Physical Activity
Conditions
Keywords
Implementation of Physical Activity Programs in Schools
Brief summary
The purpose of this study is to develop an implementation strategy to improve the use and sustainment of active learning in elementary schools and to conduct a feasibility study to evaluate the impact of the developed implementation strategy on the implementation and effectiveness of active learning.
Interventions
BEHAVIORALImplementation strategy for active learning to promote physical activity
The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
BEHAVIORALUsual implementation support
Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.
Sponsors
The University of Texas Health Science Center, Houston
National Heart, Lung, and Blood Institute (NHLBI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* lead teachers who teach kindergarten to fifth grade * children in kindergarten to fifth grade
Exclusion criteria
* non English or Spanish speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | Baseline | The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability. |
| Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | Baseline | Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used. |
| Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | Baseline | Dose of delivery is the number of minutes per day of active learning used. |
| Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | Baseline | — |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources. | 159 |
| Usual Implementation Support Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches. | 142 |
| Total | 301 |
Baseline characteristics
| Characteristic | Implementation Strategy for Active Learning to Promote Physical Activity | Total | Usual Implementation Support |
|---|---|---|---|
| Age, Continuous Children | 7.6 years STANDARD_DEVIATION 1.4 | 7.5 years STANDARD_DEVIATION 1.5 | 7.3 years STANDARD_DEVIATION 1.5 |
| Age, Continuous Teachers | 35.4 years STANDARD_DEVIATION 11 | 38.5 years STANDARD_DEVIATION 12.1 | 41.9 years STANDARD_DEVIATION 12.6 |
| Ethnicity (NIH/OMB) Children Hispanic or Latino | 71 Participants | 143 Participants | 72 Participants |
| Ethnicity (NIH/OMB) Children Not Hispanic or Latino | 52 Participants | 83 Participants | 31 Participants |
| Ethnicity (NIH/OMB) Children Unknown or Not Reported | 1 Participants | 2 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Teachers Hispanic or Latino | 8 Participants | 22 Participants | 14 Participants |
| Ethnicity (NIH/OMB) Teachers Not Hispanic or Latino | 27 Participants | 45 Participants | 18 Participants |
| Ethnicity (NIH/OMB) Teachers Unknown or Not Reported | 0 Participants | 6 Participants | 6 Participants |
| Race (NIH/OMB) Children American Indian or Alaska Native | 17 Participants | 40 Participants | 23 Participants |
| Race (NIH/OMB) Children Asian | 1 Participants | 4 Participants | 3 Participants |
| Race (NIH/OMB) Children Black or African American | 41 Participants | 71 Participants | 30 Participants |
| Race (NIH/OMB) Children More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Children Native Hawaiian or Other Pacific Islander | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Children Unknown or Not Reported | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Children White | 63 Participants | 109 Participants | 46 Participants |
| Race (NIH/OMB) Teachers American Indian or Alaska Native | 1 Participants | 4 Participants | 3 Participants |
| Race (NIH/OMB) Teachers Asian | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Teachers Black or African American | 21 Participants | 33 Participants | 12 Participants |
| Race (NIH/OMB) Teachers More than one race | 1 Participants | 5 Participants | 4 Participants |
| Race (NIH/OMB) Teachers Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Teachers Unknown or Not Reported | 0 Participants | 6 Participants | 6 Participants |
| Race (NIH/OMB) Teachers White | 12 Participants | 24 Participants | 12 Participants |
| Region of Enrollment United States | 159 participants | 301 participants | 142 participants |
| Sex: Female, Male Children Female | 57 Participants | 111 Participants | 54 Participants |
| Sex: Female, Male Children Male | 66 Participants | 115 Participants | 49 Participants |
| Sex: Female, Male Teachers Female | 31 Participants | 54 Participants | 23 Participants |
| Sex: Female, Male Teachers Male | 4 Participants | 13 Participants | 9 Participants |
| Student's Lunch Status Free | 93 Participants | 178 Participants | 85 Participants |
| Student's Lunch Status Non-participant | 9 Participants | 18 Participants | 9 Participants |
| Student's Lunch Status Reduced Lunch | 21 Participants | 30 Participants | 9 Participants |
| Student's Lunch Status Unknown or Not Reported | 1 Participants | 2 Participants | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 124 | 0 / 104 | 0 / 35 | 0 / 38 |
| other Total, other adverse events | 0 / 124 | 0 / 104 | 0 / 38 | 0 / 35 |
| serious Total, serious adverse events | 0 / 124 | 0 / 104 | 0 / 35 | 0 / 38 |
Outcome results
Primary
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)
The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.
