Carol Brennan, Evangeline Streight, Shishi Cheng, Ryan E Rhodes
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引用次数: 0
Abstract
Background: Children and adolescents are at increased risk of adverse health consequences linked to physical inactivity. Parental support is positively correlated with children and adolescents' physical activity (PA) levels. As a result, family-based interventions are acknowledged as an effective strategy for enhancing PA among this cohort. However, the effects of these interventions on child and adolescent PA are often inconsistent, with calls for more in-depth understanding of the contextual issues related to intervention implementation and parents' experiences of interventions. The purpose of this review was to appraise and synthesize qualitative research regarding parents' experiences of family-based PA interventions.
Methods: Seven databases (MEDLINE, PsycINFO, SportDiscus, CINAHL, Web of Science, Scopus, and ProQuest) were searched for studies published from inception to January 2024 that included qualitative evaluative data of parents' experiences of family-based PA interventions. The research quality of included studies was appraised using the Critical Appraisal Skills Programme. Qualitative data were extracted and thematically synthesized.
Results: A total of 7,770 articles were screened, of which 82 independent studies were included in the final synthesis. Three analytic themes were generated. (1) The reasons why parents enrolled in family-based interventions and the perceived benefits for parents, children, and families; (2) Parents' perspectives on intervention components, including their satisfaction, coherence, and suggestions for improvement; (3) The social and environmental factors shaping parents' intervention experiences and parental PA support. Findings show the benefits of PA, being a good role model and spending time together as motives for enrollment. Parents perceived child or adolescent's PA confidence and overall well-being and family functioning improved. Parents presented mixed views about planning, goal setting, self-monitoring, intervention materials and resources, and delivery. Child or adolescents' interest, social connections, financial constraints and availability of resources impacted parental engagement.
Conclusions: This novel and comprehensive review offers practical recommendations to guide intervention development and inform future policy and practice such as: consider using co-design methods and social network analysis; promoting the benefits of PA on family functioning during recruitment; strengthening parents PA support identities; provide opportunities for social support for families post-intervention and educate coaches to create an environment of inclusivity and enjoyment.
背景：儿童和青少年面临与缺乏身体活动相关的不良健康后果的风险增加。父母支持与儿童青少年身体活动水平呈正相关。因此，以家庭为基础的干预措施被认为是在这一队列中加强PA的有效策略。然而，这些干预措施对儿童和青少年PA的影响往往不一致，需要更深入地了解与干预措施实施和父母干预经验相关的背景问题。本综述的目的是评估和综合定性研究关于父母的经验，以家庭为基础的PA干预。方法：检索七个数据库（MEDLINE, PsycINFO, SportDiscus， CINAHL, Web of Science， Scopus和ProQuest），检索从成立到2024年1月发表的研究，包括基于家庭的PA干预的父母体验的定性评估数据。纳入研究的研究质量使用关键评估技能程序进行评估。提取定性数据并进行主题合成。结果：共筛选7770篇文章，其中82篇独立研究纳入最终的综合。生成了三个分析主题。(1)父母参与家庭干预的原因以及对父母、孩子和家庭的感知收益；(2)家长对干预要素的看法，包括满意度、一致性和改进建议；(3)社会环境因素对父母干预体验和父母PA支持的影响。研究结果表明，PA的好处是，作为一个好的榜样，花时间在一起是入学的动机。父母认为孩子或青少年的私人助理信心和整体福祉和家庭功能得到改善。家长们对计划、目标设定、自我监督、干预材料和资源以及实施等方面的看法不一。儿童或青少年的兴趣、社会关系、经济约束和资源的可用性影响父母的参与。结论：这项新颖而全面的综述为指导干预措施的发展和为未来的政策和实践提供了实用的建议，例如：考虑使用共同设计方法和社会网络分析；在招聘期间推广PA对家庭功能的益处；加强家长PA支持认同；为干预后的家庭提供社会支持的机会，并教育教练创造一个包容和快乐的环境。试验注册：PROSPERO CRD42023421539。
期刊介绍：
International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain.
IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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