BMC Pediatrics | |
A pedometer based physical activity self-management program for children and adolescents with physical disability – design and methods of the StepUp study | |
Jim Dollman2  Monica Toohey3  Myra Thiessen4  Kerry Evans3  Angela Crettenden3  Carol Maher1  | |
[1] Health and Use of Time Group, School of Health Sciences, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia;School of Health Sciences, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia;Novita Children’s Services, 171 Days Road, Regency Park, South Australia 5010, Australia;School of Art, Architecture and Design, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia | |
关键词: Intervention; Disability; Physical activity; | |
Others : 1143885 DOI : 10.1186/1471-2431-14-31 |
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received in 2014-01-08, accepted in 2014-01-28, 发布年份 2014 | |
【 摘 要 】
Background
Physical activity affords a wide range of physiological and psychological benefits for children and adolescents, yet many children with physical disabilities are insufficiently active to achieve these benefits. The StepUp program is a newly developed 6-week pedometer-based self-management program for children and adolescents with physical disability. Participants use a pedometer to undertake a 6-week physical activity challenge, with personalised daily step count goals set in consultation with a physiotherapist. The study aims to evaluate the effectiveness of the StepUp program, using a randomised control trial design.
Methods/design
A target sample of 70 young people with physical disabilities (aged 8–17 years, ambulant with or without aid, residing in Adelaide) will be recruited. Participants will be randomly allocated to either intervention or control following completion of baseline assessments. Assessments are repeated at 8 weeks (immediately post intervention) and 20 weeks (12 weeks post intervention). The primary outcome is objective physical activity determined from 7 day accelerometry, and the secondary outcomes are exercise intention, physical self-worth, quality of life and fatigue. Analyses will be undertaken on an intention-to-treat basis using random effects mixed modelling.
Discussion
This study will provide information about the potential of a low-touch and low-cost physical activity intervention for children and adolescents with cerebral palsy.
Trial registration
Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12613000023752.
【 授权许可】
2014 Maher et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150330031020938.pdf | 1177KB | download | |
Figure 1. | 106KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Trost S: Discussion paper for the development of recommendations for children’s and youths’ participation in health promoting physical activity. Canberra: Australian Department of Health and Ageing; 2005.
- [2]Andersson C, Mattsson E: Adults with cerebral palsy: a survey describing problems, needs, and resources, with special emphasis on locomotion. Dev Med Child Neurol 2001, 43:76-82.
- [3]Jahnsen R, Villien L, Egeland T, Stanghelle JK, Holm I: Locomotion skills in adults with cerebral palsy. Clin Rehabil 2003, 18:309-316.
- [4]Santiago MC, Coyle CP: Leisure-time physical activity and secondary conditions in women with physical disabilities. Disabil Rehabil 2004, 26:485-494.
- [5]Basaran S, Guler-Uysal F, Ergen N, Seydaoglu G, Bingol-Karakoç G, Ufuk Altintas D: Effects of physical exercise on quality of life, exercise capacity and pulmonary function in children with asthma. J Rehabil Med 2006, 38:130-135.
- [6]Fredriksen PM, Kahrs N, Blaasvaer S, Sigurdsen E, Gundersen O, Roeksund O, Norgaand G, Vik JT, Soerbye O, Ingjer E, Thaulow E: Effect of physical training in children and adolescents with congenital heart disease. Cardiol Young 2000, 10:107-114.
- [7]Australian Institute of Health and Welfare (AIHW): Children With Disabilities In Australia. Canberra: Australian Institute of Health and Welfare; 2004.
- [8]Law M, King G, King S, Kertoy M, Hurley P, Rosenbaum P, Young N, Hanna S: Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol 2006, 48:337-342.
- [9]Maher CA, Williams MT, Olds T, Lane AE: Physical and sedentary activity in adolescents with cerebral palsy. Dev Med Child Neurol 2007, 49:450-457.
- [10]Maher C, Kernot J, Olds T: Time use patterns in ambulatory adolescents with cerebral palsy. Child Care Health Dev 2013, 39(3):404-411.
- [11]Maher CA, Williams MT, Olds T, Lane AE: An internet-based physical activity intervention for adolescents with cerebral palsy: a randomized controlled trial. Dev Med Child Neurol 2010, 52:448-455.
