Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial
Introduction Efficacious programmes require implementation at scale to maximise their public health impact. TransformUs is an efficacious behavioural and environmental intervention for increasing primary (elementary) school children’s (5–12 years) physical activity and reducing their sedentary behav...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/10/e078410.full |
| _version_ | 1797629012562935808 |
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| author | Chris Lonsdale David R Lubans Harriet Koorts Adrian Bauman Helen Brown Karen E Lamb Anna Timperio Jo Salmon Taren Sanders Nicola D Ridgers Amanda Telford Lisa Barnett Lauren Arundell Samuel K Lai Jacqueline Della Gatta Natalie Lander Katrina Wilhite |
| author_facet | Chris Lonsdale David R Lubans Harriet Koorts Adrian Bauman Helen Brown Karen E Lamb Anna Timperio Jo Salmon Taren Sanders Nicola D Ridgers Amanda Telford Lisa Barnett Lauren Arundell Samuel K Lai Jacqueline Della Gatta Natalie Lander Katrina Wilhite |
| author_sort | Chris Lonsdale |
| collection | DOAJ |
| description | Introduction Efficacious programmes require implementation at scale to maximise their public health impact. TransformUs is an efficacious behavioural and environmental intervention for increasing primary (elementary) school children’s (5–12 years) physical activity and reducing their sedentary behaviour within school and home settings. This paper describes the study protocol of a 5-year effectiveness–implementation trial to assess the scalability and effectiveness of the TransformUs programme.Methods and analysis A type II hybrid implementation–effectiveness trial, TransformUs is being disseminated to all primary schools in the state of Victoria, Australia (n=1786). Data are being collected using mixed methods at the system (state government, partner organisations), organisation (school) and individual (teacher, parent and child) levels. Evaluation is based on programme Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. RE-AIM domains are being measured using a quasi-experimental, pre/post, non-equivalent group design, at baseline, 12 and 24 months. Effectiveness will be determined in a subsample of 20 intervention schools (in Victoria) and 20 control schools (in New South Wales (NSW), Australia), at baseline, 12 and 24 months. Primary outcomes include TransformUs Reach, Adoption, Implementation and organisational Maintenance (implementation trial), and children’s physical activity and sedentary time assessed using accelerometers (effectiveness trial). Secondary outcomes include average sedentary time and moderate to vigorous-intensity physical activity on weekdays and during school hours, body mass index z-scores and waist circumference (effectiveness trial). Linear mixed-effects models will be fitted to compare outcomes between intervention and control participants accounting for clustering of children within schools, confounding and random effects.Ethics and dissemination The trial was approved by the Deakin University Human Research Ethics Committee (HEAG-H 28_2017), Victorian Department of Education, the NSW Department of Education, Australian Catholic University (2017-145R), Melbourne Archdiocese Catholic Schools and Catholic Schools NSW. Partners, schools/teachers and parents will provide an informed signed consent form prior to participating. Parents will provide consent for their child to participate in the effectiveness trial. Findings will be disseminated via peer-reviewed publications, scientific conferences, summary reports to schools and our partner organisations, and will inform education policy and practice on effective and sustainable ways to promote physical activity and reduce sedentary behaviours population-wide.Trial registration number Australian Clinical Trials Registration Registry (ACTRN12617000204347). |
| first_indexed | 2024-03-11T10:48:21Z |
| format | Article |
| id | doaj.art-be91fd4cbc6e424fba75e307e55847a9 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-11T10:48:21Z |
| publishDate | 2023-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-be91fd4cbc6e424fba75e307e55847a92023-11-13T23:45:07ZengBMJ Publishing GroupBMJ Open2044-60552023-10-01131010.1136/bmjopen-2023-078410Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trialChris Lonsdale0David R Lubans1Harriet Koorts2Adrian Bauman3Helen Brown4Karen E Lamb5Anna Timperio6Jo Salmon7Taren Sanders8Nicola D Ridgers9Amanda Telford10Lisa Barnett11Lauren Arundell12Samuel K Lai13Jacqueline Della Gatta14Natalie Lander15Katrina Wilhite161 Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, New South Wales, AustraliaActive Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia1 School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaDeakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, VIC 3216, AustraliaSchool of Population and Global Health, The University of Melbourne - Parkville