Background

The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear.

Objective

To identify how to improve surveillance of movement behaviours, from the perspective of experts.

Methods

This Delphi Study involved 62 experts from the SUNRISE International Study of Movement Behaviours in the Early Years and Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: (1) funding, (2) capacity building, (3) methods, and (4) other issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a five-point Likert scale from ‘extremely’ to ‘not at all’ important. Consensus was defined as > 70% rating of ‘extremely’ or ‘very’ important.

Results

We received 62 responses to round 1 of the survey and 59 to round 2. There was consensus for most items. The two highest rated round 2 items in each category were the following; for funding (1) it was greater funding for surveillance and public funding of surveillance; for capacity building (2) it was increased human capacity for surveillance (e.g. knowledge, skills) and regional or global partnerships to support national surveillance; for methods (3) it was standard protocols for surveillance measures and improved measurement method for screen time; and for other issues (4) it was greater awareness of physical activity guidelines and strategies from WHO and greater awareness of the importance of surveillance for NCD prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26) or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research.

Conclusions

This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

中文翻译：

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改善国家和国际对儿童和青少年运动行为的监测：一项国际改良 Delphi 研究

 背景

目前尚不清楚对儿童和青少年运动行为（身体活动、久坐行为，包括屏幕时间、睡眠）进行更高质量和统一的全球监测所需的行动。

 目的

从专家的角度确定如何改善对运动行为的监测。

 方法

这项德尔菲研究涉及来自 SUNRISE 国际早期运动行为研究和积极健康儿童全球联盟 （AHKGA） 的 62 名专家。使用了两轮调查，项目分为：（1） 资金，（2） 能力建设，（3） 方法，以及 （4） 其他问题（例如，政策制定者对相关 WHO 指南和战略的认识）。专家参与者在五点李克特量表中对 40 个项目进行了排名，从“极”到“一点也不”重要。共识被定义为 > 70% 的“极其”或“非常”重要评级。

 结果

我们收到了 62 份调查第 1 轮的回复和 59 份第 2 轮的回复。大多数项目都有共识。每个类别中评分最高的第 2 轮项目如下;在资金方面：（1） 是更多的监控资金和监控的公共资金;在能力建设方面 （2） 提高了人类的监测能力（例如知识、技能）和区域或全球伙伴关系，以支持国家监测;对于方法 （3） 它是监测措施的标准协议和改进的屏幕时间测量方法;对于其他问题 （4） 是对 WHO 的身体活动指南和策略的认识提高，以及对监测对预防 NCD 重要性的认识提高。我们通常发现，中低收入国家 （n = 29） 和高收入国家 （n = 30） 之间或 SUNRISE （n = 20）、AHKGA （n = 26） 或两者 （n = 13） 倡议之间的优先事项没有显著差异。在将私人资金用于监测或监测研究方面缺乏共识。

 结论

本研究提供了一份优先的国际共识行动清单，以改善对全球儿童和青少年运动行为的监测。