Division of Neurology, Department of Pediatrics, Neurosciences and Mental Health (RI), The Hospital for Sick Children, Toronto, Ontario, Canada.
Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.
Mult Scler Relat Disord. 2021 Apr;49:102795. doi: 10.1016/j.msard.2021.102795. Epub 2021 Jan 24.
Within the pediatric MS population, physical activity (PA) has been associated with positive health outcomes such as lower lesion and relapse rates (Grover et. al., 2015). Recently, associations between variables from a social-cognitive theory (SCT) and levels of PA in youth with multiple sclerosis have been reported (Sikes & Motl, 2020), suggesting a SCT-based intervention may be efficacious in changing PA. We developed and delivered a 12-week SCT-based intervention and sought to gain an understanding of youth's perspectives on PA over time.
We performed a qualitative analysis on 34 coaching call transcripts from 13 participants as part of a theory-based intervention promoting PA in youth with MS (NCT03137602). Coaching calls were semi-structured and each participant was scheduled to have three coaching calls spaced monthly for three months. We used an inductive content analysis approach to analyze the data (Elo and Kyngas, 2008).
General themes from the calls aligned with the SCT constructs. Youth consistently discussed facilitators for changing PA over time, including a positive attitude, goal setting and social connectedness. There was increasing conversation around PA barriers over time including the environment and a lack of time.
Youth perceptions on PA can be either positive or negative and can change over time. There is an underlying emergence and importance of social connectedness within PA behaviours. Increases in coaching call content related to goal setting suggest a positive effect of coaching and SCT in these areas. Future studies will focus on interactions between SCT constructs, particularly social connectedness and increased physical activity.
在儿科多发性硬化症患者中，身体活动（PA）与积极的健康结果相关，例如降低病变和复发率（Grover 等人，2015 年）。最近，社会认知理论（SCT）变量与多发性硬化症青少年 PA 水平之间的关联已经报道（Sikes 和 Motl，2020 年），这表明基于 SCT 的干预可能在改变 PA 方面有效。我们开发并实施了一项基于 SCT 的 12 周干预措施，并试图了解青少年对 PA 的看法随时间的变化。
我们对 13 名参与者的 34 次教练通话记录进行了定性分析，作为一项促进多发性硬化症青少年 PA 的基于理论的干预措施的一部分（NCT03137602）。教练通话是半结构化的，每位参与者都计划每月进行三次通话，为期三个月。我们使用了一种归纳内容分析方法来分析数据（Elo 和 Kyngas，2008 年）。
通话中的一般主题与 SCT 结构一致。青少年随着时间的推移不断讨论改变 PA 的促进因素，包括积极的态度、目标设定和社交联系。随着时间的推移，关于 PA 障碍的讨论越来越多，包括环境和缺乏时间。
青少年对 PA 的看法可以是积极的也可以是消极的，并且可以随着时间的推移而改变。在 PA 行为中，社交联系具有潜在的出现和重要性。随着与目标设定相关的教练通话内容的增加，表明教练和 SCT 在这些方面具有积极的影响。未来的研究将集中在 SCT 结构之间的相互作用上，特别是社交联系和增加的身体活动。
