A school-based intervention incorporating smartphone technology to improve health-related fitness among adolescents: Rationale and study protocol for the NEAT and ATLAS 2.0 cluster randomised controlled trial and dissemination study

BMJ Open

Volumn 6, Issue 6, 2016, Pages

  Lubans, David R ^a   Smith, Jordan J ^a   Peralta, Louisa R ^b   Plotnikoff, Ronald C ^a   Okely, Anthony D ^c   Salmon, Jo ^d   Eather, Narelle ^a   Dewar, Deborah L ^a   Kennedy, Sarah ^a   Lonsdale, Chris ^e   Hilland, Toni A ^f   Estabrooks, Paul ^g   Finn, Tara L ^a   Pollock, Emma ^a   Morgan, Philip J ^a  

^a UNIVERSITY OF NEWCASTLE   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c UNIVERSITY OF WOLLONGONG   (Australia)

^d DEAKIN UNIVERSITY   (Australia)

^e AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

^f MONASH UNIVERSITY   (Australia)

^g VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY   (United States)

Author keywords

Adolescents; Behaviour change; Physical activity; Physical fitness; Resistance Training

Indexed keywords

ADOLESCENT; ARTICLE; BEVERAGE; BODY COMPOSITION; CARDIORESPIRATORY FITNESS; CLUSTER ANALYSIS; CONTROLLED STUDY; FEMALE; FITNESS; HIGH SCHOOL; HUMAN; MALE; MOTIVATION; MUSCLE STRENGTH; PHYSICAL ACTIVITY; PSYCHOLOGICAL WELL BEING; RANDOMIZED CONTROLLED TRIAL; RECREATION; RESISTANCE TRAINING; SAMPLE SIZE; SCHOOL; SELF CONCEPT; SELF ESTEEM; SELF REPORT; SKILL; SLEEP QUALITY; SLEEP TIME; SMARTPHONE; BODY MASS; CHILD; CLINICAL TRIAL; ECONOMICS; EXERCISE; GOVERNMENT; HEALTH BEHAVIOR; HEALTH PROMOTION; INFORMATION DISSEMINATION; METHODOLOGY; MULTICENTER STUDY; NEW SOUTH WALES; PROCEDURES; SCHOOL HEALTH SERVICE; STUDENT; UTILIZATION;

BODY MASS INDEX; CHILD; EXERCISE; FEMALE; GOVERNMENT PROGRAMS; HEALTH BEHAVIOR; HEALTH PROMOTION; HUMANS; INFORMATION DISSEMINATION; MALE; MUSCLE STRENGTH; NEW SOUTH WALES; RESEARCH DESIGN; SCHOOL HEALTH SERVICES; SCHOOLS; SMARTPHONE; STUDENTS;

EID: 84977097798     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2015-010448     Document Type: Article

References (87)

