The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
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DOI：
10.1371/journal.pone.0221684
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发表时间：
2019-09-13
期刊：
影响因子：
3.7
通讯作者：
Issartel, Johann
中科院分区：
文献类型：
--
作者：
Belton, Sarahjane;McCarren, Andrew;Issartel, Johann
青年人身体活动水平低是一个国际性问题，青少年时期与年龄有关的身体活动水平下降尤其令人关切。这项研究评估了一个多组成部分的学校为基础的干预措施（Y-PATH：青少年体育活动促进健康），重点是停止与年龄有关的青少年在青春期早期的身体活动下降。在20所小学后进行了随机分组对照试验（10所对照学校，10所干预学校）。在基线（2013年）和12个月（2014年）从所有20所学校收集数据，并在24个月（2015年）从其中10所学校（5个干预）收集数据。背景是居住在爱尔兰都柏林大面积的混合性别小学后。来自每所学校的校长被要求提名一个一年级班级组参加2013年9月的研究（N = 564）。干预学校实施了Y-PATH全校干预，包括教师组成部分，家长组成部分，体育组件;而控制学校继续与往常一样的照顾。主要结果指标是加速度计得出的每日中度至剧烈体力活动的平均分钟数（MVPA）。分析了2015年10月至2017年11月的数据。在基线时，对490名参与者进行了评估（平均年龄12.78岁±.42岁）。多水平回归分析的结果证实，有一个显着的时间干预效果，这主要是由控制组和干预组之间的差异在女性。调查结果支持的情况下，全国传播的Y-路径干预，使学到的知识可以转化为日常实践中的学校。
Low levels of physical activity in youth are an issue internationally, with the age related decline in levels over the adolescent period of particular concern. This study evaluated a multi-component school-based intervention (Y-PATH: Youth-Physical Activity Towards Health), focused on halting the age-related decline in physical activity of youth in early adolescence. A cluster randomized controlled trial in 20 post primary schools (10 control, 10 intervention) was conducted. Data were collected from all 20 schools at baseline (2013), and 12 months (2014), and from 10 of these schools (5 intervention) at 24 months (2015). The setting was mixed gender post primary schools residing in the greater area of Dublin, Ireland. Principals from each school were asked to nominate one first year class group attending their school in September 2013 to participate in the study (N = 564). Intervention schools implemented the Y-PATH whole school intervention, comprising teacher component, parent component, and PE component; while control schools continued with usual care. The main outcome measure was accelerometer derived average minutes of daily moderate to vigorous physical activity (MVPA). Data were analysed from October 2015 - November 2017. At baseline 490 participants were assessed (mean age 12.78y +/- .42). Results of the multilevel regression analysis confirmed that there was a significant time intervention effect, and this was predominantly contributed by the difference between control and intervention groups within females. Findings support the case for national dissemination of the Y-PATH intervention so that the knowledge learned can be translated to routine practice in schools.