Olaya-Contreras Patricia, Ocampo Diana-Carolina, Ladekjær Larsen Eva
Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark.
Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Glob Qual Nurs Res. 2016 Dec 5;3:2333393616681392. doi: 10.1177/2333393616681392. eCollection 2016 Jan-Dec.
The purpose of this study was to explore the contexts that shape obese children's engagement in physical activity (PA) focusing on children's perceptions. The qualitative design consisted of non-participant observations, and unstructured and semi-structured focus group and individual interviews. Data were analyzed by use of conventional content analysis. Participants were overweight/obese children from a public school in Colombia. The findings show that the main context where PA took place was during physical education (PE) classes at school and in the children's neighborhoods. The participants perceived the PE classes to be too competitive and demotivating. PA taking place outside school was associated with fun, but occurred only on an infrequent basis and was challenged by living in insecure neighborhoods. Adapting a health promotion approach that emphasizes participation and social environments might motivate obese children to become physically active at school as well as during leisure time.
本研究的目的是探讨影响肥胖儿童参与体育活动（PA）的背景因素，重点关注儿童的认知。定性设计包括非参与式观察、非结构化和半结构化焦点小组以及个人访谈。采用常规内容分析法对数据进行分析。参与者是来自哥伦比亚一所公立学校的超重/肥胖儿童。研究结果表明，体育活动发生的主要背景是在学校的体育课上以及儿童所在的社区。参与者认为体育课竞争过于激烈且缺乏动力。校外的体育活动与乐趣相关，但只是偶尔发生，并且因生活在不安全的社区而受到挑战。采用强调参与和社会环境的健康促进方法可能会激励肥胖儿童在学校以及休闲时间积极参与体育活动。