1. Kohl HW, Craig CL, Lambert EV, et al. The pandemic of physical inactivity: global action for public health. Lancet 2012;380:294-305.
2. Morrow JR Jr, Tucker JS, Jackson AW, et al. Meeting physical activity guidelines and health-related fitness in youth. Am J Prev Med 2013;44:439-44.
3. Jago R, Froberg K, Cooper AR, et al. Three-year changes in fitness and adiposity are independently associated with cardiovascular risk factors among young Danish children. J Phys Act Health 2010;7:37.
4. Jago R, Drews KL, McMurray RG, et al. BMI change, fitness change and cardiometabolic risk factors among 8th grade youth. Pediatr Exerc Sci 2013;25:52.
5. Hallal PC, Andersen LB, Bull FC, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 2012;380:247-57.
6. Tomkinson GR, Olds T. Secular changes in pediatric aerobic fitness test performance: the global picture. Karger Publishers, 2007.
7. Runhaar J, Collard DC, Singh AS, et al. Motor fitness in Dutch youth: differences over a 26-year period (1980-2006). J Sci Med Sport 2010;13:323-8.
8. Tremblay MS, Shields M, Laviolette M, et al. Fitness of Canadian children and youth: results from the 2007-2009 Canadian Health Measures Survey. Statistics Canada, 2010.
9. Nishijima T, Kokudo S, Ohsawa S. Changes over the years in physical and motor ability in Japanese youth in 1964-97. Int J Sport Health Sci 2003;1:164-70.
10. Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011;378:804-14.
11. Blair SN, Kohl HW, Paffenbarger RS, et al. Physical fitness and all-cause mortality: a prospective study of healthy men and women. J Am Med Assoc 1989;262:2395-401.
12. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998;101(Suppl 2):518-25.
13. Smith JJ, Eather N, Morgan PJ, et al. The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis. Sports Med 2014;44:1209-23.
14. US Department of Health and Human Services. Physical activity guidelines for Americans. Washington DC: US Department of Health and Human Services, 2008.
15. Canadian Society for Exercise Physiology. Canadian physical activity guidelines for youth (12-17 years). Canada: Public Health Agency of Canada, 2011.
16. Department of Health, Physical Activity, Health Improvement and Protection. Stay active: a report on physical activity from the four home countries' chief medical officers. London, 2011.
17. Department of Health. Start Active, Stay Active: A report on physical activity from the four home countries' Chief Medical Officers. Canberra: Department of Health, 2014.
18. Centers for Disease Control and Prevention. Comprehensive school physical activity programs: a guide for schools. Atlanta, GA: US Department of Health and Human Services, 2013.
19. Hills AP, Dengel DR, Lubans DR. Supporting public health priorities: recommendations for physical education and physical activity promotion in schools. Prog Cardiovasc Dis 2015;57:368-74.
20. Green K. Mission impossible? Reflecting upon the relationship between physical education, youth sport and lifelong participation. Sport Educ Soc 2014;19:357-75.
21. Hulteen RM, Lander NJ, Morgan PJ, et al. Validity and reliability of field-based measures for assessing movement skill competency in lifelong physical activities: a systematic review. Sports Med 2015;45:1443-54.
22. Vella SA, Cliff DP, Okely AD. Socio-ecological predictors of participation and dropout in organised sports during childhood. Int J Behav Nutr Phys Act 2014;11:62.
23. Dumith SC, Gigante DP, Domingues MR, et al. Physical activity change during adolescence: a systematic review and a pooled analysis. Int J Epidemiol 2011;40:685-98.
24. Corder K, Atkin AJ, Ekelund U, et al. What do adolescents want in order to become more active? BMC Public Health 2013;13:718.
25. Jones H, Millwar P, Buraimo B. Adult participation in sport: analysis of the taking part survey. England: Department for Culture, Media and Sport, 2011.
26. Australian Bureau of Statistics. Participation in sport and physical recreation, Australia, 2013-2014. Canberra: Commonwealth of Australia, 2015.
27. US Census Bureau. Statistical abstract of the United States: Arts, recreation and travel. United States, 2012.
28. Babic MJ, Morgan PJ, Plotnikoff RC, et al. Physical activity and physical self-concept in youth: systematic review and meta-analysis. Sports Med 2014;44:1589-601.
29. Bauman AE, Reis RS, Sallis JF, et al. Correlates of physical activity: why are some people physically active and others not? Lancet 2012;380:258-71.
30. Metcalf B, Henley W, Wilkin T. Effectiveness of intervention on physical activity of children: systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54). BMJ 2012;345:e5888.
31. Dobbins M, Husson H, DeCorby K, et al. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev 2013;(2):CD007651.
