Are Interventions Supporting Physical ACtivity modified by the Environment (InSPACE)?

支持身体活动的干预措施是否受到环境的影响（InSPACE）？

• 批准号: 10821815
• 负责人: BRIAN E SAELENS
• 金额: $ 3.22万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10821815
• 关键词: Adult; Affect; Age; Behavior; Behavioral Medicine; Cessation of life; Characteristics; Collaborations; Communities; Computer software; Counseling; Country; Data; Data Pooling; Demographic Factors; Demographic Impact; Development; Educational Intervention; Effectiveness of Interventions; Employment; Environment; Environmental Monitoring; Environmental Risk Factor; Ethnic Origin; Geographic Locations; Health; Health Benefit; Health behavior; Home; Household; Income; Individual; Informatics; Intervention; Intervention Trial; Life Style; Link; Location; Maintenance; Malignant Neoplasms; Measurement; Measures; Moderate Exercise; Modification; Neighborhoods; Observational Study; Outcome; Participant; Physical activity; Population; Privacy; Race; Recommendation; Recreation; Research; Services; Social Environment; Socioeconomic Status; Standardization; Testing; United States; United States National Institutes of Health; Walking; Youth; built environment; cardiovascular disorder risk; contextual factors; density; efficacious intervention; exercise intervention; experience; follow up assessment; improved; inclusion criteria; individual response; innovation; intervention effect; land use; physical inactivity; population health; post intervention; premature; recruit; scale up; sex; skills; social; sociodemographics; tool; user-friendly; walkability

Most youth and adults in the U.S. do not meet recommended levels of physical activity, despite the significant and extensive health benefits associated with being sufficiently active. Interventions to increase physical activity are critical to improving an individuals' and population health. However, generally efficacious interventions may not be consistently effective across individuals. Personalized behavioral medicine in which interventions are tailored to the context in which individuals are attempting to improve health behaviors remains a nascent field. Among context factors, built and social environment factors within the home neighborhood are related cross-sectionally to individuals' physical activity (e.g., residents in more walkable neighborhoods are generally more active). However, cross-sectional observational studies do not identify whether or which environmental factors are facilitators or barriers to attempts to increase physical activity. The proposed InSPACE project examines whether and which home neighborhood built and social environment factors affect individuals' response to physical activity interventions. We propose to recruit and engage with 50+ physical activity intervention trials across the country to generate comprehensive and consistent measures of objective built (e.g., residential density) and social (e.g., median household income) neighborhood environment linked to individual participants within each trial. Advances in the availability of national spatial data and an innovative user-friendly tool to create and attribute environmental measures to anywhere in the U.S. (the Automatic Context Measurement Tool) makes InSPACE timely and feasible. Environmental, physical activity outcome, and demographic data will be harmonized across trials and pooled to allow for robust testing of environmental effect modification of physical activity intervention not possible within single trials. In addition, pooled data will allow for testing of whether critical individual-level demographic factors, such as age and race/ethnicity, interact with neighborhood environmental factors in affecting physical activity intervention outcome. Guided by an expert scientific advisory council, findings from InSPACE have the potential to rapidly and efficiently identify who will be responsive to existing efficacious physical activity interventions in what contexts and encourage innovation in changing interventions to better match individuals' environmental contexts when attempting to increase physical activity.

尽管美国的大多数青少年和成年人都没有达到建议的身体活动水平 充分活跃所带来的显着而广泛的健康益处。 增加身体活动的干预措施对于改善个人和人口的健康状况至关重要 健康。然而，通常有效的干预措施可能不会在各个领域始终有效 个人。个性化行为医学，根据具体情况制定干预措施 个人试图改善健康行为仍然是一个新兴领域。之中 周围环境因素、建筑和社会环境因素是相关的 横截面到个人的身体活动（例如，更适合步行的社区的居民 一般都比较活跃）。然而，横断面观察研究并未确定 是否或哪些环境因素是努力增加的促进因素或障碍 体力活动。拟议的 InSPACE 项目检查是否以及哪个家庭 社区建设和社会环境因素影响个人对物理的反应 活动干预。我们建议招募并参与 50 多项体育活动干预 在全国范围内开展试点，以制定全面、一致的目标衡量标准 （例如，居住密度）和社会（例如，家庭收入中位数）社区 每个试验中与个体参与者相关的环境。可用性方面的进步 国家空间数据和一个创新的用户友好工具来创建和归因环境 对美国任何地方的测量（自动上下文测量工具）使 InSPACE 及时、可行。环境、身体活动结果和人口数据将 协调各个试验并进行汇总，以便对环境影响进行可靠的测试 在单次试验中不可能修改身体活动干预措施。此外，还汇集了 数据将有助于测试关键的个人人口统计因素（例如年龄）是否 和种族/民族，与影响身体活动的邻近环境因素相互作用 干预结果。在专家科学咨询委员会的指导下，InSPACE 的研究结果 有潜力快速有效地识别谁将对现有的有效措施做出反应 身体活动在什么情况下进行干预并鼓励改变中的创新 在尝试增加时更好地匹配个人环境背景的干预措施 体力活动。