.

scholarly journals EFFECT OF ACCUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

2017 ◽  
Vol 3 (4) ◽  
pp. 360-369 ◽  
Author(s):  
Eko Rustamaji Wiyatno ◽  
Rr. Sri Endang Pujiastuti ◽  
Titin Suheri ◽  
Djenta Saha
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Sleep Quality ◽  
Pulse Rate ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
P Value ◽  
Quality Of Sleep

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.Methods: This study employed a quasi-experiment study with non randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Accupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).Conclusion: Accupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that accupressure could be one of the nursing intervention for AMI patients to increase sleep quality and decrease of pulse rate.

scholarly journals Effect of Foot Reflexology on Pain, Fatigue, and Quality of Sleep after Kidney Transplantation Surgery: A Parallel Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Atena Samarehfekri ◽  
Mahlagha Dehghan ◽  
Mansoor Arab ◽  
Mohammad Reza Ebadzadeh
Keyword(s):  
Kidney Transplantation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Quality Of Sleep ◽  
Control Groups ◽  
Transplantation Surgery ◽  
The Mean ◽  
And Control

Background and Purpose. Patients undergoing kidney transplantation surgeries suffer from postoperative pain, fatigue, and sleep disorders. Therefore, it is necessary to use different interventions in addition to modern medicine to reduce their symptoms. The present study aimed to investigate the effect of foot reflexology on pain, fatigue, and quality of sleep after kidney transplantation surgery. Materials and Methods. The study was a parallel randomized controlled trial. Patients admitted to the transplantation ward participated in the study. Fifty-three eligible patients were allocated into the foot reflexology group (n = 26) and the control group (n = 27) by using the stratified randomization method. Finally, 25 participants in each group finished the study. The intervention group received foot reflexology for 30 minutes once a day for three consecutive days, and no reflexology was applied in the control group. The intervention started on the second day after surgery. Pain, fatigue, and quality of sleep were measured on the first, second (before intervention), third, fourth, and eleventh days after surgery. Data were collected using visual analogue scale for measuring pain and fatigue and Verran and Snyder-Halpern sleep scale for measuring quality of sleep. Results. In each group, 25 patients finished the study. The mean pain score in the foot reflexology and control groups decreased from 9.44 ± 0.96 and 9.36 ± 0.91 on the day of surgery to 1.32 ± 0.94 and 4.32 ± 1.68 on the eleventh day after surgery, respectively. The mean fatigue score in the reflexology and control groups decreased from 8.76 ± 1.27 and 8.6 ± 1.26 on the day of surgery to 1.24 ± 1.2 and 3.92 ± 1.63 on the eleventh day after surgery, respectively. The mean sleep score in the foot reflexology and control groups increased from 33.38 ± 11.22 and 39.59 ± 12.8 on the day of surgery to 69.43 ± 12.8 and 56.27 ± 8.03 on the eleventh day after surgery, respectively. While pain, fatigue, and sleep quality scores improved in both groups, those in the intervention group showed significantly greater improvement compared with the control group (P<0.001). No significant difference was found between the two groups in the use of acetaminophen on the first, second, third, fourth, and eleventh days after surgery (P>0.05). Conclusion. Foot reflexology may reduce pain and fatigue and improve sleep quality of patients after kidney transplantation.

scholarly journals A randomised feasibility trial of an employer-based intervention for enhancing successful return to work of cancer survivors (MiLES intervention)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. A. Greidanus ◽  
A. E. de Rijk ◽  
A. G. E. M. de Boer ◽  
M. E. M. M. Bos ◽  
P. W. Plaisier ◽  
...  
Keyword(s):  
Return To Work ◽  
Cancer Survivors ◽  
Controlled Trial ◽  
Intervention Group ◽  
Work Outcomes ◽  
Feasibility Trial ◽  
Control Group ◽  
Secondary Effect ◽  
Quality Of Working Life ◽  
Randomised Controlled

