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FitSkills:一项基于社区的运动计划的阶梯楔形整群随机试验方案,旨在提高残疾青年的参与度。

FitSkills: protocol for a stepped wedge cluster randomised trial of a community-based exercise programme to increase participation among young people with disability.

作者信息

Shields Nora, Willis Claire, Imms Christine, Prendergast Luke A, Watts Jennifer J, van Dorsselaer Ben, McKenzie Georgia, Bruder Andrea M, Taylor Nicholas F

机构信息

Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Melbourne, VIC, Australia

Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Melbourne, VIC, Australia.

出版信息

BMJ Open. 2020 Jul 8;10(7):e037153. doi: 10.1136/bmjopen-2020-037153.

Abstract

INTRODUCTION

There is a need to develop relevant, acceptable initiatives that facilitate physical activity participation in young people with disability. was developed to support young people with disability to exercise. The primary aims are to investigate if can be scaled up from a small, university-led programme to run as a larger community-university partnership programme, and to determine its effectiveness in improving physical activity participation and health-related quality of life for young people with disability. The secondary aims are to evaluate cost-effectiveness, changes in attitudes towards disability and other health-related outcomes for young people with disability.

METHODS AND ANALYSIS

A stepped wedge cluster randomised trial using a cohort design and embedded health economic evaluation will compare the effect of with a control phase. matches a young person with disability with a student mentor and the pair exercise together at their local gymnasium for 1 hour, two times per week for 12 weeks (24 sessions in total). One hundred and sixty young people with disability aged 13 to 30 years will be recruited. Eight community gymnasia will be recruited and randomised into four cluster units to have introduced at 3-month intervals. Primary (feasibility, participation and health-related quality of life) and secondary outcomes will be collected longitudinally every 3 months from trial commencement, with eight data collection time points in total. The Practical Robust Implementation and Sustainability Model will be used to support knowledge translation and implementation of project findings into policy and practice.

ETHICS AND DISSEMINATION

Ethical approval was obtained from the La Trobe University Human Ethics Committee (HEC17-012), Australian Catholic University (2017-63R), Deakin University (2017-206) and the Victorian Department of Education and Training (2018_003616). Results will be disseminated through published manuscripts, conference presentations, public seminars and practical resources for stakeholder groups.

TRIAL REGISTRATION NUMBER

ACTRN12617000766314.

TRIAL SPONSOR

La Trobe University.

摘要

引言

有必要制定相关且可接受的举措,以促进残疾青年参与体育活动。[项目名称]旨在支持残疾青年进行锻炼。其主要目标是调查[项目名称]能否从一个由大学主导的小型项目扩大规模,发展成为一个更大的社区 - 大学合作项目,并确定其在提高残疾青年体育活动参与度和与健康相关的生活质量方面的有效性。次要目标是评估成本效益、残疾青年对残疾态度的变化以及其他与健康相关的结果。

方法与分析

采用队列设计的阶梯式楔形整群随机试验及嵌入式健康经济评估,将[项目名称]的效果与对照阶段进行比较。[项目名称]为一名残疾青年匹配一名学生导师,两人每周在当地体育馆一起锻炼1小时,共锻炼12周(总计24节课程)。将招募160名年龄在13至30岁的残疾青年。招募8家社区体育馆并随机分为4个整群单元,每隔3个月引入[项目名称]。从试验开始,每3个月纵向收集一次主要(可行性、参与度和与健康相关的生活质量)和次要结果,总共8个数据收集时间点。将使用实用稳健实施与可持续性模型来支持知识转化,并将项目成果应用于政策和实践。

伦理与传播

已获得拉筹伯大学人类伦理委员会(HEC17 - 012)、澳大利亚天主教大学(2017 - 63R)、迪肯大学(2017 - 206)以及维多利亚州教育与培训部(2018_003616)的伦理批准。研究结果将通过发表的手稿、会议报告、公开研讨会以及为利益相关者群体提供的实用资源进行传播。

试验注册号

ACTRN12617000766314。

试验赞助商

拉筹伯大学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9db/7348474/c3668fad20e9/bmjopen-2020-037153f01.jpg

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