School of Nursing, Oregon Health & Science University (OHSU), Portland, OR 97239, USA.
Health & Human Performance, Eastern Oregon University, La Grande, OR 97850, USA.
Int J Environ Res Public Health. 2021 Jul 6;18(14):7223. doi: 10.3390/ijerph18147223.
The Get Outside: After School Activity Program (GO-ASAP) exemplifies how a rural community can utilize its natural resources and community partnerships to promote adolescent health.
A qualitative descriptive inquiry was conducted using convenience sampling. Data were collected from students ( = 13/2018; = 13/2019) via focus group and art-based method (2018 only) and parent ( = 6/2018) focus group. Data were analyzed via qualitative content analysis using the applied theoretical frameworks of Social Cognitive Theory and Social Determination Theory.
(1) Increasing Health-Related Competencies. Students increased their physical activity, improved their sleep, perceived less stress, and reported changes in dietary habits and electronic use. (2) Increasing Social Relatedness. Students made new friends, felt more connected, and spent less time home alone after school. (3) Increasing Autonomy and Intrinsic Motivation. Students recognized their emerging capabilities, and their increased confidence stimulated more action-oriented behavior. Parent-perceived changes support and mirror student reports.
Outdoor, nature-based, activity programs are a novel upstream approach to promote adolescent health, especially in rural communities where natural resources often exceed health-service resources and community partnerships are a way of life.
课外体育活动项目（GO-ASAP）是一个农村社区如何利用其自然资源和社区伙伴关系来促进青少年健康的典范。
采用便利抽样法进行定性描述性研究。通过焦点小组和基于艺术的方法（仅 2018 年）以及家长焦点小组（2018 年 6 名）收集了学生（2018 年 13 名/2019 年 13 名）的数据。采用社会认知理论和社会决定理论的应用理论框架对数据进行了定性内容分析。
（1）提高健康相关能力。学生增加了身体活动，改善了睡眠，减轻了压力，报告了饮食习惯和电子使用的变化。（2）增加社交关系。学生结交了新朋友，感到更有联系，放学后在家独处的时间减少了。（3）提高自主性和内在动机。学生认识到自己的新能力，自信心的增强激发了更多面向行动的行为。家长感知到的变化支持并反映了学生的报告。
户外、基于自然的活动项目是一种促进青少年健康的新的上游方法，尤其是在自然资源通常超过卫生服务资源的农村社区，社区伙伴关系是一种生活方式。
