School of Physical Education, Hebei Normal University, Shijiazhuang, China.
Key Laboratory of Measurement and Evaluation in Exercise Bioinformation of Hebei Province, Hebei, Wuhan, China.
BMC Public Health. 2023 Feb 20;23(1):369. doi: 10.1186/s12889-023-15210-z.
Fundamental motor skills (FMSs) are crucial for children's health and comprehensive development. Obese children often encounter a considerable challenge in the development of FMSs. School-family blended PA programs are considered a potentially effective approach to improve FMSs and health-related outcomes among obese children, however, empirical evidence is still limited. Therefore, this paper aims to describe the development, implementation, and evaluation of a 24-week school-family blended multi-component PA intervention program for promoting FMSs and health among Chinese obese children, namely the Fundamental Motor Skills Promotion Program for Obese Children (FMSPPOC) employing behavioral change techniques (BCTs) and building on the Multi-Process Action Control (M-PAC) framework as well as using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework for improving and evaluating the program.
Using a cluster randomized controlled trial (CRCT), 168 Chinese obese children (8-12 years) from 24 classes of six primary schools will be recruited and randomly assigned to one of two groups by a cluster randomization, including a 24-week FMSPPOC intervention group and a non-treatment waiting-list control group. The FMSPPOC program includes a 12-week initiation phase and a 12-week maintenance phase. School-based PA training sessions (2 sessions/week, 90 min each session) and family-based PA assignments (at least three times per week, 30 min each time) will be implemented in the initiation phase (semester time), while three 60-min offline workshops and three 60-min online webinars will be conducted in the maintenance phase (summer holiday). The implementation evaluation will be undertaken according to the RE-AIM framework. For intervention effectiveness evaluation, primary outcome (FMSs: gross motor skills, manual dexterity and balance) and secondary outcomes (health behaviors, physical fitness, perceived motor competence, perceived well-being, M-PAC components, anthropometric and body composition measures) will be collected at four time-points: at baseline, 12-week mid-intervention, 24-week post-intervention, and 6-month follow-up occasions.
The FMSPPOC program will provide new insights into the design, implementation, and evaluation of FMSs promotion among obese children. The research findings will also supplement empirical evidence, understanding of potential mechanisms, and practical experience for future research, health services, and policymaking.
Chinese Clinical Trial Registry; ChiCTR2200066143; 25 Nov 2022.
基本运动技能（FMSs）对儿童的健康和全面发展至关重要。肥胖儿童在 FMSs 的发展中常常面临相当大的挑战。学校-家庭混合 PA 项目被认为是一种提高肥胖儿童 FMSs 和健康相关结果的潜在有效方法，然而，实证证据仍然有限。因此，本文旨在描述一项为期 24 周的学校-家庭混合多成分 PA 干预计划的开发、实施和评估，该计划旨在促进中国肥胖儿童的 FMSs 和健康，即肥胖儿童基本运动技能促进计划（FMSPPOC），该计划采用行为改变技术（BCTs），并基于多过程动作控制（M-PAC）框架，并使用 Reach、Effectiveness、Adoption、Implementation 和 Maintenance（RE-AIM）框架来改进和评估该计划。
采用整群随机对照试验（CRCT），从 6 所小学的 24 个班级中招募 168 名 8-12 岁的中国肥胖儿童，并通过整群随机分组将其随机分为两组，包括 24 周的 FMSPPOC 干预组和非治疗等待名单对照组。FMSPPOC 计划包括 12 周的启动阶段和 12 周的维持阶段。在启动阶段（学期时间），将实施基于学校的 PA 培训课程（每周 2 次，每次 90 分钟）和基于家庭的 PA 作业（每周至少 3 次，每次 30 分钟），而在维持阶段（暑假）将进行三次 60 分钟的离线研讨会和三次 60 分钟的在线网络研讨会。实施评估将根据 RE-AIM 框架进行。对于干预效果评估，主要结果（FMSs：大运动技能、手眼协调和平衡）和次要结果（健康行为、身体素质、感知运动能力、感知幸福感、M-PAC 成分、人体测量和身体成分测量）将在四个时间点收集：基线时、12 周中期干预时、24 周干预后时和 6 个月随访时。
FMSPPOC 计划将为肥胖儿童 FMSs 促进的设计、实施和评估提供新的见解。研究结果还将为未来的研究、卫生服务和决策提供补充实证证据、对潜在机制的理解和实践经验。
中国临床试验注册中心；ChiCTR2200066143；2022 年 11 月 25 日。
