Hoosier Sport Re-Social: A Biobehavioral Intervention in Rural Indiana

Hoosier Sport Re-Social is a sport-based intervention designed to increase physical activity (PA) and reduce social media use among children in under-resourced rural areas, aiming to mitigate cardiovascular disease (CVD) risk. The intervention integrates physical activity with social media literacy (SML) training, addressing the dual challenges of low PA levels and high social media usage, which are prevalent in rural communities.

Study Overview

• Status: Completed
• Conditions: Sedentary Behavior; CVD
• Intervention / Treatment: Behavioral: Hoosier Sport Re-Social

Detailed Description

Hoosier Sport Re-Social is a comprehensive, sport-based intervention designed to address the dual challenges of low physical activity (PA) and high social media use among children in under-resourced rural areas. This innovative program aims to reduce cardiovascular disease (CVD) risk by promoting healthier behaviors through the integration of physical activity and social media literacy (SML) training. Recognizing that CVD is a leading cause of death, particularly in under-resourced populations, and that fewer than one in five U.S. children meet the recommended PA levels-especially in rural areas-this intervention targets a significant public health need.

The program is designed to be implemented within the school setting, leveraging both physical education (PE) and health classes to deliver its core components. The PA portion of the intervention takes place during PE classes, where students engage in structured sport activities aimed at increasing daily physical activity levels. This component is designed to enhance students' fitness, build confidence in their physical abilities, and foster a lifelong interest in staying active.

Complementing the physical activity focus, the SML portion is integrated into health classes. Here, students are educated about the impacts of social media on health, particularly its role in influencing behavior and well-being. The curriculum equips students with the knowledge and skills to critically analyze social media content, make informed decisions about their digital consumption, and develop healthier online habits.

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Indiana
    • Bloomington, Indiana, United States, 47405
      • Indiana University
    • Lyons, Indiana, United States, 47443
      • White River Valley Middle School

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• enrolled in 7th-9th grade
• provides parental consent
• provides assent

Exclusion Criteria:

- Inability to attend school regularly during the 6-week intervention period

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Hoosier Sport Re-Social Participants; Arm will receive 6-weeks of intervention, including enhanced PE and health class curriculum	Behavioral: Hoosier Sport Re-Social; Hoosier Sport Re-Social is a 6-week school-based intervention designed to reduce cardiovascular disease risk in rural children. It includes twice-weekly physical activity sessions during PE classes and weekly social media literacy training in health classes, promoting healthier physical and digital behaviors.
No Intervention: Regular Health and PE Participants; Arm will receive regular PE and health class curriculum

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility of Intervention Measure (FIM)	How feasible the intervention was from the perspective of the participants. This is measured through questionnaire.	Measured at week 0 and week 6
Acceptability of Intervention Measure (IAM)	How acceptable the intervention is to the participants. This is measured through questionnaire.	Measured at week 0 and week 6
Intervention Appropriateness Measure (AIM)	How appropriate the intervention is to the participants. This is measured through questionnaire.	Measured at week 0 and week 6

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Daily Total Physical Activity of Participants	Accelerometers (Axivity - AX3 model) will be used to track total daily physical activity	Week 1 (for 7 days), and week 6 (for 7 days)
Heart Rate of Participants	heart rate measured via a blood pressure monitor	HR will be taken at week 0 and week 6 before and following the 6-minute walk test.
Blood Pressure of Participants	Blood pressure measured via a blood pressure monitor	BP will be taken at week 0 and week 6 before and following the 6-minute walk test.
Basic Psychological Needs of Participants in Intervention Environment	Basic Psychological Needs and Satisfaction and Frustration scale. This entails feelings/perceptions of autonomy, relatedness, competence, enjoyment, satisfaction, and frustration in the study setting. Higher scores indicate greater satisfaction.	Assessed at week 0 and week 6
Physical Literacy of Participants	the Canadian Assessment of Physical Literacy second addition (CAPL-2) will be used. A higher score on the CAPL-2 indicates higher physical literacy.	Assessed at week 0 and week 6
Cardiovascular Fitness Levels of Participants	the 6-minute walk test will be used to assess changes in fitness. Greater distance walked in the 6 minute time frame is related to greater levels of cardiovascular fitness.	Assessed at week 0 and week 6
Muscular Endurance Levels of Participants	The plank test will be used to assess changes in fitness. The longer the plank is held, the greater the muscular endurance of the participant.	Assessed at week 0 and week 6
Daily screen time	data from participants' phone settings will be used to capture daily screen time. Participants will navigate to their screen time settings, where a comprehensive and objective report of their weekly screen time (including average daily screen time) is available. Here, participants will screenshot this data and airdrop it to a secured IU dropbox location.	Assessed at week 0 and week 6
Daily social media usage	data from participants' phone settings will be used to capture daily screen time. Participants will navigate to their screen time settings, where a comprehensive and objective report of their weekly screen time (including average daily social media usage) is available. Here, participants will screenshot this data and airdrop it to a secured IU dropbox location.	Assessed at week 0 and week 6
Social media addiction	participants will complete the Bergen Social Media Addiction Scale to assess social media addiction.	Assessed at week 0 and week 6
Inhibitory control	The Color-Word trial from the Stroop Color and Word Test will be delivered on an iPad/tablet to participants to measure inhibitory control.	Assessed at week 0 and week 6
Body Satisfaction	The Body Satisfaction Questionnaire (BSQ) will be completed to assess participants satisfaction of their body shape.	Assessed at week 0 and week 6
Body Appreciation	The Body Appreciation Scale (version 2) (BAS-2) will be completed to assess participants' appreciation of their bodies.	Assessed at week 0 and week 6

Collaborators and Investigators

• Sponsor: Indiana University
• Investigators: Principal Investigator: Kyle Kercher, PhD, Indiana University

Study record dates

Study Major Dates

• Study Start (Actual): February 24, 2025
• Primary Completion (Actual): March 31, 2025
• Study Completion (Actual): March 31, 2025

Study Registration Dates

• First Submitted: August 13, 2024
• First Submitted That Met QC Criteria: August 15, 2024
• First Posted (Actual): August 16, 2024

Study Record Updates

• Last Update Posted (Actual): May 6, 2025
• Last Update Submitted That Met QC Criteria: May 2, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: 21473

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