A non-equivalent group pilot trial of a school-based physical activity and fitness intervention for 10–11 year old english children: born to move
Background:
PE lessons are the formal opportunity in schools for promotion of physical activity and fitness. This study aimed to evaluate the effectiveness of a pilot PE intervention on physical activity, fitness, and psychosocial outcomes.
Methods:
Participants were 139 children aged 10–11 years from four schools. For six weeks children in two schools received a twice-weekly pilot ‘Born to Move’ (BTM) physical activity (PA) and fitness intervention alongside one regular PE lesson. Children in the two comparison (COM) schools received their regular twice weekly PE lessons. Outcomes were lesson time and whole-day light (LPA), moderate (MPA), vigorous (VPA), and MVPA, and sedentary time, muscular fitness, cardiorespiratory fitness (CRF), and lesson-specific perceived exertion, enjoyment, and perceived competence. Outcomes were assessed at baseline (T0), midway through the intervention (T1), and at the end (T2) using ANOVAs and ANCOVAs. Intervention fidelity was measured using child and teacher surveys at T2 and analysed using Chi-square tests.
Results:
The BTM group engaged in moderate PA for significantly more lesson time (29.4 %) than the COM group (25.8 %; p = .009, d = .53). The amount of moderate-to-vigorous PA (MVPA) during the T1 BTM lesson contributed 14.0 % to total MVPA, which was significantly more than the COM group’s T1 PE lesson (11.4 %;p < .001, d = .47). The BTM group were significantly more active during the whole-day (p < .05) and the school-day (p < .01). In both groups push-up test performance increased (p < .001) and CRF test performance decreased (p < .01). Perceived exertion, enjoyment, and perceived competence increased in both groups (p < .05), but the BTM group rated their enjoyment of the T1 BTM lesson higher than the COM group rated their PE lesson (p = .02, d = .56). The children’s and teachers’ responses to the intervention indicated that the delivery aims of enjoyment, engagement, inclusivity, and challenge were satisfied.
Conclusions:
The BTM pilot programme has potential to positively impact on physical activity, fitness, and psychosocial outcomes. Further, BTM was enjoyed by the children, and valued by the teachers. This study can inform the design of a modified larger-scale cluster RCT evaluation.
Keywords:
Physical education, Fitness, Physical activity, Enjoyment, Pilot, Perceived competence, Intervention, Schools, Children
Autoři:
Stuart J. Fairclough 1,2*; Bronagh Mcgrane 1; George Sanders 1; Sarah Taylor 1; Michael Owen 1; Whitney Curry 1
Působiště autorů:
Physical Activity and Health Research Group, Sport and Physical Activity Department, Edge Hill University, St Helens Road, Ormskirk, Lancs L39 4QP, UK
1; Department of Physical Education and Sports Science, University of Limerick, Limerick, Ireland
2
Vyšlo v časopise:
BMC Public Health 2016, 16:861
Kategorie:
Research article
prolekare.web.journal.doi_sk:
https://doi.org/10.1186/s12889-016-3550-7
© 2016 The Author(s).
Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
The electronic version of this article is the complete one and can be found online at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3550-7
Souhrn
Background:
PE lessons are the formal opportunity in schools for promotion of physical activity and fitness. This study aimed to evaluate the effectiveness of a pilot PE intervention on physical activity, fitness, and psychosocial outcomes.
Methods:
Participants were 139 children aged 10–11 years from four schools. For six weeks children in two schools received a twice-weekly pilot ‘Born to Move’ (BTM) physical activity (PA) and fitness intervention alongside one regular PE lesson. Children in the two comparison (COM) schools received their regular twice weekly PE lessons. Outcomes were lesson time and whole-day light (LPA), moderate (MPA), vigorous (VPA), and MVPA, and sedentary time, muscular fitness, cardiorespiratory fitness (CRF), and lesson-specific perceived exertion, enjoyment, and perceived competence. Outcomes were assessed at baseline (T0), midway through the intervention (T1), and at the end (T2) using ANOVAs and ANCOVAs. Intervention fidelity was measured using child and teacher surveys at T2 and analysed using Chi-square tests.
