1
|
Savolainen E, Lindqvist AK, Mikaelsson K, Nyberg L, Rutberg S. Children's active school transportation: an international scoping review of psychosocial factors. Syst Rev 2024; 13:47. [PMID: 38291491 PMCID: PMC10826279 DOI: 10.1186/s13643-023-02414-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 12/05/2023] [Indexed: 02/01/2024] Open
Abstract
BACKGROUND Over the last decades, the prevalence of AST has decreased significantly. Barriers to active school transport (AST) have been extensively examined in the literature, while psychosocial factors that facilitate AST have received less attention. To our best knowledge, there are currently no reviews on this subject. Therefore, the objective of this review was to scope the literature and identify published research about psychosocial factors related to AST. METHODS Systematic searches conducted in PubMed, Web of Science, TRID, Scopus, and ERIC resulted in a total of 1933 publications, and 77 of them were considered eligible for this review. RESULTS The results of the included articles were categorised into four psychosocial factors: confidence in ability, attitudes, social support, and social norms, which were all generally positively related to AST, with a few exceptions. CONCLUSION The findings of this review indicate that these psychosocial factors may be important to consider when developing interventions and highlight that both children and parents should be involved in the process. This knowledge can serve as a valuable guide for developing interventions to promote AST. However, the evidence base supporting these psychosocial factors requires further investigation to fully understand how and when to incorporate them to maximise AST efficacy.
Collapse
Affiliation(s)
- Eva Savolainen
- Department of Health, Education and Technology, Luleå University of Technology, 97187, Luleå, Sweden.
| | - Anna-Karin Lindqvist
- Department of Health, Education and Technology, Luleå University of Technology, 97187, Luleå, Sweden
| | - Katarina Mikaelsson
- Department of Health, Education and Technology, Luleå University of Technology, 97187, Luleå, Sweden
| | - Lars Nyberg
- Department of Health, Education and Technology, Luleå University of Technology, 97187, Luleå, Sweden
| | - Stina Rutberg
- Department of Health, Education and Technology, Luleå University of Technology, 97187, Luleå, Sweden
| |
Collapse
|
2
|
Jingili N, Oyelere SS, Berghem SM, Brännström R, Laine TH, Balogun OS. Adolescents' perceptions of active school transport in northern Sweden. Heliyon 2023; 9:e20779. [PMID: 37860541 PMCID: PMC10582399 DOI: 10.1016/j.heliyon.2023.e20779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 10/02/2023] [Accepted: 10/06/2023] [Indexed: 10/21/2023] Open
Abstract
Active school transport (AST) refers to using active means of transport such as walking, cycling, or riding a non-motorised scooter to school. It can help improve adolescents' physical activity levels and create a more sustainable environment. The study involved 70 adolescents (45 boys and 25 girls) aged 13 to 14 from one school in Skellefteå, in Northern Sweden. In an online questionnaire, they were asked about their perceptions of cycling, walking, and riding a non-motorised scooter to school. This study used descriptive statistics, multiple regression analysis, and hypothesis testing with ANOVA to analyse the collected data and compare the perceptions of different types of transport on safety, environmental, and personal factors among adolescents in Northern Sweden. According to the results, more adolescents walked to school than cycled, and significantly few rode a non-motorised scooter to school. Most adolescents believe walking or cycling to school is a great way to exercise. Furthermore, the study also revealed that many adolescents avoid using AST due to the time it takes. Although the study showed that adolescents felt sufficient support for using AST from schools and parents, the number of adolescents using motorised transport is higher during winter than in summer. Additionally, most of them were more confident about cycling and walking to school than riding a non-motorised scooter and thought using AST was nice. Finally, most adolescents perceived having complete control over their transport options when going to school. The research indicates that it is crucial to implement interventions that inspire children to be interested and excited about using AST. These strategies should include fostering an AST culture that is fun and positive, as well as creating environments that are safe and supportive. The research results will guide the creation of a persuasive game that can motivate adolescents to use AST and measure its effectiveness.
