PDF(Pubmed)
Abstract：
BACKGROUND: Lack of physical activity is a concern for children across diverse backgrounds, particularly affecting those in rural areas who face distinct challenges compared to their urban counterparts. Community-derived interventions are needed that consider the unique context and additional physical activity barriers in under-resourced rural settings. Therefore, a prospective pre-post pilot/feasibility study of Hoosier Sport was conducted over 8-weeks with 6th and 7th grade children in a low-socioeconomic rural middle school setting. The primary objective of the present study was to assess trial- and intervention-related feasibility indicators; and the secondary objective was to collect preliminary assessment data for physical activity levels, fitness, psychological needs satisfaction, and knowledge of physical activity and nutrition among participating youth.
METHODS: This prospective 8-week pilot/feasibility study took place in the rural Midwestern United States where twenty-four middle school students participated in a mixed-methods pre-post intervention during physical education classes. The intervention included elements like sport-based youth development, individualized goal setting, physical activity monitoring, pedometer usage, and health education. Data were collected at baseline (T1) and post-intervention (T3), with intermediate measures during the intervention (T2). Qualitative data were integrated through semi-structured interviews. Analytical methods encompassed descriptive statistics, correlations, repeated measures ANOVA, and thematic analysis.
RESULTS: Key findings indicate robust feasibility, with intervention-related scores (FIM, AIM, and IAM) consistently surpassing the \"good\" threshold and 100% retention and recruitment success. Additionally, participants showed significant physical performance improvement, shifting from the 25th to the 50th percentile in the 6-minute walk test (p < 0.05). Autonomy and competence remained high, reflecting positive perceptions of program practicality. Nutrition knowledge, initially low, significantly improved at post-intervention (p < 0.01), highlighting the efficacy of targeted nutritional education in Hoosier Sport.
CONCLUSIONS: This study pioneers a community-engaged model for physical activity intervention in under-resourced rural settings. Positive participant feedback, coupled with improvements in physical fitness and psychosocial factors, highlights the potential of the co-design approach. The findings offer valuable insights and a practical template for future community-based research, signaling the promising impact of such interventions on holistic well-being. This research lays the foundation for subsequent phases of the ORBIT model, emphasizing collaborative, community-driven approaches to address the complex issue of declining physical activity levels among adolescents.
METHODS: This prospective 8-week pilot/feasibility study took place in the rural Midwestern United States where twenty-four middle school students participated in a mixed-methods pre-post intervention during physical education classes. The intervention included elements like sport-based youth development, individualized goal setting, physical activity monitoring, pedometer usage, and health education. Data were collected at baseline (T1) and post-intervention (T3), with intermediate measures during the intervention (T2). Qualitative data were integrated through semi-structured interviews. Analytical methods encompassed descriptive statistics, correlations, repeated measures ANOVA, and thematic analysis.
RESULTS: Key findings indicate robust feasibility, with intervention-related scores (FIM, AIM, and IAM) consistently surpassing the \"good\" threshold and 100% retention and recruitment success. Additionally, participants showed significant physical performance improvement, shifting from the 25th to the 50th percentile in the 6-minute walk test (p < 0.05). Autonomy and competence remained high, reflecting positive perceptions of program practicality. Nutrition knowledge, initially low, significantly improved at post-intervention (p < 0.01), highlighting the efficacy of targeted nutritional education in Hoosier Sport.
CONCLUSIONS: This study pioneers a community-engaged model for physical activity intervention in under-resourced rural settings. Positive participant feedback, coupled with improvements in physical fitness and psychosocial factors, highlights the potential of the co-design approach. The findings offer valuable insights and a practical template for future community-based research, signaling the promising impact of such interventions on holistic well-being. This research lays the foundation for subsequent phases of the ORBIT model, emphasizing collaborative, community-driven approaches to address the complex issue of declining physical activity levels among adolescents.
摘要：
背景：缺乏体育锻炼是不同背景的儿童所关注的问题，特别影响农村地区与城市地区相比面临不同挑战的人。需要采取社区干预措施，以考虑资源不足的农村地区的独特环境和其他体育活动障碍。因此,在低社会经济农村中学环境中，对6年级和7年级的儿童进行了为期8周的HoosierSport的前瞻性预试点/可行性研究。本研究的主要目标是评估与试验和干预相关的可行性指标；次要目标是收集身体活动水平的初步评估数据，健身,心理需求满足，以及参与青年的体育活动和营养知识。
方法：这项为期8周的前瞻性试点/可行性研究在美国中西部农村地区进行，24名中学生在体育课期间参加了混合方法的事后干预。干预措施包括以体育为基础的青年发展，个性化目标设定，身体活动监测,计步器的使用,和健康教育。在基线（T1）和干预后（T3）收集数据，干预期间的中间措施（T2）。定性数据通过半结构化访谈进行整合。分析方法包括描述性统计，相关性，重复测量方差分析，和专题分析。
结果：主要研究结果表明，与干预相关的分数(FIM，AIM,和IAM)始终超过“良好”阈值，100%保留和招聘成功。此外,参与者表现出显著的身体表现改善，在6分钟步行测试中从第25百分位数转移到第50百分位数(p<0.05)。自主性和能力仍然很高，反映了对程序实用性的积极看法。营养知识,最初低,干预后显著改善(p<0.01)，强调在Hoosier运动中有针对性的营养教育的功效。
结论：本研究开创了在资源不足的农村地区进行体育活动干预的社区参与模式。积极的参与者反馈，加上身体素质和社会心理因素的改善，突出了共同设计方法的潜力。这些发现为未来基于社区的研究提供了宝贵的见解和实用的模板，表明这种干预措施对整体福祉的有希望的影响。本研究为ORBIT模型的后续阶段奠定了基础，强调协作，社区驱动的方法来解决青少年身体活动水平下降的复杂问题。
方法：这项为期8周的前瞻性试点/可行性研究在美国中西部农村地区进行，24名中学生在体育课期间参加了混合方法的事后干预。干预措施包括以体育为基础的青年发展，个性化目标设定，身体活动监测,计步器的使用,和健康教育。在基线（T1）和干预后（T3）收集数据，干预期间的中间措施（T2）。定性数据通过半结构化访谈进行整合。分析方法包括描述性统计，相关性，重复测量方差分析，和专题分析。
结果：主要研究结果表明，与干预相关的分数(FIM，AIM,和IAM)始终超过“良好”阈值，100%保留和招聘成功。此外,参与者表现出显著的身体表现改善，在6分钟步行测试中从第25百分位数转移到第50百分位数(p<0.05)。自主性和能力仍然很高，反映了对程序实用性的积极看法。营养知识,最初低,干预后显著改善(p<0.01)，强调在Hoosier运动中有针对性的营养教育的功效。
结论：本研究开创了在资源不足的农村地区进行体育活动干预的社区参与模式。积极的参与者反馈，加上身体素质和社会心理因素的改善，突出了共同设计方法的潜力。这些发现为未来基于社区的研究提供了宝贵的见解和实用的模板，表明这种干预措施对整体福祉的有希望的影响。本研究为ORBIT模型的后续阶段奠定了基础，强调协作，社区驱动的方法来解决青少年身体活动水平下降的复杂问题。