Results:
The BTM group engaged in moderate PA for significantly more lesson time (29.4 %) than the COM group (25.8 %; p = .009, d = .53). The amount of moderate-to-vigorous PA (MVPA) during the T1 BTM lesson contributed 14.0 % to total MVPA, which was significantly more than the COM group’s T1 PE lesson (11.4 %;p < .001, d = .47). The BTM group were significantly more active during the whole-day (p < .05) and the school-day (p < .01). In both groups push-up test performance increased (p < .001) and CRF test performance decreased (p < .01). Perceived exertion, enjoyment, and perceived competence increased in both groups (p < .05), but the BTM group rated their enjoyment of the T1 BTM lesson higher than the COM group rated their PE lesson (p = .02, d = .56). The children’s and teachers’ responses to the intervention indicated that the delivery aims of enjoyment, engagement, inclusivity, and challenge were satisfied.
Conclusions:
The BTM pilot programme has potential to positively impact on physical activity, fitness, and psychosocial outcomes. Further, BTM was enjoyed by the children, and valued by the teachers. This study can inform the design of a modified larger-scale cluster RCT evaluation.
Keywords:
Physical education, Fitness, Physical activity, Enjoyment, Pilot, Perceived competence, Intervention, Schools, Children
Zdroje
1. Chief Medical Officers. Start active, stay active. A report on physical activity for health from the four home countries. London: DH; 2011.
2. Smith J, Eather N, Morgan P, Plotnikoff R, Faigenbaum A, Lubans D. The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis. Sports Med. 2014;44(9):1209–23.
3. Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Fundamental movement skills in children and adolescents: review of associated health benefits. Sports Med. 2010;40(12):1019–35.
4. Janz KF, Letuchy EM, Eichenberger Gilmore JM, Burns TL, Torner JC, Willing MC, et al. Early physical activity provides sustained bone health benefits later in childhood. Med Sci Sports Exerc. 2010;42:1072–8.
5. Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.
6. Rowlands AV. Physical activity, inactivity, and health. Pediatr Exerc Sci. 2015;27(1):21–5.
7. Parikh T, Stratton G. Influence of intensity of physical activity on adiposity and cardiorespiratory fitness in 5–18 year olds. Sports Med. 2011;41(6):477–88.
8. Boddy LM, Fairclough SJ, Atkinson G, Stratton G. Changes in cardiorespiratory fitness in 9- to 10.9-year-old children: SportsLinx 1998–2010. Med Sci Sports Exerc. 2012;44(3):481–6.
9. Cohen DD, Voss C, Taylor MJD, Delextrat A, Ogunleye AA, Sandercock GRH. Ten-year secular changes in muscular fitness in english children. Acta Paediatr. 2011;100(10):e175–7.
10. Carson V, Ridgers ND, Howard BJ, Winkler EAH, Healy GN, Owen N, et al. Light-intensity physical activity and cardiometabolic biomarkers in US adolescents. PLoS ONE. 2013;8(8):1–7.
11. Kwon S, Janz KF, Burns TL, Levy SM. Association between light-intensity physical activity and adiposity in childhood. Pediatr Exerc Sci. 2011;23(2):218–29.
12. Tremblay M, Leblanc A, Kho M, Saunders T, Larouche R, Colley R. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8:98.
13. Kriemler S, Meyer U, Martin E, van Sluijs EMF, Andersen LB, Martin BW. Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med. 2011;45(11):923–30.
14. Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2013;2:CD007651.
15. Kriemler S, Zahner L, Schindler C, Meyer U, Hartmann T, Hebestreit H, et al. Effect of a school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: cluster randomised controlled trial. BMJ. 2010;340:c785.
16. Dishman RK, Motl RW, Saunders R, Felton G, Ward DS, Dowda M, et al. Enjoyment mediates effects of a school-based physical-activity intervention. Med Sci Sports Exerc. 2005;37(3):478–87.
