Cited by 254Physical Activity and HealthSchool Health and Nursing EducationBehavioral Health and Interventions

The DOI matches its Crossref record; 61 of the 64 references it cites were found in a registry or an index; none of the 53 sources its claims cite is checked for support yet.

A systematic review of school-based interventions targeting physical activity and sedentary behaviour among older adolescents

Open access
Hynynen, S-T., van Stralen, M. M., Sniehotta, F. F., Araújo-Soares, V., Hardeman, W., Chinapaw, M. J. M., Vasankari, T., Hankonen, N.·2016·International Review of Sport and Exercise Psychology

Abstract

Lack of physical activity (PA) and high levels of sedentary behaviour (SB) have been associated with health problems. This systematic review evaluates the effectiveness of school-based interventions to increase PA and decrease SB among 15–19-year-old adolescents, and examines whether intervention characteristics (intervention length, delivery mode and intervention provider) and intervention content (i.e. behaviour change techniques, BCTs) are related to intervention effectiveness. A systematic search of randomised or cluster randomised controlled trials with outcome measures of PA and/or SB rendered 10 results. Risk of bias was assessed using the Cochrane risk of bias tool. Intervention content was coded using Behaviour Change Technique Taxonomy v1. Seven out of 10 studies reported significant increases in PA. Effects were generally small and short-term (Cohen's d ranged from 0.132 to 0.659). Two out of four studies that measured SB reported significant reductions in SB. Interventions that increased PA included a higher number of BCTs, specific BCTs (e.g., goal setting, action planning and self-monitoring), and were delivered by research staff. Intervention length and mode of delivery were unrelated to effectiveness. More studies are needed that evaluate long-term intervention effectiveness and target SBs among older adolescents.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This systematic review found limited evidence that school-based interventions can increase physical activity (PA) among 15–19-year-olds in the short term, with 7 of 10 trials showing significant PA increases and generally small effects. Evidence for reducing sedentary behaviour (SB) was sparse, and no long-term effects were demonstrated.

Key findings

  • Seven of 10 included studies reported significant increases in PA; effect sizes were generally small and short-term (Cohen’s d ranged from 0.132 to 0.659). Two of four studies measuring SB reported significant reductions in SB.
  • Effective PA interventions focused on PA or PA and SB only, were mostly delivered by researchers (6 of 7 effective interventions), and included more behaviour change techniques (BCTs): mean 10.5 BCTs (range 5–20) in effective interventions vs. mean 4 BCTs (range 3–6) in ineffective interventions.
  • BCTs unique to effective interventions were Information about social and environmental consequences, Graded tasks, Self-monitoring of behaviour, Feedback on behaviour, Problem solving, Goal setting (behaviour), Action planning, and Social support (unspecified). Intervention length and mode of delivery were unrelated to effectiveness.
  • None of the four studies with follow-up beyond one month post-intervention reported significant between-group differences, and no included study focused solely on SB.

Methods

  • Systematic review of randomised or cluster randomised controlled trials of school-based interventions targeting PA and/or SB among 15–19-year-old adolescents; searches covered Medline, Cinahl, Embase, PsycINFO, and Cochrane registers up to February 2013, yielding 8470 references, 5482 after duplicate removal, and 10 unique intervention studies (13 articles).
  • Data extraction covered trial/sample/intervention characteristics and outcomes; risk of bias was assessed with the Cochrane risk of bias tool; intervention content was coded using Behaviour Change Technique Taxonomy v1.
  • Effect sizes (Cohen’s d) were calculated at first post-intervention follow-up; effective trials were defined as those with a significant between-group PA difference (p < .05); BCT effectiveness was explored by presence in a majority of effective trials but not/only once in non-effective trials, plus effectiveness ratios.

Limitations

  • The paper states that included studies generally had weak methodological quality, small sample sizes, and high risk of bias; only three studies used objective PA measurement and only one objectively assessed SB, while most relied on self-report, risking recall and social desirability bias.
  • The paper states there was a lack of long-term follow-ups, possible positive bias from volunteer participants, poor reporting of intervention content, and too few heterogeneous studies to conduct a meta-analysis; possible publication bias is also raised, and BCT effectiveness conclusions are described as tentative.
  • The paper states control group interventions were insufficiently described to code BCTs, and no studies focused solely on SB, making SB-specific BCT conclusions impossible; evident from the text, only three non-effective studies were available for comparison, and no study demonstrated long-lasting PA effects.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1080/1750984x.2015.1081706

Cites

61 of 61 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

54 Own result · 39 Not checked yet · 23 Own method · 7 No basis given · 3 Own interpretation

Verify all 53 references — free account

Show all 74 claims

  • It may state two separate claims as one. 34
  • Probably not a substantial claim. 26
52 of 52
  • The paper relies on this without support.

