deJonge Melissa L, Yuen Sandra, Simard Luc, Sabiston Catherine M
Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2025 Aug 29;20(8):e0330851. doi: 10.1371/journal.pone.0330851. eCollection 2025.
Physical activity (PA) service provision in the post-secondary context is recognized as important for promoting student mental health. Nonetheless, most evidence is of poor quality and lacks critical information regarding how the PA programs are designed, delivered, and made accessible to students. This study will examine PA program effectiveness for student mental health and social well-being, as well as implementation processes to offer insight for future research and program scale-up.
Post-secondary students who are physically inactive and experiencing poor mental health will be recruited. A 3-arm parallel Randomized Controlled Trial, using a hybrid effectiveness-implementation design, will be conducted using a collaborative implementation approach. The effects of 6-week supervised one-on-one and group PA, compared to a waitlist control will be examined, with outcomes assessed at baseline (T1), 6-weeks (T2), and 1-month follow-up (T3). Primary outcomes will include immediate post-program changes (T1-T2) in mental health indices, including anxiety, depression, psychological distress, and well-being. Secondary outcomes will include changes from baseline to follow-up (T1-T3) and maintenance effects from post-intervention to follow-up (T2-T3) in mental health indices, as well as changes in social well-being indices (i.e., social connectedness, social support), and PA behavior. A process evaluation will be conducted to explore contextual influences (i.e., fidelity, adherence, reach, acceptability) on the conduct of implementation across PA program delivery styles. Effectiveness data will be analyzed using linear mixed effects modeling. Process evaluation outcomes will be analyzed using a mixed methods evaluation.
A knowledge mobilization plan to enhance dissemination of the findings to the intended audiences (i.e., sport and recreation professionals, mental health professionals, students, researchers) has been developed.
ClinicalTrials.gov NCT06350877.
高等教育背景下的体育活动（PA）服务提供被认为对促进学生心理健康很重要。尽管如此，大多数证据质量较差，且缺乏关于PA项目如何设计、实施以及如何让学生能够参与的关键信息。本研究将考察PA项目对学生心理健康和社会幸福感的有效性，以及实施过程，以便为未来的研究和项目扩大规模提供见解。
将招募身体不活跃且心理健康状况不佳的高等院校学生。将采用协作实施方法，进行一项三臂平行随机对照试验，采用混合有效性-实施设计。将6周的一对一和小组监督PA与等待名单对照进行比较，在基线（T1）、6周（T2）和1个月随访（T3）时评估结果。主要结果将包括项目结束后立即出现的心理健康指标变化（T1-T2），包括焦虑、抑郁、心理困扰和幸福感。次要结果将包括从基线到随访（T1-T3）的心理健康指标变化以及干预后到随访（T2-T3）的维持效果，以及社会幸福感指标（即社会联系、社会支持）和PA行为的变化。将进行过程评估，以探讨不同PA项目实施方式在实施过程中的背景影响（即保真度、依从性、覆盖面、可接受性）。有效性数据将使用线性混合效应模型进行分析。过程评估结果将使用混合方法评估进行分析。
已制定知识传播计划，以加强向目标受众（即体育和娱乐专业人员、心理健康专业人员、学生、研究人员）传播研究结果。
ClinicalTrials.gov NCT06350877。
