Physical activity in parks: A randomized controlled trial using community engagement.

Physical activity in parks: A randomized controlled trial using community engagement.
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DOI:
10.1016/j.amepre.2013.06.015
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发表时间:
2013-11
影响因子:
5.5
通讯作者:
McKenzie, Thomas L.
McKenzie, Thomas L.
中科院分区:
医学2区
文献类型:
--
作者:
Cohen, Deborah A.;Han, Bing;Derose, Kathryn Pitkin;Williamson, Stephanie;Marsh, Terry;McKenzie, Thomas L.

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缺乏身体活动是一个重要的健康风险因素,可以在社区一级加以解决。确定是否使用基于社区的参与式方法与公园管理者和公园咨询委员会(PABs)可以增加当地公园的体育活动。我们还测试了让公园管理局参与是否比单独与公园管理者合作更有效。2007年10月至2012年4月的随机对照干预试验,观察者对病情部分设盲。在洛杉矶市的183个符合条件的公园中,有50个为不同人群服务的社区公园/娱乐中心参与了调查。公园被随机分为三个研究组,1)公园主任干预(PD),2)公园咨询委员会干预(PAB/PD),3)对照组。我们系统地观察了每个公园的体育活动,并采访了公园使用者和居住在公园一英里内的居民。干预措施包括评估公园使用情况,从公园使用者和社区居民那里获得反馈,提供推广和营销培训,并为每个干预公园提供4000美元,以增加公园的体育活动。PAB/PD部门要求参与并同意PAB的所有采购。公园使用者人数的变化和身体活动水平的变化,以MET-小时表示。相对于对照公园的身体活动下降,在PD-只有和PAB/PD公园的身体活动增加,产生的估计平均600多人访问/周/公园,和1830 MET-小时更多的身体活动/周/公园。居民和公园使用者都报告锻炼频率增加。仅PD和PAB/PD研究组之间未观察到差异。总体而言,提供关于公园使用和社区观点的反馈,并为公园主管提供关于推广和营销的培训,并提供适度的可自由支配资金,增加了公园中观察到的体育活动量。公园在支持社区体育活动方面发挥着重要作用。
Physical inactivity is an important health risk factor that could be addressed at the community level. To determine whether using a community-based participatory approach with park directors and park advisory boards (PABs) could increase physical activity in local parks. We also tested whether involving PABs would be more effective than working with park directors alone. Randomized controlled intervention trial from 10/2007-4/2012 with partial blinding of observers to the condition. Of 183 eligible parks in the City of Los Angeles, 50 neighborhood park/recreation centers serving diverse populations participated. Parks were randomized to three study arms, 1) Park-director intervention (PD-only), 2) Park Advisory Board intervention (PAB/PD), and 3) a control arm. We systematically observed physical activity in each park and interviewed park users and residents living within one mile of the park. The intervention including assessing park use, obtaining feedback from park users and community residents, offering training on outreach and marketing, and giving each intervention park $4000 to increase park-based physical activity. The PAB/PD arm required participation and concurrence on all purchases by the PAB. Change in the number of park users and change in the level of physical activity, expressed as MET-hours. Relative to control parks where physical activity declined, in both the PD-only and PAB/PD parks physical activity increased, generating an estimated average of 600 more person visits/week/park, and 1830 MET-hours more physical activity/week/park. Both residents and park users reported increased frequency of exercise. No differences were noted between the PD-only and PAB/PD study arms. Overall, providing feedback on park use and community perspectives and offering park directors training on outreach and marketing with modest discretionary funding increased the amount of physical activity observed in parks. Parks have an important role in supporting community level physical activity.
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发表时间: 2011-09-01
影响因子: 5.5
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期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子: --
作者:
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