在儿童中开展 "通过居家网络体育活动活跃儿童"(ACTIWEB-PA)试点随机对照试验的干预满意度和可行性。

IF 1.4 4区 医学 Q3 PEDIATRICS Pediatric Exercise Science Pub Date : 2024-10-29 DOI:10.1123/pes.2024-0030
Somya Rastogi, Luis Columna, Kelli Koltyn, Ronald Gangnon, Paul Peppard, Kristen Malecki, Lisa Cadmus-Bertram
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引用次数: 0

摘要

目的:我们评估了 "通过家庭网络体育活动活跃儿童 "试点试验的可行性和满意度,该试验为儿童提供了基于网络的运动整合干预:方法:82 名不够活跃的儿童(8-11 岁)被随机分配到运动干预(41 人)或等待名单对照组(41 人)。干预措施包括在家中使用联合国儿童基金会 "儿童力量 "网站观看 20 分钟的运动视频,每周 5 次,持续 12 周。可行性指标包括招募率(目标:70%)、保留率(目标:80%)、坚持率以及通过调查和访谈评估的满意度。保留率-1 是指完成测试后调查的百分比,保留率-2 是指完成测试后加速度测量的百分比。家长日志对坚持率进行了评估:招募率、保留率-1 和保留率-2 分别为 73.6%、93.9% 和 80.5%。干预组有 5 人辍学,对照组没有人辍学。69%的家长表现出高度的干预依从性。家长们一致表示满意,认为干预很愉快、很有益。虽然孩子们最初给予了积极评价,但随着时间的推移,他们的兴趣有所下降,越来越多地表示单调乏味。参与者提出了增加新颖性和加入社交元素的建议。此外,他们还发现在恶劣天气下,这项干预措施尤其有用:通过居家网络体育锻炼活跃儿童 "试验超过了招募和保留的可行性目标,总体坚持率达到中等水平。未来的试验应强调新颖性和同伴参与,以提高坚持率和满意度。
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Intervention Satisfaction and Feasibility of the Active Children Through In-Home, Web-Based Physical Activity (ACTIWEB-PA) Pilot Randomized Controlled Trial in Children.

Purpose: We assessed feasibility and satisfaction of the Active Children Through In-Home Web-Based Physical Activity pilot trial, delivering a web-based movement integration intervention to children.

Method: Eighty-two children (8-11 y), insufficiently active, were randomly assigned to either exercise intervention (n = 41) or wait-list control (n = 41). The intervention involved 20-minute exercise videos, 5 times weekly for 12 weeks, using the UNICEF Kid Power website at home. Feasibility metrics included recruitment (target: 70%), retention (target: 80%), adherence rates, and satisfaction assessed through surveys and interviews. Retention rate-1 was percentage completing posttest surveys, and retention rate-2 was percentage completing posttest accelerometry. Parent logs assessed adherence.

Results: Recruitment, retention-1, and retention-2 rates were 73.6%, 93.9%, and 80.5%, respectively. The intervention group had 5 dropouts; wait-list control had none. Sixty-nine percent showed high intervention adherence. Parents consistently expressed satisfaction, finding the intervention enjoyable and beneficial. Although children initially provided positive reviews, their interest declined over time, with increasing expressions of monotony. Suggestions to increase novelty and incorporate a social component were made by participants. The intervention was also found to be particularly useful during inclement weather.

Conclusion: Active Children Through In-Home Web-Based Physical Activity trial exceeded feasibility targets of recruitment and retention and achieved moderate overall adherence. Future trials should emphasize novelty and peer participation for improved adherence and satisfaction.

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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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