32. Yildirim M, van Stralen MM, Chinapaw MJ, et al. For whom and under what circumstances do school-based energy balance behavior interventions work? Systematic review on moderators. Int J Pediatr Obes 2011;6:e46-57.
33. Morgan PJ, Young MD, Smith JJ, et al. Targeted health behavior interventions promoting physical activity: a conceptual model. Exerc Sport Sci Rev 2016;44:71-80.
34. Naylor PJ, Nettlefold L, Race D, et al. Implementation of school based physical activity interventions: a systematic review. Prev Med 2015;72:95-115.
35. Sutherland R, Campbell E, Lubans DR, et al. 'Physical Activity 4 Everyone' school-based intervention to prevent decline in adolescent physical activity levels: 12 month (mid-intervention) report on a cluster randomised trial. Br J Sports Med 2016;50:488-95.
36. Lubans DR, Morgan PJ, Dewar D, et al. The Nutrition and Enjoyable Activity for Teen Girls (NEAT girls) randomized controlled trial for adolescent girls from disadvantaged secondary schools: rationale, study protocol, and baseline results. BMC Public Health 2010;10:652-65.
37. Lubans DR, Morgan PJ, Okely AD, et al. Preventing obesity among adolescent girls: one-year outcomes of the Nutrition and Enjoyable Activity for Teen Girls (NEAT Girls) cluster randomized controlled trial. Arch Pediatr Adolesc Med 2012;166:821-7.
38. Dewar DL, Morgan PJ, Plotnikoff RC, et al. The Nutrition and Enjoyable Activity for Teen Girls study: a cluster randomized controlled trial. Am J Prev Med 2013;45:313-17.
39. Smith JJ, Morgan PJ, Plotnikoff RC, et al. Rationale and study protocol for the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) group randomized controlled trial: an obesity prevention intervention for adolescent boys from schools in low-income communities. Contemp Clin Trials 2014;37:106-19.
40. Smith JJ, Morgan PJ, Plotnikoff RC, et al. Smart-phone obesity prevention trial for adolescent boys in low-income communities: the ATLAS RCT. Pediatrics 2014;134:e723-e31.
41. Lubans DR, Smith JJ, Morgan PJ, et al. Mediators of psychological well-being in adolescent boys. J Adolesc Health 2016;58:230-6.
42. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009;4:50.
43. Lubans DR, Smith JJ, Skinner G, et al. Development and implementation of a smartphone application to promote physical activity and reduce screen-time in adolescent boys. Front Public Health 2014;2:42.
44. Chan AW, Tetzlaff JM, Altman DG, et al. SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann Intern Med 2013;158:200-7.
45. Moher D, Hopewell S, Schulz KF, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ 2010;340:c869.
46. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 1999;89:1322-7.
47. Dzewaltowski DA, Estabrooks PA, Glasgow RE. The future of physical activity behavior change research: what is needed to improve translation of research into health promotion practice? Exerc Sport Sci Rev 2004;32:57-63.
48. Institute of Medicine. Fitness measures and health outcomes in youth. Washington DC: National Academies Press, 2012.
49. Ortega FB, Ruiz JR, Castillo MJ, et al. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes (Lond) 2008;32:1-11.
50. Lubans DR, Morgan PJ, Aguiar EJ, et al. Randomized controlled trial of the Physical Activity Leaders (PALs) program for adolescent boys from disadvantaged secondary schools. Prev Med 2011;52:239-46.
51. Moulding NT, Silagy CA, Weller DP. A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines. Qual Health Care 1999;8:177-83.
52. Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall, 1986.
53. Deci E, Ryan R. Instrinsic motivation and self-determination in human behaviour. New York, NY: Plenum, 1985.
54. Hagger MS, Chatzisarantis NL, Culverhouse T, et al. The processes by which perceived autonomy support in physical education promotes leisure-time physical activity intentions and behavior: a trans-contextual model. J Educ Psychol 2003;95:784.
55. B Owen K, Smith J, Lubans DR, et al. Self-determined motivation and physical activity in children and adolescents: a systematic review and meta-analysis. Prev Med 2014;67:270-9.
56. Chatzisarantis NL, Hagger MS. Effects of an intervention based on self-determination theory on self-reported leisure-time physical activity participation. Psychol Health 2009;24:29-48.
57. Beauchamp MR, Barling J, Morton KL. Transformational teaching and adolescent self-determined motivation, self-efficacy, and intentions to engage in leisure time physical activity: a randomised controlled pilot trial. Appl Psychol Health Well Being 2011;3: 127-50.
58. Cheon SH, Reeve J, Moon IS. Experimentally based, longitudinally designed, teacher-focused intervention to help physical education teachers be more autonomy supportive toward their students. J Sport Exerc Psychol 2012;34:365-96.
59. Lonsdale C, Rosenkranz RR, Sanders T, et al. A cluster randomized controlled trial of strategies to increase adolescents' physical activity and motivation in physical education: results of the Motivating Active Learning in Physical Education (MALP) trial. Prev Med 2013;57:696-702.