Time frame: Approximately 13 months after baseline
Population: Data were only collected from Teacher Participants who completed the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.7 score on a scale | Standard Deviation 0.4 |
| Usual Implementation Support | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.8 score on a scale | Standard Deviation 0.4 |
Primary
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)
The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.
Time frame: Baseline
Population: Data were only collected from Teacher Participants who completed the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.7 score on a scale | Standard Deviation 0.4 |
| Usual Implementation Support | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.3 score on a scale | Standard Deviation 1 |
Primary
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)
The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.
Time frame: Approximately 7 months after baseline
Population: Data were only collected from Teacher Participants who completed the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.6 score on a scale | Standard Deviation 0.7 |
| Usual Implementation Support | Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM) | 4.5 score on a scale | Standard Deviation 0.9 |
Primary
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery
Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.
Time frame: Approximately 13 months after baseline
Population: Data were only collected from Teacher Participants who completed the self-reported implementation log.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 9.3 minutes per day | Standard Deviation 19.5 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 9.7 minutes per day | Standard Deviation 9.7 |
Primary
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery
Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.
Time frame: Baseline
Population: Data were only collected from Teacher Participants who completed the self-reported implementation log.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 6.5 minutes per day | Standard Deviation 8.8 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 6.8 minutes per day | Standard Deviation 16.7 |
Primary
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery
Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per week of active learning used.
Time frame: Approximately 7 months after baseline
Population: Data were only collected from Teacher Participants who completed the self-reported implementation log.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 13.5 minutes per day | Standard Deviation 17.2 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery | 12.9 minutes per day | Standard Deviation 16.8 |
Primary
Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery
Dose of delivery is the number of minutes per day of active learning used.
Time frame: Approximately 7 months after baseline
Population: Data were only collected from Teacher Participants who completed the Survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 16 minutes per day | Standard Deviation 10.9 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 12.8 minutes per day | Standard Deviation 12.6 |
Primary
Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery
Dose of delivery is the number of minutes per day of active learning used.
Time frame: Approximately 13 months after baseline
Population: Data were only collected from Teacher Participants who completed the Survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 14.5 minutes per day | Standard Deviation 11.8 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 14.3 minutes per day | Standard Deviation 12.7 |
Primary
Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery
Dose of delivery is the number of minutes per day of active learning used.
Time frame: Baseline
Population: Data were only collected from Teacher Participants who completed the Survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 11.8 minutes per day | Standard Deviation 10.5 |
| Usual Implementation Support | Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery | 8.3 minutes per day | Standard Deviation 9.1 |
Primary
Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer
Time frame: Approximately 13 months after baseline
Population: Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 22.7 minutes per day | Standard Deviation 8.2 |
| Usual Implementation Support | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 26.2 minutes per day | Standard Deviation 8.7 |
Primary
Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer
Time frame: Baseline
Population: Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 26.5 minutes per day | Standard Deviation 11.1 |
| Usual Implementation Support | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 25.1 minutes per day | Standard Deviation 8.9 |
Primary
Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer
Time frame: Approximately 7 months after baseline
Population: Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Implementation Strategy for Active Learning to Promote Physical Activity | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 25.2 minutes per day | Standard Deviation 10.3 |
| Usual Implementation Support | Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer | 26.7 minutes per day | Standard Deviation 9.8 |