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Feasibility study and pilot cluster randomised controlled trial of the GoActive Intervention aiming to promote physical activity among adolescents: outcomes and lessons learnt

Published version
Peer-reviewed

Type

Article

Change log

Authors

Corder, KL 
Brown, HE 
van Sluijs, EMF 

Abstract

Objectives: Assess the feasibility of implementing the GoActive intervention in secondary schools, to identify improvements, test study procedures, determine preliminary effectiveness to increase moderate-to-vigorous physical activity (MVPA), and inform power calculations to establish programme effectiveness.

Setting: Feasibility study (1 school) and pilot CRCT (2 intervention;1 control school(s))

Participants: 460 participants (46.6% female; 13.2(0.4) years-old).

Interventions: 8-week intervention (2013) involved: classes choosing weekly activities encouraged by Mentors (older adolescents) and in-class peer-leaders. Students gain points for trying activities which are entered into an intra-mural competition.

Primary and secondary outcome measures: Planned quantitative (questionnaire) and qualitative (focus groups) process evaluation addressed enjoyment, confidence, participation, suggested improvements. Outcomes were assessed at baseline and follow-up (week 8) in pilot CRCT and included: accelerometer-assessed MVPA; adolescent-reported activity type, wellbeing, peer-support, shyness, sociability. ANCOVA was used to assess preliminary effectiveness as change in MVPA adjusted for baseline.

Results: All Year 9 students in intervention schools were exposed to the intervention; over all schools 77% of eligible students were measured. 71% boys and 74% girls found GoActive ‘fun’; 38% boys and 32% girls said it increased confidence and 64% boys and 59% girls said they would continue with a GoActive activity. Suggested improvements included more Mentorship; improved training; streamlined points recording. Pilot results indicated potential effectiveness ((adjusted mean difference (95%CI)p-value) (MVPA mins) 5.1(1.1,9.2)p=0.014)) and suggest recruitment of 16 schools (2400 adolescents) for a full trial. Compared to control, intervention students reported greater peer support 0.5(0.1,0.9)p=0.03, wellbeing 1.8(0.1, 3.4)p=0.04 but no difference in shyness/sociability. Participation in activity types approached significance (intervention group 2.3(-0.2,4.7)p=0.07 more activity types).

Conclusions: Results suggest feasibility and indicate potential effectiveness of GoActive to increase MVPA and support a fully-powered evaluation of effectiveness and cost-effectiveness. Process evaluation data was used to refine GoActive prior to a full trial.

Trial Registration: ISRCTN registry ISRCTN31583496.

Description

Keywords

physical activity, promotion, intervention, adolescent, health behaviour

Journal Title

BMJ Open

Conference Name

Journal ISSN

2044-6055
2044-6055

Volume Title

6

Publisher

BMJ Group
Sponsorship
Medical Research Council (MC_UU_12015/7)
Economic and Social Research Council (ES/G007462/1)
Wellcome Trust (087636/Z/08/Z)
Medical Research Council (MR/K023187/1)
Department of Health (via National Institute for Health Research (NIHR)) (114687)
Funding for this study and the work of all authors was supported, wholly or in part, by the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence (RES-590-28-0002). Funding from the British Heart Foundation, Department of Health, Economic and Social Research Council, Medical Research Council, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The work of Kirsten Corder, Helen Brown and Esther M F van Sluijs was supported by the Medical Research Council (MC_UU_12015/7).