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儿童参与上下学自行车训练对自我效能感和结果预期的变化。

Changes in Self-Efficacy and Outcome Expectations From Child Participation in Bicycle Trains for Commuting to and From School.

机构信息

1 University of Washington, Seattle, WA, USA.

2 Seattle Children's Research Institute, Seattle, WA, USA.

出版信息

Health Educ Behav. 2018 Oct;45(5):748-755. doi: 10.1177/1090198118769346. Epub 2018 Apr 9.

Abstract

BACKGROUND

Active commuting to school (ACS) is associated with increased physical activity and lowered risk of obesity. In observational studies, ACS was associated with child self-efficacy, parent self-efficacy, and parent outcome expectations, although few experiments have assessed changes in these behavioral constructs.

AIM

This study examined the effects of a bicycle train intervention (BTI) on child self-efficacy, parent self-efficacy, and parent outcome expectations in a diverse, low socioeconomic status population.

METHOD

Data were from a 2014 BTI pilot randomized controlled trial (RCT) on fourth to fifth graders aged 9 to 12 years, n = 54, from four schools serving low-income populations in Seattle, Washington. The BTI was a group of children and study staff who cycled together to/from school daily, while controls received no intervention. Responses to validated child self-efficacy, parent self-efficacy, and parent outcome expectations questionnaires ranged from 1 to 3. Adjusted linear mixed effects models estimated standardized coefficients for child self-efficacy, parent self-efficacy, and parent outcome expectations comparing intervention and controls from Time 1 (preintervention) to Time 2 (final 4-6 weeks of intervention).

RESULTS

The intervention group had increases in child self-efficacy of 0.84 standard deviations (95% confidence interval [CI] [0.37, 1.31]), parent self-efficacy of 0.46 standard deviations (95% CI [0.05, 0.86]), and parent outcome expectations of 0.47 standard deviations (95% CI [0.17, 0.76]) compared with controls from Times 1 to 2 (all ps <.05).

CONCLUSION

A BTI improved child self-efficacy, parent self-efficacy, and parent outcome expectations, which warrants a larger RCT to examine long-term changes to these behavioral constructs and ACS.

摘要

背景

积极的上学交通方式(ACS)与增加身体活动和降低肥胖风险有关。在观察性研究中,ACS 与儿童自我效能、父母自我效能和父母期望结果有关,尽管很少有实验评估这些行为结构的变化。

目的

本研究旨在评估自行车训练干预(BTI)对一个多样化、低社会经济地位人群中儿童自我效能、父母自我效能和父母期望结果的影响。

方法

数据来自于 2014 年 BTI 试点随机对照试验(RCT),研究对象为年龄在 9 至 12 岁的四至五年级学生,共 54 人,来自华盛顿西雅图的四所服务于低收入人群的学校。BTI 是一组儿童和研究人员一起每天骑自行车上下学,而对照组则不接受任何干预。经验证的儿童自我效能、父母自我效能和父母期望结果问卷的回答范围为 1 至 3。调整后的线性混合效应模型估计了干预组和对照组从时间 1(干预前)到时间 2(干预的最后 4-6 周)儿童自我效能、父母自我效能和父母期望结果的标准化系数。

结果

与对照组相比,干预组儿童自我效能增加了 0.84 个标准差(95%置信区间[CI] [0.37, 1.31]),父母自我效能增加了 0.46 个标准差(95% CI [0.05, 0.86]),父母期望结果增加了 0.47 个标准差(95% CI [0.17, 0.76])。

结论

BTI 提高了儿童自我效能、父母自我效能和父母期望结果,这需要更大规模的 RCT 来检验这些行为结构和 ACS 的长期变化。

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