Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity
Abstract Background Interventions directed at after school programs (ASPs) have the potential to support physical activity (PA) in young children. Research has indicated that interventions that emphasize competence building among the ASP staff can lead to increased PA among the children. The present...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-04-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08645-1 |
| _version_ | 1818128356925767680 |
|---|---|
| author | Kirsti Riiser Kåre Rønn Richardsen Anders L. H. Haugen Siv Lund Knut Løndal |
| author_facet | Kirsti Riiser Kåre Rønn Richardsen Anders L. H. Haugen Siv Lund Knut Løndal |
| author_sort | Kirsti Riiser |
| collection | DOAJ |
| description | Abstract Background Interventions directed at after school programs (ASPs) have the potential to support physical activity (PA) in young children. Research has indicated that interventions that emphasize competence building among the ASP staff can lead to increased PA among the children. The present study evaluates the effectiveness of the Active Play in ASP intervention—a program for ASP staff aimed at supporting physical activity among first graders in ASP. Methods We used a matched-pair cluster randomized design and included 456 first graders from 14 schools in Norway. From these, 7 ASPs received the intervention (N = 229), while 7 acted as controls (N = 227). Measurements were taken at baseline, immediately post intervention (7 month follow-up) and after a year (19 month follow-up). The primary outcome was moderate to vigorous physical activity (MVPA), which was estimated with predefined cut points of counts per minute (CPM) and expressed as minutes/hour. Secondary outcomes were vigorous and light intensity physical activity (VPA and LPA) and sedentary behavior. The analyses of intervention effects were based on between-group differences in outcome changes between the 3 measurement points and were conducted using a mixed-effects model for repeated measures using categorical time. In exploratory analyses, we investigated gender, baseline body mass index, and baseline CPM as potential effect modifiers. Results No significant intervention effects was observed on MVPA (0.55 min/hour [99% CI -0.55:1.64]) or on the secondary outcomes, min/hour of LPA, VPA or sedentary behavior. Exploratory analyses indicated that among the 50% least physically active children at baseline, children in intervention ASPs reduced sedentary time from baseline to 19 months follow up by 1.67 min/hour (95% CI -3.12:-0.21) compared to the controls. Conclusions Although the intervention did not significantly increase the mean MVPA among the children in the intervention ASPs compared to controls, it did seem to have a small effect by reducing sedentary behavior time among the least active children. An even stronger emphasis on how to identify less active children and support their activity may be needed in order to increase their PA and further reduce sedentary behavior time. Trial registration ClinicalTrials; NCT02954614 , Registered 3 November 2016, −Retrospectively registered, first participant enrolled August 2016 |
| first_indexed | 2024-12-11T07:31:57Z |
| format | Article |
| id | doaj.art-40a883b0936441e38fefc43a3324d69c |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T07:31:57Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-40a883b0936441e38fefc43a3324d69c2022-12-22T01:15:48ZengBMCBMC Public Health1471-24582020-04-0120111210.1186/s12889-020-08645-1Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activityKirsti Riiser0Kåre Rønn Richardsen1Anders L. H. Haugen2Siv Lund3Knut Løndal4Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan UniversityDepartment of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan UniversityDepartment of Primary and Secondary Teacher Education, Faculty of Education and International Studies, OsloMet - Oslo Metropolitan UniversityDepartment of Primary and Secondary Teacher Education, Faculty of Education and International Studies, OsloMet - Oslo Metropolitan UniversityDepartment of Primary and Secondary Teacher Education, Faculty of Education and International Studies, OsloMet - Oslo Metropolitan UniversityAbstract Background Interventions directed at after school programs (ASPs) have the potential to support physical activity (PA) in young children. Research has indicated that interventions that emphasize competence building among the ASP staff can lead to increased PA among the children. The present study evaluates the effectiveness of the Active Play in ASP intervention—a program for ASP staff aimed at supporting physical activity among first graders in ASP. Methods We used a matched-pair cluster randomized design and included 456 first graders from 14 schools in Norway. From these, 7 ASPs received the intervention (N = 229), while 7 acted as controls (N = 227). Measurements were taken at baseline, immediately post intervention (7 month follow-up) and after a year (19 month follow-up). The primary outcome was moderate to vigorous physical activity (MVPA), which was estimated with predefined cut points of counts per minute (CPM) and expressed as minutes/hour. Secondary outcomes were vigorous and light intensity physical activity (VPA and LPA) and sedentary behavior. The analyses of intervention effects were based on between-group differences in outcome changes between the 3 measurement points and were conducted using a mixed-effects model for repeated measures using categorical time. In exploratory analyses, we investigated gender, baseline body mass index, and baseline CPM as potential effect modifiers. Results No significant intervention effects was observed on MVPA (0.55 min/hour [99% CI -0.55:1.64]) or on the secondary outcomes, min/hour of LPA, VPA or sedentary behavior. Exploratory analyses indicated that among the 50% least physically active children at baseline, children in intervention ASPs reduced sedentary time from baseline to 19 months follow up by 1.67 min/hour (95% CI -3.12:-0.21) compared to the controls. Conclusions Although the intervention did not significantly increase the mean MVPA among the children in the intervention ASPs compared to controls, it did seem to have a small effect by reducing sedentary behavior time among the least active children. An even stronger emphasis on how to identify less active children and support their activity may be needed in order to increase their PA and further reduce sedentary behavior time. Trial registration ClinicalTrials; NCT02954614 , Registered 3 November 2016, −Retrospectively registered, first participant enrolled August 2016http://link.springer.com/article/10.1186/s12889-020-08645-1After-school programsPhysical activitySedentary behaviorPhysical activity playSelf-determination theoryActivity support |
| spellingShingle | Kirsti Riiser Kåre Rønn Richardsen Anders L. H. Haugen Siv Lund Knut Løndal Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity BMC Public Health After-school programs Physical activity Sedentary behavior Physical activity play Self-determination theory Activity support |
| title | Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity |
| title_full | Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity |
| title_fullStr | Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity |
| title_full_unstemmed | Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity |
| title_short | Active play in ASP –a matched-pair cluster-randomized trial investigating the effectiveness of an intervention in after-school programs for supporting children’s physical activity |
| title_sort | active play in asp a matched pair cluster randomized trial investigating the effectiveness of an intervention in after school programs for supporting children s physical activity |
| topic | After-school programs Physical activity Sedentary behavior Physical activity play Self-determination theory Activity support |
| url | http://link.springer.com/article/10.1186/s12889-020-08645-1 |
| work_keys_str_mv | AT kirstiriiser activeplayinaspamatchedpairclusterrandomizedtrialinvestigatingtheeffectivenessofaninterventioninafterschoolprogramsforsupportingchildrensphysicalactivity AT karerønnrichardsen activeplayinaspamatchedpairclusterrandomizedtrialinvestigatingtheeffectivenessofaninterventioninafterschoolprogramsforsupportingchildrensphysicalactivity AT anderslhhaugen activeplayinaspamatchedpairclusterrandomizedtrialinvestigatingtheeffectivenessofaninterventioninafterschoolprogramsforsupportingchildrensphysicalactivity AT sivlund activeplayinaspamatchedpairclusterrandomizedtrialinvestigatingtheeffectivenessofaninterventioninafterschoolprogramsforsupportingchildrensphysicalactivity AT knutløndal activeplayinaspamatchedpairclusterrandomizedtrialinvestigatingtheeffectivenessofaninterventioninafterschoolprogramsforsupportingchildrensphysicalactivity |