期刊论文详细信息
BMC Public Health
Barriers, facilitators and preferences for the physical activity of school children. Rationale and methods of a mixed study
Vicente Martínez-Vizcaíno2  Eugenio Cortés-Ramírez5  Mairena Sánchez-López6  María Jesús Pardo-Guijarro5  Beatriz Rodríguez-Martín4  Myriam Gutiérrez-Zornoza3  Úrsula García-López1  María Martínez-Andrés1 
[1]Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, Cuenca, España
[2]Universidad de Castilla-La Mancha, Edificio Melchor Cano, Centro de Estudios Socio-Sanitarios, Santa Teresa Jornet s/n, Cuenca 16071, España
[3]Facultad de Trabajo Social, Universidad de Castilla-La Mancha, Cuenca, España
[4]Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, Talavera de la Reina, Toledo, España
[5]Facultad de Educación, Universidad de Castilla- La Mancha, Cuenca, España
[6]Facultad de Educación, Universidad de Castilla-La Mancha, Ciudad Real, España
关键词: Health behavior;    Barriers;    Focus groups;    Mixed-method study;    Physical activity;    Social environment;    Obesity;    School;    Built environment;   
Others  :  1163091
DOI  :  10.1186/1471-2458-12-785
 received in 2012-07-24, accepted in 2012-08-30,  发布年份 2012
PDF
【 摘 要 】

Background

Physical activity interventions in schools environment seem to have shown some effectiveness in the control of the current obesity epidemic in children. However the complexity of behaviors and the diversity of influences related to this problem suggest that we urgently need new lines of insight about how to support comprehensive population strategies of intervention. The aim of this study was to know the perceptions of the children from Cuenca, about their environmental barriers, facilitators and preferences for physical activity.

Methods/Design

We used a mixed-method design by combining two qualitative methods (analysis of individual drawings and focus groups) together with the quantitative measurement of physical activity through accelerometers, in a theoretical sample of 121 children aged 9 and 11 years of schools in the province of Cuenca, Spain.

Conclusions

Mixed-method study is an appropriate strategy to know the perceptions of children about barriers and facilitators for physical activity, using both qualitative methods for a deeply understanding of their points of view, and quantitative methods for triangulate the discourse of participants with empirical data. We consider that this is an innovative approach that could provide knowledges for the development of more effective interventions to prevent childhood overweight.

