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运动明星巴西与自闭症谱系障碍儿童:一项可行性随机对照试验方案。

Sports Stars Brazil in children with autism spectrum disorder: A feasibility randomized controlled trial protocol.

机构信息

Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.

出版信息

PLoS One. 2023 Nov 8;18(11):e0291488. doi: 10.1371/journal.pone.0291488. eCollection 2023.

Abstract

BACKGROUND

Autism Spectrum Disorder (ASD) children have lower levels of participation in recreational and sporting activities when compared to their peers. Participation has been defined based on the Family of Participation-Related Constructs (fPRC) which defines participation as including both attendance and involvement, with sense of self, preferences and activity competence related to a child's participation. Modified sports interventions such as Sports Stars can act on physical literacy and some of the fPRCs components. This study aims to assess the feasibility of the Sports Stars Brazil intervention for children with ASD.

METHODS

This study will be conducted with 36 participants with ASD aged 6 to 12 years old following the CONSORT for pilot and feasibility recommendation. Participants will be randomly allocated into two groups. Intervention group will receive eight, weekly Sports Stars sessions. Each session will include of sports-focused gross motor activity training, confidence building, sports-education and teamwork development. Study assessments will occur at baseline, immediately post-intervention and 20-weeks post-randomization. First, we will assess process feasibility measures: recruitment, assessment completion, adherence, adverse events and satisfaction. Second, we will investigate the scientific feasibility of the intervention by estimating the effect size and variance at the level of achievement sports-related activity and physical activity participation goals (Goal Attainment Scaling), activity competence (Ignite Challenge, Test of Gross Motor Development-second edition, Physical Literacy Profile Questionnaire, Pediatric Disability Assessment Inventory-Computer Adaptive Test-PEDI-CAT-mobility, 10×5 Sprint Test and Muscle Power Sprint Test), sense of self (PEDI-CAT-responsibility), and overall participation at home, school and community, (Participation and Environment Measure for children and young people, PEM-CY).

DISCUSSION

The results of this feasibility study will inform which components are critical to planning and preparing a future RCT study, aiming to ensure that the RCT will be feasible, rigorous and justifiable.

TRIAL REGISTRATION

The trial was registered with the Brazilian Registry of Clinical Trials database (ID: RBR-9d5kyq4) on June 15, 2022.

摘要

背景

与同龄人相比,自闭症谱系障碍(ASD)儿童在参与娱乐和体育活动方面的水平较低。参与度是根据参与相关结构家庭(fPRC)来定义的,该定义将参与定义为包括出席和参与,以及与孩子的参与感、偏好和活动能力相关的自我意识。经过修改的体育干预措施,如“运动之星”(Sports Stars),可以作用于身体素养和 fPRC 的一些组成部分。本研究旨在评估“运动之星巴西”(Sports Stars Brazil)干预措施对 ASD 儿童的可行性。

方法

本研究将对 36 名 6 至 12 岁的 ASD 儿童进行研究,采用 CONSORT 指南进行试点和可行性建议。参与者将随机分为两组。干预组将接受八周每周一次的“运动之星”课程。每次课程将包括以运动为重点的大运动活动训练、增强信心、体育教育和团队合作发展。研究评估将在基线、干预后立即和随机分组后 20 周进行。首先,我们将评估过程可行性措施:招募、评估完成情况、依从性、不良事件和满意度。其次,我们将通过估计与体育相关活动和体育活动参与目标(目标达成量表)、活动能力(点燃挑战、儿童发育测试第二版、身体素养概况问卷、小儿残疾评估量表-计算机自适应测试-PEDI-CAT-移动、10×5 冲刺测试和肌肉力量冲刺测试)、自我意识(PEDI-CAT-责任)以及在家、学校和社区的整体参与度(儿童和青少年参与和环境量表,PEM-CY)的水平来研究干预的科学可行性。

讨论

这项可行性研究的结果将为规划和准备未来的 RCT 研究提供信息,旨在确保 RCT 是可行的、严格的和合理的。

试验注册

该试验于 2022 年 6 月 15 日在巴西临床试验注册数据库(ID:RBR-9d5kyq4)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3905/10631688/44b27ed0229a/pone.0291488.g001.jpg

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