Understanding the physical literacy development of 8- to 12-year-old children living with chronic medical conditions: A comprehensive, mixed methods inquiry

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-08-06 DOI:10.1111/cch.13316
Angelica Blais, Sherri Lynne Katz, Robert J. Klaassen, Jane Lougheed, John J. Reisman, Daniela Pohl, Sarah Lawrence, Lillian Lai, Suzie Lee, Letizia Gardin, Derek Wong, Erick Sell, Patricia Longmuir
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Abstract

Background

Physical literacy is a concept used to describe the combined physical, affective and cognitive capacities facilitating an active lifestyle. Physical activity participation is essential for children living with chronic medical conditions, but knowledge of physical literacy among this group is scarce.

Methods

An explanatory, sequential mixed methods design was used to comprehensively describe the physical literacies of children with chronic medical conditions (CMCs). Participants were recruited from paediatric cardiology, respirology/cystic fibrosis, neurology, haematology and endocrinology outpatient clinics. All participants completed the Canadian Assessment of Physical Literacy (2nd Edition), and those with higher and lower scores were invited to a semi-structured interview. A deductive-inductive thematic analysis was applied using Margaret Whitehead's conceptualization of physical literacy.

Results

Using normative strata, 80.0% of the 99 children assessed (mean age = 9.97 ± 1.3 years, 48% girls) were considered beginning or progressing in their overall physical literacy (mean score = 56.5 ± 13.8/100). Meanwhile, physical literacy informed participants' approach to new, active experiences and may have contributed to a strong sense of self. There was a significant difference between endocrinology and haematology patients on total physical literacy score (p = 0.03) but not domain scores. Participants scored high on motivation/confidence (mean = 22.9 ± 5.0/30) but obtained low physical competence (mean = 11.8 ± 5.6/30) and daily behaviour scores (n = 72, mean = 15.5 ± 7.1/30). Main themes represent salient experiences of children with CMCs within the domains of physical literacy, including their need to evaluate active contexts, self-regulate activity intensity and manage physical limitations.

Conclusions

Children with CMCs can achieve recommended levels of physical literacy without meeting normative standards for physical competence. Participants would benefit from a physical literacy intervention that targets the development of bodily self-regulation skills and risk evaluation in active settings.

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了解患有慢性疾病的 8 至 12 岁儿童的体育素养发展:综合、混合方法调查。
背景:体育素养是一个概念,用于描述有助于形成积极生活方式的身体、情感和认知综合能力。对于患有慢性疾病的儿童来说,参加体育活动至关重要,但对这一群体的体育素养却知之甚少:方法:采用解释性、顺序性混合方法设计,全面描述慢性病患儿的体育素养。参与者来自儿科心脏病、呼吸内科/囊性纤维化、神经内科、血液内科和内分泌科门诊。所有参与者都完成了加拿大身体素养评估(第 2 版),得分较高和较低的参与者被邀请参加半结构化访谈。采用玛格丽特-怀特海(Margaret Whitehead)的体育素养概念进行了演绎-归纳主题分析:采用标准分层法,在接受评估的 99 名儿童(平均年龄 = 9.97 ± 1.3 岁,48% 为女孩)中,有 80.0% 的儿童被认为在整体身体素养方面处于起步或进步阶段(平均分 = 56.5 ± 13.8/100)。同时,体育素养有助于参与者获得新的、积极的体验,并可能有助于形成强烈的自我意识。内分泌科和血液科患者在身体素养总分上有明显差异(p = 0.03),但在领域得分上没有差异。参与者在动机/自信方面得分较高(平均 = 22.9 ± 5.0/30),但在身体能力(平均 = 11.8 ± 5.6/30)和日常行为(n = 72,平均 = 15.5 ± 7.1/30)方面得分较低。主要的主题代表了CMC儿童在体育素养领域的突出经验,包括他们需要评估活动环境、自我调节活动强度和管理身体限制:结论:患有先天性肌肉萎缩症的儿童可以达到建议的体育素养水平,但不符合体育能力的规范标准。针对活动环境中身体自我调节技能和风险评估的体育素养干预将使参与者受益。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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