Physical activity to improve mental health in adolescents from socio-economically disadvantaged black and minority ethnic and refugee communities

体育活动可改善社会经济弱势群体黑人、少数族裔和难民社区青少年的心理健康

• 批准号: 2594041
• 金额: --
• 依托单位: University of Birmingham
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2594041
• 关键词: Physical; activity; improve; mental; health

In the UK, 20% of adolescents experience mental health problems yearly, of which stress is a leading cause. The period of adolescence represents rapid growth and development characterised by numerous physical, emotional, and social changes. These changes alongside societal pressures from school, families, peers, and social media mean teenagers are more stressed today than they have ever been. Our recent pilot data in adolescents demonstrates that physical activity is associated with lower anxiety and depression, through more adaptive ways of coping with stress. Thus, there is a need for interventions to promote regular physical activity in adolescents to enhance mental health.It is important to recognise that stress, mental health, and physical activity are not equally distributed in society: adolescents from ethnic minorities and/or low socio-economic backgrounds are more likely to experience increased stress and mental health problems.A recent Birmingham community-based BEP project confirmed that stress, anxiety, depression, as well as low rates of seeking mental health support were highly prevalent in a population of South Asian adolescents. This project identified barriers and facilitators of engagement with interventions to support mental health. This project aims to develop a physical activity intervention for adolescents from socio-economically disadvantaged BAMER communities to improve mental health by enhancing more adaptive coping with stress.The specific objectives are: 1) Identify the determinants of physical activity, stress, and mental health in adolescents from socio-economically disadvantaged BAMER communities.2) Co-produce a physical activity intervention to foster better coping with stress to enhance mental health in adolescents from socio-economically disadvantaged BAMER communities.Methodology and TechniquesThis collaborative project will be conducted in the Hodge Hill ward of Birmingham. The ward's communities represent a diverse ethnic population with an above average number of young people living in poverty (e.g., high number of children entitled to free school meals). The characteristics of this ward will enhance the generalisability of the project to other areas in Birmingham and the UK. In line with the person-based approach for the development of behavioural interventions to enhance health (Yardley, 2015), the following mixed-methods approach will be used: 1. Questionnaires and focus groups with adolescents and other stakeholders (e.g., parents, teachers) will examine determinants of physical activity, stress, and mental health in adolescents from socio-economically disadvantaged BAMER communities. 2. Using information from Study 1 and existing physical activity interventions, the physical activity intervention will be co-developed with adolescents, parents, and teachers using a series of workshops. Workshops will address the intervention delivery method, duration, types of physical activity, and ways to support behaviour change.3. Assess the co-produced intervention's feasibility and effectiveness in adolescents. Detailed feedback, participant programme engagement, and effects of the interventions will be obtained using quantitative and qualitative research methods.4. Based on earlier findings, finalise implementation materials to be incorporated as BEP's standard practice, broader dissemination, and complete the PhD thesis. The main anticipated outcome from this collaboration will be a physical activity intervention to support mental health in adolescents from BAMER communities throughout the UK.

在英国，每年有20%的青少年出现心理健康问题，其中压力是主要原因。青春期是快速成长和发展的时期，其特点是身体、情感和社会发生了许多变化。这些变化加上来自学校、家庭、同龄人和社交媒体的社会压力，意味着今天的青少年比以往任何时候都更有压力。我们最近在青少年中的试点数据表明，通过更适应性的方式应对压力，体育活动与较低的焦虑和抑郁有关。因此，有必要采取干预措施，促进青少年定期进行体育活动，以增强心理健康。必须认识到，压力、心理健康和体育活动在社会中分布不均：少数民族和/或低社会经济背景的青少年更有可能经历更大的压力和心理健康问题。最近伯明翰社区的一个BEP项目证实，压力、焦虑、抑郁以及寻求心理健康支持的低比率在南亚青少年中非常普遍。该项目确定了参与支持心理健康的干预措施的障碍和促进因素。该项目旨在为来自社会经济上处于不利地位的BAMER社区的青少年制定一项体育活动干预措施，通过增强对压力的适应性应对来改善心理健康。具体目标是：1)确定社会经济上处于不利地位的BAMER社区青少年的身体活动、压力和心理健康的决定因素。2)共同开展体育活动干预，培养来自社会经济弱势群体的青少年更好地应对压力，以提高他们的心理健康水平。方法和技术本合作项目将在伯明翰的霍奇山病房进行。该区的社区代表了一个多元化的种族人口，生活在贫困中的年轻人的数量高于平均水平（例如，有资格享受免费校餐的儿童人数很多）。该病房的特点将增强该项目在伯明翰和英国其他地区的通用性。根据以人为本的方法来发展行为干预措施，以增强健康（Yardley, 2015），将使用以下混合方法方法：青少年和其他利益攸关方（如家长、教师）的问卷调查和焦点小组将审查社会经济上处于不利地位的BAMER社区青少年身体活动、压力和心理健康的决定因素。2. 利用研究1的信息和现有的体育活动干预措施，体育活动干预措施将通过一系列研讨会与青少年、家长和教师共同开发。研讨会将讨论干预的提供方法、持续时间、身体活动的类型以及支持行为改变的方法。评估共同制作的干预措施在青少年中的可行性和有效性。将使用定量和定性研究方法获得详细的反馈、参与者方案参与情况和干预措施的效果。根据早期的发现，最终确定实施材料，将其纳入BEP的标准实践，更广泛的传播，并完成博士论文。这次合作的主要预期结果将是身体活动干预，以支持来自全英国BAMER社区的青少年的心理健康。