1 University of Washington, Seattle, WA, USA.
2 Seattle Children's Research Institute, Seattle, WA, USA.
Health Educ Behav. 2018 Oct;45(5):748-755. doi: 10.1177/1090198118769346. Epub 2018 Apr 9.
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.
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.
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).
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).
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.
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。
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。
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。
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])。
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。