Girls on the Move Intervention

移动中的女孩干预

• 批准号: 8715847
• 负责人: Lorraine Brenda Robbins
• 金额: $ 74.96万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8715847
• 关键词: Address; Administrator; Adolescent; Adoption; Affective; African American; Age; Alcohols; American; American Heart Association; Behavior; Behavioral; Body fat; Body mass index; Brothers; Cardiovascular system; Cessation of life; Cognitive; Communication; Communities; Competence; Counseling; Disadvantaged; Eating; Educational workshop; Evaluation; Feedback; Feeling; Female Adolescents; Glean; Goals; Health; Health Promotion; Heart; Hour; Individual; Internet; Intervention; Lead; Measures; Mediating; Minority; Modeling; Monitor; Motivation; Nurses; Obesity; Outcome; Overdose; Overweight; Pattern; Pharmaceutical Preparations; Physical Education; Physical activity; Prevalence; Qualifying; Questionnaires; Race; Randomized; Recommendation; Recording of previous events; Recruitment Activity; Risk; Running; Sampling; School Nursing; School-Age Population; Schools; Self Determination; Self Efficacy; Social support; Sports; Thinking; Time; Weight; Weight Gain; Work; base; comparison group; computerized; demographics; driving behavior; efficacy testing; eighth grade; falls; fitness; follow-up; girls; health disparity; heme oxygenase-1; high school; improved; inclusion criteria; innovation; instructor; junior high school; low socioeconomic status; male; meetings; motivational enhancement therapy; novel; post intervention; primary outcome; programs; public health priorities; randomized trial; response; school health; screening; secondary outcome; stressor; teacher; theories; tool

DESCRIPTION (provided by applicant): Only 3.4 percent of girls of middle school age meet physical activity (PA) recommendations. As middle school girls progress from 6th- to 8th- grade, moderate to vigorous physical activity (MVPA) declines 4 percent per year, contributing to weight gain. The decline is particularly evident among urban, minority girls of low socioeconomic status (SES), supporting that increasing MVPA is a vital public health priority for this group. The 17-week "Girls on the Move" (GOTM) intervention applies the Health Promotion Model (HPM) and Self- Determination Theory (SDT) and has 3 components. Two individual-level components occurring during school hours include: (1) a 15-minute face-to-face motivational, individually tailored counseling session with a school nurse to support each girl's MVPA (0 wks.), and (2) an interactive Internet-based counseling session during which each girl receives motivational, individually tailored feedback messages (9 wks.). At both sessions, counseling reflects the motivational interviewing communication style and is individually tailored based on each girl's key responses gleaned from computerized questionnaires assessing thoughts and feelings about PA. A group-level component, 90-min. PA Club (offered 4 days/wk.), includes MVPA and provides an important venue after school for assisting girls to establish a behavioral pattern of MVPA. PA Club instructors lead the PA Club (e.g., qualified individuals from community; teachers, including physical education; and sports team coaches). To bridge the gap between the after-school PA Club and the counseling during school hours, the school nurse attends the PA Club two times per month to do MVPAs with the girls and offer encouragement. The aim of the 5-year school-based group randomized trial is to evaluate the efficacy of the GOTM intervention in increasing middle school girls' minutes of MVPA (primary outcome) and improving cardiovascular (CV) fitness, body mass index, and percent body fat (secondary outcomes), immediately post-intervention and at 9- month follow-up. Cognitive and affective mediating variables include: perceived benefits of PA (HPM), barriers to PA (HPM), PA self-efficacy (HPM), social support (HPM), enjoyment (HPM), and motivation (SDT), all of which are related to MVPA. In addition to addressing all mediating variables, each intervention component incorporates three basic needs proposed by SDT for promoting intrinsic motivation to drive behavior: competence, autonomy, and relatedness. Based on demographics of the schools, a low-SES, mixed-race, predominately African American, sample is expected. Eight urban schools will be randomly assigned to the PA intervention (n = 4) or comparison condition (n = 4) in the fall of yrs. 2, 3, and 4 (total N = 8 X 3 = 24 different schools). Sixty-two girls will be recruited in each school during each of the three years. The comparison condition will include two 90-minute health-promoting workshops. Our long-term goal is to increase MVPA as a means to address the high overweight and obesity prevalence among adolescent girls, thus reducing their risk for adverse CV health outcomes.

描述（由申请人提供）：只有3.4％的中学时代女孩符合体育锻炼（PA）建议。随着中学女孩从6年级发展到8年级，中度到剧烈的体育锻炼（MVPA）每年下降4％，导致体重增加。在社会经济地位低下的城市，少数族裔女孩中，下降尤其明显，这支持MVPA增加是该群体的重要公共卫生优先事项。 17周的“移动女孩”（GOTM）干预应用了健康促进模型（HPM）和自我确定理论（SDT），并具有3个组成部分。上学时间发生的两个个人级别的组件包括：（1）与学校护士进行15分钟的面对面动机，单独量身定制的咨询会议，以支持每个女孩的MVPA（0 wks。），以及（2）一个基于Internet的互动式咨询会议，在此期间，每个女孩都会在该课程中接受激励性的，单独量身定制的反馈消息（9 WKS）。在这两个课程中，咨询都反映了动机访谈的沟通方式，并根据每个女孩的关键回答从计算机化问卷中收集到的，评估对PA的想法和感受。组级组件，90分钟。 PA Club（提供4天/周），包括MVPA，并在放学后提供了一个重要的场所，以帮助女孩建立MVPA的行为模式。 PA俱乐部教练领导PA俱乐部（例如，来自社区的合格个人；包括体育教育在内的老师；运动队教练）。为了弥合课后PA俱乐部与上学时间的咨询之间的差距，学校护士每月两次参加PA俱乐部，与女孩们一起做MVPA并提供鼓励。 5年基于学校的小组随机试验的目的是评估GOTM干预措施在增加中学女生的MVPA（主要结果）和改善心血管（CV）适应性，体重指数和体内脂肪百分比（次要结果），立即在交流后和9个月的随访中的疗效。认知和情感中介变量包括：PA（HPM）的感知益处，PA（HPM）障碍（HPM），PA自我效能感（HPM），社会支持（HPM），享受（HPM）和动机（SDT），所有这些都与MVPA有关。除了解决所有中介变量外，每个干预组件还纳入了SDT提出的三种基本需求，以促进行为的内在动机：能力，自主权和相关性。根据学校的人口统计，预期样本是低调，混合赛车，主要是非裔美国人。八年级的八所城市学校将被随机分配给PA干预措施（n = 4）或比较条件（n = 4）。 2、3和4（总n = 8 x 3 = 24个不同的学校）。在三年中的每一年中，每所学校都会招募62个女孩。比较条件将包括两个90分钟的促进健康的研讨会。我们的长期目标是增加MVPA，以此作为解决青少年女孩的高度超重和肥胖症患病率的一种手段，从而降低了他们对CV健康不良健康结果的风险。