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

3 juni 2019 uppdaterad av: Sueyla Ferreira da Silva dos Santos, Universidade Estadual Paulista Júlio de Mesquita Filho

"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.

Studieöversikt

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

357

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

10 år till 14 år (Barn)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: intervention
Training program for Physical Education teacher. Individual level: moderate to vigorous physical activity. Organizational level: school health policy for healthy lifestyle
Training program 30 hours accumulated before, during and after intervention
Andra namn:
  • Training program for Physical Education teacher
7 to 10 minutes in Physical Education in class time, 3 sections for week during lunch break
Andra namn:
  • Moderate to vigorous physical activity
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.
Andra namn:
  • School health policy for healthy lifestyle
Inget ingripande: no intervention
Physical Education and school curriculum as usual

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from baseline in weekly time in moderate-to-vigorous physical activity at six months
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from baseline in Physical Education class time in moderate-to-vigorous physical activity at six months
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
Measured with food register at 3 days and supplemented with a questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change from baseline in the time and quality sleep at six months
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
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
Tidsram: Baseline, end of intervention (6 months), 1 year after baseline
Measured with standardized questionnaire
Baseline, end of intervention (6 months), 1 year after baseline

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Studierektor: Ismael Freitas Junior, Phd, CELAPAM

Publikationer och användbara länkar

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

8 maj 2017

Primärt slutförande (Faktisk)

9 juni 2017

Avslutad studie (Faktisk)

7 december 2018

Studieregistreringsdatum

Först inskickad

7 maj 2017

Först inskickad som uppfyllde QC-kriterierna

12 maj 2017

Första postat (Faktisk)

15 maj 2017

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

5 juni 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

3 juni 2019

Senast verifierad

1 juni 2019

Mer information

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