Family-based interventions to increase physical activity in children: a systematic review, meta-analysis and realist synthesis
TL;DR: A dual meta‐analysis and realist synthesis approach examined existing interventions to assist those developing programmes to encourage uptake and maintenance of PA in children to identify potentially valuable routes to increasing child physical activity in children.
read more
Abstract: SummaryObjective
Family-based interventions represent a potentially valuable route to increasing child physical activity (PA) in children. A dual meta-analysis and realist synthesis approach examined existing interventions to assist those developing programmes to encourage uptake and maintenance of PA in children.
Design
Studies were screened for inclusion based on including participants aged 5–12 years, having a substantive aim of increasing PA by engaging the family and reporting on PA outcome. Duplicate data extraction and quality assessment were conducted. Meta-analysis was conducted in STATA. Realist synthesis included theory development and evidence mapping.
Results
Forty-seven studies were included, of which three received a ‘strong’ quality rating, 21 ‘moderate’ and 23 ‘weak’. The meta-analysis (19 studies) demonstrated a significant small effect in favour of the experimental group (standardized mean difference: 0.41; 95%CI 0.15–0.67). Sensitivity analysis, removing one outlier, reduced this to 0.29 (95%CI 0.14–0.45). Realist synthesis (28 studies) provided insight into intervention context (particularly, family constraints, ethnicity and parental motivation), and strategies to change PA (notably, goal-setting and reinforcement combined).
Conclusion
This review provides key recommendations to inform policy makers and other practitioners in developing evidence-based interventions aimed at engaging the family to increase PA in children, and identifies avenues for future research.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
The Association between Adult Sport, Fitness, and Recreational Physical Activity and Number and Age of Children Present in the Household: A Secondary Analysis Using NHANES
Jerraco L. Johnson,Ailton Coleman,Jamila L. Kwarteng,Dulcie Kermah,Marino A. Bruce,Bettina M. Beech +5 more
TL;DR: In this paper , the authors examined the association between adult moderate and vigorous sport, fitness, and recreational physical activities and the number and age (0-5 and 6-17) of children in their household.
A Comprehensive Planning Framework for Designing Effective Physical Activity Interventions in Youth.
Ruth P Saunders,Marsha Dowda,Rod K. Dishman,Russell R Pate +3 more
TL;DR: A comprehensive planning framework that researchers can use to design intervention research to promote PA in youth is presented and will enable researchers to develop comprehensive conceptual models to guide the design of PA interventions for youth.
Understanding how therapeutic exercise prescription changes outcomes important to patients with persistent non-specific low back pain: a realist review protocol
Lianne Wood,Vicky Booth,Sarah Dean,Nadine Foster,Jill A. Hayden,Andrew Booth +5 more
TL;DR: This realist synthesis will enhance the understanding of therapeutic exercise prescription to improve adherence and engagement and ultimately will provide clinically relevant recommendations regarding exercise prescription for those with persistent LBP.
Families' views on physical education: A descriptive study
TL;DR: In this article , the authors explored the perception of families with children enrolled in compulsory education about the subject of physical education and found that there are diverse opinions about the functioning and the proposed aim of this subject.
References
Measuring inconsistency in meta-analyses
TL;DR: A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
Quantifying heterogeneity in a meta‐analysis
TL;DR: It is concluded that H and I2, which can usually be calculated for published meta-analyses, are particularly useful summaries of the impact of heterogeneity, and one or both should be presented in publishedMeta-an analyses in preference to the test for heterogeneity.
33.1K
‘Small Changes’ to Diet and Physical Activity Behaviors for Weight Management
TL;DR: In this article, a case for the use of small and incremental changes in diet and physical activity for improved weight management in the context of a toxic obesogenic environment is presented.
9K
Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy
TL;DR: In this article, the authors quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level.
7.9K
Social cognitive theory of self-regulation☆
TL;DR: In social cognitive theory human behavior is extensively motivated and regulated by the ongoing exercise of self-influence as discussed by the authors, and the major self-regulative mechanism operates through three principal sub-functions: self-monitoring of one's behavior, its determinants, and its effects; judgment of behavior in relation to personal standards and environmental circumstances; and affective self-reaction.
6K