Impacting the physical activity confidence of children with medical conditions or disabilities: A randomized controlled trial.

IF 2 4区医学 Q2 PEDIATRICS

Paediatrics & child health Pub Date : 2025-03-27 eCollection Date: 2025-07-01 DOI:10.1093/pch/pxae085

Hana Alazem, Jenna Yaraskavitch, Angelica Blais, Anna M McCormick, Jane Lougheed, Christine Lamontagne, Kristian B Goulet, Anne Tsampalieros, Leanne M Ward, Sherri Lynne Katz, Marie-Eve Robinson, Lesleigh S Abbott, Thomas A Kovesi, John J Reisman, Daniela Pohl, Richard J Webster, Patricia E Longmuir

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引用次数: 0

Abstract

Objectives: Youth with medical conditions or disabilities (MCD) seldom achieve healthy physical activity recommendations. Barriers include a perceived lack of competence, fear of pain/symptom exacerbation, or physical function changes. A 12-week intervention targeting physical activity confidence was evaluated among youth with MCD.

Methods: This three-arm randomized controlled trial (in-person/virtual/control) enrolled youth (8 to 18 years) requiring ongoing medical care from tertiary paediatric clinics. Readiness Ruler (motivation ≥4/10, confidence ≤8/10) determined eligibility. Blinded assessments (0, 3, and 6 months) were total motivation/confidence (Canadian Assessment of Physical Literacy), physical activity (7-day accelerometry), screen time, and sleep behaviours. Intervention (2 h × 12 weeks, in-person or virtual) combined game/sport skills with activity participation and education.

Results: Sixty-three youth (of 111 randomized) with baseline total motivation/confidence below recommended levels among 31 children and 32 adolescents (51% male, mean age 13.1 ± 3.0 years). In a model adjusted for age and baseline confidence, activity confidence at 3 months was higher among in-person intervention participants compared with control participants (beta = 1.7 [95% Confidence Interval (CI): 0.3, 3.1], P = 0.02). Higher confidence was associated with higher physical activity (r = 0.30; P = 0.01) and decreased sedentary time (r = 0.74; P < 0.001).

Conclusions: Youth who were confident were more likely to engage in physical activity. The in-person intervention increased participants' activity confidence. The limited impact of the virtual format suggests that implementing new skills with peers is critically important for enhancing activity confidence. Further research is required to evaluate whether confidence gains could be sustained beyond the study intervention, would longitudinally increase activity participation over time, or would transfer to other activity settings.

Clinical trial registration: The study was registered at ClinicalTrials.gov (NCT04106154).

查看原文本刊更多论文

影响身体状况或残疾儿童的身体活动信心：一项随机对照试验。

目的：有医疗条件或残疾（MCD）的青少年很少达到健康的身体活动建议。障碍包括感知能力的缺乏，对疼痛/症状加重的恐惧，或身体功能的改变。对患有MCD的青少年进行为期12周的身体活动信心干预。方法：这项三组随机对照试验（真人/虚拟/对照）招募了需要在三级儿科诊所持续接受医疗护理的青年（8至18岁）。准备度标尺（动机≥4/10，置信度≤8/10）确定资格。盲法评估（0、3和6个月）包括总动机/信心（加拿大身体素养评估）、身体活动（7天加速测量）、屏幕时间和睡眠行为。干预（2小时× 12周，面对面或虚拟）将游戏/运动技能与活动参与和教育相结合。结果：在31名儿童和32名青少年（51%男性，平均年龄13.1±3.0岁）中，有63名青少年（111名随机分组）的基线总动机/信心低于推荐水平。在年龄和基线置信度调整后的模型中，面对面干预参与者在3个月时的活动置信度高于对照组（β = 1.7[95%置信区间（CI）： 0.3, 3.1], P = 0.02）。较高的自信与较高的体力活动相关(r = 0.30；P = 0.01)和减少久坐时间(r = 0.74；结论：自信的青少年更有可能参加体育活动。面对面的干预增加了参与者的活动信心。虚拟形式的有限影响表明，与同伴一起实施新技能对于增强活动信心至关重要。需要进一步的研究来评估信心的增加是否可以在研究干预之后持续，是否会随着时间的推移纵向地增加活动的参与，或者是否会转移到其他活动环境中。临床试验注册：该研究已在ClinicalTrials.gov注册（NCT04106154）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics & child health 医学-小儿科

CiteScore

2.10

自引率

5.30%

发文量

208

审稿时长

>12 weeks

期刊介绍： Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country. PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.