Comparative effectiveness of social physical play and traditional exercise programming

社交体育游戏与传统锻炼计划的效果比较

基本信息

批准号：
9791470
负责人：
CHRISTOPHER N. SCIAMANNA
金额：
$ 70.79万
依托单位：
PENNSYLVANIA STATE UNIV HERSHEY MED CTR
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9791470
关键词：
Accelerometer Adherence Adult Aerobic Affective Affordable Care Act Anxiety Area Blood Pressure Breathing Chronic Counseling Cumulative Trauma Disorders Energy Metabolism Enrollment Exercise Exercise Physiology Fitness Centers Future Goals Health Health Personnel Heart Diseases Injury Intervention Laughter Lead Life Loneliness Manufactured football Measures Mediating Mental Depression Mental Health Modeling Outcome Participant Patients Physical activity Physicians Pilot Projects Play Preventive service Primary Health Care Provider Psychology Published Comment Randomized Randomized Controlled Trials Recommendation Research Research Personnel Risk Savings Schedule Self Efficacy Side Soccer Social Interaction Social Network Sports Stroke Tennis Testing Time Work base comparative effectiveness compare effectiveness cost court design exercise program experience fitness improved light weight middle age physical conditioning pressure programs public health relevance randomized trial recruit response satisfaction sedentary social standard care trial comparing

Accelerometer Adherence Adult Aerobic Affective Affordable Care Act Anxiety Area Blood Pressure Breathing Chronic Counseling Cumulative Trauma Disorders Energy Metabolism Enrollment Exercise Exercise Physiology Fitness Centers Future Goals Health Health Personnel Heart Diseases Injury Intervention Laughter Lead Life Loneliness Manufactured football Measures Mediating Mental Depression Mental Health Modeling Outcome Participant Patients Physical activity Physicians Pilot Projects Play Preventive service Primary Health Care Provider Psychology Published Comment Randomized Randomized Controlled Trials Recommendation Research Research Personnel Risk Savings Schedule Self Efficacy Side Soccer Social Interaction Social Network Sports Stroke Tennis Testing Time Work base comparative effectiveness compare effectiveness cost court design exercise program experience fitness improved light weight middle age physical conditioning pressure programs public health relevance randomized trial recruit response satisfaction sedentary social standard care trial comparing

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项目摘要

Fewer than 1 in 10 middle-aged US adults get the recommended amount of aerobic physical activity (PA), greatly increasing their chances of heart disease and stroke. There are over 50 million adults with fitness center memberships, which are used only once per month and, after joining new programs, people quickly stop coming. While many barriers to PA have been cited (e.g., time, cost), we believe that a key, modifiable, and underappreciated barrier is that most adults simply do not enjoy physical activity enough to do it regularly. Studies consistently observe that people who enjoy physical activity more are more likely to be more active in the future. Despite this consistent observation, we are not aware of studies that ask “Would an adult PA program designed to maximize enjoyment increase PA adherence and fitness?”. In 2015, our team set out to design an exercise program for adults that maximized enjoyment. Taking inspiration from Pickleball, a popular game of modified tennis, our team created PlayFit. PlayFit is an exercise program in which adults come together three times each week to play a range of sports, all modified to 1) reduce effort (e.g., smaller playing area), 2) reduce injuries (e.g., lightweight low-pressure balls) and 3) reduce competitiveness (e.g., teams chosen randomly, minimize physical contact, no keeping score). Pilot work in the summer of 2016 with 22 adults identified five modified sports that all had MET levels between 5.5 and 6.5 and high satisfaction scores (average of 8.0 out of 10). More importantly, the comments suggest that we have created a social, enjoyable experience: “that was SO much fun”, “I’ve never had so much fun playing soccer”. People liked “the laughter during the games”, “no pressure, not competitive” and that “it’s not about ability, it’s just about having fun with people”. In this study, we propose testing whether PlayFit leads to greater fitness gains, compared to group fitness, to help providers understand in a way that helps providers and fitness center staff understand: “What exercise program should I recommend to promote long-term adherence and fitness?”. All subjects will be expected to exercise three-times weekly for 60 minutes for 12 months. We will randomly assign 280 adults to two conditions: 1) Group Fitness activities and 2) PlayFit. We hypothesize that both PlayFit and Group Fitness will increase V02max significantly at 6 months but, after 12 months, mediated by greater enjoyment and higher adherence, participants randomized to PlayFit will have greater fitness and activity gains at 12 months than Group Fitness. The results of this study have the potential to help patients, providers and fitness center directors by answering the question: “What exercise program should be recommended to sedentary adults in order to promote long-term adherence and fitness?"

在10个中年成年人中，只有不到1个中年的成年人获得了建议的有氧体育锻炼（PA），大大增加了他们患心脏病和中风的机会。有超过5000万的成年人健身中心会员资格，每月仅使用一次，加入新计划后，人们很快停止未来。尽管已经引用了许多宾夕法尼亚州的障碍（例如，时间，成本），但我们认为这是一个关键，可修改和被低估的障碍是，大多数成年人根本没有足够的体育锻炼来定期进行体育锻炼。研究一致观察到，享受体育锻炼的人更有可能更活跃未来。尽管观察到了这种一致的观察旨在最大化享受的计划增加了PA的依从性和健身？在2015年，我们的团队着手为成人设计锻炼计划，以最大程度地提高享受。从流行的Pickleball中汲取灵感修改后的网球游戏，我们的团队创建了PlayFit。 PlayFit是一个运动计划，成年人来每周一起进行一系列运动，所有这些都被修改为1）减少努力（例如，较小的演奏区域），2）减少伤害（例如，轻巧的低压球）和3）降低竞争力（例如，团队随机选择，最大程度地减少身体接触，无保留得分）。 2016年夏天的飞行员工作22 成人确定了五项修改运动，所有运动都达到5.5至6.5之间的水平和高满意度得分（平均为10分中的8.0）。更重要的是，评论表明我们创造了一个社交，愉快的经验：“那真是太有趣了”，“我从来没有那么有趣的踢足球”。人们喜欢“笑声在奥运会期间”，“没有压力，没有竞争力”，“这与能力无关，而是要与人们。健身，以帮助提供者理解以帮助提供者和健身中心工作人员理解的方式：“什么我应该建议锻炼计划以促进长期遵守和健身吗？”。所有主题都将是预计将每周运动三倍，持续60分钟，持续12个月。我们将随机分配280名成年人两个条件：1）小组健身活动和2）PlayFit。我们假设PlayFit和Group Fitness 在6个月时将大大增加V02max 依从性，在12个月时随机进行PlayFit的参与者将具有更大的健身和活动增长团体健身。这项研究的结果有可能帮助患者，提供者和健身中心董事回答以下问题：“应该向久坐的成年人推荐什么运动计划为了促进长期依从性和健身吗？”