17. Sallis JF, McKenzie TL, Beets MW, Beighle A, Erwin H, Lee S. Physical education’s role in public health: steps forward and backward over 20 years and HOPE for the future. Res Q Exerc Sport. 2012;83(2):125–35.
18. Lonsdale C, Rosenkranz RR, Peralta LR, Bennie A, Fahey P, Lubans DR. A systematic review and meta-analysis of interventions designed to increase moderate-to-vigorous physical activity in school physical education lessons. Prev Med. 2013;56(2):152–61.
19. Erfle SE, Gamble A. Effects of daily physical education on physical fitness and weight status in middle school adolescents. J Sch Health. 2015;85(1):27–35.
20. Sallis JF, McKenzie TL, Alcaraz JE, Kolody B, Faucette N, Hovell MF. The effects of a 2 year physical education programme (SPARK) on physical activity and fitness in elementary school students. Am J Public Health. 1997;87:1328–34.
21. Fairclough SJ, Stratton G. Improving health-enhancing physical activity in girls’ physical education. Health Educ Res. 2005;20(4):448–57.
22. Department for Education. The national crriculum in England. Framework document. London: DfE; 2013.
23. Fairclough SJ, Stratton G, Baldwin G. The contribution of secondary school physical education to lifetime physical activity. Eur Phys Educ Rev. 2002;8(1):69–84.
24. Des Jarlais DC, Lyles C, Crepaz N. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361–6.
25. Department for Communities and Local Government. The english indices of deprivation. Statistical release. London: DCLG; 2015.
26. Billingham SA, Whitehead AL, Julious SA. An audit of sample sizes for pilot and feasibility trials being undertaken in the United Kingdom registered in the United Kingdom clinical research network database. BMC Med Res Methodol. 2013;13(1):1–6.
27. Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, et al. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010;10(1):1–10.
28. Welk GJ. The youth physical activity promotion model: a conceptual bridge between theory and practice. Quest. 1999;51:5–23.
29. Rowe DA, Raedeke TD, Wiersma LD, Mahar MT. Investigating the youth physical activity promotion model: internal structure and external validity evidence for a potential measurement model. Pediatr Exerc Sci. 2007;19:42–435.
30. Lohman TG, Roche AFM, Martorell R. Anthropometric standardization reference manual. Champaign: Human Kinetics; 1991.
31. Cole TJ, Freeman JV, Preece MA. Body mass index reference curves for the UK, 1990. Arch Dis Child. 1995;73(1):25–9.
32. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–4.
33. Mirwald RL, Baxter-Jones ADG, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc. 2002;34(4):689–94.
34. Cooper Institute. FITNESSGRAM Tests. 2014. http://www.cooperinstitute.org/reference-guide. Accessed 2 May 2015.
35. Hraski M, Hraski Z, Mrakovic S, Horvat V. Relation between anthropometric characteristics and kinematic parameters which influence standing long jump efficiency in boys and adolescents. Coll Antropol. 2015;39 Suppl 1:47–55.
36. Andersen LB, Andersen TE, Andersen E, Anderssen SA. An intermittent running test to estimate maximal oxygen uptake: the Andersen test. J Sports Med Phys Fitness. 2008;48:434–7.
37. Aadland E, Terum T, Mamen A, Andersen LB, Resaland GK. The Andersen aerobic fitness test: reliability and validity in 10-year-old children. PLoS ONE. 2014;9(10):e110492.
38. Robertson RJ, Goss FL, Andreacci JL, Dube JJ, Rutlowski JJ, Snee BM, et al. Validation of the children’s OMNI scale for stepping exercise. Med Sci Sports Exerc. 2005;37(2):290–8.
39. Cuddihy TF, Corbin CB, Dale D. A short instrument for assessing intrinsic motivation for physical activity. Phys Educ. 2002;59(1):26–37.
40. Goudas M, Biddle S. Perceived motivational climate and intrinsic motivation in school physical education classes. Eur J Psychol Educ. 1994;9(3):241–50.
