Effects of a peer-led Walking In ScHools intervention (the WISH study) on physical activity levels of adolescent girls: a cluster randomised pilot study

Angela Carlin, Marie H Murphy, Alan Nevill, Alison M Gallagher, Angela Carlin, Marie H Murphy, Alan Nevill, Alison M Gallagher

Abstract

Background: School-based interventions may be effective at increasing levels of physical activity (PA) among adolescents; however, there is a paucity of evidence on whether walking can be successfully promoted to increase PA in this age group. This pilot study aimed to assess the effects of a 12-week school-based peer-led brisk walking programme on levels of school-time PA post intervention.

Methods: Female participants, aged 11-13 years, were recruited from six post-primary schools in Northern Ireland. Participants were randomized by school (cluster) to participate in regular 10-15-min peer-led brisk walks throughout the school week (the WISH study) (n = 101, two schools) or to continue with their usual PA (n = 98, four schools). The primary outcome measure was school-time PA post intervention (week 12), assessed objectively using an Actigraph accelerometer. Secondary outcome measures included anthropometry, cardiorespiratory fitness and psychosocial measures. Changes in PA data between baseline (T0) and end of intervention (week 12) (T1) were analysed using a mixed between-within subjects analysis of variance with one between (group) and one within (time) subjects factor, with two levels.

Results: Of 199 participants recruited (mean age = 12.4 ± 0.6 years, 27% overweight/obese), 187 had valid accelerometer data for inclusion in subsequent analysis. A significant interaction effect was observed for changes in light intensity PA across the school day (p = 0.003), with those in the intervention increasing their light intensity PA by 8.27 mins/day compared with a decrease of 2.14 mins/day in the control group. No significant interactions were observed for the other PA measures across the intervention. Intervention effects on school-time PA were not sustained four months post intervention.

Conclusions: The intervention increased daily light intensity PA behaviour in these adolescent girls but did not change moderate to vigorous physical activity (MVPA). These findings suggest that a school-based brisk walking intervention may be feasible and can change PA behaviour in the short term, but it is possible that the self-selected walking speeds determined by a peer-leader may not be sufficient to reach MVPA in this age group. Further research is needed to evaluate the potential of school-based brisk walking to contribute to MVPA in adolescent girls.

Trial registration: ClinicalTrials.gov, NCT02871830 . Registered on 16 August 2016).

Keywords: Adolescent girls; Peer-led; Physical activity; School-based intervention; Walking.

Conflict of interest statement

Ethics approval and consent to participate

This study was approved by the University of Ulster Research Ethics Committee (REC/11/0236). Written informed consent was obtained from parents/guardians and written assent was obtained from adolescents.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Flow of study participants

