Motor Activity
Conditions
Keywords
Physical Activity, Youth, School Health
Brief summary
The purpose of this project is to develop a Comprehensive School Physical Activity Program (CSPAP) training protocol, and test the feasibility, acceptability, and effectiveness of its delivery in an elementary school setting.
Detailed description
Children across the United States are insufficiently physically active. In response, numerous physical activity (PA) interventions have been developed and tested, the majority within the school setting. Unfortunately, these have resulted in limited, if any impact on children's PA. The investigators feel that this absence of effect stems from a lack of tailoring at the school level and a resulting lack in institutionalization. To address the latter issue, the investigators feel that it is important to leverage existing resources and capitalize on existing policies. The state of South Carolina has instituted the role of Physical Activity Coordinators to promote PA among students across and beyond the school day. However, while these positions are mandated by state law, the individuals in these positions often lack the training and support to maximize their impact. Our long-term goal is to develop best practices to inform the national movement to train school PA Coordinators to deliver a Comprehensive School Physical Activity Program (CSPAP) within schools that can be disseminated across the country. The objectives of the current application are to: 1) modify and expand existing CSPAP training curricula for PA Coordinators; 2) deliver the enhanced PA Coordinator training in our pilot schools; 3) conduct process evaluation on the implementation of a CSPAP by the PA Coordinators, and 4) evaluate the effectiveness of the trainings to increase children's objectively measured PA. The goal of the proposed study is to determine the acceptability, feasibility, and effectiveness of properly train PA Coordinators to promote PA in elementary school children. This goal will be achieved through the following aims: AIM 1: Develop an enhanced CSPAP training course and resource toolkit for PA Coordinators. AIM 2: Determine the acceptability/feasibility of the enhanced PA coordinator training and the implementation of a Comprehensive School Physical Activity Program in an elementary school setting. AIM 3: Determine the effectiveness of trained PA coordinators to increase objectively measured PA in elementary school youth. the investigators will randomize four schools to receive the PA Coordinator training (n=2) or continue standard practice (n=2). A comprehensive process and impact evaluation will be conducted to determine acceptability of the intervention, factors influencing implementation fidelity/dose, and the effectiveness of the PA Coordinators to increase physical activity measured via accelerometry in children.
Interventions
BEHAVIORALCSPAP
Comprehensive School Physical Activity Program.
Sponsors
University of South Carolina
National Heart, Lung, and Blood Institute (NHLBI)
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Enrolled in grades 2 - 5 at the participating school sites.
Exclusion criteria
* Physical or mental impairment that would preclude physical activity or protocol compliance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Youth Physical Activity | baseline and one-year follow-up | Physical activity measured using an accelerometer at baseline and one-year follow-up (spring 2015 and spring 2016). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the Be a Champion! Program | Up to nine months. | Implementation monitoring to determine feasibility of the program as indicated by the percentage of planned tasks achieved with full fidelity and as determined by the number who, a) assembled an implementation team, b) completed all trainings, c) completed self-assessments, d) developed action plans, and e) executed at least one component of their action plans. |
| Acceptability of the Be a Champion! Program | Up to nine months. | Number of schools that indicated BAC was acceptable, based upon qualitative and quantitative feedback from principals, classroom teachers, and implementation teams. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| CSPAP Schools in this arm will receive the Comprehensive School Physical Activity Program training.
CSPAP: Comprehensive School Physical Activity Program. | 227 |
| Control Standard practice. | 153 |
| Total | 380 |
Baseline characteristics
| Characteristic | CSPAP | Control | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 227 Participants | 153 Participants | 380 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 127 Participants | 75 Participants | 202 Participants |
| Sex: Female, Male Male | 100 Participants | 78 Participants | 178 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 227 | 0 / 153 |
| other Total, other adverse events | 0 / 227 | 0 / 153 |
| serious Total, serious adverse events | 0 / 227 | 0 / 153 |
Outcome results
Primary
Change in Youth Physical Activity
Physical activity measured using an accelerometer at baseline and one-year follow-up (spring 2015 and spring 2016).
Time frame: baseline and one-year follow-up
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CSPAP | Change in Youth Physical Activity | baseline | 32.13 minutes/day | Standard Deviation 16.91 |
| CSPAP | Change in Youth Physical Activity | one-year follow-up | 33.16 minutes/day | Standard Deviation 16.7 |
| Control | Change in Youth Physical Activity | baseline | 36.47 minutes/day | Standard Deviation 16.33 |
| Control | Change in Youth Physical Activity | one-year follow-up | 36.50 minutes/day | Standard Deviation 16.69 |
Secondary
Acceptability of the Be a Champion! Program
Number of schools that indicated BAC was acceptable, based upon qualitative and quantitative feedback from principals, classroom teachers, and implementation teams.
Time frame: Up to nine months.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CSPAP | Acceptability of the Be a Champion! Program | 3 number of schools |
| Control | Acceptability of the Be a Champion! Program | 2 number of schools |
Secondary
Feasibility of the Be a Champion! Program
Implementation monitoring to determine feasibility of the program as indicated by the percentage of planned tasks achieved with full fidelity and as determined by the number who, a) assembled an implementation team, b) completed all trainings, c) completed self-assessments, d) developed action plans, and e) executed at least one component of their action plans.
Time frame: Up to nine months.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CSPAP | Feasibility of the Be a Champion! Program | 3 schools |
| Control | Feasibility of the Be a Champion! Program | 2 schools |