000060424 001__ 60424 000060424 005__ 20200221144230.0 000060424 0247_ $$2doi$$a10.2196/jmir.6814 000060424 0248_ $$2sideral$$a97903 000060424 037__ $$aART-2016-97903 000060424 041__ $$aeng 000060424 100__ $$aRecio-Rodriguez, J. 000060424 245__ $$aShort-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) 000060424 260__ $$c2016 000060424 5060_ $$aAccess copy available to the general public$$fUnrestricted 000060424 5203_ $$aBackground: 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. Objective: 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. Methods: 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. Results: 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). Conclusions: 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. 000060424 536__ $$9info:eu-repo/grantAgreement/ES/FIS/PI13-02528$$9info:eu-repo/grantAgreement/ES/FIS/PI13-01635$$9info:eu-repo/grantAgreement/ES/FIS/PI13-01526$$9info:eu-repo/grantAgreement/ES/FIS/PI13-00618$$9info:eu-repo/grantAgreement/ES/FIS/PI13-00058$$9info:eu-repo/grantAgreement/ES/FIS/PI12-01474$$9info:eu-repo/grantAgreement/ES/ISCIII/RETICS-RD12-0005$$9info:eu-repo/grantAgreement/ES/ISCIII/RETICS-RD16-0007 000060424 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000060424 590__ $$a5.175$$b2016 000060424 591__ $$aMEDICAL INFORMATICS$$b1 / 23 = 0.043$$c2016$$dQ1$$eT1 000060424 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b4 / 90 = 0.044$$c2016$$dQ1$$eT1 000060424 592__ $$a2.132$$b2016 000060424 593__ $$aHealth Informatics$$c2016$$dQ1 000060424 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000060424 700__ $$aAgudo-Conde, C. 000060424 700__ $$aMartin-Cantera, C. 000060424 700__ $$0(orcid)0000-0003-2299-2410$$aGonzález-Viejo, M.$$uUniversidad de Zaragoza 000060424 700__ $$aFernandez-Alonso, M. 000060424 700__ $$aArietaleanizbeaskoa, M.S. 000060424 700__ $$aSchmolling-Guinovart, Y. 000060424 700__ $$aMaderuelo-Fernandez, J. 000060424 700__ $$aRodriguez-Sanchez, E. 000060424 700__ $$aGomez-Marcos, M. 000060424 700__ $$aGarcia-Ortiz, L. 000060424 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000060424 773__ $$g18, 12 (2016), e331 [13 pp.]$$pJMIR, J. med. internet res.$$tJOURNAL OF MEDICAL INTERNET RESEARCH$$x1438-8871 000060424 85641 $$uhttp:;www.jmir.org/article/viewFile/jmir_v18i12e331/2$$zTexto completo de la revista 000060424 8564_ $$s601581$$uhttps://zaguan.unizar.es/record/60424/files/texto_completo.pdf$$yVersión publicada 000060424 8564_ $$s102708$$uhttps://zaguan.unizar.es/record/60424/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000060424 909CO $$ooai:zaguan.unizar.es:60424$$particulos$$pdriver 000060424 951__ $$a2020-02-21-13:19:03 000060424 980__ $$aARTICLE