- [12]Van Wely L, Becher J, Reinders-Messelink H, Lindeman E, Verschuren O, Verheijden J, Dallmeijer A: LEARN 2 MOVE 7–12 years: a randomized controlled trial on the effects of a physical activity stimulation program in children with cerebral palsy. BMC Pediatr 2010, 10:77. BioMed Central Full Text
- [13]Fowler EG, Knutson LM, DeMuth SK, Sugi M, Siebert K, Simms V, Azen SP, Winstein CJ: Pediatric endurance and limb strengthening for children with cerebral palsy (PEDALS)–a randomized controlled trial protocol for a stationary cycling intervention. BMC Pediatr 2007, 7:14. BioMed Central Full Text
- [14]Slaman J, Roebroeck M, van Meeteren J, van der Slot W, Reinders-Messelink H, Lindeman E, Stam H, van den Berg-Emons R: LEARN 2 MOVE 16–24: effectiveness of an intervention to stimulate physical activity and improve physical fitness of adolescents and young adults with spastic cerebral palsy; a randomized controlled trial. BMC Pediatr 2010, 10:79. BioMed Central Full Text
- [15]de Vries SI, Bakker I, Hopman-Rock M, Hirasing RA, van Mechelen W: Clinimetric review of motion sensors in children and adolescents. J Clin Epidemiol 2006, 59:670-680.
- [16]Lubans DR, Morgan PJ, Tudor-Locke C: A systematic review of studies using pedometers to promote physical activity among youth. Prev Med 2009, 48:307-315.
- [17]Sawyer SM, Aroni RA: Self-management in adolescents with chronic illness. What does it mean and how can it be achieved? Med J Aust 2005, 183:405-409.
- [18]Novacheck TF, Stout JL, Tervo R: Reliability and validity of the gillette functional assessment questionnaire as an outcome measure in children with walking disabilities. J Pediatr Orthop 2000, 20:75.
- [19]GT3X + Activity Monitor http://www.actigraphcorp.com/products/ webcite
- [20]Bjornson KF, Belza B, Kartin D, Logsdon R, Mc Laughlin JF: Ambulatory physical activity performance in youth with cerebral palsy and youth who are developing typically. Phys Ther 2007, 87:248-257.
- [21]Kuo YL, Culhane KM, Thomason P, Tirosh O, Baker R: Measuring distance walked and step count in children with cerebral palsy: an evaluation of two portable activity monitors. Gait Posture 2009, 39:304-310.
- [22]Motl R, Dishman R, Saunders R, Dowda M, Felton G, Ward D, Pate R: Examining social-cognitive determinants of intention and physical activity among black and white adolescent girls using structural equation modeling. Health Psychol 2002, 21:459-467.
- [23]Whitehead J, Corbin C: Effects of fitness test type, teacher, and gender on exercise intrinsic motivation and physical self-worth. J Sch Health 1991, 61:11-16.
- [24]Whitehead J: A study of children’s physical self-perceptions using an adapted physical self-perception profile questionnaire. Pediatr Exerc Sci 1995, 7:132-132.
- [25]Ernhart M, Ellert U, Kurth BM, Ravens-Sieberer U: Measuring adolescents’ HRQoL via self reports and parent proxy reports: an evaluation of the psychometric properties of both versions of the KINDL-R instrument. Health Qual Life Outcomes 2009, 26:77.
- [26]Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P: The PedsQL™ in pediatric cancer. Cancer 2002, 94:2090-2106.
- [27]Varni JW, Burwinkle TM, Szer IS: The PedsQL Multidimensional Fatigue Scale in pediatric rheumatology: reliability and validity. J Rheumatol 2004, 31:2494-2500.
- [28]Varni JW, Limbers CA, Bryant WP, Wilson DP: The PedsQL™ Multidimensional Fatigue Scale in type 1 diabetes: feasibility, reliability, and validity. Pediatr Diabetes 2009, 10:321-328.
- [29]Nader PR, Bradley RH, Houts RM, McRitchie SL, O’Brien M: Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA 2008, 300:295-305.
- [30]Tucker P, Gilliland J: The effect of season and weather on physical activity: a systematic review. Public Health 2007, 121:909-922.
- [31]Box 2 - Randomisation And Minimisation http://www.consort-statement.org/consort-statement/further-explanations/box2_randomisation_minimisation/ webcite