Department of Health and Human Physiology, University of Iowa, Iowa City.
225 S Grand Ave, Iowa City, IA 52242 (
Prev Chronic Dis. 2023 Oct 5;20:E88. doi: 10.5888/pcd20.230046.
Physical activity positively affects health. Although 94% of Americans know the health benefits of regular physical activity, more than 75% do not achieve recommended levels. The objective of our study was to identify and define the key components of a physical activity intervention tailored to rural American men.
We recruited rural men (N = 447) via Amazon's Mechanical Turk online platform to complete a needs assessment survey focused on their interest in a physical activity intervention, preferred intervention features, and potential intervention objectives. Data were summarized by using descriptive statistics. A cumulative logistic regression model examined associations between the men's perceived importance of physical activity to health and their interest in a physical activity intervention.
Almost all participants (97.7%) rated physical activity as "at least somewhat important" to their health, and 83.9% indicated they would be "at least somewhat interested" in participating in a physical activity intervention. On a scale of 1 (not at all a barrier) to 5 (very much a barrier), motivation (mean 3.4; 95% CI, 3.3-3.5), cold weather (mean, 3.4; 95% CI, 3.3-3.5), and tiredness (mean, 3.3; 95% CI, 3.2-3.4) were rated the biggest barriers to physical activity. Becoming fitter (54.1%) was the top reason for joining a physical activity program. Preferred delivery channels for receiving an intervention were mobile application (ranked from 1 being the most preferred and 9 being the least preferred: mean, 2.8; 95% CI, 2.70-3.09) and e-mail (mean, 4.2; 95% CI, 3.92-4.36). Rural men preferred interventions that taught them how to exercise and that could be done from home.
Our findings suggest US men in rural areas are receptive to physical activity programs. A systematic approach and a clear model of development are needed to tailor future physical activity interventions to the special needs of rural men.
身体活动对健康有益。尽管 94%的美国人知道定期身体活动的健康益处，但超过 75%的人没有达到推荐水平。我们的研究目的是确定并定义针对美国农村男性的身体活动干预措施的关键组成部分。
我们通过亚马逊的 Mechanical Turk 在线平台招募农村男性（N=447），以完成一项关注他们对身体活动干预的兴趣、首选干预特征和潜在干预目标的需求评估调查。数据通过描述性统计进行总结。累积逻辑回归模型检验了男性对身体活动对健康的重要性认知与他们对身体活动干预的兴趣之间的关联。
几乎所有参与者（97.7%）都认为身体活动对他们的健康“至少有些重要”，83.9%的人表示他们会“至少有些感兴趣”参加身体活动干预。在 1（完全不是障碍）到 5（非常大的障碍）的量表上，动机（平均值 3.4；95%置信区间，3.3-3.5）、寒冷天气（平均值，3.4；95%置信区间，3.3-3.5）和疲劳（平均值，3.3；95%置信区间，3.2-3.4）被评为身体活动最大的障碍。变得更健康（54.1%）是加入身体活动计划的首要原因。接受干预的首选传递渠道是移动应用程序（从 1 分最受欢迎到 9 分最不受欢迎排名：平均值 2.8；95%置信区间，2.70-3.09）和电子邮件（平均值 4.2；95%置信区间，3.92-4.36）。农村男性更喜欢教授他们如何锻炼且可以在家中进行的干预措施。
我们的研究结果表明，美国农村地区的男性对身体活动计划持接受态度。需要一种系统的方法和明确的发展模式，以满足农村男性的特殊需求，为他们量身定制未来的身体活动干预措施。
