Adelphi University, 1 South Avenue, Woodruff Hall, Room 172, Garden City, NY, 11530, USA.
Oregon State University, Milam Hall 118L, 2520 SW Campus Way, Corvallis, OR, 97331, USA.
BMC Public Health. 2019 Jan 18;19(1):89. doi: 10.1186/s12889-019-6387-z.
The growing number of sport-based youth development interventions provide a potential avenue for integrating sport meaningfully into the U.S. public health agenda. However, efficacy and quality must be reliably established prior to widespread implementation.
A comprehensive search of databases, peer-reviewed journals, published reviews, and both published and unpublished documents yielded 10,077 distinct records. Title and abstract screening, followed by full-text screening using 6 criteria, resulted in 56 distinct studies (coalescing into 10 sport-based youth development intervention types) included in the synthesis. These studies were then independently assessed and critically appraised.
Limited efficacy data were identified, with the quality of methods and evidence largely classified as weak. Processes likely to contribute to the outcomes of sport-based youth development interventions were identified (e.g., predictors of ongoing engagement, alignment between target population and intervention, intervention design), although more rigorous research is needed on these and other processes. Physical health outcomes were only studied in 3 of the 10 intervention types.
The evidence base does not yet warrant wide-scale implementation of sport-based youth development interventions for public health goals within the U. S., although there is promising research that identifies areas for further exploration.
越来越多的以运动为基础的青年发展干预措施为将运动有意义地纳入美国公共卫生议程提供了一个潜在途径。然而，在广泛实施之前，必须可靠地建立疗效和质量。
全面搜索数据库、同行评议期刊、已发表的综述以及已发表和未发表的文件，共产生了 10077 条不同的记录。通过标题和摘要筛选，然后使用 6 项标准进行全文筛选，得出了 56 项不同的研究（合并为 10 种以运动为基础的青年发展干预类型）纳入综合分析。然后对这些研究进行独立评估和批判性评价。
确定了有限的疗效数据，方法和证据的质量在很大程度上被归类为薄弱。确定了可能对以运动为基础的青年发展干预结果产生影响的过程（例如，持续参与的预测因素、目标人群与干预的一致性、干预设计），尽管需要对这些和其他过程进行更严格的研究。仅在 10 种干预类型中的 3 种中研究了身体健康结果。
在美国，基于运动的青年发展干预措施的证据基础尚不足以支持广泛应用于公共卫生目标，尽管有一些有前途的研究确定了进一步探索的领域。
