Adolescents' perspectives on a school-based physical activity intervention: A mixed method study.
Croxson, Caroline HD
Brown, Helen E
Wells, Emma K
Journal of sport and health science
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Jong, S., Croxson, C. H., Guell, C., Lawlor, E., Foubister, C., Brown, H. E., Wells, E. K., et al. (2020). Adolescents' perspectives on a school-based physical activity intervention: A mixed method study.. Journal of sport and health science, 9 (1), 28-40. https://doi.org/10.1016/j.jshs.2019.06.007
Abstract Objective: To examine adolescent experiences and perspectives of the GoActive intervention (ISRCTN31583496) using mixed methods process evaluation to determine satisfaction of intervention components and interpret adolescents’ experiences of the intervention process to provide insights for future intervention design. Methods: Participants (N=1542; mean age (SD) 13.2(0.4)y) provided questionnaire data at baseline (shyness, activity level) and post-intervention (intervention acceptability, satisfaction of components). Between group differences (gender; shy and inactive (shy/inactive)) were tested with linear regression models, accounting for school-clustering. Data from 16 individual interviews (shy/inactive) and 11 focus groups with 48 participants (mean=4; range 2-7) were thematically coded. Qualitative and quantitative data were merged in an integrative mixed methods convergence matrix, which denoted convergence and dissonance across datasets. Results: Effect sizes for quantitative results were small and may not represent substantial between group differences. Boys (vs. girls) preferred class-based sessions (Beta: 95%CI: 0.2: 0.1;0.3); qualitative data suggested that this was because boys preferred competition, which was supported quantitatively (0.2: 0.1;0.3). Shy/inactive students did not enjoy the competition (-0.3: -0.5;-0.1). Boys enjoyed trying new activities more (0.1: 0.1;0.2); qualitative data indicated a desire to try new activities across all subgroups but identified barriers to choosing unfamiliar activities with self-imposed choice restriction leading to boredom. Qualitative data highlighted critique of mentorship; adolescents liked the idea, but older mentors did not meet expectations. Conclusion: We interpreted adolescent perspectives of intervention components and implementation to provide insights to future complex interventions aimed at increasing young people’s physical activity in school-based settings. The intervention component mentorship was liked in principle but implementation issues undesirably impacted satisfaction; competition was disliked by girls and shy/inactive students. Results highlight the importance of considering gender differences in preference of competition, and extensive mentorship training.
This project is funded by the National Institute for Health Research Public Health Research (13/90/18). Study sponsor and funders have no role in the study design, collection, management, analysis and interpretation of data, writing of the manuscript; and the decision to submit the report for publication. This work was additionally supported by the Medical Research Council [Unit Programme number MC_UU_12015/7], and undertaken under the auspices of the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged [087636/Z/08/Z; ES/G007462/1; MR/K023187/1].
Department of Health (via National Institute for Health Research (NIHR)) (114687)
Wellcome Trust (087636/Z/08/Z)
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External DOI: https://doi.org/10.1016/j.jshs.2019.06.007
This record's URL: https://www.repository.cam.ac.uk/handle/1810/293312
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