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

"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: Physical Activity; Sedentary Lifestyle; Adolescent Behavior; Eating Behavior
• Intervention / Treatment: Behavioral: Training; Behavioral: Individual level; Behavioral: Organizational level

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

Study Locations

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

Participation Criteria

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

How is the study designed?

Design Details

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

Number of Arms

2

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	Behavioral: Training; Training program 30 hours accumulated before, during and after intervention; Other Names: Training program for Physical Education teacher; Behavioral: Individual level; 7 to 10 minutes in Physical Education in class time, 3 sections for week during lunch break; Other Names: Moderate to vigorous physical activity; Behavioral: Organizational level; 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	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	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	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	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	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	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	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	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	Measured with standardized questionnaire	Baseline, end of intervention (6 months), 1 year after baseline

Collaborators and Investigators

• Sponsor: Universidade Estadual Paulista Júlio de Mesquita Filho
• Collaborators: Fundação de Amparo à Pesquisa do Estado de São Paulo
• Investigators: Study Director: Ismael Freitas Junior, Phd, CELAPAM

Publications and helpful links

General Publications

• Ferreira da Silva Dos Santos S, Bordin D, Dornelas de Souza EF, Freitas Junior IF. Study protocol and baseline characteristics of "SCHOOL IN ACTION" program on support to physical activity and healthy lifestyles in adolescents. Contemp Clin Trials Commun. 2019 Dec 14;17:100505. doi: 10.1016/j.conctc.2019.100505. eCollection 2020 Mar.

Study record dates

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

• Keywords: physical activity; adolescent; sedentary behavior; sleep quality; physical fitness; school health; eating habits; satisfaction personal
• 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