Objective Assessment of Physical Activity in Before-school Physical Activity Programs (BOKS)

This study will determine the effectiveness of a free before-school physical activity program, BOKS (Build Our Kids' Success), in increasing objectively measured physical activity levels among children in elementary and middle school in 7 schools in Massachusetts.

Study Overview

• Status: Completed
• Conditions: Physical Activity; Sleep
• Intervention / Treatment: Behavioral: Before School Physical Activity Program

Detailed Description

This study will determine the effectiveness of a free before-school physical activity program, BOKS (Build Our Kids' Success), in increasing objectively measured physical activity levels among children in elementary and middle school in 7 schools in Massachusetts. The study focuses on capturing valid and objective assessments of student-level physical activity during BOKS program time and assessing the impact of the BOKS program on overall daily physical activity levels using minute-by-minute physical activity level data among elementary aged students. Data is also collected to understand how increasing physical activity may impact students' sleep.

• Study Type: Interventional
• Enrollment (Actual): 432
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 12 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Attending public elementary and middle school in two selected Massachusetts communities with BOKS programming

Exclusion Criteria:

• None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: NON_RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
ACTIVE_COMPARATOR: Intervention; Students in grades K-6 at 7 schools in two communities participating in a before school physical activity program offered at no cost to participating families that focuses on engaging elementary and middle school students in physical activity, skill development and brief nutrition education sessions. .	Behavioral: Before School Physical Activity Program; BOKS is a before school physical activity program offered at no cost to participating families that focuses on engaging elementary and middle school students in physical activity, skill development and brief nutrition education sessions that prepare them for a day of learning. The BOKS curriculum includes 12 weeks of instruction and 40 minutes of structured kid-friendly activities that include warm-ups, skill of the week, running, relay and obstacle course activities and nutritional tips. The BOKS team provides training for BOKS leaders free of charge each month. BOKS is currently being used in more than 1,800 schools in the US and Canada.; Other Names: Build Our Kids Success (BOKS)
NO_INTERVENTION: Comparison; Students in grades K-6 at the same 7 schools in two communities as the intervention participants, but who did not participate in the before school physical activity program.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Total steps per day	The primary outcome measure is a physical activity measure of how many steps per day participants took.	Participants wore a Fitbit activity monitor for up to 5 school days beginning with the before school period simultaneously for 24 hours/day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Active minutes	A secondary outcome measure is a measure of how many minutes participants spent in light, moderate and vigorous activity per day.	Participants wore a Fitbit activity monitor for up to 5 school days beginning with the before school period simultaneously for 24 hours/day
Sleep duration	A secondary outcome measure is the amount of time participants spent asleep each night, measured by a Fitbit activity monitor, which collects a measure of total sleep time.	Participants wore Fitbit activity monitors for 24 hours for up to 5 school days

Collaborators and Investigators

• Sponsor: Harvard School of Public Health (HSPH)
• Collaborators: Massachusetts General Hospital; Reebok Foundation

Publications and helpful links

General Publications

• Cradock AL, Barrett JL, Taveras EM, Peabody S, Flax CN, Giles CM, Gortmaker SL. Effects of a before-school program on student physical activity levels. Prev Med Rep. 2019 Jul 3;15:100940. doi: 10.1016/j.pmedr.2019.100940. eCollection 2019 Sep.

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 17, 2016
• Primary Completion (ACTUAL): December 16, 2016
• Study Completion (ACTUAL): December 16, 2016

Study Registration Dates

• First Submitted: December 20, 2017
• First Submitted That Met QC Criteria: January 11, 2018
• First Posted (ACTUAL): January 19, 2018

Study Record Updates

• Last Update Posted (ACTUAL): January 19, 2018
• Last Update Submitted That Met QC Criteria: January 11, 2018
• Last Verified: January 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: 16-1224

Plan for Individual participant data (IPD)

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

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No