The Movement Program for an Active and Healthy Lifestyle in Adolescents

The Movement Program for an Active and Healthy Lifestyle in Adolescents and Its Relationship With School Performance

School is a favorable environment for the development of actions aimed at healthy behavioral changes. This project proposes to evaluate the effectiveness of an intervention program on aspects of lifestyle, with a focus on physical activity (PA) and reducing sedentary behaviors, and the relationship of these factors with the academic performance of students in the school from Florianopolis, SC, Brazil.

This is a randomized controlled intervention study enroling classes of 7th to 9th grade of fundamental education.

The intervention program will last for one year (about ten months), with three focuses: training of teachers, educational and environmental changes to behavior change.

Study Overview

• Status: Unknown
• Conditions: Adolescent Behavior
• Intervention / Treatment: Behavioral: The Movement Program

• Study Type: Interventional
• Enrollment (Anticipated): 1400
• Phase: Early Phase 1

Contacts and Locations

• Study Contact: Name: Kelly S Silva, Professor; Email: ksilvajp@yahoo.com.br
• Study Contact Backup: Name: Jaqueline A Silva, Master; Email: jaqui_aragoni@hotmail.com

Study Locations

• Brazil
  • Santa Catarina
    • Florianopolis, Santa Catarina, Brazil, 88.040-400
      • Recruiting
      • Kelly Samara da Silva
      • Contact: Jaqueline A Silva, Master; Email: jaqui_aragoni@hotmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 12 years to 15 years (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

Students of both sexes Students aged 12-15 years Students who are enrolled in 7-9 grade classes

Exclusion Criteria:

Students younger than 12 years-old and older than 15 years-old Students with uncompleted data at baseline and/or 10-months follow-up Students who dropout the school

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: "The Movement" Program; The intervention program was structured according three main components: (1) training and activities in general curriculum and Physical Education classes; (2) active facilities in the school environment; (3) health education in school community.	Behavioral: The Movement Program; The program duration will be one academic year (around ten months) in 2017. The intervention strategies will focus on: (1) teachers' training and activities on health in curriculum; (2) active opportunities in the school environment (facilities and materials for PA practice) and (3) health education (posters and folders to students and parents).
No Intervention: No intervention; Schools in the control group will maintain a regular academic year with conventional activities. Thus schools have two weekly Physical Education classes which are organized by according to the perspective of their teachers. Besides that, the Program "Saúde na Escola" is also performed.

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 10 months	A list containing 24 types of PA will be used to measure the weekly frequency and the daily duration of each type of PA that the adolescents perform in a typical week.	baseline and 10-months of intervention
Change from baseline in the daily time using TV/computer/cellular/video games at 10 months	The daily time spent using TV/computer/video games of the individual will be estimated at baseline and after 10 months of intervention.	baseline and 4-months of intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline in the healthy eating score at 10 months	Healthy eating score will be estimated using two items related to healthy foods (fruits and vegetables) and three unhealthy (soft drinks, savory and sweets) foods in a typical week. Points from this list will be estimated at baseline and after 10 months of intervention.	baseline and 10-months of intervention
Change from baseline in the body mass index at 10 months	Body weight (kg) and height (m) will be used to calculate the body mass index (weight/height², kg/m²). Difference between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention
Change from baseline in the waist circumference at 10 months	Difference in the waist circumference (cm) between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention
Change from baseline in the quality of life score at 10 months	The quality of life will be measured using the KidScreen instrument. Difference in this score between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention
Change from baseline in the sleepiness score at 10 months	The difference of frequency and quality of sleep between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention
Change from baseline in the academic performance score at 10 months	Academic achievement and school attendance will be evaluated in order to create an academic performance score. Difference in this score between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention
Change from baseline in the body image score at 10 months	The self-assessment of the nine-silhouettes scale proposed by Stunkard et al. will be used to create the body image score. Difference in this score between baseline and after 10 months of intervention will be calculated.	baseline and 10-months of intervention

