| Literature DB >> 35954982 |
María Jesús Aranda-Balboa1, Francisco Javier Huertas-Delgado2, Patricia Gálvez-Fernández1, Romina Saucedo-Araujo1, Daniel Molina-Soberanes1, Pablo Campos-Garzón1, Manuel Herrador-Colmenero1,2, Amador Jesús Lara-Sánchez3, Javier Molina-García4, Ana Queralt5, Diane Crone6, Palma Chillón1.
Abstract
The low rates of active commuting to/from school in Spain, especially by bike, and the wide range of cycling interventions in the literature show that this is a necessary research subject. The aims of this study were: (1) to assess the feasibility of a school-based cycling intervention program for adolescents, (2) to analyse the effectiveness of a school-based cycling intervention program on the rates of cycling and other forms of active commuting to/from school (ACS), and perceived barriers to active commuting in adolescents. A total of 122 adolescents from Granada, Jaén and Valencia (Spain) participated in the study. The cycling intervention group participated in a school-based intervention program to promote cycling to school during Physical Education (PE) sessions in order to analyse the changes in the dependent variables at baseline and follow up of the intervention. Wilcoxon, Signs and McNemar tests were undertaken. The association of the intervention program with commuting behaviour, and perceived barriers to commuting, were analysed by binary logistic regression. There were improvements in knowledge at follow-up and the cycling skill scores were medium-low. The rates of cycling to school and active commuting to/from school did not change, and only the "built environment (walk)" barrier increased in the cycling group at follow-up. School-based interventions may be feasibly effective tools to increase ACS behaviour, but it is necessary to implement a longer period and continue testing further school-based cycling interventions.Entities:
Keywords: active commuting; adolescents; cycling; perceptions; school
Mesh:
Year: 2022 PMID: 35954982 PMCID: PMC9367827 DOI: 10.3390/ijerph19159626
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Figure 1Flow chart of participants.
Descriptive data of the participants from the cycling and control group at baseline (intention to treat data).
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| Children’s age | 14.26 ± 0.44 | 14.20 ± 0.40 | 14.32 ± 0.47 | 0.209 |
| Children’s gender | ||||
| Boy | 48 (49.5) | 28 (54.9) | 20 (43.5) | 0.261 |
| Girl | 49 (50.5) | 23 (45.1) | 26 (56.5) | |
| Own bike | 63 (66.3) | 28 (57.1) | 35 (76.1) |
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| Commuting to/from school of children | ||||
| Active | 63 (67.7) | 40 (81.6) | 23 (52.3) |
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| Passive | 30 (32.3) | 9 (18.4) | 21 (47.7) | |
| Cycling to/from school | ||||
| Cycling | 3 (3.2) | 3 (6.1) | - | 0.950 |
| Do not cycling | 90 (96.8) | 46 (93.9) | 44 (100) | |
Data in bold = Significant changes; p-value < 0.05; M ± (SD): Mean ± standard deviation; n (%): sample (percentage).
Figure 2Attendance of the cycling intervention.
Descriptive data of perceived barriers by intervention group at baseline.
| Perceived Barriers to ACS |
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| Distance | 27 (58.7) | 8 (17.4) | 3 (6.5) | 8 (17.4) | 19 (41.3) | 7 (15.2) | 8 (17.4) | 12 (26.1) | 0.210 |
| Safety Traffic | 20 (40.8) | 12 (24.5) | 9 (18.4) | 8 (16.3) | 18 (39.1) | 13 (28.3) | 9 (19.6) | 6 (13) | 0.953 |
| Convenience | 19 (38.8) | 13 (26.5) | 11 (22.4) | 6 (12.2) | 10 (21.7) | 14 (30.4) | 14 (30.4) | 8 (17.4) | 0.336 |
| Built Environment | 16 (32.7) | 15 (30.6) | 12 (24.5) | 6 (12.2) | 22 (48.9) | 8 (17.8) | 8 (17.8) | 7 (15.6) | 0.285 |
