集群随机多层次干预,促进农村社区的体育活动
Alan M Beck1, Natalicio Serrano2, Dixie Duncan1
1Prevention Research Center, School of Public Health, Washington University in St. Louis, St. Louis, MO, United States.
Frontiers in public health
|September 15, 2025
概括
在农村地区的社区干预增加了对有氧体力活动 (PA) 准则的遵守. 短信显示出促进PA的承诺,尽管存在与流行病相关的挑战.
科学领域:
- 公共卫生 公共卫生
- 社区卫生干预措施 社区卫生干预
- 促进体育活动 促进体育活动
背景情况:
- 与城市和郊区相比,农村人口的体力活动水平较低.
- 农村地区较低的PA与慢性疾病患病率的增加有关.
- 需要有效的干预措施来促进农村社区的PA.
研究的目的:
- 评估一个以社区为基础的多层次干预,旨在增加美国农村社区的体育活动.
- 评估短信,步行小组和社区营销对PA水平的影响.
主要方法:
- 从2019年到2022年,在14个农村社区进行了集群随机对照试验.
- 干预包括个人 (短信),人际 (步行小组) 和社区 (营销) 层面的策略.
- 对有氧活动的2018年PA指南的遵守是主要的结果指标.
主要成果:
- 干预组显示,符合有氧PA指南的参与者数量增加.
- 两组之间没有观察到娱乐,职业,交通或总体PA的显著差异.
- COVID-19大流行影响了干预交付和结果评估.
结论:
- 多层次干预与农村环境中更好地遵守PA指南有关.
- 短信成为在农村地区推广公共电话的重要组成部分,即使在干扰的情况下.
- 未来的研究应该将短信整合到农村人口的PA推广策略中.
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