Action 3:30: protocol for a randomized feasibility trial of a teaching assistant led extracurricular physical activity intervention.

Action 3:30: protocol for a randomized feasibility trial of a teaching assistant led extracurricular physical activity intervention.
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DOI:
10.1186/1745-6215-14-122
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发表时间:
2013-05-02
期刊:
影响因子:
2.5
通讯作者:
Montgomery AA
Montgomery AA
中科院分区:
医学4区
文献类型:
--
作者:
Jago R;Edwards MJ;Cooper AR;Fox KR;Powell J;Sebire SJ;Spears M;Thompson JL;Montgomery AA

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许多儿童不符合身体活动(PA)指南。课外方案可以提供一种机制,提高小学学龄儿童的学前教育水平。教学助理(TA)是所有英国小学的宝贵资源,可以接受培训,以提供课后PA计划。这项可行性研究的目的是研究由助教提供的行动3:30 PA干预措施是否能有效地提高5年级和6年级儿童的PA。将在20所小学进行可行性试验。学校将被随机分配到干预组或控制组。干预学校将接受为两名助教提供的25小时助教培训方案,为两名助教提供的急救证书课程;持续的助教支持; 40个可由助教提供的一小时课程计划;行动3:30个俱乐部,每周两次,持续20周;以及10套家长信息表,每两周分发一次。将在基线(时间0)、干预期结束时(时间1)和干预结束后4个月(时间2)评估所有指标。由于这是一项可行性研究,我们的主要兴趣是估计学校和儿童的招募情况,坚持干预措施,以及成果和成本数据收集的完整性。由于未来确定性试验中最有可能的主要结局指标将是加速度计确定的每天中度至剧烈PA(MVPA)分钟数,因此参与者将佩戴加速度计5天(包括两个周末)。将通过问卷调查评估可能在未来试验中充当中介的几个社会心理变量。在干预过程中,将评估会议出席率、感知享受和感知努力的过程评估。在干预期结束时,将进行定性评估,以确定在进行更大规模的试验之前如何改进该方案。可行性试验的目的是评估这种创新干预方法的潜力,并提供设计一项群集随机对照试验所需的所有信息。ISRCTN,ISRCTN 58502739
Many children do not meet physical activity (PA) guidelines. Extracurricular programmes could provide a mechanism to increase the PA levels of primary-school-aged children. Teaching assistants (TAs) are a valuable resource in all UK primary schools and could be trained to delivery after-school PA programmes. The aim of this feasibility study is to examine whether the Action 3:30 PA intervention, which is delivered by TAs, could be effective in increasing the PA of Year 5 and 6 children. A feasibility trial will be conducted in 20 primary schools. Schools will be randomly assigned to intervention or control arms. Intervention schools will receive a 25-hour TA training programme for two TAs, a first-aid certificate course for two TAs; ongoing TA support; 40 one-hour session plans that can be delivered by TAs; Action 3:30 clubs that run twice a week for 20 weeks; and ten sets of parent information sheets that are distributed biweekly. All measures will be assessed at baseline (Time 0), at the end of the intervention period (Time 1) and four months after the intervention has ended (Time 2). As this is a feasibility study, our primary interest is in estimating the recruitment of schools and children, adherence to the intervention, and completeness of data collection for outcomes and costs. As the most likely primary outcome measure in a future definitive trial will be accelerometer-determined minutes of moderate-to-vigorous PA (MVPA) per day, participants will wear accelerometers for five days (including two weekend days). Several psychosocial variables that could act as mediators in a future trial will be assessed via a questionnaire. Process evaluations of the session attendance, perceived enjoyment and perceived exertion will be assessed during the intervention. At the end of the intervention period, qualitative assessments will be conducted to identify how the programme could be improved before proceeding to a larger trial. The goal of the feasibility trial is to assess the potential of this innovative intervention approach and provide all the information necessary to design a cluster randomized controlled trial. ISRCTN, ISRCTN58502739
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发表时间: 2012-07-02
期刊: The international journal of behavioral nutrition and physical activity
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