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Social support ecosystems for adolescent physical activity: a mixed-methods evaluation framework and empirical
1School of Physical Education, Xiangnan University, Chenzhou, China.
Frontiers in Public Health
|July 30, 2026
Summary
A new evaluation system for adolescent physical health promotion social support reveals that government, school, and family support are rated "good." However, community support needs improvement to enhance adolescent well-being.
Area of Science:
- Adolescent Health
- Public Health Policy
- Social Support Systems
Background:
- Adolescent physical activity is crucial for long-term health.
- Social support significantly influences health behaviors in adolescents.
- Optimizing the social support environment is key for promoting physical activity.
Purpose of the Study:
- To develop a comprehensive evaluation system for social support in adolescent physical health promotion.
- To conduct empirical research to validate the evaluation system.
- To provide a theoretical basis for enhancing social support for adolescent physical activity.
Main Methods:
- Delphi method and Analytic Hierarchy Process (AHP) for index system construction.
- Fuzzy Comprehensive Evaluation (FCE) for data analysis.
- Empirical study involving 940 adolescents across six regions in Hunan Province (March-July 2025).
Main Results:
- The evaluation system includes 4 primary (government, school, family, community), 19 secondary, and 54 tertiary indicators.
- Government support received the highest weight (0.3764) and scored highest (87.56, 'good').
- School (80.82, 'good') and family (75.40, 'good') support also scored well, while community support was lowest (60.35).
Conclusions:
- Social support, encompassing government, school, family, and community dimensions, is vital for adolescent physical health.
- While overall social support in Hunan Province is positive, structural imbalances persist.
- Recommendations include strengthening government implementation, addressing school constraints, improving family health literacy, and revitalizing community support systems.
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