Research Article
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Promoting Awareness of Sedentary Behavior and Physical Activity Awareness Among Rural Youth Through Bocce Game: A Qualitative Study

Year 2024, Volume: 15 Issue: Online First, 1 - 27
https://doi.org/10.54141/psbd.1395985

Abstract

In youth, it is important to promote physical activity habits. The multifactorial nature of rural areas affects individuals' physical activity habits, and sustainable strategies are needed to promote sedentary behavior and physical activity awareness among rural youth. The research data consists of qualitative interviews with healthy rural youth after the bocce game activity. In-depth interviews were conducted with 11 volunteers who participated in the activity using a semi-structured interview form. Qualitative findings are divided into nine main themes: Thoughts on bocce game activity; meaning of physical activity and thoughts on the topic; physical activity and its effect on health; thoughts on the frequency, duration, intensity, and type of physical activity; meaning of sedentary behavior and thoughts on the topic; sedentary behavior and its effect on health; thoughts on the frequency and duration of sedentary time and the type of sedentary behavior; promoting awareness of sedentary behavior and physical activity through bocce game; expectations from institutions. The findings highlight that bocce is a vital strategy to encourage physical activity and sedentary behavior awareness among youth in rural areas. Local authorities have a critical role in supporting physical activity and sedentary behavior awareness in rural areas.

Ethical Statement

Ethical approval was obtained from the Ethics Committee of Ankara University Rectorate (Approval No: 56786525-050.04.04/580730). In addition to obtaining verbal consent from all participants, written informed consent was obtained from the parents/guardians of the participants.

Supporting Institution

TÜBİTAK

Project Number

TÜBİTAK (Number: B.14.2.TBT.0.06.01.00-221-249164)

Thanks

The authors extend their gratitude to TÜBİTAK and the participants of this study.

References

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  • Bann, D., Scholes, S., Fluharty, M., & Shure, N. (2019). Adolescents’ physical activity: cross-national comparisons of levels, distributions and disparities across 52 countries. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-11. https://doi.org/10.1186/s12966-019-0897-z
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  • Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1· 6 million participants. Lancet Child & Adolescent Health, 4(1), 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2
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  • Hodge, J. G., Gable, L., & Mair, J. (2008). A CDC review of school laws and policies concerning child and adolescent health. Journal of School Health, 78, 69-128. https://doi.org/10.1111/j.1746-1561.2007.00272_4.x
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  • Katzmarzyk, P. T., Powell, K. E., Jakicic, J. M., Troiano, R. P., Piercy, K. & Tennant, B. the 2018 Physical Activity Guidelines Advisory Committee*. (2019). Sedentary behavior and health: update from the 2018 physical activity guidelines advisory committee. Medicine and Science in Sports and Exercise, 51(6), 1227. https://doi.org/10.1249/MSS.0000000000001935
  • Klepac Pogrmilovic, B., O’Sullivan, G., Milton, K., Biddle, S. J., Bauman, A., Bull, F., Kahlmeier, S., Pratt, M. & Pedisic, Z. (2018). A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 1-17. https://doi.org/10.1186/s12966-018-0742-9
