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在青少年女孩对“健康的我”计划的认知背景下,她们身体活动的变化。

Changes in physical activity of adolescent girls in the context of their perception of the Healthy Me programme.

作者信息

Mazur Joanna, Dzielska Anna, Kleszczewska Dorota, Oblacińska Anna, Fijałkowska Anna

机构信息

Department of Humanization in Medicine and Sexology, University of Zielona Gora, Collegium Medicum, Zielona Gora, Poland.

Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland.

出版信息

Eur J Public Health. 2020 Jun 1;30(3):461-466. doi: 10.1093/eurpub/ckz242.

Abstract

BACKGROUND

An assumption was made that results of programme evaluation lead to better understanding for whom this intervention may work. The aim of the article is to compare the changes in physical activity of the intervention programme participants depending on subjective assessment of its impact.

METHODS

The data were obtained from 14- to15-year-old Polish girls (N = 1120) from 48 random selected secondary schools participating in the 1-year Healthy Me programme in the 2017/2018. Schools were randomly assigned to one of two types of intervention or to a control (null) group. Satisfaction with the programme according to 21 criteria was measured retrospectively just after the intervention. Change in MVPA (moderate-to-vigorous physical activity) during the programme implementation was assessed in relation to satisfaction level, and adjusted for initial MVPA.

RESULTS

In total, the MVPA did not change significantly comparing pre- and post-intervention surveys (3.94 ± 1.94 vs. 3.87 ± 1.93)-P = 0.093. However, the perceived notable improvement of functioning in 10 out of 21 areas was related to the unquestionable increase in MVPA (P ≤ 0.001). With respect to the four impact areas, an interaction was demonstrated between an intervention group and an improvement in the domain-specific functioning. The beneficial impact of the programme on these areas was associated with the improvement of physical activity only in case of full and null intervention.

CONCLUSIONS

Indicators related to the implementation process and the results obtained during the Healthy Me programme evaluation could represent a change in motivational and environmental factors that indirectly affects adolescent girl's physical activity.

摘要

背景

有一种假设认为,项目评估的结果有助于更好地了解这种干预措施对哪些人可能有效。本文的目的是根据对干预项目影响的主观评估,比较干预项目参与者身体活动的变化。

方法

数据来自于2017/2018年参加为期一年的“健康的我”项目的48所随机挑选的波兰中学的14至15岁女生(N = 1120)。学校被随机分配到两种干预类型之一或对照组(无干预组)。干预结束后,回顾性地测量了根据21项标准对该项目的满意度。在项目实施期间,根据满意度水平评估中度至剧烈身体活动(MVPA)的变化,并对初始MVPA进行了调整。

结果

总体而言,干预前后的调查显示MVPA没有显著变化(3.94±1.94 vs. 3.87±1.93)-P = 0.093。然而,在21个领域中,有10个领域功能的显著改善与MVPA的明显增加有关(P≤0.001)。在四个影响领域方面,干预组与特定领域功能的改善之间存在相互作用。该项目对这些领域的有益影响仅在完全干预和无干预的情况下与身体活动的改善有关。

结论

与“健康的我”项目评估过程和所获结果相关的指标,可能代表了动机和环境因素的变化,这些变化间接影响青少年女孩的身体活动。

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