Middle School Physical Activity Intervention for Girls

女生中学体育活动干预

• 批准号: 7806632
• 负责人: Lorraine Brenda Robbins
• 金额: $ 14.29万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-15 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7806632
• 关键词: Address; Adherence; Adolescent; Affective; African American; Age; American; Attention; Body Composition; Body Weight decreased; Body fat; Body mass index; Breathing; Cardiovascular alteration; Cardiovascular system; Cognition; Cognitive; Collaborations; Communication; Control Groups; Counseling; Development; Eating; Education; Energy Intake; Environment; European; Female Adolescents; Future; Glean; Goals; Growth; Health; Health Promotion; Healthy People 2010; Individual; Intervention; Measures; Mediating; Metabolic Syndrome X; Modeling; National Heart, Lung, and Blood Institute; Nurses; Obesity; Overweight; Parents; Participant; Patient Self-Report; Physical activity; Prevalence; Protocols documentation; Provider; Questionnaires; Randomized; Recommendation; Recruitment Activity; Research; Research Project Grants; Risk; Role; School Nursing; Schools; Self Efficacy; Social support; Stretching; Testing; Translating; United States National Institutes of Health; Work; Youth; base; behavior change; computerized; design; diabetic; effective intervention; efficacy testing; environmental change; fitness; follow-up; girls; group intervention; improved; innovation; instructor; intervention effect; meetings; middle school; motivational enhancement therapy; novel; obesity in children; prevent; primary outcome; programs; prospective; public health relevance; response; satisfaction; secondary outcome; social cognitive theory; successful intervention; theories; waist circumference

DESCRIPTION (provided by applicant): Over 1.5 million middle school girls in the U.S. are overweight or at risk for becoming overweight. The 10-year NHLBI Growth and Health Study showed that increases in girls' body mass index (BMI) and adiposity were related to a decrease in moderate to vigorous physical activity (MVPA). A sharp decline in girls' MVPA occurs during middle school. The Cochrane Collaboration 2005 review of interventions for preventing obesity in children underscored the need to simultaneously address individual behavior change and the environment in interventions to increase MVPA. The purpose of this study is to test the feasibility of and obtain preliminary evidence of efficacy for a 6-month "Girls on the Move" intervention (guided by the Health Promotion Model and Social Cognitive Theory). The intervention involves motivational, individually tailored counseling plus after- school physical activity (PA) to increase MVPA and cardiovascular (CV) fitness, as well as improve body composition and cognition and affective responses related to MVPA among 6th-grade girls. Specifically, it consists of a 90-minute after-school PA Club that includes MVPA and 6 one-on-one monthly motivational, individually tailored counseling sessions with a registered (school) nurse during the school day to support each girl's continued MVPA. Applying the motivational interviewing communication style, the school nurse will individually tailor the counseling based upon each girl's key responses gleaned from computerized questionnaires assessing cognitive and affective variables related to MVPA. One middle school will be randomly assigned to receive the intervention and another to serve as attention control. School nurses have had limited involvement in school-based PA interventions to date. Our study offers an innovative approach for acquiring essential evidence regarding nurse counseling as a means for assisting girls to increase and maintain MVPA. If successful, this intervention can be translated to other programs (e.g., diabetic education and weight reduction). Specific aims are: 1. Evaluate the feasibility of the intervention related to (1) girls' participation; (2) adherence to protocols; and (3) user and provider (nurse and PA Club instructors) satisfaction. 2. Explore if participants in the intervention group, compared to those in the control group, show improvement in the primary outcome of minutes of MVPA (measured by accelerometer), and also secondary outcomes of self-report of MVPA, CV fitness, BMI, percent body fat, and waist circumference at 6 months. 3. Explore if the primary outcome is mediated by cognitive (perceived benefits of PA, perceived barriers to PA, PA self-efficacy, social support, norms, models) and affective (enjoyment of PA) variables. 4. Explore if participants in the intervention group, compared to those in the control group, have greater minutes of MVPA at 7 months. PUBLIC HEALTH RELEVANCE: Our novel, comprehensive, and theory-driven intervention for middle school girls includes motivational, individually tailored counseling from a school nurse and an opportunity for physical activity at their school. This approach addresses Healthy People 2010 objectives to improve the health of youth by assisting girls to achieve national recommendations for moderate to vigorous physical activity.