    Schools reach a majority of the target adolescent population.

    “Schools are a promising setting for health promotion interventions aimed at adolescents, since they reach a majority of the target population.”
  • The paper relies on this without support.

    Older adolescents differ from younger age groups in developmental stage and need different intervention strategies.

    “These previous studies have disregarded the possibility that age groups differ in developmental stages and thus require different intervention strategies.”
  • The paper relies on this without support.

    Published intervention materials accurately reflect the behaviour change techniques actually delivered in the interventions.

    “All published materials (e.g., intervention protocols) of the included trials were used to characterise intervention content.”
  • The paper relies on this without support.

    Effect sizes calculated from different physical activity measures and at the first post-intervention follow-up are comparable across studies.

    “For each study, intervention effects (Cohen's d) for PA and SB were calculated at the first follow-up post-intervention. This was the only outcome measurement point after baseline that was reported in all included studies. Therefore, we selected this point in time to compare the effects across studies.”
  • The paper relies on this without support.

    Self-reported physical activity measures used in the included studies are valid enough to assess intervention effects.

    “Seven out of 10 studies relied exclusively on self-report methods to measure PA.”
  • The paper relies on this without support.

    This is the first systematic review to investigate school-based interventions targeting PA and SB among 15–19-year-old adolescents, characterising intervention content using BCT Taxonomy v1, and linking intervention characteristics to effectiveness.

    “To our knowledge, this is the first systematic review to investigate school-based interventions targeting PA and SB among 15–19-year-old adolescents, characterising intervention content using the BCT Taxonomy v1, and linking intervention characteristics to intervention effectiveness.”
  • The paper relies on this without support.

    Individuals who seek to participate in a PA intervention are more motivated to increase their PA than their age cohort in general.

    “It is quite evident that individuals who seek to participate in a PA intervention are more motivated to increase their level of PA than their age cohort in general.”
  • The paper relies on this without support.

    There is a marked drop in PA levels during adolescence and a high level of SB, making this age group an especially important target for public health efforts.

    “As there is a marked drop in PA levels during adolescence, and a high level of SB, this age group is an especially important target for public health efforts.”
8 of 8

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

3 of 3

Citations

Cites

Research works printed but not linked: 4

  1. Currie C., 2012, Social determinants of health and well-being among young people
  2. Janssen I., 2010, International Journal of Behavioral Nutrition and Physical Activity, 7, 1
  3. Ministry of Social and Health Affairs, 2015, SIT LESS - FEEL BETTER! National recommendations for reducing sitting [In Finnish]
  4. Olander E. K., 2013, International Journal of Behavioral Nutrition and Physical Actitivity, 10, 1

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Metadata

Authors
Hynynen, S.-T., van Stralen, M. M., Sniehotta, F. F., Araújo-Soares, V., Hardeman, W., Chinapaw, M. J. M., Vasankari, T., & Hankonen, N.
Affiliations
  • University of Helsinki (FI)
  • Newcastle University (GB)
  • University of Cambridge (GB)
  • Amsterdam Public Health (NL)
  • Urho Kaleva Kekkonen Institute (FI)
Corresponding author
Hynynen, S-T.
Venue
International Review of Sport and Exercise Psychology
Published
2015-12-22
Volume
9
Issue
1
Pages
22-44
ISSN
  • 1750-984X (ISSN-L)
  • 1750-9858
OpenAlex
W2206177928
Cited by
253
References
64
Citations by year
2026: 6 · 2025: 17 · 2024: 25 · 2023: 26 · 2022: 37 · 2021: 35 · 2020: 39 · 2019: 22 · 2018: 22 · 2017: 16 · 2016: 6 · 2015: 2
FWCI
1.87
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • International Review of Sport and Exercise Psychology (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Tampere University Institutional Repository (Tampere University) (publishedVersion, cc-by-nc-nd)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • VU Research Portal (submittedVersion, other-oa)
  • Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by-nc-nd)
  • Apollo (University of Cambridge) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity) (cc-by-nc-nd)
Funders
  • Ministry of Education and Culture (34/626/2012)
  • Ministry of Social Affairs and Health (201310238)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
school-based intervention, physical activity, sedentary behavior, older adolescents, behaviour change techniques, intervention effectiveness, intervention delivery mode, goal setting, action planning, self-monitoring

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