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
dc.contributor.author | Riiser, Kirsti | |
dc.contributor.author | Richardsen, Kåre Rønn | |
dc.contributor.author | Haugen, Anders L. Hage | |
dc.contributor.author | Lund, Siv | |
dc.contributor.author | Løndal, Knut | |
dc.date.accessioned | 2020-04-23T15:59:29Z | |
dc.date.accessioned | 2020-04-24T10:30:30Z | |
dc.date.available | 2020-04-23T15:59:29Z | |
dc.date.available | 2020-04-24T10:30:30Z | |
dc.date.issued | 2020-04-15 | |
dc.identifier.citation | Riiser 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) | en |
dc.identifier.issn | 1471-2458 | |
dc.identifier.issn | 1471-2458 | |
dc.identifier.uri | https://hdl.handle.net/10642/8484 | |
dc.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 (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 | en |
dc.description.sponsorship | This project was funded by the Norwegian Fund for Postgraduate Training in Physiotherapy and OsloMet - Oslo Metropolitan University as part of the first author’s postdoctoral fellowship. The funding body had no impact on the design of the study, nor the data collection, analysis, interpretation or in writing of the manuscript. Open access was funded by OsloMet. | en |
dc.language.iso | en | en |
dc.publisher | BMC | en |
dc.relation.ispartofseries | BMC Public Health;20, Article number: 500 (2020) | |
dc.rights | 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. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | After-school programs | en |
dc.subject | Physical activities | en |
dc.subject | Sedentary behaviors | en |
dc.subject | Physical activity plays | en |
dc.subject | Self determination theories | en |
dc.subject | Activity support | en |
dc.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 | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2020-04-23T15:59:29Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://dx.doi.org/10.1186/s12889-020-08645-1 | |
dc.identifier.cristin | 1807753 | |
dc.source.journal | BMC Public Health |
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HV - Institutt for fysioterapi (GAMMEL) [336]
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