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Cited by 39Physical Activity and HealthObesity, Physical Activity, DietSchool Health and Nursing Education

Active Living: development and quasi-experimental evaluation of a school-centered physical activity intervention for primary school children

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Van Kann, Dave H. H., Jansen, M. W. J., de Vries, S. I., de Vries, N. K., Kremers, S. P. J.·2015·BMC Public Health
DOI 10.1186/s12889-015-2633-1PMC PMC4696157
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Abstract

BACKGROUND: The worldwide increase in the rates of childhood overweight and physical inactivity requires successful prevention and intervention programs for children. The aim of the Active Living project is to increase physical activity and decrease sedentary behavior of Dutch primary school children by developing and implementing tailored, multicomponent interventions at and around schools. METHODS/DESIGN: In this project, school-centered interventions have been developed at 10 schools in the south of the Netherlands, using a combined top-down and bottom-up approach in which a research unit and a practice unit continuously interact. The interventions consist of a combination of physical and social interventions tailored to local needs of intervention schools. The process and short- and long-term effectiveness of the interventions will be evaluated using a quasi-experimental study design in which 10 intervention schools are matched with 10 control schools. Baseline and follow-up measurements (after 12 and 24 months) have been conducted in grades 6 and 7 and included accelerometry, GPS, and questionnaires. Primary outcome of the Active Living study is the change in physical activity levels, i.e. sedentary behavior (SB), light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and counts-per-minute (CPM). Multilevel regression analyses will be used to assess the effectiveness of isolated and combined physical and social interventions on children's PA levels. DISCUSSION: The current intervention study is unique in its combined approach of physical and social environmental PA interventions both at school(yard)s as well as in the local neighborhood around the schools. The strength of the study lies in the quasi-experimental design including objective measurement techniques, i.e. accelerometry and GPS, combined with more subjective techniques, i.e. questionnaires, implementation logbooks, and neighborhood observations. TRIAL REGISTRATION: Current Controlled Trials ISRCTN25497687 (registration date 21/10/2015), METC 12-4-077, Project number 200130003.

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  • The process of change in each school may not be characterized by a linear cause-effect relationship; non-linearity means that small changes can produce large effects at a tipping point.

    “First, the process of change in each school may not be characterized by a linear cause-effect relationship. This non-linearity means that small changes can produce large effects at a so-called ‘tipping’ point [12,30].”

    From The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach (2018) · cites this paper as [30]

  • A top-down approach is needed because external experts have specific health promotion knowledge, skills, and experiences, which may lead to more effective changes.

    “A top-down approach is needed as the external experts involved have specific health promotion knowledge, skills, and experiences, which may lead to more effective changes [30,34].”

    From The Healthy Primary School of the Future: A Contextual Action-Oriented Research Approach (2018) · cites this paper as [30]

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Authors
Van Kann, D. H. H., Jansen, M. W. J., de Vries, S. I., de Vries, N. K., & Kremers, S. P. J.
Affiliations
Maastricht University (NL)
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2015-12
Volume
15
Issue
1
Pages
1315-1315
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/s12889-015-2633-1
PMC
PMC4696157
OpenAlex
W2207576528
Cited by
39
References
47
Citations by year
2024: 4 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 4
FWCI
4.18
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by)
  • TNO Repository (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders
the Netherlands Organization for Health Research and Development (ZonMw) (Project Number 200130003)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords
school-based physical activity intervention, elementary school students, childhood physical inactivity, sedentary behavior, moderate-to-vigorous physical activity, light physical activity, neighborhood environment, childhood overweight prevention, intervention effectiveness
MeSH terms
Child, Female, Health Promotion, Humans, Netherlands, Research Design, School Health Services, Exercise, Sedentary Behavior, Accelerometry

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