References

    1. World Health Organization . Global strategy on diet, physical activity and health. Geneva, Switzerland: World Health Organization; 2010.
    1. Griffiths LJ, Cortina-Borja M, Sera F, Pouliou T, Geraci M, Rich C, et al. How active are our children? Findings from the Millennium Cohort Study. BMJ Open. 2013;3(8):e002893.
    1. Breslin G, Gossrau-Breen D, McCay N, Gilmore G, MacDonald L, Hanna D. Physical activity, gender, weight status, and wellbeing in 9-to 11-year-old children: a cross-sectional survey. J Phys Act Health. 2012;9(3):394–401.
    1. Trost S, Pate R, Sallis J, Freedson P, Taylor W, Dowda M, et al. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002;34(2):350–5.
    1. Treuth MS, Catellier DJ, Schmitz KH, Pate RR, Elder JP, McMurray RG, et al. Weekend and weekday patterns of physical activity in overweight and normal-weight adolescent girls. Obesity. 2007;15(7):1782–8.
    1. Strong W, Malina R, Blimkie C, Daniels S, Dishman R, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7.
    1. Hallal PC, Victora CG, Azevedo MR, Wells JCK. Adolescent physical activity and health - A systematic review. Sports Med. 2006;36(12):1019–30.
    1. Telama R. Tracking of physical activity from childhood to adulthood: a review. Obes Facts. 2009;2(3):187–95.
    1. Cooper AR, Jago R, Southward EF, Page AS. Active travel and physical activity across the school transition: the PEACH project. Med Sci Sports Exerc. 2012;44(10):1890–7.
    1. Jago R, Page AS, Cooper AR. Friends and physical activity during the transition from primary to secondary school. Med Sci Sports Exerc. 2012;44(1):111–7.
    1. De Meester F, Van Dyck D, De Bourdeaudhuij I, Deforche B, Cardon G. Changes in physical activity during the transition from primary to secondary school in Belgian children: what is the role of the school environment? BMC Public Health. 2014;14:261.
    1. Dwyer J, Allison K, Goldenberg E, Fein A, Yoshida K, Boutilier M. Adolescent girls’ perceived barriers to participation in physical activity. Adolescence. 2006;41(161):75–89.
    1. Vu M, Murrie D, Gonzalez V, Jobe J. Listening to girls and boys talk about girls’ physical activity behaviors. Health Educ Behav. 2006;33(1):81–96.
    1. Whitehead S, Biddle S. Adolescent girls’ perceptions of physical activity: a focus group study. Eur Phys Educ Rev. 2008;14(2):243–62.
    1. Slater A, Tiggemann M. “Uncool to do sport”: A focus group study of adolescent girls’ reasons for withdrawing from physical activity. Psychol Sport Exerc. 2010;11(6):619–26.
    1. Carlin A, Murphy MH, Gallagher AM. Current influences and approaches to promote future physical activity in 11–13 year olds: a focus group study. BMC Public Health. 2015;15:1270.
    1. Cale L. Physical activity promotion in secondary schools. Eur Phys Educ Rev. 2000;6(1):71–90.
    1. Belanger M, Sabiston CM, Barnett TA, O’Loughlin E, Ward S, Contreras G, et al. Number of years of participation in some, but not all, types of physical activity during adolescence predicts level of physical activity in adulthood: Results from a 13-year study. Int J Behav Nutr Phys Act. 2015;12:76.
    1. Belanger M, Townsend N, Foster C. Age-related differences in physical activity profiles of English adults. Prev Med. 2011;52(3–4):247–9.
    1. Morris J, Hardman A. Walking to health. Sports Med. 1997;23(5):306–32.
    1. Shultz SP, Browning RC, Schutz Y, Maffeis C, Hills AP. Childhood obesity and walking: guidelines and challenges. Int J Pediatr Obes. 2011;6(5–6):332–41.
    1. Ford P, Swaine I. Continuous versus accumulated brisk walking in children aged 8–11 years. Eur J Sport Sci. 2012;12(1):89–95.
    1. Carlin A, Murphy MH, Gallagher AM. Do interventions to increase walking work? A systematic review of interventions in children and adolescents. Sports Med. 2016;46(4):515–30.
    1. Mendoza JA, Watson K, Baranowski T, Nicklas TA, Uscanga DK, Hanfling MJ. The walking school bus and children’s physical activity: a pilot cluster randomized controlled trial. Pediatrics. 2011;128(3):E537–44.
    1. McMinn D, Rowe DA, Murtagh S, Nelson NM. The effect of a school-based active commuting intervention on children’s commuting physical activity and daily physical activity. Prev Med. 2012;54(5):316–8.
    1. Sirard JR, Alhassan S, Spencer TR, Robinson TN. Changes in physical activity from walking to school. J Nutr Educ Behav. 2008;40(5):324–6.
    1. Ford PA, Perkins G, Swaine I. Effects of a 15-week accumulated brisk walking programme on the body composition of primary school children. J Sports Sci. 2013;31(2):114–22.
    1. Parrish A, Okely AD, Stanley RM, Ridgers ND. The effect of school recess interventions on physical activity a systematic review. Sports Med. 2013;43(4):287–99.
    1. Hohepa M, Scragg R, Schofield G, Kolt GS, Schaaf D. Social support for youth physical activity: Importance of siblings, parents, friends and school support across a segmented school day. Int J Behav Nutr Phys Act. 2007;4:54.