| Crime Related Safety | 21 (42.9) | 18 (36.7) | 8 (16.3) | 2 (4.1) | 17 (37) | 24 (52.2) | 5 (10.9) | - | 0.275 |
| Weather | 37 (75.5) | 5 (10.2) | 4 (8.2) | 3 (6.1) | 30 (65.2) | 7 (15.2) | 7 (15.2) | 2 (4.3) | 0.574 |
| Physical and Motivational Barriers | 6 (12.2) | 13 (26.5) | 12 (24.5) | 18 (36.7) | 9 (19.6) | 11 (23.9) | 10 (21.7) | 16 (34.8) | 0.808 |
| Built Environment (Walk) | 27 (55.1) | 12 (24.5) | 8 (16.3) | 2 (4.1) | 22 (47.8) | 14 (30.4) | 9 (19.6) | 1 (2.2) | 0.810 |
| Social Support (Walk) | 26 (54.2) | 4 (8.3) | 7 (14.6) | 11 (22.9) | 18 (40) | 8 (17.8) | 7 (15.6) | 12 (26.7) | 0.434 |
| Physical and Motivational Barriers (Walk) | 22 (44.9) | 17 (34.7) | 5 (10.2) | 5 (10.2) | 23 (50) | 10 (21.7) | 6 (13) | 7 (15.2) | 0.538 |
| Built Environment (Bike) | 11 (22.4) | 25 (51) | 11 (22.4) | 2 (4.1) | 16 (34.8) | 18 (39.1) | 12 (26.1) | - | 0.260 |
| Social Support (Bike) | 26 (54.2) | 4 (8.3) | 7 (14.6) | 11 (22.9) | 18 (40) | 8 (17.8) | 7 (15.6) | 12 (26.7) | 0.434 |
| Physical and Motivational Barriers (Bike) | 22 (44.9) | 17 (34.7) | 5 (10.2) | 5 (10.2) | 23 (50) | 10 (21.7) | 6 (13) | 7 (15.2) | 0.538 |
| Global index | 1 (2.2) | 25 (55.6) | 17 (37.8) | 2 (4.4) | 3 (6.8) | 18 (40.9) | 21 (47.7) | 2 (4.5) | 0.466 |
n (%): sample (percentage).
Figure 3Changes on the cycling knowledge at baseline and at follow up on the cycling group.
Figure 4Descriptive data of the cycling skills in the cycling group.
Figure 5Enjoyment and usefulness of the cycling intervention. The bold line indicates the mean.
Changes in the mode of commuting to/from school and children’s perceived barriers to ACS at baseline and at follow up of the school-based intervention for both groups (per protocol data).
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| Active commuting to/from school | 13 | 19 | 28 | 0.377 | 10 | 19 | 33 | 0.137 |
| Cycling to/from school | 3 | 1 | 56 | 0.625 | 2 | 2 | 58 | 1.000 |
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| Distance | 8 | 10 | 19 | 0.821 | 13 | 12 | 17 | 0.501 |
| Safety Traffic | 16 | 12 | 12 | 0.907 | 13 | 14 | 15 | 0.861 |
| Convenience | 11 | 11 | 18 | 0.573 | 15 | 13 | 15 | 0.674 |
| Built Environment | 11 | 11 | 18 | 0.813 | 10 | 12 | 19 | 0.892 |
| Crime Related Safety | 9 | 16 | 15 | 0.252 | 8 | 12 | 23 | 0.437 |
| Weather | 6 | 19 | 14 | 0.086 | 9 | 12 | 21 | 0.387 |
| Physical and Motivational Barriers | 17 | 9 | 13 | 0.100 | 12 | 10 | 20 | 0.829 |
| Built Environment (Walk) | 4 | 17 | 19 |
| 9 | 15 | 19 | 0.178 |
| Social Support (Walk) | 11 | 10 | 17 | 0.685 | 17 | 14 | 10 | 0.530 |
| Physical and Motivational Barriers (Walk) | 11 | 15 | 14 | 0.302 | 12 | 14 | 17 | 0.784 |
| Built Environment (Bike) | 8 | 17 | 15 | 0.066 | 9 | 14 | 20 | 0.263 |
| Social Support (Bike) | 11 | 10 | 17 | 0.685 | 17 | 14 | 10 | 0.530 |
| Physical and Motivational Barriers (Bike) | 11 | 15 | 14 | 0.302 | 12 | 14 | 17 | 0.784 |
| Global index | 6 | 14 | 20 | 0.061 | 4 | 10 | 29 | 0.225 |
Data in bold = Significant changes; p-value < 0.05.
Logistic regression of the differences in active commuting and perceived barriers at baseline and follow-up.
| Model 1: dv. Differences of Baseline—Follow-Up of Active Commuting to/from School | Model 2: dv. Differences of Baseline—Follow-Up of the Global Index | Model 3: dv. Differences of Baseline—Follow-Up of | |
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| Odds Ratio (CI 95%) | Odds Ratio (CI 95%) | Odds Ratio (CI 95%) | |
| 0.6 (0.13–2.71) | 0.56 (0.21–1.47) | 0.42 (0.12–1.49) |
* Reference’s category: Control group; All p values were not significant; CI = Confidence interval; DV = Dependent Variable.