  • Klepac Pogrmilovic, B., Ramirez Varela, A., Pratt, M., Milton, K., Bauman, A., Biddle, S. J., & Pedisic, Z. (2020). National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-13. https://doi.org/10.1186/s12966-020-01022-6
  • LeBlanc, A. G., Gunnell, K. E., Prince, S. A., Saunders, T. J., Barnes, J. D., & Chaput, J.-P. (2017). The ubiquity of the screen: an overview of the risks and benefits of screen time in our modern world. Translational Journal of the American College of Sports Medicine, 2(17), 104-113. https://doi.org/10.1249/TJX.0000000000000039
  • Loh, V. H., Veitch, J., Salmon, J., Cerin, E., Thornton, L., Mavoa, S., Villanueva, K., & Timperio, A. (2019). Built environment and physical activity among adolescents: the moderating effects of neighborhood safety and social support. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-8. https://doi.org/10.1186/s12966-019-0898-y
  • Meyer, M. R. U., Moore, J. B., Abildso, C., Edwards, M. B., Gamble, A., & Baskin, M. L. (2016). Rural active living: a call to action. Journal of Public Health Management and Practice, 22(5), E11. https://doi.org/10.1097/PHH.0000000000000333
  • Meyer, M. R. U., Perry, C. K., Sumrall, J. C., Patterson, M. S., Walsh, S. M., Clendennen, S. C., Hooker, S. P., Evenson, K. R., Goins, K. V., Heinrich, K. M., O’Hara Tompkins, N., Eyler, A. A., Jones, S., Tabak, R., & Valko, C. (2016). Peer Reviewed: Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013. Preventing Chronic Disease, 13. https://doi.org/10.5888/pcd13.150406
  • Nguyen, P., Le, L. K.-D., Nguyen, D., Gao, L., Dunstan, D. W., & Moodie, M. (2020). The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: an umbrella review of systematic reviews. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-11. https://doi.org/10.1186/s12966-020-01009-3
  • Patterson, M. S., Amuta, A. O., McKyer, E., McWhinney, S. L., Outley, C. W., & Tisone, C. A. (2015). The physical activity environment among rural, low-income children. Health Behavior and Policy Review, 2(6), 461-469. https://doi.org/10.14485/HBPR.2.6.6
  • Phytanza, D. T. P., Burhaein, E., Indriawan, S., Lourenço, C. C. V., Demirci, N., Widodo, P., Widiyono, I. P., Irawan, Y. F., Sutopo, W. G., Parmadi, M., Azizah, A. R., Saleh, M., Hadiatmo, A., & Susanto, A. (2022). Accuracy training program: Can improve shooting results of petanque athletes aged 15-20 years? International Journal of Human Movement and Sports Sciences, 10(1), 121-130. https://doi.org/10.13189/saj.2022.100117
  • Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and behavior change. Harvard Review of Psychiatry, 28(6), 371. https://doi.org/10.1097/HRP.0000000000000277
  • Sood, V., Ahmad, W., & Chavan, B. (2016). Effect of bocce game on developing visual motor integration among children with intellectual disability. Journal of Disability Management and Rehabilitation, 54-58.
  • Stamatakis, E., & Gill, J. M. (2019). Sitting behaviour and physical activity: two sides of the same cardiovascular health coin? British Journal of Sports Medicine, 53(14), 852–3. https://doi.org/10.1136/bjsports-2018-099640
  • Steene-Johannessen, J., Hansen, B. H., Dalene, K. E., Kolle, E., Northstone, K., Møller, N. C., et al. (2020). Variations in accelerometry measured physical activity and sedentary time across Europe–harmonized analyses of 47,497 children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 38. https://doi.org/10.1186/s12966-020-00930-x
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Year 2024, Volume: 15 Issue: Online First, 1 - 27
https://doi.org/10.54141/psbd.1395985