描述（由申请人提供）：美国超过150万中学女生超重或有超重的风险。 NHLBI的10年生长和健康研究表明，女孩体重指数（BMI）和肥胖的增加与中度至剧烈的体育锻炼（MVPA）的减少有关。中学期间，女孩的MVPA急剧下降。 Cochrane合作2005年对防止儿童肥胖的干预措施的综述强调了同时解决个人行为变化和干预措施中的环境以增加MVPA的需要。这项研究的目的是测试6个月的“移动女孩”干预措施的疗效的可行性并获得疗效的初步证据（在健康促进模型和社会认知理论的指导下）。干预涉及动机，单独量身定制的咨询以及学校体育锻炼（PA），以增加MVPA和心血管（CV）健身，并改善了6年级女孩中与MVPA相关的身体组成和认知以及情感反应。具体来说，它由一个90分钟的课后PA俱乐部组成，其中包括MVPA和6次一对一的每月励志，单独量身定制的咨询会议，并在上学期间，并在上学期间提供注册（学校）护士，以支持每个女孩的MVPA持续的MVPA。采用激励性访谈沟通方式，学校护士将根据每个女孩的关键回答分别量身定制咨询，这些回答是根据评估与MVPA相关的认知和情感变量的计算机调查表收集的。一所中学将被随机分配接受干预措施，而另一种中学则作为注意力控制。迄今为止，学校护士参与了学校的PA干预措施。我们的研究提供了一种创新的方法，用于获得有关护士咨询的基本证据，以此作为帮助女孩增加和维持MVPA的一种手段。如果成功，则可以将这种干预措施转化为其他计划（例如糖尿病教育和减轻体重）。具体目的是：1。评估与（1）女孩参与有关的干预措施的可行性； （2）遵守协议； （3）用户和提供者（护士和PA俱乐部教练）满意。 2.探讨干预组的参与者与对照组的参与者相比显示出MVPA分钟的主要结果（通过加速度计测量）以及MVPA自我报告的次要结果，CV适应性，BMI，体内脂肪百分比和腰围的次要结果。 3.探索主要结果是否是由认知介导的（PA的感知益处，对PA的障碍，PA自我效能感，社会支持，规范，模型）和情感（享受PA）变量的介导。 4.探索干预组的参与者与对照组的参与者在7个月时的MVPA分钟更大。公共卫生相关性：我们针对中学女生的小说，全面和理论驱动的干预包括学校护士的动机，单独量身定制的咨询以及在学校进行体育锻炼的机会。这种方法通过协助女孩提出适度至有力的体育锻炼的国家建议来解决健康的2010年健康目标，以改善青年的健康。

项目成果

Treatment fidelity of motivational interviewing delivered by a school nurse to increase girls' physical activity.

学校护士进行动机访谈的治疗保真度，以增加女孩的身体活动。

• DOI: 10.1177/1059840511424507
• 发表时间: 2012
• 期刊: The Journal of school nursing : the official publication of the National Association of School Nurses
• 作者: Robbins,LorraineB;Pfeiffer,KarinA;Maier,KimberlyS;Ladrig,StaceyM;Berg-Smith,StevenMalcolm
• 通讯作者: Berg-Smith,StevenMalcolm

Demographic, cognitive, affective, and behavioral variables associated with overweight and obesity in low-active girls.

• DOI: 10.1016/j.pedn.2014.06.002
• 发表时间: 2014-11
• 期刊: JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES
• 影响因子: 2.4
• 作者: Vanden Bosch, Melodee L.;Robbins, Lorraine B.;Pfeiffer, Karin A.;Kazanis, Anamaria S.;Maier, Kimberly S.
• 通讯作者: Maier, Kimberly S.