Collapse
Affiliation(s)
- Nuru Jingili
- Department of Computer Science, Electrical and Space Engineering, Luleå University of Technology, 931 87, Luleå, Sweden
| | - Solomon Sunday Oyelere
- Department of Computer Science, Electrical and Space Engineering, Luleå University of Technology, 931 87, Luleå, Sweden
| | - Simon Malmström Berghem
- Department of Computer Science, Electrical and Space Engineering, Luleå University of Technology, 931 87, Luleå, Sweden
| | - Robert Brännström
- Department of Computer Science, Electrical and Space Engineering, Luleå University of Technology, 931 87, Luleå, Sweden
| | - Teemu H. Laine
- Department of Digital Media, Ajou University, Suwon, 16499, South Korea
| | | |
Collapse
|
3
|
Vasey TV, Carroll SJ, Daniel M, Cargo M. Changing Primary School Children's Engagement in Active School Travel Using Safe Routes to School Interventions: A Rapid Realist Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9976. [PMID: 36011609 PMCID: PMC9408451 DOI: 10.3390/ijerph19169976] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 08/03/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
Safe Routes to School (SR2S) interventions have been implemented in many economically developed countries to improve children's engagement in Active School Travel (AST). Evaluations have highlighted inconsistencies in SR2S intervention outcomes, raising questions as to how, why, and under what contextual conditions these interventions work. This review used a Rapid Realist Review (RRR) methodology to build, test, and refine an overarching program theory that unpicks the contextual factors and underlying mechanisms influencing children's engagement in AST. From the 45 included documents, 16 refined Context-Mechanism-Outcome Configurations (CMOCs) were developed and clustered into three partial program theories (i.e., implementor/implementation, child, and parent), with the associated mechanisms of: (1) School Reliance; (2) School Priority; (3) Fun; (4) Pride; (5) Perceived Safety; (6) Distrust; (7) Convenience; (8) Perceived Capabilities; and (9) Reassurance. The overarching program theory delineates the pathways between intervention implementation, children's motivation, parental decision-making, and children's engagement in AST. The findings suggest SR2S interventions can motivate children to engage in AST, but whether this motivation is translated into engagement is determined by parental decision-making. This review is novel for highlighting that many of the factors influencing parental decision-making are contextually driven and appear to be unaddressed by the current suite of SR2S intervention strategies. The review additionally highlights the complexity of parental perceptions of safety, with the traffic and the road environment shaping only part of this multidimensional mechanism. Practitioners and policymakers need to tailor SR2S interventions to local contexts to better influence parental decision-making for children's engagement in AST.
Collapse
|
4
|
Laine TH, Duong N, Lindvall H, Oyelere SS, Rutberg S, Lindqvist AK. A Reusable Multiplayer Game for Promoting Active School Transport: Development Study. JMIR Serious Games 2022; 10:e31638. [PMID: 35285815 PMCID: PMC8961339 DOI: 10.2196/31638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 12/22/2021] [Accepted: 02/03/2022] [Indexed: 11/13/2022] Open
Abstract
Background Most children and adolescents in Sweden do not meet the recommended daily physical activity levels of the World Health Organization. Active school transport (AST) and gamification are potential methods for increasing children’s daily physical activity. We previously developed a game named Tic-Tac-Training for promoting active transport at workplaces; however, the game has not been applied to AST. Objective The objectives of this study are to investigate how Tic-Tac-Training functions to promote AST among schoolchildren in northern Sweden, improve the game to be more suitable for schoolchildren, and construct a road map for future development based on children’s ideas. Methods First, we developed Tic-Tac-Training using the Scrum agile software development method. Second, we conducted a questionnaire-based formative evaluation of the game with schoolchildren (n=16; 9/16, 56% male; 6/16, 38% female; and 1/16, 6% other aged 11-12 years) in Luleå, Sweden. Third, we conducted focus group interviews with 33 children (13/33, 39% male and 20/33, 61% female aged 12-13 years) to gather ideas for gamifying AST. We mapped the interview results to the Octalysis gamification framework and established a road map for future development. Results The formative evaluation revealed several issues, including a lack of interesting game features, lack of support for continuous engagement, disliked competitive features, and lack of incentives for discourse and participation. New features such as rewards, collectibles, and levels were implemented based on the results. The focus group interviews revealed additional ideas for gamifying AST, such as using avatars, in-game currency and trading, and context-sensitive tasks. Conclusions The results have several potential impacts on how reusable, gamified AST interventions can be developed and what kind of gamification elements schoolchildren in northern Sweden wish to see. These results can interest game researchers and teachers who wish to apply gamification in school contexts. Finally, we aim to continue developing the game based on the road map.
