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一项针对女孩运动中教练主导的积极身体形象干预的群组随机对照试验的共同创作、初步试点和方案。

The co-creation, initial piloting, and protocol for a cluster randomised controlled trial of a coach-led positive body image intervention for girls in sport.

机构信息

Centre for Appearance Research, School of Social Sciences, College of Health, Science and Society, University of the West of England, Coldharbour Lane, Bristol, BS16 1QY, UK.

Department of Sport, Exercise, and Performance Psychology, West Virginia University, Morgantown, WV, 26506, USA.

出版信息

BMC Public Health. 2023 Jul 31;23(1):1467. doi: 10.1186/s12889-023-16360-w.

DOI:10.1186/s12889-023-16360-w
PMID:37525161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10391850/
Abstract

BACKGROUND

Globally, girls disengage from sports at an earlier age and higher rate than boys. This is, in part, due to the unique body image challenges that girls face, relative to their male peers. Existing intervention efforts that aim to reduce girls' negative body image and movement experiences have proven marginally effective, if not ineffective. This paper outlines the co-creation, initial piloting and protocol for a cluster randomised controlled trial of Body Confident Athletes (BCA); an in-person, coach-led intervention that aims to foster positive body image and sports enjoyment among girls.

METHODS

Following co-creation and an initial pilot, a two-armed cluster randomised controlled trial will assess the immediate (post-intervention) and short-term (1-month and 3-month follow-up) impact of BCA on girls' (N = 1,036; 11-17 years old) body image, sports enjoyment, and affect. Sport organisations will be randomly allocated (1:1) into either an intervention or waitlist control condition. Girls and coaches in the intervention condition will complete three 60-minute sessions over three consecutive weeks. The primary outcome will be the immediate change in girls' body esteem, with secondary outcomes assessing the immediate and short-term changes in girls' body appreciation, self-objectification, attuned self-care, sports enjoyment, and affect.

DISCUSSION

This research is the first to utilise an international multi-stakeholder partnership to co-create and evaluate an intervention that addresses the intersection of girls' body image and sport experiences. The theoretical and methodological considerations of this research have led to a feasible intervention and trial protocol, and if proven effective, BCA may assist in reducing the global gender disparity in sports participation.

TRIAL REGISTRATION NUMBER

NCT05594524 , registered 25 October 2022.

摘要

背景

在全球范围内,女孩比男孩更早、更高比例地退出体育运动。这在一定程度上是由于女孩相对于男性同龄人面临独特的身体形象挑战。现有的旨在减少女孩负面身体形象和运动体验的干预措施效果甚微,如果有的话。本文概述了 Body Confident Athletes(BCA)的共同创建、初步试点和方案,这是一项面对面、教练主导的干预措施,旨在培养女孩的积极身体形象和运动享受。

方法

在共同创建和初步试点之后,一项两臂随机对照试验将评估 BCA 对女孩(N=1036;11-17 岁)身体形象、运动享受和情绪的即时(干预后)和短期(1 个月和 3 个月随访)影响。体育组织将被随机分配(1:1)到干预组或候补对照组。干预组的女孩和教练将在连续三周内完成三个 60 分钟的课程。主要结果将是女孩身体自尊的即时变化,次要结果将评估女孩身体欣赏、自我客观化、协调自我关怀、运动享受和情绪的即时和短期变化。

讨论

这项研究首次利用国际多利益相关者伙伴关系来共同创建和评估一项干预措施,该措施解决了女孩身体形象和运动体验的交叉问题。这项研究的理论和方法考虑导致了一个可行的干预措施和试验方案,如果被证明有效,BCA 可能有助于减少全球体育运动参与中的性别差距。

试验注册号

NCT05594524,于 2022 年 10 月 25 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f8/10391850/3c888ecfa6ba/12889_2023_16360_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f8/10391850/82cac16c3f93/12889_2023_16360_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f8/10391850/3c888ecfa6ba/12889_2023_16360_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f8/10391850/82cac16c3f93/12889_2023_16360_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f8/10391850/3c888ecfa6ba/12889_2023_16360_Fig2_HTML.jpg

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