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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）？

基本信息

批准号：
10611390
负责人：
BRIAN E SAELENS
金额：
$ 71.6万
依托单位：
SEATTLE CHILDREN'S HOSPITAL
依托单位国家：
美国
项目类别：
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/10611390
关键词：
Adult Affect Age Behavior Behavioral Medicine Cessation of life Characteristics Collaborations 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 Recommendation Recreation Research Services Social Environment Socioeconomic Status Standardization Testing United States United States National Institutes of Health Walking Youth built environment cardiovascular disorder risk contextual factors density efficacious 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

项目摘要

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.

尽管如此，美国的大多数年轻人和成年人都没有达到建议的体育锻炼水平