Abstract Background Employers express a need for support during sickness absence and return to work (RTW) of cancer survivors. Therefore, a web-based intervention (MiLES) targeted at employers with the objective of enhancing cancer survivors’ successful RTW has been developed. This study aimed to assess feasibility of a future definitive randomised controlled trial (RCT) on the effectiveness of the MiLES intervention. Also preliminary results on the effectiveness of the MiLES intervention were obtained. Methods A randomised feasibility trial of 6 months was undertaken with cancer survivors aged 18–63 years, diagnosed with cancer < 2 years earlier, currently in paid employment, and sick-listed < 1 year. Participants were randomised to an intervention group, with their employer receiving the MiLES intervention, or to a waiting-list control group (2:1). Feasibility of a future definitive RCT was determined on the basis of predefined criteria related to method and protocol-related uncertainties (e.g. reach, retention, appropriateness). The primary effect measure (i.e. successful RTW) and secondary effect measures (e.g. quality of working life) were assessed at baseline and 3 and 6 months thereafter. Results Thirty-five cancer survivors were included via medical specialists (4% of the initially invited group) and open invitations, and thereafter randomised to the intervention (n = 24) or control group (n = 11). Most participants were female (97%) with breast cancer (80%) and a permanent employment contract (94%). All predefined criteria for feasibility of a future definitive RCT were achieved, except that concerning the study’s reach (90 participants). After 6 months, 92% of the intervention group and 100% of the control group returned to work (RR: 0.92, 95% CI: 0.81–1.03); no difference were found with regard to secondary effect measures. Conclusions With the current design a future definitive RCT on the effectiveness of the MiLES intervention on successful RTW of cancer survivors is not feasible, since recruitment of survivors fell short of the predefined minimum for feasibility. There was selection bias towards survivors at low risk of adverse work outcomes, which reduced generalisability of the outcomes. An alternative study design is needed to study effectiveness of the MiLES intervention. Trial registration The study has been registered in the Dutch Trial Register (NL6758/NTR7627).

scholarly journals Asthma in Adolescents: A Randomized, Controlled Trial of an Asthma Program for Adolescents and Young Adults with Severe Asthma

2002 ◽  
Vol 9 (4) ◽  
pp. 253-259 ◽  
Author(s):  
Robert L Cowie ◽  
Margot F Underwood ◽  
Cinde B Little ◽  
Ian Mitchell ◽  
Sheldon Spier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Randomized Controlled Trial ◽  
Asthma Control ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Randomized Controlled ◽  
Disease Specific

BACKGROUND: Asthma is common and is often poorly controlled in adolescent subjects.OBJECTIVE: To determine the impact of an age-specific asthma program on asthma control, particularly on exacerbations of asthma requiring emergency department treatment, and on the quality of life of adolescents with asthma.METHODS: The present randomized, controlled trial included patients who were 15 to 20 years of age and had visited emergency departments for management of their asthma. The interventional group attended an age-specific asthma program that included assessment, education and management by a team of asthma educators, respiratory therapists and respiratory physicians. In the control group, spirometry was performed, and the patients continued to receive usual care from their regular physicians. The outcomes were assessed by a questionnaire six months after entry into the study.RESULTS: Ninety-three subjects entered the study and were randomly assigned to the intervention or control group. Of these, only 62 patients were available for review after six months. Subjects in both the control and the intervention groups showed a marked improvement in their level of asthma control, reflected primarily by a 73% reduction in the rate of emergency department attendance for asthma. Other indexes of disease control, including disease-specific quality of life, as assessed by questionnaires, were improved. There was, however, no discernible difference between the subjects in the two groups, with the exception of an improvement in favour of the intervention group in the symptom (actual difference 0.7, P=0.048) and emotional (actual difference 0.8, P=0.028) domains of the asthma quality of life questionnaire. The overall quality of life score favoured the intervention group by a clinically relevant difference of 0.6, but this difference did not reach statistical significance (P=0.06).CONCLUSIONS: Although all subjects demonstrated a significant improvement in asthma control and quality of life, the improvement attributable to this intervention was limited to two domains in disease-specific quality of life.

scholarly journals Effect of Hope-oriented group counseling on mental health of infertile women with failed IVF cycles: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Roya Rahimi ◽  
Shirin Hasanpour ◽  
Mojgan. Mirghafourvand ◽  
Khalil Esmaeilpour
Keyword(s):  
Mental Health ◽  
Confidence Interval ◽  
Group Counseling ◽  
Controlled Trial ◽  
Intervention Group ◽  
Mean Difference ◽  
Control Group ◽  
The Mean ◽  
And Control

