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探索一种新型社会创新以鼓励身体活动的可接受性和可用性:iStep 原型。

Exploring the acceptability and usability of a novel social innovation to encourage physical activity: The iStep prototype.

机构信息

Sheffield Teaching Hospitals NHS FT, Sheffield, UK.

Section HSR, ScHARR, The University of Sheffield, Sheffield, UK.

出版信息

Health Soc Care Community. 2019 Mar;27(2):383-391. doi: 10.1111/hsc.12656. Epub 2018 Sep 26.

Abstract

This study explored the acceptability and usability of the iStep prototype a novel social innovation to encourage intergenerational physical activity (PA) to help reduce obesity levels in older age. Obesity is a major public health issue and physical inactivity is one of the many factors that influence this, especially in childhood and later life. iStep (a pedometer and interactive website) sought to increase PA levels across the life course through intergenerational partnerships participating in walking challenges together. This was a qualitative mixed methods study involving 130 participants from two different settings. Pupils and teachers from a local secondary school (n = 120) tested the iStep prototype over two separate 2-week periods. Pupil and teacher partnerships engaged in a walking challenge using pedometers and the website platform. In addition, 10 retirement age women were involved in a modified co-operative evaluation of the prototype. Two focus groups with pupils (n = 9 and 20), semistructured interviews with teachers (n = 5), and one dyadic interview (pupil/teacher) were undertaken. Data were analysed using an iterative thematic approach. Five themes were identified: perceptions of the technology, attitudes towards the walking challenge, attitudes to the intergenerational partnership, competition versus collaboration and promoting PA. The pedometer was a useful motivational tool which raised awareness of PA levels. The website was thought to be simple and easy to use. Walking was deemed inclusive and accessible to all age groups and setting a target goal was considered beneficial. Engaging in PA with a partner was regarded as a good way to provide support and encouragement. Overall, this early prototype evaluation showed that iStep has potential to be an innovative and engaging way to encourage increased PA across generations. It may positively contribute towards reducing obesity levels in older age but outcomes that effectively measure this need to be incorporated in any future iStep testing.

摘要

本研究探讨了 iStep 原型的可接受性和可用性,iStep 是一种新的社会创新,旨在鼓励代际身体活动(PA),以帮助降低老年人群的肥胖水平。肥胖是一个主要的公共卫生问题,身体活动不足是影响肥胖的众多因素之一,尤其是在儿童期和晚年。iStep(计步器和互动网站)旨在通过代际合作,让不同年龄段的人一起参与步行挑战,从而提高整个生命周期的 PA 水平。这是一项涉及两个不同环境的 130 名参与者的定性混合方法研究。当地一所中学的学生和教师(n=120)在两个不同的 2 周周期内测试了 iStep 原型。学生和教师合作使用计步器和网站平台参与步行挑战。此外,10 名退休年龄的女性参与了对原型的修改合作评估。对学生进行了两次焦点小组(n=9 和 20),对教师进行了半结构化访谈(n=5),并进行了一次双人访谈(学生/教师)。数据采用迭代主题分析方法进行分析。确定了五个主题:对技术的看法、对步行挑战的态度、对代际合作的态度、竞争与合作以及促进 PA。计步器是一种有用的激励工具,可以提高对 PA 水平的认识。该网站被认为简单易用。步行被认为是包容的,适合所有年龄段和环境,设定目标被认为是有益的。与伴侣一起进行 PA 被认为是提供支持和鼓励的好方法。总的来说,这项早期原型评估表明,iStep 具有成为一种创新和吸引人的方式,鼓励代际之间增加 PA 的潜力。它可能会对降低老年人群的肥胖水平产生积极影响,但需要在任何未来的 iStep 测试中纳入有效衡量这一效果的指标。

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