41. Goudas M, Biddle SJH, Fox KR. Perceived locus of causality, goal orientations, and perceived competence in school physical education classes. Br J Educ Psychol. 1994;64:453–63.
42. Self-DeterminationTheory.org. SDT. Self-Determination Theory. 2016. http://selfdeterminationtheory.org/intrinsic-motivation-inventory/. Accessed 1 Sept 2015.
43. Evenson K, Catellier D, Gill K, Ondrak K, McMurray R. Calibration of two objective measures of physical activity for children. J Sports Sci. 2008;26:1557–65.
44. Chandler JL, Brazendale K, Beets MW, Mealing BA. Classification of physical activity intensities using a wrist-worn accelerometer in 8–12-year-old children. Pediatr Obes. 2016;11:120–7.
45. Vincent W, Weir JP. Statistics in kinesiology. 4th ed. Champaign: Human Kinetics; 2012.
46. Kreft I, de Leeuw J. Introducing multilevel modelling. Thousand Oaks: Sage; 1998.
47. de Boer M, Waterlander W, Kuijper L, Steenhuis I, Twisk J. Testing for baseline differences in randomized controlled trials: an unhealthy research behavior that is hard to eradicate. Int J Behav Nutr Phys Act. 2015;12(1):4.
48. Lloyd LK, Bishop PA, Walker JL, Sharp KR, Richardson MT. The Influence of body size and composition on FITNESSGRAM test performance and the adjustment of FITNESSGRAM test scores for skinfold thickness in youth. Meas Phys Educ Exerc Sci. 2003;7(4):205–26.
49. Plowman SA. Top 10 research questions related to musculoskeletal physical fitness testing in children and adolescents. Res Q Exerc Sport. 2014;85(2):174–87.
50. Charlton R, Gravenor M, Rees A, Knox G, Hill R, Rahman M, et al. Factors associated with low fitness in adolescents - a mixed methods study. BMC Public Health. 2014;14(1):764.
51. Jimenez-Pavon D, Ortega FB, Ruiz JR, Chillon P, Castillo R, Artero EG, et al. Influence of socioeconomic factors on fitness and fatness in Spanish adolescents: the AVENA study. Int J Pediatr Obes. 2010;5(6):467–73.
52. Veligekas P, Tsoukos A, Bogdanis GC. Determinants of standing long jump performance in 9–12 year old children. Serb J Sports Sci. 2012;6(4):147–55.
53. Snijders TAB, Bosker RJ. Standard errors and sample sizes for two-level research. J Educ Stat. 1993;18:237–59.
54. Association for Physical Education. Health Position Paper 2015. http://www.afpe.org.uk/images/stories/afPE_Health_Position_Paper_Web_Version.pdf. Accessed 2 May 2015.
55. U.S. Department of health and human services. Strategies to improve the quality of physical education. Washington, DC: United States Government; 2010.
56. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Ass. Publishers; 1988.
57. Howie EK, Straker LM. Rates of attrition, non-compliance and missingness in randomized controlled trials of child physical activity interventions using accelerometers: A brief methodological review. J Sci Med Sport. in press. http://dx.doi.org/10.1016/j.jsams.2015.12.520. Accessed 1 Apr 2016.
58. Fairclough SJ, Stratton G. A review of physical activity levels during elementary school physical education. J Teach Phys Educ. 2006;25:240–58.
59. Chen S, Kim Y, Gao Z. The contributing role of physical education in youth’s daily physical activity and sedentary behavior. BMC Public Health. 2014;14(1):110.
60. Meyer U, Roth R, Zahner L, Gerber M, Puder JJ, Hebestreit H, et al. Contribution of physical education to overall physical activity. Scan J Med Sci Sports. 2013;23(5):600–6.
61. Alderman BL, Benham-Deal T, Beighle A, Erwin HE, Olson RL. Physical education’s contribution to daily physical activity among middle school youth. Pediatr Exerc Sci. 2012;24(4):634–48.
