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
Journal article, Peer reviewed
MetadataShow full item record
Original versionRiiser K, Richardsen KR, Haugen AL, Lund S, Løndal K. 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. 2020;20(500) https://dx.doi.org/10.1186/s12889-020-08645-1
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 (7month follow-up) and after a year (19month 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 (0.55min/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 19months follow up by 1.67min/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: Clinical Trials; NCT02954614, Registered 3 November 2016, −Retrospectively registered, first participant enrolled August 2016
SeriesBMC Public Health;20, Article number: 500 (2020)
JournalBMC Public Health
Except where otherwise noted, this item's license is described as This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
Showing items related by title, author, creator and subject.
Moe, Marte Slemskogen Hartz; Aas, Randi Wågø; Thørrisen, Mikkel Magnus (Ergoterapeuten;Årgang 63, Nr. 6, Journal article; Peer reviewed, 2020)Background: Activities may affect individuals’ health, for instance by playing a role in determining which protective factors, but also risk, people are exposed to. The aims of this study were to explore associations ...
Nursing home residents´ADL status, institution-dwelling and association with outdoor activity: a cross sectional study Sandvoll, Anne Marie; Grov, Ellen Karine; Simonsen, Morten (Peer J; 8: e10202, Journal article; Peer reviewed, 2020-09-19)Introduction. The Norwegian regulations for nursing homes consider access to meaningful activities to be an indicator for the quality of nursing homes. Activities of daily living (ADL) provide important basic self-care ...
Where are the students? A study of Norwegian technology students’ perceptions of emerging trends in higher education Sandnes, Frode Eika (Lecture Notes in Computer Science (LNCS);Volume 12555, Peer reviewed; Conference object; Chapter, 2020-11-18)Teachers in higher education in Norway have over the last decade reported reduced physical attendance in lectures, students not using the textbooks, and low academic performance. Also, there is an intensified institutional ...