Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/22791
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dc.contributor.authorSutherland, Rachelen
dc.contributor.authorNathan, Nicoleen
dc.contributor.authorWolfenden, Lukeen
dc.contributor.authorLubans, David Ren
dc.contributor.authorCohen, Kristenen
dc.contributor.authorDavies, Lyndaen
dc.contributor.authorDesmet, Clareen
dc.contributor.authorCohen, Joshuaen
dc.contributor.authorMcCarthy, Nicoleen
dc.contributor.authorButler, Peteren
dc.contributor.authorWiggers, Johnen
dc.date.accessioned2018-04-13T14:39:00Z-
dc.date.issued2017-
dc.identifier.citationAmerican Journal of Preventive Medicine, 53(6), p. 818-828en
dc.identifier.issn1873-2607en
dc.identifier.issn0749-3797en
dc.identifier.urihttps://hdl.handle.net/1959.11/22791-
dc.description.abstractIntroduction Although comprehensive school-based physical activity interventions are efficacious when tested under research conditions, they often require adaptation in order for implementation at scale. This paper reports the effectiveness of an adapted efficacious school-based intervention in improving children's moderate to vigorous physical activity. The impact of strategies to support program implementation was also assessed. Design A cluster RCT of low socioeconomic elementary schools in New South Wales, Australia. Setting/participants Consenting schools were randomized (25 intervention, 21 control) using a computerized random number function. Follow-up measures were taken at 6 months post-randomization (May-August 2015) by blinded research assistants. The multicomponent school-based intervention, based on an efficacious school-based physical activity program (Supporting Children's Outcomes using Rewards, Exercise and Skills), consisted of four physical activity strategies and seven implementation support strategies. The intervention was adapted for scalability and delivery by a local health service over 6 months. The primary outcome was accelerometer assessed, student mean daily minutes spent in moderate to vigorous physical activity. Physical education lesson quality and other school physical activity practices were also assessed. Results Participants (n=1,139, 49% male) were third- through sixth-grade students at follow-up (May-August 2015). Valid wear time and analysis of data were provided for 989 (86%) participants (571 intervention, 568 control). At 6-month follow-up, there were no significant effects in overall daily minutes of moderate to vigorous physical activity between groups (1.96 minutes, 95% CI= -3.49, 7.41, p=0.48). However, adjusted difference in mean minutes of overall vigorous physical activity (2.19, 95% CI=0.06, 4.32, p=0.04); mean minutes of school day moderate to vigorous physical activity (2.90, 95% CI=0.06, 5.85, p=0.05); and mean minutes of school day vigorous physical activity (1.81, 95% CI=0.78, 2.83, p≤0.01) were significantly different in favor of the intervention group. Physical education lesson quality and school physical activity practices were significantly different favoring the intervention group (analyzed October 2015-January 2016). Conclusions The modified intervention was not effective in increasing children's overall daily minutes of moderate to vigorous physical activity, when adapted for implementation at scale. However, the intervention did improve daily minutes of vigorous physical activity and school day moderate to vigorous physical activity, lesson quality, and school physical activity practices.en
dc.languageenen
dc.publisherElsevier Incen
dc.relation.ispartofAmerican Journal of Preventive Medicineen
dc.titleAn RCT to Facilitate Implementation of School Practices Known to Increase Physical Activityen
dc.typeJournal Articleen
dc.identifier.doi10.1016/j.amepre.2017.08.009en
dcterms.accessRightsGolden
dc.subject.keywordsPhysical Education and Development Curriculum and Pedagogyen
local.contributor.firstnameRachelen
local.contributor.firstnameNicoleen
local.contributor.firstnameLukeen
local.contributor.firstnameDavid Ren
local.contributor.firstnameKristenen
local.contributor.firstnameLyndaen
local.contributor.firstnameClareen
local.contributor.firstnameJoshuaen
local.contributor.firstnameNicoleen
local.contributor.firstnamePeteren
local.contributor.firstnameJohnen
local.subject.for2008130210 Physical Education and Development Curriculum and Pedagogyen
local.subject.seo2008930499 School/Institution not elsewhere classifieden
local.profile.schoolSchool of Educationen
local.profile.emailkcohen4@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.identifier.epublicationsrecordune-20180131-132937en
local.publisher.placeNetherlandsen
local.format.startpage818en
local.format.endpage828en
local.peerreviewedYesen
local.identifier.volume53en
local.identifier.issue6en
local.access.fulltextYesen
local.contributor.lastnameSutherlanden
local.contributor.lastnameNathanen
local.contributor.lastnameWolfendenen
local.contributor.lastnameLubansen
local.contributor.lastnameCohenen
local.contributor.lastnameDaviesen
local.contributor.lastnameDesmeten
local.contributor.lastnameCohenen
local.contributor.lastnameMcCarthyen
local.contributor.lastnameButleren
local.contributor.lastnameWiggersen
dc.identifier.staffune-id:kcohen4en
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
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local.identifier.unepublicationidune:22974en
local.identifier.handlehttps://hdl.handle.net/1959.11/22791en
dc.identifier.academiclevelAcademicen
local.title.maintitleAn RCT to Facilitate Implementation of School Practices Known to Increase Physical Activityen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorSutherland, Rachelen
local.search.authorNathan, Nicoleen
local.search.authorWolfenden, Lukeen
local.search.authorLubans, David Ren
local.search.authorCohen, Kristenen
local.search.authorDavies, Lyndaen
local.search.authorDesmet, Clareen
local.search.authorCohen, Joshuaen
local.search.authorMcCarthy, Nicoleen
local.search.authorButler, Peteren
local.search.authorWiggers, Johnen
local.uneassociationUnknownen
local.year.published2017-
local.fileurl.closedpublishedhttps://rune.une.edu.au/web/retrieve/447dbb01-bb37-4ff7-883a-4450ec37fd99en
local.subject.for2020390111 Physical education and development curriculum and pedagogyen
local.subject.seo2020160299 Schools and learning environments not elsewhere classifieden
Appears in Collections:Journal Article
School of Education
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