Collapse
Affiliation(s)
- Teemu H Laine
- Department of Digital Media, Ajou University, Suwon, Republic of Korea
| | - Nhi Duong
- Haaga-Helia University of Applied Sciences, Helsinki, Finland
| | | | - Solomon Sunday Oyelere
- Department of Computer Science, Electrical and Space Engineering, Luleå University of Technology, Skellefteå, Sweden
| | - Stina Rutberg
- Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden
| | - Anna-Karin Lindqvist
- Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden
| |
Collapse
|
5
|
Initial Design and Testing of Multiplayer Cooperative Game to Support Physical Activity in Schools. EDUCATION SCIENCES 2022. [DOI: 10.3390/educsci12020100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Recent studies have shown that children are not adequately physically active and there is a need to increase children’s physical activity. This study describes new opportunities and solutions for using existing games and gamification to increase physical activity among children in Sweden. We adopted the principles of Tic-Tac-Training to redesign, build, and test a classical multiplayer cooperative game, Battleship, to create a PA game that children experience as fun and engaging. The low fidelity prototype of the game was developed using an iterative game development life cycle and tested with 13 young male children aged 8–11 in a real-world informal setting. A mixed-method research approach was used to understand the users’ experiences and the impact of the Battleship-PA game on behavior change regarding physical activity. Research data were collected through audio recordings of interactions, direct observation, and a user experience questionnaire. The results of this study indicate both positive and negative feedback that can be used to improve the game and user experiences. The results from the unfiltered recordings revealed that both teams were competitive, cooperated within their team, and became excited whenever they destroyed opponent’s ships or were close to winning. However, the children felt bored and exhausted when many gamification tasks were repeated several times in a game session. Direct observation indicated that the children enjoyed the physical activities resulting from playing the game. However, participants who had not previously played the classical version of Battleship were confused about the objectives and concept of the game. The analysis of the user experience questionnaire indicated that most children found the game easy to play, motivating, engaging, interactive, fun, cooperative, competitive, and visually appealing. Furthermore, most children agreed that the game helped them to be physically active and strongly agreed that they enjoyed performing the physical activities in the game. Future work is needed to improve the game user interface, gamification elements, and prepare additional physical activity tasks for a rewarding experience.
Collapse
|
6
|
Savolainen E, Rutberg S, Backman Y, Lindqvist AK. Long-Term Perspectives of a School-Based Intervention to Promote Active School Transportation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5006. [PMID: 32664621 PMCID: PMC7400284 DOI: 10.3390/ijerph17145006] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 06/30/2020] [Accepted: 07/09/2020] [Indexed: 11/17/2022]
Abstract
There is a global need for sustainable interventions that increase physical activity among children, and active school transportation (AST) can promote physical activity among schoolchildren. Therefore, an intervention based on gamification, empowerment, and social cognitive theory was initiated in 2016 to promote AST. The aim of this study was to follow up on participants' experiences one and two years after the AST intervention was initiated. Data were collected through focus groups and individual interviews which were analyzed using qualitative content analysis. Thirty-one pupils (2017), and forty pupils (2018) aged 9-10 years, two teachers (2017, 2018) and one principal (2018) participated in the study. The result is presented as one main theme; "Unity for an active community-An intervention towards making the active choice the easy choice" and three sub-themes; "Well begun is half done-Engagement sparks motivation", "It takes two to tango-Keep moving with gamifications and togetherness" and "Jumping on the bandwagon-From project to everyday use." The results show that the concept of the intervention was attractive to re-use and that it created a habit to use AST among the children. Interventions to promote AST can benefit from the use of engagement, togetherness, and gamification.
Collapse
Affiliation(s)
- Eva Savolainen
- Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden; (S.R.); (A.-K.L.)
| | - Stina Rutberg
- Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden; (S.R.); (A.-K.L.)
| | - Ylva Backman
- Department of Arts, Communication and Education, Luleå University of Technology, 97187 Luleå, Sweden;
| | - Anna-Karin Lindqvist
- Department of Health Sciences, Luleå University of Technology, 97187 Luleå, Sweden; (S.R.); (A.-K.L.)
| |
Collapse
|
7
|
Rutberg S, Nyberg L, Castelli D, Lindqvist AK. Grit as Perseverance in Physical Activity Participation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030807. [PMID: 32012973 PMCID: PMC7037268 DOI: 10.3390/ijerph17030807] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 01/15/2020] [Accepted: 01/25/2020] [Indexed: 11/16/2022]
Abstract
Childhood is a critical period for the acquisition of healthy behaviors, and the promotion of sustainable healthy behavior among children is greatly important. Therefore, an increased understanding of the relationship between grit and physical activity in a school context is needed. The purpose of this study is to describe and develop an understanding of students' and teachers' awareness and experiences concerning grit as a health-promoting factor. Fifty-five students and three teachers participated in the study. Data were collected through the Short Grit Scale and focus group interviews. There were weak to non-significant correlations between the three teachers' ratings of their students' grit and the children's own ratings. The qualitative results show that children and teachers understood the construct of grit but had slightly different perceptions of it and that grit is not considered to be set in stone. The participants made an association between grit, motivation, meaningfulness, and setting goals. The findings indicate that grit might be an ideal target for making physical activity interventions sustainable.
Collapse
Affiliation(s)
- Stina Rutberg
- Department of Health Sciences, Luleå University of Technology, 971 87 Luleå, Sweden; (L.N.); (A.-K.L.)
- Correspondence:
| | - Lars Nyberg
- Department of Health Sciences, Luleå University of Technology, 971 87 Luleå, Sweden; (L.N.); (A.-K.L.)
| | - Darla Castelli
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX 78712, USA;
| | - Anna-Karin Lindqvist
- Department of Health Sciences, Luleå University of Technology, 971 87 Luleå, Sweden; (L.N.); (A.-K.L.)
| |
Collapse
|