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline in the score of intrapersonal PA mediators at 10 months	Points obtained from a list of attitude (5 items), expectations (10 items) and self-efficacy (12 items) variables will be estimated at baseline and after 4 months of intervention.	baseline and 10-months of intervention
Change from baseline in the score of interpersonal PA mediators at 10 months	Points obtained from a list of parental support (7 items), friends support (6 items), physical education teachers (6 items) and general teachers support (6 items) scale will be estimated at baseline and after 4 months of intervention.	baseline and 10-months of intervention
Change from baseline in the score of environmental PA mediators at 10 months	Points obtained from a list of school environment (4 items) scale will be estimated at baseline and after 10 months of intervention.	baseline and 10-months of intervention
Change from baseline in the score of intrapersonal screen time use mediators at 10 months	Points obtained from a list of attitude (3 items), expectations (12 items) and self-efficacy (11 items) variables will be estimated at baseline and after 10 months of intervention.	baseline and 10-months of intervention
Change from baseline in the score of interpersonal screen time use mediators at 10 months	Points obtained from a list of family and friends modelling (4 items), social support (4 items), family beliefs (3 items) and family norms (6 items) variables will be estimated at baseline and after 10 months of intervention	baseline and 10-months of intervention

Collaborators and Investigators

• Sponsor: Kelly Samara da Silva
• Collaborators: Conselho Nacional de Desenvolvimento Científico e Tecnológico
• Investigators: Principal Investigator: Kelly S Silva, Professor, Federal University of Santa Catarina

Publications and helpful links

General Publications

• Dos Santos PC, Salmon J, Arundell L, Lopes MVV, Silva KS. Effectiveness and moderators of a multicomponent school-based intervention on screen time devices: the Movimente cluster-randomized controlled trial. BMC Public Health. 2021 Oct 13;21(1):1852. doi: 10.1186/s12889-021-11895-2.
• Bandeira ADS, Beets MW, da Silveira PM, Lopes MVV, Barbosa Filho VC, da Costa BGG, Silva KS. Efforts on Changing Lifestyle Behaviors May Not Be Enough to Improve Health-Related Quality of Life Among Adolescents: A Cluster-Randomized Controlled Trial. Front Psychol. 2021 Feb 18;12:614628. doi: 10.3389/fpsyg.2021.614628. eCollection 2021.
• Silva KS, Silva JAD, Barbosa Filho VC, Santos PCD, Silveira PMD, Lopes MVV, Salmon J; "Movimente Program" Working Group. Protocol paper for the Movimente school-based program: A cluster-randomized controlled trial targeting physical activity and sedentary behavior among Brazilian adolescents. Medicine (Baltimore). 2020 Jul 31;99(31):e21233. doi: 10.1097/MD.0000000000021233.
• Knebel MTG, Borgatto AF, Lopes MVV, Dos Santos PC, Matias TS, Narciso FV, Silva KS. Mediating role of screen media use on adolescents' total sleep time: A cluster-randomized controlled trial for physical activity and sedentary behaviour. Child Care Health Dev. 2020 May;46(3):381-389. doi: 10.1111/cch.12755. Epub 2020 Feb 15.

Study record dates

Study Major Dates

• Study Start: March 1, 2014
• Primary Completion (Anticipated): December 1, 2017
• Study Completion (Anticipated): November 1, 2018

Study Registration Dates

• First Submitted: October 24, 2016
• First Submitted That Met QC Criteria: October 24, 2016
• First Posted (Estimate): October 25, 2016

Study Record Updates

• Last Update Posted (Estimate): October 25, 2016
• Last Update Submitted That Met QC Criteria: October 24, 2016
• Last Verified: October 1, 2016

More Information

Terms related to this study

• Keywords: Physical Activity; Academic performance; Healthy Lifestyle
• Other Study ID Numbers: 1.259.910

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO