Family-based interventions to increase physical activity in children: a meta-analysis and realist synthesis protocol
Open accessAbstract
INTRODUCTION: Despite the established relationship between physical activity and health, data suggest that many children are insufficiently active, and that levels decline into adolescence. Engaging the family in interventions may increase and maintain children's physical activity levels at the critical juncture before secondary school. Synthesis of existing evidence will inform future studies, but the heterogeneity in target populations recruited, behaviour change techniques and intervention strategies employed, and measurement conducted, may require a multifaceted review method. The primary objective of this work will therefore be to synthesis evidence from intervention studies that explicitly engage the family unit to increase children's physical activity using an innovative dual meta-analysis and realist approach. METHODS AND ANALYSIS: Peer-reviewed studies will be independently screened by two authors for inclusion based on (1) including 'healthy' participants aged 5-12 years; (2) having a substantive intervention aim of increasing physical activity, by engaging the family and (3) reporting on physical activity. Duplicate data extraction and quality assessment will be conducted using a specially designed proforma and the Effective Public Health Practice Project Quality Assessment Tool respectively. STATA software will be used to compute effect sizes for meta-analyses, with subgroup analyses conducted to identify moderating characteristics. Realist syntheses will be conducted according to RAMESES quality and publication guidelines, including development of a programme theory and evidence mapping. DISSEMINATION: This review will be the first to use the framework of a traditional review to conduct a dual meta-analysis and realist synthesis, examining interventions that engage the family to increase physical activity in children. The results will be disseminated through peer-reviewed publications, conferences, formal presentations to policy makers and practitioners and informal meetings. Evidence generated from this synthesis will also be used to inform the development of theory-driven, evidence-based interventions aimed at engaging the family to increase physical activity levels in children. PROTOCOL REGISTRATION: International Prospective Register for Systematic Reviews (PROSPERO): number CRD42013005780.
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Randomised controlled trials cannot explore the complex nature of physical activity interventions in the school context.
“Whilst RCTs are at the upper end of the hierarchy of evidence in terms of causal inference regarding the efficacy or effectiveness of interventions, they cannot explore the complex nature of PA interventions in the school context.12”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [12]
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Cites
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
Hills, A. P., Byrne, N. M., Lindstrom, R. C., & Hill, J. O. (2013) · Obesity Facts · doi:10.1159/000345030 · Cited by 9,526 · see citing works
Janssen, I., & LeBlanc, A. G. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-40 · Cited by 4,829 · see citing works
A review of correlates of physical activity of children and adolescents
SALLIS, J. F., PROCHASKA, J. J., & TAYLOR, W. C. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200005000-00014 · Cited by 4,421 · see citing works
Publication bias in clinical research
Easterbrook, P. J., Gopalan, R., Berlin, J. A., & Matthews, D. R. (1991) · The Lancet · doi:10.1016/0140-6736(91)90201-y · Cited by 3,109 · see citing works
Evaluating non-randomised intervention studies
Deeks, J., Dinnes, J., D'Amico, R., Sowden, A., Sakarovitch, C., Song, F., Petticrew, M., & Altman, D. (2003) · Health Technology Assessment · doi:10.3310/hta7270 · Cited by 2,907 · see citing works
Interpretation of random effects meta-analyses
Riley, R. D., Higgins, J. P. T., & Deeks, J. J. (2011) · BMJ · doi:10.1136/bmj.d549 · Cited by 2,884 · see citing works
Physical activity and mental health in children and adolescents: a review of reviews
Biddle, S. J. H., & Asare, M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090185 · Cited by 2,447 · see citing works
Andersen, L. B., Harro, M., Sardinha, L. B., Froberg, K., Ekelund, U., Brage, S., & Anderssen, S. A. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69075-2 · Cited by 1,465 · see citing works
The Existence of Publication Bias and Risk Factors for Its Occurrence
Dickersin, K. (1990) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1990.03440100097014 · Cited by 1,417 · see citing works
RAMESES publication standards: realist syntheses
Wong, G., Greenhalgh, T., Westhorp, G., Buckingham, J., & Pawson, R. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-21 · Cited by 1,374 · see citing works
Self-citationPhysical activity change during adolescence: a systematic review and a pooled analysis
Dumith, S. C., Gigante, D. P., Domingues, M. R., & Kohl, H. W. (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyq272 · Cited by 1,275 · see citing works
Process evaluation in randomised controlled trials of complex interventions
Oakley, A., Strange, V., Bonell, C., Allen, E., & Stephenson, J. (2006) · BMJ · doi:10.1136/bmj.332.7538.413 · Cited by 1,247 · see citing works
Moderate-to-Vigorous Physical Activity From Ages 9 to 15 Years