60. Lubans DR, Morgan PJ, Weaver K, et al. Rationale and study protocol for the Supporting Children's Outcomes using Rewards, Exercise and Skills (SCORES) group randomized controlled trial: a physical activity and fundamental movement skills intervention for primary schools in low-income communities. BMC Public Health 2012;12:427.
61. Lubans DR, Smith JJ, Harries SK, et al. Development, test-retest reliability and construct validity of the resistance training skills battery. J Strength Cond Res 2014;28:1373-80.
62. Resnicow K, Baranowski T, Ahluwalia J, et al. Cultural sensitivity in public health: defined and demystified. Ethn Dis 1998;9:10-21.
63. Lenhart A. Teens, social media and technology overview 2015. Pew Research Center, 2015.
64. Cooper Institute for Aerobics Research. Fitnessgram: test administration manual. Champaign, IL: Human Kinetics, 1999.
65. Lubans DR, Morgan P, Callister R, et al. Test-retest reliability of a battery of field-based health-related fitness measures for adolescents. J Sports Sci 2011;29:685-93.
66. Castro-Piñero J, Ortega FB, Artero EG, et al. Assessing muscular strength in youth: usefulness of standing long jump as a general index of muscular fitness. J Strength Cond Res 2010;24:1810-17.
67. Ruiz JR, Castro-Piñero J, España-Romero V, et al. Field-based fitness assessment in young people: the ALPHA health-related fitness test battery for children and adolescents. Br J Sports Med 2011;45:518-24.
68. Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes 2012;7:284-94.
69. Francis K, Feinstein R. A simple height-specific and rate-specific step test for children. South Med J 1991;84:169-74.
70. Barnett L, Reynolds J, Faigenbaum AD, et al. Rater agreement of a test battery designed to assess adolescents' resistance training skill competency. J Sci Med Sport 2015;18:72-6.
71. Phillips LR, Parfitt G, Rowlands AV. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children. J Sci Med Sport 2013;16:124-8.
72. Scott JJ, Morgan PJ, Plotnikoff RC, et al. Reliability and validity of a single-item physical activity measure for adolescents. J Paediatr Child Health 2015;51:787-93.
73. Martínez-Gómez D, Welk GJ, Puertollano MA, et al. Associations of physical activity with muscular fitness in adolescents. Scand J Med Sci Sports 2011;21:310-17.
74. Hardy LL, Booth ML, Okely AD. The reliability of the adolescent sedentary activity questionnaire (ASAQ). Prev Med 2007;45:71-4.
75. Foehr UG. Media multitasking among American youth: prevalence, predictors and pairings. Menlo Park, CA: Henry J. Kaiser Family Foundation, 2006.
76. Wolfson AR, Carskadon MA. Sleep schedules and daytime functioning in adolescents. Child Dev 1998;69:875-87.
77. Wolfson AR, Carskadon MA, Acebo C, et al. Evidence for the validity of a sleep habits survey for adolescents. Sleep 2003;26:213-17.
78. Hardy LL, King L, Espinel P, et al. NSW schools Physical Activity and Nutrition Survey (SPANS) 2010: Full Report. Sydney: NSW Ministry of Health, 2010.
79. Watson JF, Collins CE, Sibbritt DW, et al. Reproducibility and comparative validity of a food frequency questionnaire for Australian children and adolescents. Int J Behav Nutr Phys Act 2009;6:62.
80. Marsh HW, Martin AJ, Jackson S. Introducing a short version of the physical self description questionnaire: new strategies, short-form evaluative criteria, and applications of factor analyses. J Sport Exerc Psychol 2010;32:438.
81. Diener E, Wirtz D, Tov W, et al. New well-being measures: short scales to assess flourishing and positive and negative feelings. Soc Indic Res 2010;97:143-56.
82. Markland D, Tobin V. A modification to the behavioural regulation in exercise questionnaire to include an assessment of amotivation. J Sport Exerc Psychol 2004;26:191-6.
83. Sánchez-López M, Martínez-Vizcaíno V, García-Hermoso A, et al. Construct validity and test-retest reliability of the International Fitness Scale (IFIS) in Spanish children aged 9-12 years. Scand J Med Sci Sports 2015;25:543-51.
84. Morgan P, Bourke S. Non-specialist teachers' confidence to teach PE: the nature and influence of personal school experiences in PE. Phys Educ Sport Pedagog 2008;13:1-29.
85. Morgan PJ, Hansen V. Classroom teachers' perceptions of the impact of barriers to teaching physical education on the quality of physical education programs. Res Q Exerc Sport 2008;79:506-16.
86. Hagger MS, Chatzisarantis N, Barkoukis V, et al. Perceived autonomy support in physical education and leisure-time physical activity: a cross-cultural evaluation of the trans-contextual model. J Educ Psychol Rev 2005;97:376-90.
87. Assmann SF, Pocock SJ, Enos LE, et al. Subgroup analysis and other (mis)uses of baseline data in clinical trials. Lancet 2000;355:1064-9.