Abstract Background Considering the prevalence of infertility in the community and the consequences of failure of infertility treatments on women’s mental health, interventions that can control stress, anxiety and depression in infertile women with a history of IVF failure will be very helpful. This study aimed to determine the effects of hope-oriented group counseling on mental health (primary outcome) and quality of life (QoL) (secondary outcome) of women with failed IVF cycles. Method This randomized controlled trial was conducted on 60 women with failed IVF cycles visiting Infertility Clinic at Al-Zahra Teaching Hospital of Tabriz- Iran. Participants were allocated to the intervention group (n = 30) and control group (n = 30) based on a randomized block design. Hope-oriented group counseling was provided to the intervention group in six 45–60 min sessions (once a week). The control group only received routine care to undergo another IVF cycle. The Depression Anxiety Stress Scale-21 (DASS-21) and the SF-12 Quality of Life Scale were filled out by interviewing the participants before the intervention and one week and one month after the intervention. After intervention 26 participants in each group were included in the analysis. Results There was no significant difference between the intervention and control groups in the socio-demographic profile of participants (P > 0.05). The post-intervention mean score of stress (adjusted mean difference = − 1.7, 95% confidence interval: − 3.2 to − 0.3, P = 0.018) and depression (adjusted mean difference = − 1.3, 95% confidence interval: − 4.7 to − 1.5, P < 0.001) was significantly lower in the intervention group compared to the control. Although the mean anxiety score was lower in the intervention group compared to the control, the difference between them was not statistically significant (adjusted mean difference = − 1.1, 95% confidence interval: − 2.6 to 0.4, P = 0.153). The mean score of QoL was significantly higher in the intervention group than that of the control group (adjusted mean difference = 6.9, 95% confidence interval: 5.1 to 8.8, P < 0.001). Conclusion Hope-oriented group counseling was effective in reducing stress and depression and improving QoL in women with failed IVF cycles. It is recommended to use this counseling approach, along with other methods, to improve the mental health of women with failed IVF cycles. Trial registration TCT Registration Number: TCTR 20191017003, registered on October 17, 2019.

Impact of a 12-month web and smartphone-based intervention initiated during spa therapy to improve long-term physical activity of patients with chronic diseases: randomized controlled trial. (Preprint)

2021 ◽  
Author(s):  
Florie FILLOL ◽  
Ludivine PARIS ◽  
Sébastien PASCAL ◽  
Aurélien MULLIEZ ◽  
Christian-François ROQUES ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Waist Circumference ◽  
Controlled Trial ◽  
Intervention Group ◽  
Group Versus ◽  
Control Group ◽  
Spa Therapy

BACKGROUND Lack of physical activity (PA) and sedentary behaviors are leading risk factors for non-communicable diseases (NCD). Web-based interventions are effective in increasing PA in older adults and in NCD patients. In many countries a course of spa therapy is commonly prescribed to NCD patients and represents an ideal context to initiating lifestyle changes. OBJECTIVE The main objective of this study was to evaluate in NCD patients the effectiveness of an intervention combining an individual face-to-face coaching during spa therapy and, when returning home, a web- and smartphone-based PA program including a connected wrist pedometer and a connected weighing scale, on the achievement of physical activity guidelines (PAG) 12 months after the end of spa therapy. METHODS This was a 12-month, prospective, parallel-group, randomized controlled trial. Patients were enrolled during spa therapy and randomized 1:1 to intervention or control group who received usual advices about PA. From the end of spa therapy, PA, weight, waist circumference, and quality of life of the participants in both groups, were assessed by phone every 2 months. Primary outcome was meeting PAG (PA≥600 METs) at 12 months after the end of spa therapy. Secondary outcomes were: meeting current PAG at 6 months of follow-up; sedentary time, weight and waist circumference, PA and quality of life, at 6 and 12 months. Objective use data of the web-and smartphone-based PA program were collected. Analytic methods include intention-to-treat and constrained longitudinal data analyses. RESULTS The study sample was 228 patients (female : 77.2% (176/228), mean age: 62.4 years (SD 6.7), retired: 53.9% (123/228), mean BMI = 28.2 kg.m-2 (SD 4.2)). No group differences were found for any baseline variable. At 12 months, the proportion of patients achieving PAG was significantly higher in intervention group versus control group (81% vs 67% respectively, OR = 2.34 (95% CI 1.02- 5.38; P=.045). No difference between intervention and control group was found neither in achieving PAG at 6 months nor for sedentary time, weight and waist circumference, at 6 and 12 months. Regarding quality of life, the physical component subscale score was significantly higher at 12 months in intervention group versus control group (mean difference: 4.1 (95% CI 1.9-6.3; P<.001). The mean duration use of the program was 7.1 months (SD 4.5). Attrition rate during the first 2 months of the program was 20.4% (23/113) whereas 39.8% (45/113) of the participants used the program for at least 10 months. CONCLUSIONS The results showed significantly more participants meeting PAG at one year in the intervention group compared to controls. A course of spa therapy offers the ideal time and setting to implement education in PA. Digital coaching seems to be more efficient than usual coaching for increasing the level of PA and decreasing sedentariness on the long term. CLINICALTRIAL ClinicalTrials.gov NCT02694796; https://clinicaltrials.gov/ct2/show/NCT02694796.

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