【 授权许可】

   
2012 Martinez-Andres et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413090926690.pdf 210KB PDF download
Figure 1. 49KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Martínez-Vizcaíno V, Sánchez López M, Moya Martínez P, Solera Martinez M, Notario Pacheco B, Salcedo Aguilar F, Rodríguez-Artalejo F: Trends in excess weight and thinness among Spanish schoolchildren in the period 1992–2004: the Cuenca study. Public Health Nutr 2009, 12:1015-1018.
  • [2]Tzotzas T, Kapantais E, Tziomalos K, Ioannidis I, Mortoglou A, Bakatselos S, Kaklamanou M, Lanaras L, Kaklamanou D: Prevalence of overweight and abdominal obesity in Greek children 6–12 years old: Results from the National Epidemiological Survey. Hippokratia 2011, 15:48-53.
  • [3]Cattaneo A, Monasta L, Stamatakis E, Lioret S, Castetbon K, Frenken F, Manios Y, Moschonis G, Savva S, Zaborskis A, et al.: Overweight and obesity in infants and pre-school children in the European Union: a review of existing data. Obes Rev 2010, 11:389-398.
  • [4]Hallal PC, Victoria CG, Azevedo MR, Wells JC: Adolescent physical activity and health: a systematic review. Sports Medicine 2006, 36:1019-1030.
  • [5]Janz KF, Dawson JD, Mahoney LT: Tracking physical fitness and physical activity from childhood to adolescence: the Muscatine study. Med Sci Sports Exerc 2000, 32:1250-1257.
  • [6]Berrigan D, Troiano RP: The association between urban form and physical activity in U.S. adults. Am J Prev Med 2002, 23(Suppl 2):74-79.
  • [7]Alberga AS, Sigal RJ, Goldfield G, Prud’ Homme D, Kenny GP: Overweight and obese teenagers: why is adolescence a critical period? Pediatr Obes 2012, 7:261-273.
  • [8]Kriemler S, Meyer U, Martin E, van Sluijs EM, Andersen LB, Martin BW: Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med 2011, 45:923-930.
  • [9]Brockman R, Jago R, Fox KR: Children’s active play: self-reported motivators, barriers and facilitators. BMC Publ Health 2011, 11:461. BioMed Central Full Text
  • [10]de Vries SI, Bakker I, van Mechelen W, Hopman-Rock M: Determinants of activity-friendly neighborhoods for children: results from the SPACE study. Am J Health Promot 2007, 21:312-316.
  • [11]Braza M, Shoemaker W, Seeley A: Neighborhood design and rates of walking and biking to elementary school in 34 California communities. Am J Health Promot 2004, 19:128-136.
  • [12]Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc 2000, 32:963-975.
  • [13]Galea S, Vlahov D: Urban health: evidence, challenges, and directions. Annu Rev Public Health 2005, 26:341-365.
  • [14]Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Public Health 2006, 27:297-322.
  • [15]Moudon AV, Lee C, Cheadle AD, Garvin C, Rd DB, Schmid TL, Weathers RD: Attributes of environments supporting walking. Am J Health Promot 2007, 21:448-459.
  • [16]Timperio A, Salmon J, Ball K: Evidence-based strategies to promote physical activity among children, adolescents and young adults: review and update. Journal of Science and Medicine in Sport 2004, 7(Suppl 1):20-29.
  • [17]Doak CM, Visscher TL, Renders CM, Seidell JC: The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obes Rev 2006, 7:111-136.
  • [18]Sallis JF, et al.: The Association of School Environments with youth physical activity. Americal Journal of Public Health 2001, 91:618-620.
  • [19]Lopes V, Vasques C, Pereira B, Maia JA, Malina RM: Physical Activity Patterns During School Recess: a Study in Children 6 to 10 Years Old. Internacional Electronic Journal of Health Education 2006, 9:192-201.
  • [20]McKenzie TL, Crespo NC, Baquero B, Elder JP: Leisure-time physical activity in elementary schools: analysis of contextual conditions. J Sch Health 2010, 80:470-477.
  • [21]Franzini L, Elliott MN, Cuccaro P, Schuster M, Gilliland MJ, Grunbaum JA, Franklin F, Tortolero SR: Influences of physical and social neighborhood environments on children’s physical activity and obesity. Am J Public Health 2009, 99:271-278.
  • [22]Timperio A, Salmon J, Ball K, Baur LA, Telford A, Jackson M, Salmon L, Crawford D: Family physical activity and sedentary environments and weight change in children. Int J Pediatr Obes 2008, 3:160-167.
  • [23]Salmon J, Timperio A, Telford A, Carver A, Crawford D: Association of family environment with children’s television viewing and with low level of physical activity. Obes Res 2005, 13:1939-1951.
  • [24]Telford J, Salmon J, Timperio A, Crawford D: Examining physical activity among 5- to 6- and 10- to 12- year- old children: the Children’s leisure activities study. Pediatr Exerc Sci 2005, 17:266-280.
  • [25]Morrow V: Using qualitative methods to elicit young people’s perspectives on their environments: some ideas for community health initiatives. Health Educ Res 2001, 16:255-268.
  • [26]Janssen I, Katzmarzyk PT, Boyce WF, King MA, Pickett W: Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns. J Adolesc Health 2004, 35:360-367.
  • [27]Brownson RC, Hoehner CM, Day K, Forsyth A, Sallis JFC: Measuring the built environment for physical activity: state of the science. Am J Prev Med 2009, 36(Suppl 4):S99-S123. e112
  • [28]Fiates GM, Amboni RD, Teixeira E: Television use and food choices of children: qualitative approach. Appetite 2008, 50:12-18.
  • [29]Willenberg LJ, Ashbolt R, Holland D, Gibbs L, MacDougall C, Garrard J, Green JB, Waters E: Increasing school playground physical activity: a mixed methods study combining environmental measures and children’s perspectives. J Sci Med Sport 2010, 13:210-216.
  • [30]Hume C, Salmon J, Ball K: Children’s perceptions of their home and neighborhood environments, and their association with objectively measured physical activity: a qualitative and quantitative study. Health Educ Res 2005, 20:1-13.
  • [31]Martinez-Vizcaino V, Sanchez-Lopez M, Salcedo-Aguilar F, Notario-Pacheco B, Solera-Martinez M, Moya-Martinez P, Franquelo-Morales P, Lopez-Martinez S, Rodriguez-Artalejo F: Protocol of a Randomized Cluster Trial to Assess the Effectiveness of the MOVI-2 Program on Overweight Prevention in Schoolchildren. Rev Esp Cardiol 2012, 65:427-33.
  • [32]Grbich C: Qualitative research in health: an introduction. London: SAGE Publications Ltd; 1999.
  • [33]Horner SD: Using focus group methods with middle school children. Res Nurs Health 2000, 23:510-517.
  • [34]Stratton GLJ: The effects of playground markings on the energy expenditure of 5-7-year-old school children. Pediatr Exerc Sci 2002, 2:170-180.
  • [35]Taylor SJ, Bogdan R: Introduction to Qualitative Research Methods. The Search for Meanings. 13th edition. New York: John Wiley and Sons; 1984.
  • [36]Denzin N: The Research Act: A Theoretical Introduction to Sociological Methods. 2nd edition. New York: McGraw-Hill; 1978.
  • [37]Strauss A, Corbin J: Basic of qualitative research. Techniques and procedures for developing Grounded Theory. 2nd edition. London: SAGE publications; 1998.
  • [38]MCDougall C, Schiller W, Darbyshire P: We have to live in the future. In Research at the edge: concepts and challenges: Special Issue, Early Child Development and Care. Edited by Schiller W. London: Taylor & Francis; 2004:369-388.
  • [39]Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG: Calibration of two objective measures of physical activity for children. J Sports Sci 2008, 26(14):1557-1565.
  • [40]Denzin N: Strategies of Multiple Triangulation. The Research Act: A Theorical Introduction of Sociological Methods. New York: McCraw Hill; 1989.
  • [41]Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J: Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc 2002, 34:350-355.
  文献评价指标  
  下载次数:33次 浏览次数:57次