- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02488460
Effects of Physical Activity on Math - an RCT
Effects of a School-based Physical Activity Intervention on Math Achievement - A Randomized Controlled Trial
Background
Increased physical activity can improve cognition and academic skills. However due to economic concerns and increasing focus on standardized testing, PA in schools often receives little attention and physical education is reduced in many countries in favor of spending more time devoted to academic classes. This tendency is not compatible with the increasing evidence for the association between physical activity, fitness, cognitive and academic performance.
Despite increasing evidence for the association between PA, fitness, cognitive and academic performance, very few longitudinal high-quality studies exists examining the effect of physical activity on academic performance (ref.). Furthermore, to the best of our knowledge only two studies have assessed academic outcomes following the integration of physical activity into the classroom with intervention participants scoring significantly higher in test sections compared to controls which makes generalizing from these results challenging.
To promote policy changes that require more physical activity in school, empirical data are needed to study the effects of school-based physical activity programs. Therefore the investigators carried out a cluster randomized controlled trial conducted to examine the effect on math achievement and executive functions of classroom based PA in math.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Design
Twelve elementary schools were cluster randomized to the active math intervention or served as control. Randomization was performed by shuffling sealed envelopes with intervention allocation inside to determine group assignment. This happened in a meeting where the leaders of the schools, employees at the municipalities and the responsible researcher were present. The study lasted for a school year (43 weeks) and the subjects were tested before and after the nine-month long intervention.
All tests were performed within one week except for the objective measurement of physical activity (PA) via accelerometer (ActiGraph, 7163, Pensacola, FL), which took place in a separate week, just before baseline and endline. In the intervention period (38 weeks) the participants received on average 6 mathematics lessons of 45 minutes per week with respectively physically active and traditional teaching.
The intervention
The intervention consisted of math teaching focusing on implementing PA in the classroom as a facilitating instrument. Teachers were told to include at least 15 minutes of physical activity in each 45 minutes math lesson. In addition sedentary activities were only allowed to last for maximum 20 minutes. Classroom-based PA had the aim of creating a meaningful binding between the mathematical concepts and a specific physical activity to improve mental representation of mathematics and thus contribute to understanding and memory of the mathematical concepts.
Classroom teacher training for implementation of the intervention
Training was provided to math teachers at each intervention school in a course given by the responsible group of researchers. The training was planned in collaboration between mathematics teachers in the intervention schools and the responsible group of researchers and was based on the curriculum for mathematics in Danish public schools. The planning of the teaching content took place on a 4-day mandatory course for all mathematics teachers with the purpose to enable the teachers to teach active mathematics and thereby to promote the math achievement.
As part of the course the teachers received a folder with suggestions for PA in math made by the responsible group of researchers. In addition they developed activities with specific instructions and inspiration for how teachers could incorporate PA as an element of academic instruction. Since the teacher's motivation and involvement can influence the outcome of the study, emphasis was placed on creating high motivation in the course by increasing understanding of the numerous positive cognitive effects of PA.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 1st Grade primary school children on public schools
Exclusion Criteria:
- Physical disabilities
- No written informed consent from parents
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Normal math
This arm serves as the control group receiving regular math lessons
|
|
Experimental: Active math
This arm serves as the intervention group receiving physically active math lessons
|
The intervention consists of a nine month period with physical activity as part of, and integrated, in math lessons
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Math Skills, as measured by a 45-minute standardized math test specifically designed for this age group by the developer of the Danish national tests (MG) (Hoegrefe Forlag).
Time Frame: Change from Baseline Math Skills at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Math Skills at 9 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cardiovascular Fitness, as measured by intermittent shuttle-run test (the Andersen intermittent running test).
Time Frame: Change from Baseline Cardiovascular Fitness at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Cardiovascular Fitness at 9 months
|
Body height as measured without shoes to the nearest 0.5 cm using Harpenden stadiometer (West Sussex, UK). Body mass as measured in light clothing to the nearest 0.1 kg using an electronic scale (Tanita BWB-800, Tokyo, Japan).
Time Frame: Change from Baseline Body Composition at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Body Composition at 9 months
|
Activity Behavior as measured by questionnaires sent via SMS
Time Frame: Short Message Service from the parents of the participant during the nine month long intervention period
|
Once a week during the 9 month long intervention, the parents answered questions concerning the children's PA in leisure time and transportation to school.
|
Short Message Service from the parents of the participant during the nine month long intervention period
|
Objective Physical Activity level, as measured by using accelerometry (ActiGraph, GT3X and GT3X+)
Time Frame: Change from Baseline Objective Physical Activity level at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Objective Physical Activity level at 9 months
|
Physical Activity during Math Lessons, as measured by using accelerometry (ActiGraph, GT3X and GT3X+)
Time Frame: Change from Baseline Objective Physical Activity level during math lessons at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Objective Physical Activity level during math lessons at 9 months
|
Executive Functions, as measured by a modified Eriksen flanker task
Time Frame: Change from Baseline Executive Functions at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Executive Functions at 9 months
|
Creativity, as measured by the Torrance Test of Creativity
Time Frame: Change from Baseline Creativity at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Creativity at 9 months
|
Teacher Motivation, as measured by Short Message Service
Time Frame: Short Message Service during the last 6 months of the intervention period
|
Once every month the teacher answers how motivated they feel to integrate PA in to the Math lessons
|
Short Message Service during the last 6 months of the intervention period
|
Excutive function, as measured by the BRIEF-questionnaire
Time Frame: Change from Baseline Executive Functions at 9 months
|
During the first three weeks prior to randomization and intervention, and the last two weeks of the protocol after the intervention period.
|
Change from Baseline Executive Functions at 9 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mona H. Sørensen, PhD Fellow, University of Southern Denmark
Publications and helpful links
General Publications
- Siersbaek GM, Have M, Wedderkopp N. The Effect of Leisure Time Sport on Executive Functions in Danish 1st Grade Children. Children (Basel). 2022 Sep 23;9(10):1458. doi: 10.3390/children9101458.
- Have M, Nielsen JH, Gejl AK, Thomsen Ernst M, Fredens K, Stockel JT, Wedderkopp N, Domazet SL, Gudex C, Grontved A, Kristensen PL. Rationale and design of a randomized controlled trial examining the effect of classroom-based physical activity on math achievement. BMC Public Health. 2016 Apr 11;16:304. doi: 10.1186/s12889-016-2971-7.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- h5vadgyk
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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