    1. Horne P, Tapper K, Lowe C, Hardman C, Jackson M, Woolner J. Increasing children’s fruit and vegetable consumption: a peer-modelling and rewards-based intervention. Eur J Clin Nutr. 2004;58(12):1649–60.
    1. Hardman CA, Horne PJ, Lowe CF. Effects of rewards, peer-modelling and pedometer targets on children’s physical activity: a school-based intervention study. Psychol Health. 2011;26(1):3–21.
    1. Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall Inc; 1986.
    1. Riddoch CJ, Mattocks C, Deere K, Saunders J, Kirkby J, Tilling K, et al. Objective measurement of levels and patterns of physical activity. Arch Dis Child. 2007;92(11):963–9.
    1. Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG. Calibration of two objective measures of physical activity for children. J Sports Sci. 2008;26(14):1557–65.
    1. Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J. 2000;320(7244):1240–3.
    1. McArdle W, Katch F, Perchar G, Jacobson L, Ruck S. Reliability and Interrelationships between maximal oxygen intake, physical work capacity and step-test scores in college women. Med Sci Sports Exerc. 1972;4(4):182–6.
    1. Lubans DR, Morgan PJ, Collins CE, Boreham CA, Callister R. The relationship between heart rate intensity and pedometer step counts in adolescents. J Sports Sci. 2009;27(6):591–7.
    1. Garcia A, Pender N, Antonakos C, Ronis D. Changes in physical activity beliefs and behaviors of boys and girls across the transition to junior high school. J Adolesc Health. 1998;22(5):394–402.
    1. Prochaska J, Rodgers M, Sallis J. Association of parent and peer support with adolescent physical activity. Res Q Exerc Sport. 2002;73(2):206–10.
    1. Robbins LB, Wu T, Sikorskii A, Morley B. Psychometric assessment of the adolescent physical activity perceived benefits and barriers scales. J Nurs Meas. 2008;16(2):98–112.
    1. Lee L, Kuo Y, Fanaw D, Perng S, Juang I. The effect of an intervention combining self-efficacy theory and pedometers on promoting physical activity among adolescents. J Clin Nurs. 2012;21(7–8):914–22.
    1. Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2013;2:CD007651.
    1. Metcalf BS, Hosking J, Jeffery AN, Henley WE, Wilkin TJ. Exploring the adolescent fall in physical activity: a 10-yr cohort study (EarlyBird 41) Med Sci Sports Exerc. 2015;47(10):2084–92.
    1. Carson V, Ridgers ND, Howard BJ, Winkler EA, Healy GN, Owen N, et al. Light-intensity physical activity and cardiometabolic biomarkers in US adolescents. PLoS One. 2013;8(8):e71417.
    1. Schofield L, Mummery W, Schofield G. Effects of a controlled pedometer-intervention trial for low-active adolescent girls. Med Sci Sports Exerc. 2005;37(8):1414–20.
    1. Sirard J, Pate R. Physical activity assessment in children and adolescents. Sports Med. 2001;31(6):439–54.
    1. Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40.
    1. De Meester F, van Lenthe FJ, Spittaels H, Lien N, De Bourdeaudhuij I. Interventions for promoting physical activity among European teenagers: a systematic review. Int J Behav Nutr Phys Act. 2009;6:82.
    1. Salvy S, de la Haye K, Bowker JC, Hermans RCJ. Influence of peers and friends on children’s and adolescents’ eating and activity behaviors. Physiol Behav. 2012;106(3):369–78.
    1. Fitzgerald A, Fitzgerald N, Aherne C. Do peers matter? A review of peer and/or friends’ influence on physical activity among American adolescents. J Adolesc. 2012;35(4):941–58.
    1. Young JA, Symons CM, Pain MD, Harvey JT, Eime RM, Craike MJ, et al. Role models of Australian female adolescents: a longitudinal study to inform programmes designed to increase physical activity and sport participation. Eur Phys Educ Rev. 2015;21(4):451–66.
    1. Ridgers ND, Salmon J, Parrish A, Stanley RM, Okely AD. Physical activity during school recess a systematic review. Am J Prev Med. 2012;43(3):320–8.
    1. Sallis J, Prochaska J, Taylor W. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–75.
    1. Van Der Horst K, Paw MJCA, Twisk JWR, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39(8):1241–50.
    1. Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2016;13:79.
    1. Trost S, McIver K, Pate R. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc. 2005;37(11):S531–43.
    1. Van Coevering P, Harnack L, Schmitz K, Fulton J, Galuska D, Gao S. Feasibility of using accelerometers to measure physical activity in young adolescents. Med Sci Sports Exerc. 2005;37(5):867–71.
    1. Corder K, Ekelund U, Steele RM, Wareham NJ, Brage S. Assessment of physical activity in youth. J Appl Physiol. 2008;105(3):977–87.
    1. Trost S. State of the art reviews: measurement of physical activity in children and adolescents. Am J Lifestyle Med. 2007;1(4):299–314.

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