Campus, Melbourne, Victoria, AustraliaInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Melbourne, AustraliaInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, AustraliaInstitute for Positive Psychology and Education, Australian Catholic University Faculty of Health Sciences, North Sydney, New South Wales, AustraliaAlliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, South Australia 5001, AustraliaSchool of Medical Sciences, Discipline of Exercise Sciences, RMIT University, Bundoora, Victoria, AustraliaSchool of Health and Social Development, Deakin University, Burwood, Victoria, AustraliaDeakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, VIC 3216, AustraliaUNC/NCSU Joint Department of Biomedical Engineering, UNC-Chapel Hill, Chapel Hill, North Carolina, USADeakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, VIC 3216, AustraliaDeakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, VIC 3216, AustraliaInstitute for Positive Psychology and Education, Australian Catholic University, North Sydney, NSW 2060, AustraliaIntroduction Efficacious programmes require implementation at scale to maximise their public health impact. TransformUs is an efficacious behavioural and environmental intervention for increasing primary (elementary) school children’s (5–12 years) physical activity and reducing their sedentary behaviour within school and home settings. This paper describes the study protocol of a 5-year effectiveness–implementation trial to assess the scalability and effectiveness of the TransformUs programme.Methods and analysis A type II hybrid implementation–effectiveness trial, TransformUs is being disseminated to all primary schools in the state of Victoria, Australia (n=1786). Data are being collected using mixed methods at the system (state government, partner organisations), organisation (school) and individual (teacher, parent and child) levels. Evaluation is based on programme Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. RE-AIM domains are being measured using a quasi-experimental, pre/post, non-equivalent group design, at baseline, 12 and 24 months. Effectiveness will be determined in a subsample of 20 intervention schools (in Victoria) and 20 control schools (in New South Wales (NSW), Australia), at baseline, 12 and 24 months. Primary outcomes include TransformUs Reach, Adoption, Implementation and organisational Maintenance (implementation trial), and children’s physical activity and sedentary time assessed using accelerometers (effectiveness trial). Secondary outcomes include average sedentary time and moderate to vigorous-intensity physical activity on weekdays and during school hours, body mass index z-scores and waist circumference (effectiveness trial). Linear mixed-effects models will be fitted to compare outcomes between intervention and control participants accounting for clustering of children within schools, confounding and random effects.Ethics and dissemination The trial was approved by the Deakin University Human Research Ethics Committee (HEAG-H 28_2017), Victorian Department of Education, the NSW Department of Education, Australian Catholic University (2017-145R), Melbourne Archdiocese Catholic Schools and Catholic Schools NSW. Partners, schools/teachers and parents will provide an informed signed consent form prior to participating. Parents will provide consent for their child to participate in the effectiveness trial. Findings will be disseminated via peer-reviewed publications, scientific conferences, summary reports to schools and our partner organisations, and will inform education policy and practice on effective and sustainable ways to promote physical activity and reduce sedentary behaviours population-wide.Trial registration number Australian Clinical Trials Registration Registry (ACTRN12617000204347).https://bmjopen.bmj.com/content/13/10/e078410.full |
| spellingShingle | Chris Lonsdale David R Lubans Harriet Koorts Adrian Bauman Helen Brown Karen E Lamb Anna Timperio Jo Salmon Taren Sanders Nicola D Ridgers Amanda Telford Lisa Barnett Lauren Arundell Samuel K Lai Jacqueline Della Gatta Natalie Lander Katrina Wilhite Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial BMJ Open |
| title | Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial |
| title_full | Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial |
| title_fullStr | Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial |
| title_full_unstemmed | Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial |
| title_short | Scaling up a school-based intervention to increase physical activity and reduce sedentary behaviour in children: protocol for the TransformUs hybrid effectiveness–implementation trial |
| title_sort | scaling up a school based intervention to increase physical activity and reduce sedentary behaviour in children protocol for the transformus hybrid effectiveness implementation trial |
| url | https://bmjopen.bmj.com/content/13/10/e078410.full |
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