Abstract

Project Number

TÜBİTAK (Number: B.14.2.TBT.0.06.01.00-221-249164)

References

  • Ajzen, I., & Schmidt, P. (2020). Changing behavior using the theory of planned behavior. Handbook of Behavior Change, 17-31. https://doi.org/10.1017/9781108677318.002
  • Australian Bureau of Statistics. (2013). Australian health survey: physical activity, 2011–12. Canberra: Commonwealth of Australia.
  • Australian Government Department of Health. (2021). Australia’s physical activity and sedentary behaviour guidelines. Physical activity and exercise guidelines for all Australians (for children and young people). Retrieved February 5, 2024, from http://www.health.gov.au/internet/main/publishing.nsf/Content/pasb
  • Bann, D., Scholes, S., Fluharty, M., & Shure, N. (2019). Adolescents’ physical activity: cross-national comparisons of levels, distributions and disparities across 52 countries. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-11. https://doi.org/10.1186/s12966-019-0897-z
  • Bhattacharya, K. (2017). Fundamentals of Qualitative Research: A Practical Guide. New York: Taylor & Francis. https://doi.org/10.4324/9781315231747
  • Bhuiyan, N., Singh, P., Harden, S. M., & Mama, S. K. (2019). Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-11. https://doi.org/10.1186/s12966-019-0903-5
  • Brien, B., Harris, I., Beckman, T., Reed, D., & Cook, D. (2014). Standards for reporting qualitative research. Academic Medicine, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388
  • Carson, V., Hunter, S., Kuzik, N., Gray, C. E., Poitras, V. J., Chaput, J.-P., Saunders, T. J., Katzmarzyk, P. T., Okely, A. D., Connor Gorber S., Kho, M. E., Sampson, M., Lee, H., & Tremblay, M. S. (2016). Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism, 41(6), S240-S265. https://doi.org/10.1139/apnm-2015-0630
  • Cassar, S., Salmon, J., Timperio, A., Naylor, P.-J., Van Nassau, F., Contardo Ayala, A. M., & Koorts, H. (2019). Adoption, implementation and sustainability of school-based physical activity and sedentary behaviour interventions in real-world settings: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-13. https://doi.org/10.1186/s12966-019-0876-4
  • Chaput, J.-P., Willumsen, J., Bull, F., Chou, R., Ekelund, U., Firth, J., Jago, R., Ortega, F. B. & Katzmarzyk, P. T. (2020). 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-9. https://doi.org/10.1186/s12966-020-01037-z
  • Chen, B., Kattelmann, K., Daniels, A. M., Zies, S., Lindshield, E., & Kidd, T. (2018). Rural Adolescents' Barriers and Facilitators to Physical Activity. Health Behavior and Policy Review, 5(3), 36-49. https://doi.org/10.14485/HBPR.5.3.4
  • Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage publications.
  • Cypress, B. (2018). Qualitative research methods: A phenomenological focus. Dimensions of Critical Care Nursing, 37(6), 302-309. https://doi.org/10.1097/DCC.0000000000000322
  • DiClemente, C. C., & Graydon, M. M. (2020). Changing Behavior Using the Transtheoretical Model. Handbook of Behavior Change, 136-49. https://doi.org/10.1017/9781108677318.010
  • Ding, D., Lawson, K. D., Kolbe-Alexander, T. L., Finkelstein, E. A., Katzmarzyk, P. T., Van Mechelen, W., & Pratt, M. (2016). The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet, 388(10051), 1311-1324. https://doi.org/10.1016/S0140-6736(16)30383-X
  • Duan, N., Bhaumik, D. K., Palinkas, L. A., & Hoagwood, K. (2015). Optimal design and purposeful sampling: Complementary methodologies for implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 524-532. https://doi.org/10.1007/s10488-014-0596-7
  • Esatbeyoğlu, F., & Kin İşler, A. (2018). Physical activity levels, BMI and healthy life style behaviors in adolescents living in a rural district. Türkiye Klinikleri Journal of Sports Sciences, 10(1). https://doi.org/10.5336/sportsci.2017-57533
  • Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1· 6 million participants. Lancet Child & Adolescent Health, 4(1), 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2
  • Gündüz, N., & Keskin, M. T. (2019). Evaluation of performance work on bocce, dart and speedstack education supported by peer education. International Journal of Physical Education-A Review Publication, 4/2019, 8-15, http://hdl.handle.net/20.500.11787/1945 https://doi.org/10.5771/2747-6073-2019-4-15
  • Hodge, J. G., Gable, L., & Mair, J. (2008). A CDC review of school laws and policies concerning child and adolescent health. Journal of School Health, 78, 69-128. https://doi.org/10.1111/j.1746-1561.2007.00272_4.x
  • Human, D. (2001). Declaration of Helsinki. Lancet, 357(9251), 236. https://doi.org/10.1016/S0140-6736(05)71342-8
  • Kamath, C. C., Vickers, K. S., Ehrlich, A., McGovern, L., Johnson, J., Singhal, V., Paulo, R., Hettinger, A., Erwin, P. J. & Montori, V. M. (2008). Behavioral interventions to prevent childhood obesity: a systematic review and metaanalyses of randomized trials. Journal of Clinical Endocrinology & Metabolism, 93(12), 4606-4615. https://doi.org/10.1210/jc.2006-2411
