"Escola em Ação" (School in Action) (EA)

June 3, 2019 updated by: Sueyla Ferreira da Silva dos Santos, Universidade Estadual Paulista Júlio de Mesquita Filho

"Escola em Ação": School Based Interventions of Incentive to the Practice Physical and Life Habits of Healthy Promotion

Background: The health promotion actions carried out in the school environment have positive effects on reducing risk factors for chronic diseases in adolescents. Interdisciplinary strategies involving school and family to increase the level of physical activity among adolescents, inside and outside the school, are essential to encourage healthier lifestyles.

Aim: To determine whether a 24-weeks interdisciplinary intervention program promotes improvement in the level of physical activity, physical fitness, sleep quality, life satisfaction, eating habits and reduce the sedentary behavior of schoolchildren aged 10 to 13 years of public schools in the city of Presidente Prudente, São Paulo, Brazil.

The intervention: Includes training of teacher Physical Education in the principles of self-determination theory and ecological theory at practical applications for motivating adolescents in physical activities and sports. The students will be given information on the benefits of a physically active lifestyle and will be encouraged to participated the new opportunities for physical activity in their school and community. The program will offer physical activity strategies over the 24-weeks during class Physical Education, afternoon recess and active lesson breaks in theoretical classes. Nutritional guidelines and gardening experience will be developed to encourage healthy eating habits among schoolchildren and to reduce salt, oil and sugar in the preparation of school lunch.

Methods/design: The project, which being conducted as cluster randomized trial, is to evaluated whit in a mixed methods, including qualitative and quantitative approach will be used for the construction of the actions integrated to the school physical education curriculum and evaluation of the program by the participants and supporters. The RE-AIM evaluation metric (Reach, Effectiveness, Adoption, Implementation, and Maintenance) is used to guide the validation this program.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The intervention will be unfold over the 24-weeks with students of six to seven school terms of implementation physical activity and nutrition intervention strategies. The total of five schools full-time were contacted for participation in the survey, one was excluded because they had no interest in participating. Allocation of pairs of schools in the experimental and control groups was done by randomization (draw for the experimental and control groups), and later the schools were informed about their condition in the study (experimental group or control group). The dimensions assessed in the research were defined from the problems and needs pointed out by the school in the initial stage of training and diagnosis of the local reality. The intervention strategies consisted of the following across: promote teacher Physical Education training; develop school actions integrated in the school curriculum; increase pratice of physical activity (in class time and recess); Improve eating habits (nutritional guidence, gardening experience, school lunch); promote healthy lifestyle program during school breaks; provided with physical activity equipment; parent engagement in health education practice.

Study Type

Interventional

Enrollment (Actual)

357

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • São Paulo
      • Presidente Prudente, São Paulo, Brazil, 19060-900
        • Sueyla Ferreira da Silva dos Santos

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

10 years to 14 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Students enrolled in 2017, in the 6th and 7th year of Elementary School in the full-time schools participating in the study

Exclusion Criteria:

  • Students with physical or motor impairment that prevents the performance of physical fitness assessments or with mental or cognitive impairment that prevents them from responding with clarity to the questionnaires and instruments of data collection

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: intervention
Training program for Physical Education teacher. Individual level: moderate to vigorous physical activity. Organizational level: school health policy for healthy lifestyle
Training program 30 hours accumulated before, during and after intervention
Other Names:
  • Training program for Physical Education teacher
7 to 10 minutes in Physical Education in class time, 3 sections for week during lunch break
Other Names:
  • Moderate to vigorous physical activity
Inclusion of actions in the school curriculum: counseling sections with health for parents and adolescent, active lesson breaks during theoretical class, gardening experience in school, nutrition guidance for school lunch professionals.
Other Names:
  • School health policy for healthy lifestyle
No Intervention: no intervention
Physical Education and school curriculum as usual

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in weekly time in moderate-to-vigorous physical activity at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in weekly time in sedentary activity at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in Physical Education class time in moderate-to-vigorous physical activity at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers in Physical Education class
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in level physical fitness at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with physical fitness test (abdominal resistance, palmar grip, horizontal jump, Wells bench, beep test)
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in body composition at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with Dual-energy X-ray absorptiometry (DXA) and anthropometric measurements (body height, body weight, waist circumference, hip circumference, arm circumference, triceps skin fold and puberty status (self- assessed)
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in caloric intake at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with food register at 3 days and supplemented with a questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change from baseline in the time and quality sleep at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire (Pittsburgh sleep quality index)
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in performance academic at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with school scores and state education performance exam
Baseline, end of intervention (6 months), 1 year after baseline
Change from baseline in satisfaction with life at six months
Time Frame: Baseline, end of intervention (6 months), 1 year after baseline
Measured with standardized questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Study Director: Ismael Freitas Junior, Phd, CELAPAM

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 8, 2017

Primary Completion (Actual)

June 9, 2017

Study Completion (Actual)

December 7, 2018

Study Registration Dates

First Submitted

May 7, 2017

First Submitted That Met QC Criteria

May 12, 2017

First Posted (Actual)

May 15, 2017

Study Record Updates

Last Update Posted (Actual)

June 5, 2019

Last Update Submitted That Met QC Criteria

June 3, 2019

Last Verified

June 1, 2019

More Information

Terms related to this study

Other Study ID Numbers

  • UNESP Presidente Prudente

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

This sharing is available for principal researchers and collaborators and may be obtained by individual report after data analysis

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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