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通过家庭干预促进儿童身体活动:“Active 1+FUN”随机对照试验方案。

Promoting physical activity in children through family-based intervention: protocol of the "Active 1 + FUN" randomized controlled trial.

机构信息

Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, Hong Kong.

Institute for Positive Psychology and Education, Australian Catholic University, 33 Berry Street, North Sydney, NSW, 2060, Australia.

出版信息

BMC Public Health. 2019 Feb 20;19(1):218. doi: 10.1186/s12889-019-6537-3.

DOI:10.1186/s12889-019-6537-3
PMID:30786902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6383281/
Abstract

BACKGROUND

Physical activity (PA) is beneficial to people's physical and psychological health. Physically active children are likely to become active adults; thus, active lifestyles should be promoted from childhood. Parents are crucial for shaping their children's behaviors, but many lack the knowledge and skills to provide optimal support for PA. The "Active 1 + FUN" intervention was designed to enhance PA of the whole family, and improve parenting methods of both fathers and mothers.

METHODS

"Active 1 + FUN" is a family-based intervention designed using the tenets of self-determination theory. The intervention was designed to help parents support their children's basic psychological needs for competence (by providing informational feedback and optimal challenges), autonomy (by exploring a variety of activities and reducing controlling behaviors), and relatedness (by increasing co-PA between parents and child). The intervention components include interactive workshops, activity sessions, physical activity homework, activity planning consultations, easy sports equipment, and online materials. A randomized controlled trial will be conducted to evaluate the intervention. A target sample of 204 Primary three to five students (8 to 11 years) and their parents will be randomly allocated to the experimental group or a wait-list control group. The experimental group will receive a ten-session intervention which spans approximately six months. The control group will receive intervention one year later. Children's accelerometer-based leisure-time physical activity (primary outcome) and secondary outcomes will be assessed at baseline, at end of intervention period (6 months after baseline), and at follow-up (12 months after baseline). Qualitative interviews will be conducted to determine effective intervention components from the perspective of children and parents. We hypothesize that the intervention will increase parents' and children's activity behaviors and that children will experience higher levels of needs satisfaction with regard to physical activity participation.

DISCUSSION

Physical activity interventions often target children only, but ones that also involve parents may be more beneficial. The "Active 1 + FUN" intervention will be organized and delivered by trained trainers. Consequently, this intervention could be scaled to a larger number of Hong Kong schools in the future and could impact a wider population of schoolchildren.

TRIAL REGISTRATION

ANZCTR ACTRN12618001524280 . Registered 11 September 2018.

摘要

背景

身体活动(PA)有益于人们的身心健康。积极运动的儿童更有可能成为积极运动的成年人;因此,应从小就倡导积极的生活方式。父母是塑造孩子行为的关键,但许多父母缺乏提供最佳身体活动支持的知识和技能。“Active 1+FUN”干预旨在增强整个家庭的身体活动,并改善父母双方的育儿方法。

方法

“Active 1+FUN”是一项基于家庭的干预措施,设计采用了自我决定理论的原则。该干预旨在帮助父母满足孩子在能力方面的基本心理需求(提供信息反馈和最佳挑战)、自主性(探索各种活动并减少控制行为)和关联性(增加父母和孩子之间的共同身体活动)。干预措施包括互动工作坊、活动课程、身体活动作业、活动计划咨询、简易运动器材和在线材料。将进行一项随机对照试验来评估干预措施。将随机分配 204 名小学三至五年级学生(8 至 11 岁)及其父母到实验组或候补对照组。实验组将接受为期十节的干预,大约持续六个月。对照组将在一年后接受干预。将在基线、干预期末(基线后 6 个月)和随访期(基线后 12 个月)评估儿童基于加速度计的休闲时间身体活动(主要结局)和次要结局。将进行定性访谈,从儿童和家长的角度确定干预的有效组成部分。我们假设干预将增加父母和孩子的活动行为,并且孩子在参与身体活动方面将体验到更高水平的需求满足。

讨论

身体活动干预措施通常仅针对儿童,但也涉及父母的干预措施可能更有益。“Active 1+FUN”干预将由经过培训的培训师组织和提供。因此,未来这项干预措施可以在香港的更多学校中推广,从而影响更广泛的学童人群。

试验注册

ANZCTR ACTRN12618001524280。于 2018 年 9 月 11 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9169/6383281/64c2a553ddc4/12889_2019_6537_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9169/6383281/64c2a553ddc4/12889_2019_6537_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9169/6383281/64c2a553ddc4/12889_2019_6537_Fig1_HTML.jpg

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