62. Morgan CF, Beighle A, Pangrazi RP. What are the contributory and compensatory relationships between physical education and physical activity in children? Res Qy Exerc Sport. 2007;78(5):407–12.
63. Mallam K, Metcalf B, Kirkby J, Voss L, Wilkin T. Contribution of timetabled physical education to total physical activity in primary school children: cross sectional study. BMJ. 2004;327:592–3.
64. Wilkin TJ. Can we modulate physical activity in children? No Int J Obes. 2011;36:1270–6.
65. Wu G, Sanderson B, Bittner V. The 6-minute walk test: How important is the learning effect? Am Heart J. 2003;146(1):129–33.
66. Beunen G, Thomis M. Muscular strength development in children and adolescents. Pediatr Exerc Sci. 2000;12:174–97.
67. Castro-Piñero J, Ortega FB, Artero EG, Girela-Rejón MJ, Mora J, Sjöström M, et al. Assessing muscular strength in youth: usefulness of standing long jump as a general index of muscular fitness. J Strength Cond Res. 2010;24(7):1810–7.
68. Bendiksen M, Ahler T, Clausen H, Wedderkopp N, Krustrup P. The use of Yo-Yo intermittent recovery level 1 and Andersen testing for fitness and maximal heart rate assessments of 6- to 10-year-old school children. J Strength Cond Res. 2013;27(6):1583–90.
69. Cureton KJ, Sloniger MA, O’Bannon JP, Black DM, McCormack WP. A generalized equation for prediction of VO2peak from 1-mile run/walk performance. Med Sci Sports Exerc. 1995;27(3):445–51.
70. Goudas M, Biddle SJH, Fox KR. Achievement goal orientations and intrinsic motivation in physical fitness testing with children. Pediatr Exerc Sci. 1994;6(2):159–67.
71. Wankel LM. The importance of enjoyment to adherenece and psychological benefits from physical activity. Int J Sport Psych. 1993;24:151–69.
72. Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum Press; 1985.
73. Klint K, Weiss M. Perceived competence and motives for participation in youth sports: a test of Harter’s competence motivation theory. J Sport Psychol. 1987;9:55–65.
74. Fairclough SJ, Hilland TA, Stratton G, Ridgers ND. Am I able? is it worth it?” adolescent girls’ motivational predispositions to school physical education: associations with health-enhancing physical activity. Eur Phys Educ Rev. 2012;18:147–58.
75. Cairney J, Kwan M, Velduizen S, Hay J, Bray S, Faught B. Gender, perceived competence and the enjoyment of physical education in children: a longitudinal examination. Int J Behav Nutr Phys Act. 2012;9(1):26.
76. Fox KR, Biddle SJH. The child’s perspective in physical education part 2: Children’s participation motives. Br J Phys Educ. 1988;19(2):79–82.
77. Weiss MR. Self-esteem and achievement in children’s sport and physical activity. In: Gould D, Weiss MR, editors. Advances in pediatric sport sciences, vol. 2, behavioural issues. Champaign: Human Kinetics; 1987.
78. van Beurden E, Barnett LM, Zask A, Dietrich UC, Brooks LO, Beard J. Can we skill and activate children through primary school physical education lessons? “move it groove it”- a collaborative health promotion intervention. Prev Med. 2003;36(4):493–501.
79. Timo J, Sami YP, Anthony W, Jarmo L. Perceived physical competence towards physical activity, and motivation and enjoyment in physical education as longitudinal predictors of adolescents’ self-reported physical activity. J Sci Med Sport. 2015;19:750-54.
80. Eather N, Morgan P, Lubans D. Social support from teachers mediates physical activity behavior change in children participating in the Fit-4-Fun intervention. Int J Behav Nutr Phys Act. 2013;10(1):68.
81. Owen N, Glanz K, Sallis JF, Kelder SH. Evidence-based approaches to dissemination and diffusion of physical activity interventions. Am J Prev Med. 2006;31(4S):S35–41.
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