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Flemish 久坐员工中以需求为导向的体力活动指导的长期效果及其影响因素。

Long-term effectiveness and mediators of a need-supportive physical activity coaching among Flemish sedentary employees.

机构信息

Department of Kinesiology, Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven,Tervuursevest 101, 3001 Heverlee, Belgium.

出版信息

Health Promot Int. 2013 Sep;28(3):407-17. doi: 10.1093/heapro/das025. Epub 2012 Jul 2.

Abstract

This study examined the long-term and mediation effects of a need-supportive coaching programme on physical activity. Sedentary employees (n = 92) of the university of Leuven received 4 months of physical activity coaching, based on the self-determination theory, by coaches with a bachelor's degree in kinesiology who are specializing in health-related physical activity (n = 30). The programme consisted of a limited number of individual contact moments (i.e. an intake session, three follow-up contacts and an out-take session), either face-to-face, by phone or by e-mail. Self-reported physical activity, social support, self-efficacy and autonomous motivation were assessed in the coaching group (n = 92) and a control group (n = 34) at three moments: before the intervention (i.e. pre-test), after the intervention (i.e. post-test) and 1 year after pre-test measurements (i.e. follow-up test). Results revealed significant 3 (time) × 2 (groups) interaction effects on strenuous and total physical activity. Moreover, whereas the control group remained stable from pre- to post-test, the coaching group increased significantly in moderate, strenuous and total physical activity. Additionally, the coaching group increased significantly in mild, moderate, strenuous and total physical activity from pre- to follow-up tests, whereas the control group did not change. Bootstrapping analyses indicated that self-efficacy and autonomous motivation significantly mediated the intervention effect on physical activity from pre- to post-test, while social support significantly mediated the long-term effect. This study provides evidence for the long-term effectiveness of a need-supportive physical activity programme that might be efficient at the community level.

摘要

本研究考察了一项支持需求的教练计划对身体活动的长期影响及其中介效应。该计划基于自我决定理论,为鲁汶大学的久坐员工(n=92)提供了 4 个月的身体活动教练服务,由具有运动学学士学位、专门从事与健康相关身体活动的教练(n=30)提供。该计划包括有限数量的个体接触时刻(即一次摄入会议、三次后续接触和一次输出会议),可以面对面、通过电话或电子邮件进行。在教练组(n=92)和对照组(n=34)中,在三个时间点评估了自我报告的身体活动、社会支持、自我效能感和自主动机:干预前(即预测试)、干预后(即后测试)和预测试测量后 1 年(即随访测试)。结果显示,在剧烈和总身体活动方面,存在显著的 3(时间)×2(组)交互效应。此外,尽管对照组从预测试到后测试保持稳定,但教练组在中度、剧烈和总身体活动方面显著增加。此外,教练组在轻度、中度、剧烈和总身体活动方面从预测试到随访测试显著增加,而对照组没有变化。自举分析表明,自我效能感和自主动机在干预对身体活动的影响方面具有显著的中介作用,从预测试到后测试,而社会支持在长期影响方面具有显著的中介作用。本研究为支持需求的身体活动计划的长期有效性提供了证据,该计划在社区层面可能是有效的。

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