Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1829
Title: Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial
Authors: Kajons, Nicole ;Sutherland, R.;Campbell, E.;McLaughlin, M.;Nathan, N.;Wolfenden, L.;Lubans, D.R.;Morgan, P.J.;Gillham, K.;Oldmeadow, C.;Searles, A.;Reeves, P.;Williams, M.;Bailey, A.;Boyer, J.;Lecathelinais, C.;Davies, L.;McKenzie, T.;Hollis, J.;Wiggers, J.
Affliation: Central Coast Local Health District
The University of Newcastle
Issue Date: Aug-2020
Source: 17(1):100
Journal title: The International Journal of of Behavioral Nutrition Physical Activity
Department: Health Promotion
Abstract: BACKGROUND: 'Physical Activity 4 Everyone' (PA4E1) was an efficacious multi-component school-based physical activity (PA) program targeting adolescents. PA4E1 has seven PA practices. It is essential to scale-up, evaluate effectiveness and assess implementation of such programs. Therefore, the aim is to assess the impact of implementation support on school practice uptake of the PA4E1 program at 12 and 24 months. METHODS: A cluster randomised controlled trial, utilising a type III hybrid implementation-effectiveness design, was conducted in 49 randomly selected disadvantaged Australian Government and Catholic secondary schools. A blinded statistician randomly allocated schools to a usual practice control (n = 25) or the PA4E1 program group (n = 24), with the latter receiving seven implementation support strategies to support school PA practice uptake of the seven practices retained from the efficacy trial. The primary outcome was the proportion of schools adopting at least four of the seven practices, assessed via telephone surveys with Head Physical Education Teachers and analysed using exact logistic regression modelling. This paper reports the 12-month outcomes. RESULTS: Schools were recruited from May to November 2017. At baseline, no schools implemented four of the seven practices. At 12 months significantly more schools in the program group had implemented four of the seven practices (16/24, 66.7%) than the control group (1/25, 4%) (OR = 33.0[4.15-1556.4], p < 0.001). The program group implemented on average 3.2 (2.5-3.9) more practices than the control group (p < 0.001, mean 3.9 (SD 1.5) vs 0.7 (1.0)). Fidelity and reach of the implementation support intervention were high (both > 80%). CONCLUSIONS: Through the application of multiple implementation support strategies, secondary schools were able to overcome commonly known barriers to implement evidence based school PA practices. As such practices have been shown to result in an increase in adolescent PA and improvements in weight status, policy makers and practitioners responsible for advocating PA in schools should consider this implementation approach more broadly when working with schools. Follow-up is required to determine whether practice implementation is sustained. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12617000681358 registered 12th May 2017.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1829
DOI: 10.1186/s12966-020-01000-y
Pubmed: https://pubmed.ncbi.nlm.nih.gov/32771011/
ISSN: 1479-5868
Publicaton type: Journal Article
Keywords: Youth
Public Health
Study or Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Public Health / Health Promotion

Show full item record

Page view(s)

20
checked on Jan 30, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.