Are Interventions Supporting Physical ACtivity modified by the Environment (InSPACE)?

支持身体活动的干预措施是否受到环境的影响（InSPACE）？

• 批准号: 10398899
• 负责人: BRIAN E SAELENS
• 金额: $ 86万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10398899
• 关键词: Adult; Affect; Age; Behavior; Behavioral Medicine; Cessation of life; Characteristics; Communities; Computer software; Counseling; Country; Data; Data Pooling; Demographic Factors; Demographic Impact; Development; Educational Intervention; Effectiveness of Interventions; Employment; Environment; Environmental Monitoring; Environmental Risk Factor; Ethnic Origin; Geographic Locations; Health; Health Benefit; Health behavior; Home; Household; Income; Individual; Informatics; Intervention; Intervention Trial; Life Style; Link; Location; Maintenance; Malignant Neoplasms; Measurement; Measures; Moderate Exercise; Modification; Neighborhoods; Observational Study; Outcome; Participant; Physical activity; Population; Privacy; Race; Research; Services; Social Environment; Socioeconomic Status; Standardization; Testing; Time; United States; United States National Institutes of Health; Walking; Youth; base; built environment; cardiovascular disorder risk; density; efficacious intervention; environmental intervention; exercise intervention; experience; follow up assessment; improved; inclusion criteria; individual response; innovation; intervention effect; land use; physical inactivity; population health; post intervention; premature; recruit; scale up; sex; skills; social; sociodemographics; tool; user-friendly; walkability

Most youth and adults in the U.S. do not meet recommended levels of physical activity, despite the significant and extensive health benefits associated with being sufficiently active. Interventions to increase physical activity are critical to improving an individuals' and population health. However, generally efficacious interventions may not be consistently effective across individuals. Personalized behavioral medicine in which interventions are tailored to the context in which individuals are attempting to improve health behaviors remains a nascent field. Among context factors, built and social environment factors within the home neighborhood are related cross-sectionally to individuals' physical activity (e.g., residents in more walkable neighborhoods are generally more active). However, cross-sectional observational studies do not identify whether or which environmental factors are facilitators or barriers to attempts to increase physical activity. The proposed InSPACE project examines whether and which home neighborhood built and social environment factors affect individuals' response to physical activity interventions. We propose to recruit and engage with 50+ physical activity intervention trials across the country to generate comprehensive and consistent measures of objective built (e.g., residential density) and social (e.g., median household income) neighborhood environment linked to individual participants within each trial. Advances in the availability of national spatial data and an innovative user-friendly tool to create and attribute environmental measures to anywhere in the U.S. (the Automatic Context Measurement Tool) makes InSPACE timely and feasible. Environmental, physical activity outcome, and demographic data will be harmonized across trials and pooled to allow for robust testing of environmental effect modification of physical activity intervention not possible within single trials. In addition, pooled data will allow for testing of whether critical individual-level demographic factors, such as age and race/ethnicity, interact with neighborhood environmental factors in affecting physical activity intervention outcome. Guided by an expert scientific advisory council, findings from InSPACE have the potential to rapidly and efficiently identify who will be responsive to existing efficacious physical activity interventions in what contexts and encourage innovation in changing interventions to better match individuals' environmental contexts when attempting to increase physical activity.

尽管 与充分活跃有关的重大健康益处。 增加体育锻炼的干预措施对于改善个人和人口至关重要 健康。但是，通常有效的干预措施可能不会持续有效 个人。个性化的行为医学，其中干预措施是根据上下文量身定制的 个人试图改善健康行为仍然是一个新生的领域。之中 背景因素，家庭社区内的建筑环境因素与社会环境因素相关 横截面与个人的体育锻炼（例如，在更多可步行的社区中的居民 通常更活跃）。但是，横截面观察研究没有识别 是或哪些环境因素是促进者还是试图增加的障碍 体育锻炼。拟议的Inspace项目检查了是否以及哪个家 邻里建造和社会环境因素会影响个人对身体的反应 活动干预措施。我们建议招募50多个体育活动干预 全国各地的试验，以产生全面和一致的构建措施 （例如，住宅密度）和社会（例如，家庭收入中位数）社区 在每个试验中与个人参与者相关的环境。可用性的进步 国家空间数据和创新的用户友好工具来创建和归因环境 美国任何地方的措施（自动上下文测量工具）使IMEDACE 及时可行。环境，身体活动结果和人口统计数据将是 在试验中进行协调并汇总以允许对环境效应进行强有力的测试 在单个试验中不可能修改身体活动干预措施。另外，合并 数据将允许测试关键的个人水平人口统计学因素（例如年龄）是否 和种族/种族，与邻里环境因素互动时影响体育锻炼 干预结果。由专家科学咨询委员会指导，Inspace的调查结果 有可能快速有效地确定谁将对现有有效的反应 体育锻炼干预措施在哪种情况下并鼓励创新改变 尝试增加时，干预措施以更好地匹配个人的环境环境 体育锻炼。