Utilizing physical activity coordinators to increase physical activity among yout

描述(申请人提供)：美国各地的儿童缺乏足够的体力活动。作为回应，已经制定和测试了许多体力活动(PA)干预措施，其中大多数是在学校环境中进行的。不幸的是，这些对儿童PA的影响是有限的，如果有的话。我们认为，这种效果的缺乏源于学校一级缺乏量身定做，以及由此导致的体制化不足。为了解决后一种情况，我们认为，重要的是利用现有资源和利用现有政策。南卡罗来纳州已经设立了“体育活动协调员”的角色，在学生中推广体育锻炼，包括在上学期间和课外。然而，虽然这些职位是由州法律授权的，但担任这些职位的个人往往缺乏培训和支持，无法最大限度地发挥其影响力。我们的长期目标是制定最佳实践，为全国培训学校PA协调员的运动提供信息，以便在学校内提供全面的学校体育活动计划(CSPAP)，并可在全国范围内传播。目前申请的目标是：1)修改和扩展现有的CSPAP协调员培训课程；2)在我们的试点学校提供增强的PA协调员培训；3)对PA协调员实施CSPAP进行过程评估；以及4)评估培训的有效性，以增加儿童客观测量的PA。这项研究的目标是确定适当培训PA协调员以促进小学生PA的可接受性、可行性和有效性。这一目标将通过以下目标来实现：目标1：为行动纲领协调员编制一个加强的太平洋岛屿国家行动计划培训课程和资源工具包。目标2：确定加强PA协调员培训和在小学环境中实施综合学校体育活动方案的可接受性/可行性。目的3：确定训练有素的PA协调员在增加小学生PA客观测量方面的有效性。我们将随机选择四所学校接受PA协调员培训(n=2)或继续标准做法(n=2)。将进行全面的过程和影响评估，以确定干预措施的可接受性、影响实施保真度/剂量的因素，以及PA协调员通过加速度计增加儿童体力活动的有效性。

DESCRIPTION (provided by applicant): Children across the United States are insufficiently physically active. In response, numerous physical activity (PA) interventions have been developed and tested, the majority within the school setting. Unfortunately, these have resulted in limited, if any impact on children's PA. We feel that this absence of effect stems from a lack o tailoring at the school level and a resulting lack in institutionalization. To address the latter isue, we feel that it is important to leverage existing resources and capitalize on existing policies. Th state of South Carolina has instituted the role of "Physical Activity Coordinators" to promote PA among students across and beyond the school day. However, while these positions are mandated by state law, the individuals in these positions often lack the training and support to maximize their impact. Our long-term goal is to develop best practices to inform the national movement to train school PA Coordinators to deliver a Comprehensive School Physical Activity Program (CSPAP) within schools that can be disseminated across the country. The objectives of the current application are to: 1) modify and expand existing CSPAP training curricula for PA Coordinators; 2) deliver the enhanced PA Coordinator training in our pilot schools; 3) conduct process evaluation on the implementation of a CSPAP by the PA Coordinators, and 4) evaluate the effectiveness of the trainings to increase children's objectively measured PA. The goal of the proposed study is to determine the acceptability, feasibility, and effectiveness of properly traine PA Coordinators to promote PA in elementary school children. This goal will be achieved through the following aims: AIM 1: Develop an enhanced CSPAP training course and resource toolkit for PA Coordinators. AIM 2: Determine the acceptability/feasibility of the enhanced PA coordinator training and the implementation of a Comprehensive School Physical Activity Program in an elementary school setting. AIM 3: Determine the effectiveness of trained PA coordinators to increase objectively measured PA in elementary school youth. We will randomize four schools to receive the PA Coordinator training (n=2) or continue standard practice (n=2). A comprehensive process and impact evaluation will be conducted to determine acceptability of the intervention, factors influencing implementation fidelity/dose, and the effectiveness of the PA Coordinators to increase physical activity measured via accelerometry in children.