Co-Creating and Implementing Contextually Responsive Physical Activity Interventions With Middle School Adolescents
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 450
- 试验地点
- 1
- 主要终点
- Child/adolescent physical activity
研究概览
简要总结
The purpose of this study is to identify community-level barriers and facilitators for active transport and leisure physical activity and to co-create and test the effectiveness and longer-term sustainability of community-based physical activity intervention strategies in middle schools. Participation in this study may help the investigators and scientific community better understand and address child physical activity and health. This study will collect information about middle school children's physical activity behaviors, habits, knowledge, and activity. The UTHealth School of Public Health is leading the study together with the University of Texas at Austin.
详细描述
Early adolescence is a critical window of opportunity for establishing lifelong physically active lifestyles. During this stage, youth seek autonomy and experience independent mobility. However, steep declines in physical activity occur in adolescence, a trend that continues into adulthood. This is partly due to reduced opportunities for structured exercise and sports in later life relative to childhood. Despite this, most school-based interventions heavily focus on physical education, sports participation, and active recess strategies (i.e., leisure), with less emphasis on promoting utilitarian (transport-based) physical activity.
Interventions prioritizing the entire school community (including students, their families, and school neighborhood residents), and focused on increasing active transport and leisure, might have a more significant and sustainable impact over the lifespan. To be effective and contextually responsive, however, intervention development, implementation, and evaluation must be collaboratively conducted with and through local community members.
This project proposes to conduct a comprehensive and community-engaged mixed methods study to design and test strategies for improving community-wide and individual-level physical activity outcomes in middle school neighborhoods. The specific aims of this study are:
Aim 1. To identify community-level barriers and facilitators for physical activity in middle school communities using a comprehensive mixed methods approach (Delphi method with Group Concept Mapping, geospatial analysis, participatory GIS).
Aim 2. To engage multi-sectoral and multi-generational community actors for co-creating contextually-responsive intervention strategies to improve access to active transport and leisure in middle school communities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 11 Years 至 99 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parent/guardian and child/adolescent dyads
- •Child/adolescent must be enrolled in the 6th grade at participating schools at baseline
- •Parent/guardian and child/adolescent must reside in the same household
- •Parent/guardian and child/adolescent must reside within the school catchment area (school community)
- •Parent/guardian must speak English or Spanish
- •Child/adolescent must speak English
排除标准
- •Child/adolescent has a condition that precludes or decreases participation in physical activity
- •Child/adolescent cannot complete a written survey
研究组 & 干预措施
Physical activity intervention co-produced by the community and investigators
This intervention will engage multi-sectoral and multi-generational community members and middle school students for co-producing (co-design, co-implementation, and co-evaluation) contextually-responsive intervention strategies to improve access to active transport and leisure in three middle school communities.
干预措施: Active Middle School Communities (Behavioral)
Usual environmental and programmatic programs
During the trial, three comparison school communities will not receive the intervention and will engage in usual environmental and programmatic programs. After the trial is completed, these schools will receive a modified version of the programs and strategies developed in the intervention arm (delayed intervention).
结局指标
主要结局
Child/adolescent physical activity
时间窗: Baseline, 12 months (initial effectiveness), and 24 months (sustainability)
Measured using Accelerometry to determine minutes of moderate-to-vigorous physical activity (MVPA)
次要结局
- Percentage of children/adolescents using active transport to/from school(Data will be collected for 4 years in both fall and spring each year (Years 2-5) for 8 data points.)
研究者
Deanna Hoelscher
Regional Dean, Professor
The University of Texas Health Science Center, Houston