Nader, P. R. (2008) · JAMA · doi:10.1001/jama.300.3.295 · Cited by 1,213 · see citing works
Ekelund, U. (2012) · JAMA · doi:10.1001/jama.2012.156 · Cited by 1,158 · see citing works
van Sluijs, E. M. F., McMinn, A. M., & Griffin, S. J. (2007) · BMJ · doi:10.1136/bmj.39320.843947.be · Cited by 1,120 · see citing works
Self-citationBest Practices for Using Physical Activity Monitors in Population-Based Research
MATTHEWS, C. E., HAGSTRÖMER, M., POBER, D. M., & BOWLES, H. R. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3182399e5b · Cited by 703 · see citing works
Physical activity and obesity in children
Hills, A. P., Andersen, L. B., & Byrne, N. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090199 · Cited by 659 · see citing works
Metcalf, B., Henley, W., & Wilkin, T. (2012) · BMJ · doi:10.1136/bmj.e5888 · Cited by 658 · see citing works
<i>Meta-analysis:</i> Potentials and promise
Egger, M., & Smith, G. D. (1997) · BMJ · doi:10.1136/bmj.315.7119.1371 · Cited by 646 · see citing works
Measuring and Influencing Physical Activity with Smartphone Technology: A Systematic Review
Roig, J. B., Gilson, N. D., Puig-Ribera, A. M., Contreras-Espinosa, R. S., & Trost, S. G. (2014) · Sports Medicine · doi:10.1007/s40279-014-0142-5 · Cited by 554 · see citing works
Promoting physical activity participation among children and adolescents
Salmon, J., Booth, M. L., Phongsavan, P., Murphy, N., & Timperio, A. (2007) · Epidemiologic Reviews · doi:10.1093/epirev/mxm010 · Cited by 402 · see citing works
RAMESES publication standards: realist syntheses
Wong, G., Greenhalgh, T., Westhorp, G., Buckingham, J., & Pawson, R. (2013) · Journal of Advanced Nursing · doi:10.1111/jan.12095 · Cited by 385 · see citing works
Self-citationPhysical activity and cardiovascular risk factors in children
Andersen, L. B., Riddoch, C., Kriemler, S., & Hills, A. P. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090333 · Cited by 331 · see citing works
National Institute for Health and Clinical Excellence
(2008) · Nursing Standard · doi:10.7748/ns2008.08.22.50.30.p4587 · Cited by 260 · see citing works
Engaging Parents to Increase Youth Physical Activity
O’Connor, T. M., Jago, R., & Baranowski, T. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.04.020 · Cited by 226 · see citing works
Change in objectively measured physical activity during the transition to adolescence
Corder, K., Sharp, S. J., Atkin, A. J., Griffin, S. J., Jones, A. P., Ekelund, U., & van Sluijs, E. M. F. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093190 · Cited by 220 · see citing works
Self-citationChilcott, J. B., Jones, M. L., Wight, J., Forman, K., Wray, J., Beverley, C., & Tappenden, P. (2003) · Health Technology Assessment · doi:10.3310/hta7040 · Cited by 214 · see citing works
van Sluijs, E. M. F., Kriemler, S., & McMinn, A. M. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090187 · Cited by 144 · see citing works
Physical activity in childhood and bone health
Boreham, C. A. G., & McKay, H. A. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsports-2011-090188 · Cited by 123 · see citing works
Wilks, D. C., Sharp, S. J., Ekelund, U., Thompson, S. G., Mander, A., Turner, R., Jebb, S. A., & Lindroos, A. K. (2011) · PLoS ONE · doi:10.1371/journal.pone.0017205 · Cited by 71 · see citing works
Furedy, J. J. (1990) · Canadian Psychology/Psychologie canadienne · doi:10.1037/h0078903 · Cited by 41 · see citing works
Jago, R. (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyr034 · Cited by 16 · see citing works
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Miake-Lye, I. M., Hempel, S., Shanman, R., & Shekelle, P. G. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0204-x · Cited by 660 · see citing works
Jones, M., Defever, E., Letsinger, A., Steele, J., & Mackintosh, K. A. (2020) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2019.06.009 · Cited by 189 · see citing works
“The inclusion criteria for studies included the requirement for objectively assessed PA or ST.”
BackgroundInfluential
- Authors
- Brown, H. E., Atkin, A. J., Panter, J., Corder, K., Wong, G., Chinapaw, M. J. M., & van Sluijs, E.
- Affiliations
- University of Cambridge (GB)
- University of London (GB)
- Amsterdam Public Health (NL)
- Department of MRC Epidemiology, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge, UK
- Corresponding author
- Brown, Helen Elizabeth
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2014-08
- Volume
- 4
- Issue
- 8
- Pages
- e005439
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC4127934
- OpenAlex
- W2145682366
- Cited by
- 20
- References
- 33
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 2 · 2020: 1 · 2019: 5 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 3
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMJ Open (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HighWire Press Open Archive (acceptedVersion)
- Data Archiving and Networked Services (DANS) (acceptedVersion, other-oa)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Medical Research Council (MC_UU_12015/7, MR/K023187/1)
- Economic and Social Research Council (ES/G007462/1)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- family intervention, children's physical activity, family involvement, behaviour change techniques, program theory, evidence mapping
- MeSH terms
- Child, Family Health, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Motor Activity, Meta-Analysis as Topic, Evidence-Based Practice, Sedentary Behavior, Pediatric Obesity
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