Active Play in After School Programs

September 21, 2018 updated by: Kirsti Riiser, Oslo Metropolitan University

Active Play -an After-school-program Intervention to Promote Physical Activity and Health-related Quality of Life in Young Children

Background: Physical activity (PA) is a key component in health promotion and prevention of overweight. Interventions delivered in after-school programs (ASP) have the potential to become a means of ensuring PA among young schoolchildren. This requires a motivational climate, allowing for self-determination and the intrinsic values of the activity, on the activity's character of play. ASP staff could be trained in stimulating all children in physical activities in their everyday life. Physiotherapists in primary care possess knowledge of motor development and learning, and are important contributors to an ASP-based physical activity intervention.

Aim: To develop a complex intervention that emphasizes physical activity play, and to examine through a cluster-randomized trial the extent to which the intervention promotes PA and health-related quality of life and prevents overweight in a population of young children. We aim to increase the knowledge and autonomy supportive skills among ASP staff members, enabling them to promote physical activity through play among all first graders in ASP.

In addition to investigate if the children benefit from receiving autonomy support, we aim to study whether the ASP staff themselves benefit from giving autonomy support in terms of increased need satisfaction and autonomous motivation for work.

The intervention: Includes training of ASP-staff members in the fundamental principles of self-determination theory and practical applications for motivating young children in PA through play. Information will be given on the benefits of a physically active lifestyle and the staff will be encouraged to map opportunities for PA in their local ASP and to incorporate strategies to increase PA through play among the children throughout the day.

Methods/design: A complex intervention using a mixed methods approach will be developed and evaluated. A pilot trial will assess the potential of this approach and provide information necessary to perform a cluster-randomized controlled trial (RCT). The cluster-randomized controlled trial (RCT) will together with qualitative interviews and observations, evaluate the effectiveness of the intervention. Outcomes will be measured at baseline (September /October 2016) at the end of the intervention which lasts for 7 months (May 2017), and 1 year after the end of the intervention (May 2018)

Study Overview

Study Type

Interventional

Enrollment (Actual)

456

Phase

  • Not Applicable

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

5 years to 6 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Attends first grade in one of the ASPs included

Exclusion Criteria:

  • Does not attend first grade in one of the ASPs included

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention group
Active play in after school programs (ASP). Training program for ASP staff.
  • A 15 hour training-program for ASP-staff aimed to increase active play and physical activity among children in ASPs. The program includes lectures, guided discussions and practical tasks focusing on increasing the staffs competence in how to support active play and PA among all children in the ASP
  • A 8 hour course for local physiotherapists enabling them to guide ASP-staff during parts of the intervention period
No Intervention: Control group
ASP as usual.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in minutes spent in moderate to vigorous physical activity in after school programs from baseline to end of intervention (7 months) and 1 year after end of intervention.
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Measures at baseline of a cluster randomized controlled intervention study and measures at the end of the 7 month intervention (measures of change) and 1 year after the end of the intervention (long-term effects). Physical activity is measured objectively by accelerometer (ActiGraph GM3X and GM3X+).
Baseline, end of intervention (7 months), 1 year after intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Heath-related quality of life
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Parent-reported, measured by KIDSCREEN-27 questionnaire (parent version)
Baseline, end of intervention (7 months), 1 year after intervention
Leisure time physical activity
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported/parent-reported, measured by UngKan-2 questionnaire
Baseline, end of intervention (7 months), 1 year after intervention
Active play in the ASP
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported/parent-reported, measured by questionnaire
Baseline, end of intervention (7 months), 1 year after intervention
Body mass index
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
kg/(m2), height and weight measured objectively
Baseline, end of intervention (7 months), 1 year after intervention
Physical activity and play (observations)
Time Frame: Baseline or end of intervention (7 months)
Qualitative observations of physical activity and play among children during one day in the ASP (sub sample)
Baseline or end of intervention (7 months)
Physical activity and play (interviews)
Time Frame: End of intervention (7 months)
Qualitative interviews with children about active play and physical activity in ASP (sub sample)
End of intervention (7 months)

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Work-related Basic Need Satisfaction among SFP-staff
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported, measured by the Work-related Basic Need Satisfaction Scale (W-BNS)
Baseline, end of intervention (7 months), 1 year after intervention
Work motivation in ASP-staff
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported, measured by the Multidimensional Work Motivation Scale (MWMS)
Baseline, end of intervention (7 months), 1 year after intervention
Job Satisfaction in ASP-staff
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported, measured by the Job Satisfaction Scale (JSS)
Baseline, end of intervention (7 months), 1 year after intervention
Satisfaction with Life in ASP-staff
Time Frame: Baseline, end of intervention (7 months), 1 year after intervention
Self-reported, measured by the Satisfaction with Life Scale (SWSL)
Baseline, end of intervention (7 months), 1 year after intervention
ASP-staff's experiences of taking part in the intervention (process outcome)
Time Frame: End of intervention (7 months)
Focus group interviews (sub sample)
End of intervention (7 months)
Local physiotherapist's experiences of taking part in the intervention (process outcome)
Time Frame: End of intervention (7 months)
Focus group interviews
End of intervention (7 months)

Collaborators and Investigators

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

Investigators

  • Principal Investigator: Kirsti Riiser, Phd, Oslo Metropolitan University

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 1, 2016

Primary Completion (Actual)

May 1, 2018

Study Completion (Actual)

May 1, 2018

Study Registration Dates

First Submitted

October 26, 2016

First Submitted That Met QC Criteria

November 1, 2016

First Posted (Estimate)

November 3, 2016

Study Record Updates

Last Update Posted (Actual)

September 25, 2018

Last Update Submitted That Met QC Criteria

September 21, 2018

Last Verified

September 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • 46008

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

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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