A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol
Abstract Background Governments internationally have invested hugely in the implementation and scale-up of school-based physical activity interventions, but have little evidence of how to best sustain these interventions once active implementation support ceases. This study will assess the effective...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-16810-5 |
| _version_ | 1797451191059218432 |
|---|---|
| author | Nicole Nathan Alix Hall Adam Shoesmith Adrian E. Bauman Belinda Peden Bernadette Duggan Carly Gardner Cassandra Lane Christophe Lecathelinais Christopher Oldmeadow Craig Duncan Daniel Groombridge Edward Riley-Gibson Emma Pollock James Boyer John Wiggers Karen Gillham Martina Pattinson Megan Mattingly Nicole McCarthy Patti-Jean Naylor Penny Reeves Philippa Budgen Rachel Sutherland Rebecca Jackson Thomas Croft William Pascoe Luke Wolfenden |
| author_facet | Nicole Nathan Alix Hall Adam Shoesmith Adrian E. Bauman Belinda Peden Bernadette Duggan Carly Gardner Cassandra Lane Christophe Lecathelinais Christopher Oldmeadow Craig Duncan Daniel Groombridge Edward Riley-Gibson Emma Pollock James Boyer John Wiggers Karen Gillham Martina Pattinson Megan Mattingly Nicole McCarthy Patti-Jean Naylor Penny Reeves Philippa Budgen Rachel Sutherland Rebecca Jackson Thomas Croft William Pascoe Luke Wolfenden |
| author_sort | Nicole Nathan |
| collection | DOAJ |
| description | Abstract Background Governments internationally have invested hugely in the implementation and scale-up of school-based physical activity interventions, but have little evidence of how to best sustain these interventions once active implementation support ceases. This study will assess the effectiveness of a multi-strategy sustainability intervention on classroom teachers’ sustainment of energisers (short 3–5 min physical activity breaks during class-time) scheduled across the school day from baseline to 12 and 24-month follow-up. Methods A cluster randomised controlled trial will be conducted in 50 primary schools within the Hunter New England, Illawarra Shoalhaven, Murrumbidgee and Northern New South Wales (NSW) Local Health Districts of NSW Australia. Schools will be randomly allocated to receive either usual support or the multi-strategy sustainability intervention that includes: centralised technical assistance from a trained project officer; formal commitment and mandated change obtained from school principals; training in-school champions; reminders for teachers; educational materials provided to teachers; capturing and sharing local knowledge; and engagement of parents, carers and the wider school community. The primary trial outcome will be measured via a teacher logbook to determine the between-group difference in the change in mean minutes of energisers scheduled across the school day at 12 and 24-month follow-up compared to baseline. Analyses will be performed using an intention to treat framework. Linear mixed models will be used to assess intervention effects on the primary outcome at both follow-up periods. Discussion This study will be one of the first randomised controlled trials to examine the impact of a multi-strategy sustainability intervention to support schools’ sustainment of a physical activity intervention. The proposed research will generate new evidence needed for the partnering organisations to protect their considerable investments to date in physical activity promotion in this setting and will provide seminal evidence for the field globally. Trial registration ACTRN12620000372987 version 1 registered 17th March 2020. Version 3 (current version) updated 4th August 2023. |
| first_indexed | 2024-03-09T14:50:16Z |
| format | Article |
| id | doaj.art-521af54de6874e7e8fcdf0f74b1aa57e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-09T14:50:16Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-521af54de6874e7e8fcdf0f74b1aa57e2023-11-26T14:29:01ZengBMCBMC Public Health1471-24582023-10-0123111510.1186/s12889-023-16810-5A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocolNicole Nathan0Alix Hall1Adam Shoesmith2Adrian E. Bauman3Belinda Peden4Bernadette Duggan5Carly Gardner6Cassandra Lane7Christophe Lecathelinais8Christopher Oldmeadow9Craig Duncan10Daniel Groombridge11Edward Riley-Gibson12Emma Pollock13James Boyer14John Wiggers15Karen Gillham16Martina Pattinson17Megan Mattingly18Nicole McCarthy19Patti-Jean Naylor20Penny Reeves21Philippa Budgen22Rachel Sutherland23Rebecca Jackson24Thomas Croft25William Pascoe26Luke Wolfenden27Hunter New England Population HealthHunter New England Population HealthHunter New England Population HealthPrevention Research Collaboration, Sydney School of Public HealthSchool of Medicine and Public Health, The University of NewcastleCatholic Schools Office Diocese of Maitland-NewcastleSchool of Medicine and Public Health, The University of NewcastleHunter New England Population HealthHunter New England Population HealthHunter Medical Research InstituteCatholic Schools Office Diocese of Maitland-NewcastleHunter New England Population HealthHunter New England Population HealthHunter New England Population HealthThe NSW Department of EducationHunter New England Population HealthHunter New England Population HealthHealth Promotion, Northern NSW Local Health DistrictHealth Promotion, Murrumbidgee Local Health DistrictHunter New England Population HealthSchool of Exercise Science, Physical and Health Education, University of VictoriaSchool of Medicine and Public Health, The University of NewcastleHealth Promotion Service, Illawarra Shoalhaven Local Health District, NSW HealthHunter New England Population HealthHunter New England Population HealthAboriginal Health Unit, Hunter New England Local Health DistrictHunter New England Population HealthHunter New England Population HealthAbstract Background Governments internationally have invested hugely in the implementation and scale-up of school-based physical activity interventions, but have little evidence of how to best sustain these interventions once active implementation support ceases. This study will assess the effectiveness of a multi-strategy sustainability intervention on classroom teachers’ sustainment of energisers (short 3–5 min physical activity breaks during class-time) scheduled across the school day from baseline to 12 and 24-month follow-up. Methods A cluster randomised controlled trial will be conducted in 50 primary schools within the Hunter New England, Illawarra Shoalhaven, Murrumbidgee and Northern New South Wales (NSW) Local Health Districts of NSW Australia. Schools will be randomly allocated to receive either usual support or the multi-strategy sustainability intervention that includes: centralised technical assistance from a trained project officer; formal commitment and mandated change obtained from school principals; training in-school champions; reminders for teachers; educational materials provided to teachers; capturing and sharing local knowledge; and engagement of parents, carers and the wider school community. The primary trial outcome will be measured via a teacher logbook to determine the between-group difference in the change in mean minutes of energisers scheduled across the school day at 12 and 24-month follow-up compared to baseline. Analyses will be performed using an intention to treat framework. Linear mixed models will be used to assess intervention effects on the primary outcome at both follow-up periods. Discussion This study will be one of the first randomised controlled trials to examine the impact of a multi-strategy sustainability intervention to support schools’ sustainment of a physical activity intervention. The proposed research will generate new evidence needed for the partnering organisations to protect their considerable investments to date in physical activity promotion in this setting and will provide seminal evidence for the field globally. Trial registration ACTRN12620000372987 version 1 registered 17th March 2020. Version 3 (current version) updated 4th August 2023.https://doi.org/10.1186/s12889-023-16810-5SustainabilitySustainmentImplementation scienceSchool policyPhysical activityEnergiser |
| spellingShingle | Nicole Nathan Alix Hall Adam Shoesmith Adrian E. Bauman Belinda Peden Bernadette Duggan Carly Gardner Cassandra Lane Christophe Lecathelinais Christopher Oldmeadow Craig Duncan Daniel Groombridge Edward Riley-Gibson Emma Pollock James Boyer John Wiggers Karen Gillham Martina Pattinson Megan Mattingly Nicole McCarthy Patti-Jean Naylor Penny Reeves Philippa Budgen Rachel Sutherland Rebecca Jackson Thomas Croft William Pascoe Luke Wolfenden A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol BMC Public Health Sustainability Sustainment Implementation science School policy Physical activity Energiser |
| title | A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol |
| title_full | A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol |
| title_fullStr | A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol |
| title_full_unstemmed | A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol |
| title_short | A cluster randomised controlled trial to assess the effectiveness of a multi-strategy sustainability intervention on teachers’ sustained implementation of classroom physical activity breaks (energisers): study protocol |
| title_sort | cluster randomised controlled trial to assess the effectiveness of a multi strategy sustainability intervention on teachers sustained implementation of classroom physical activity breaks energisers study protocol |
| topic | Sustainability Sustainment Implementation science School policy Physical activity Energiser |
| url | https://doi.org/10.1186/s12889-023-16810-5 |
| work_keys_str_mv | AT nicolenathan aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT alixhall aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT adamshoesmith aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT adrianebauman aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT belindapeden aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT bernadetteduggan aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT carlygardner aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT cassandralane aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT christophelecathelinais aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT christopheroldmeadow aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT craigduncan aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT danielgroombridge aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT edwardrileygibson aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT emmapollock aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT jamesboyer aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT johnwiggers aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT karengillham aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT martinapattinson aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT meganmattingly aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT nicolemccarthy aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT pattijeannaylor aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT pennyreeves aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT philippabudgen aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT rachelsutherland aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT rebeccajackson aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT thomascroft aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT williampascoe aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT lukewolfenden aclusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT nicolenathan clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT alixhall clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT adamshoesmith clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT adrianebauman clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT belindapeden clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT bernadetteduggan clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT carlygardner clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT cassandralane clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT christophelecathelinais clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT christopheroldmeadow clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT craigduncan clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT danielgroombridge clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT edwardrileygibson clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT emmapollock clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT jamesboyer clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT johnwiggers clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT karengillham clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT martinapattinson clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT meganmattingly clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT nicolemccarthy clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT pattijeannaylor clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT pennyreeves clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT philippabudgen clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT rachelsutherland clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT rebeccajackson clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT thomascroft clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT williampascoe clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol AT lukewolfenden clusterrandomisedcontrolledtrialtoassesstheeffectivenessofamultistrategysustainabilityinterventiononteacherssustainedimplementationofclassroomphysicalactivitybreaksenergisersstudyprotocol |