通过临床护理中的运动学支持影响儿童身心健康:一项随机对照试验方案

Nacera Hanzal, Jenna Yaraskavitch, Patricia E. Longmuir, Anna M. McCormick, Jane Lougheed, Christine Lamontagne, Kristian B. Goulet, Leanne M. Ward, Sherri L. Katz, Marie-Eve Robinson, Lesleigh S. Abbott, Thomas A. Kovesi, John J. Reisman, Daniela Pohl, Hana Alazem
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摘要

目标:增强有医疗条件和残疾的儿童和青少年参与健康、积极生活方式的信心。与同龄人相比,患有疾病和残疾的儿童往往表现出更久坐的生活方式,健康状况不佳的风险也更高。临床经验表明,体育活动信心是影响体育活动参与的重要因素。方法:本随机对照试验评估了一项循证干预措施,目标是有医疗条件和残疾的儿童和青少年的体育活动信心。8至18岁的潜在参与者,被诊断患有疾病或残疾,将被筛选是否有足够的体育活动动机,但缺乏信心。同意的参与者(n=128)将以1:1的比例随机分配到由注册运动学家或对照组(仅评估)领导的为期12周的亲自或虚拟身体活动干预(总共24小时/周)。干预将体育活动参与与体育活动知识、目标设定、动机和自我管理教育相结合。主要结果是自我报告的身体活动信心和动机在基线、干预后和干预完成后三个月。次要结果将是通过加速度计评估的每日身体活动分钟数。重复测量混合模型将用于比较现场干预组、虚拟干预组和对照组之间的结果(alpha=0.05)。结论:本试验旨在评估行为改变理论的新应用对患有疾病或残疾的儿童和青少年体育活动信心的影响。增加体育锻炼的信心、知识和技能可以使这些年轻人过上更积极的生活方式。
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Impacting Children’s Physical and Mental Health through Kinesiology Support in Clinical Care: A Randomized Controlled Trial Protocol
Objectives: To enhance the confidence of children and adolescents with medical conditions and disabilities to engage in healthy, active lifestyles. Children with medical conditions and disabilities often exhibit more sedentary lifestyles relative to peers and are at increased risk of poor health outcomes. Clinical experience suggests physical activity confidence is an important factor influencing physical activity participation.Methods: This randomized controlled trial evaluates an evidence-based intervention targeting physical activity confidence among children and adolescents with medical conditions and disabilities. Potential participants, 8 to 18 years of age diagnosed with a medical condition or disability, will be screened for adequate physical activity motivation but a lack confidence. Consenting participants (n=128) will be randomized 1:1 to a 12-week in-person or virtual physical activity intervention (24 hours/week total) led by a Registered Kinesiologist or control (assessments only). The intervention will combine physical activity participation with education about physical activity knowledge, goal setting, motivation and self-management. Primary outcomes are self-reported physical activity confidence and motivation at baseline, post-intervention and three months following intervention completion. A secondary outcome will be daily physical activity minutes assessed by accelerometry. A repeated measures mixed model will be used to compare outcomes between the in-person intervention, virtual intervention, and control groups (alpha=0.05).Conclusions: This trial aims to assess the impact of a novel application of behaviour change theory on physical activity confidence among children and adolescents living with medical conditions or disabilities. Increased physical activity confidence, knowledge and skills could enable these youth to lead a more active lifestyle.
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