  • Katzmarzyk, P. T., Friedenreich, C., Shiroma, E. J., & Lee, I.-M. (2022). Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. British Journal of Sports Medicine, 56(2), 101-106. https://doi.org/10.1136/bjsports-2020-103640
  • Katzmarzyk, P. T., Powell, K. E., Jakicic, J. M., Troiano, R. P., Piercy, K. & Tennant, B. the 2018 Physical Activity Guidelines Advisory Committee*. (2019). Sedentary behavior and health: update from the 2018 physical activity guidelines advisory committee. Medicine and Science in Sports and Exercise, 51(6), 1227. https://doi.org/10.1249/MSS.0000000000001935
  • Klepac Pogrmilovic, B., O’Sullivan, G., Milton, K., Biddle, S. J., Bauman, A., Bull, F., Kahlmeier, S., Pratt, M. & Pedisic, Z. (2018). A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 1-17. https://doi.org/10.1186/s12966-018-0742-9
  • Klepac Pogrmilovic, B., Ramirez Varela, A., Pratt, M., Milton, K., Bauman, A., Biddle, S. J., & Pedisic, Z. (2020). National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-13. https://doi.org/10.1186/s12966-020-01022-6
  • LeBlanc, A. G., Gunnell, K. E., Prince, S. A., Saunders, T. J., Barnes, J. D., & Chaput, J.-P. (2017). The ubiquity of the screen: an overview of the risks and benefits of screen time in our modern world. Translational Journal of the American College of Sports Medicine, 2(17), 104-113. https://doi.org/10.1249/TJX.0000000000000039
  • Loh, V. H., Veitch, J., Salmon, J., Cerin, E., Thornton, L., Mavoa, S., Villanueva, K., & Timperio, A. (2019). Built environment and physical activity among adolescents: the moderating effects of neighborhood safety and social support. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-8. https://doi.org/10.1186/s12966-019-0898-y
  • Meyer, M. R. U., Moore, J. B., Abildso, C., Edwards, M. B., Gamble, A., & Baskin, M. L. (2016). Rural active living: a call to action. Journal of Public Health Management and Practice, 22(5), E11. https://doi.org/10.1097/PHH.0000000000000333
  • Meyer, M. R. U., Perry, C. K., Sumrall, J. C., Patterson, M. S., Walsh, S. M., Clendennen, S. C., Hooker, S. P., Evenson, K. R., Goins, K. V., Heinrich, K. M., O’Hara Tompkins, N., Eyler, A. A., Jones, S., Tabak, R., & Valko, C. (2016). Peer Reviewed: Physical Activity–Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002–2013. Preventing Chronic Disease, 13. https://doi.org/10.5888/pcd13.150406
  • Nguyen, P., Le, L. K.-D., Nguyen, D., Gao, L., Dunstan, D. W., & Moodie, M. (2020). The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: an umbrella review of systematic reviews. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-11. https://doi.org/10.1186/s12966-020-01009-3
  • Patterson, M. S., Amuta, A. O., McKyer, E., McWhinney, S. L., Outley, C. W., & Tisone, C. A. (2015). The physical activity environment among rural, low-income children. Health Behavior and Policy Review, 2(6), 461-469. https://doi.org/10.14485/HBPR.2.6.6
  • Phytanza, D. T. P., Burhaein, E., Indriawan, S., Lourenço, C. C. V., Demirci, N., Widodo, P., Widiyono, I. P., Irawan, Y. F., Sutopo, W. G., Parmadi, M., Azizah, A. R., Saleh, M., Hadiatmo, A., & Susanto, A. (2022). Accuracy training program: Can improve shooting results of petanque athletes aged 15-20 years? International Journal of Human Movement and Sports Sciences, 10(1), 121-130. https://doi.org/10.13189/saj.2022.100117
  • Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and behavior change. Harvard Review of Psychiatry, 28(6), 371. https://doi.org/10.1097/HRP.0000000000000277
  • Sood, V., Ahmad, W., & Chavan, B. (2016). Effect of bocce game on developing visual motor integration among children with intellectual disability. Journal of Disability Management and Rehabilitation, 54-58.
  • Stamatakis, E., & Gill, J. M. (2019). Sitting behaviour and physical activity: two sides of the same cardiovascular health coin? British Journal of Sports Medicine, 53(14), 852–3. https://doi.org/10.1136/bjsports-2018-099640
  • Steene-Johannessen, J., Hansen, B. H., Dalene, K. E., Kolle, E., Northstone, K., Møller, N. C., et al. (2020). Variations in accelerometry measured physical activity and sedentary time across Europe–harmonized analyses of 47,497 children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 38. https://doi.org/10.1186/s12966-020-00930-x
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There are 46 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Physical Activity, Health & Exercise
Authors

Büşra Nur Erol 0000-0002-8680-1081

Hande Kırışık 0000-0002-2395-7855

Halime Gülle 0000-0002-2698-5077

Melisa İpar 0009-0000-0653-6138

Edanur Kaşıkçı 0000-0001-5477-4149

Ceyda Küpçüoğlu 0009-0009-0848-2327

Project Number TÜBİTAK (Number: B.14.2.TBT.0.06.01.00-221-249164)
Early Pub Date March 14, 2024
Publication Date
Submission Date November 25, 2023
Acceptance Date February 23, 2024
Published in Issue Year 2024 Volume: 15 Issue: Online First

Cite

APA Erol, B. N., Kırışık, H., Gülle, H., İpar, M., et al. (2024). Promoting Awareness of Sedentary Behavior and Physical Activity Awareness Among Rural Youth Through Bocce Game: A Qualitative Study. Pamukkale Journal of Sport Sciences, 15(Online First), 1-27. https://doi.org/10.54141/psbd.1395985