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Active Play in After School Programs

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ClinicalTrials.gov Identifier: NCT02954614
Recruitment Status : Completed
First Posted : November 3, 2016
Last Update Posted : September 25, 2018
Sponsor:
Collaborator:
Norwegian Fund for Postgraduate Training in Physiotherapy
Information provided by (Responsible Party):
Kirsti Riiser, Oslo Metropolitan University

Brief Summary:

Background: Physical activity (PA) is a key component in health promotion and prevention of overweight. Interventions delivered in after-school programs (ASP) have the potential to become a means of ensuring PA among young schoolchildren. This requires a motivational climate, allowing for self-determination and the intrinsic values of the activity, on the activity's character of play. ASP staff could be trained in stimulating all children in physical activities in their everyday life. Physiotherapists in primary care possess knowledge of motor development and learning, and are important contributors to an ASP-based physical activity intervention.

Aim: To develop a complex intervention that emphasizes physical activity play, and to examine through a cluster-randomized trial the extent to which the intervention promotes PA and health-related quality of life and prevents overweight in a population of young children. We aim to increase the knowledge and autonomy supportive skills among ASP staff members, enabling them to promote physical activity through play among all first graders in ASP.

In addition to investigate if the children benefit from receiving autonomy support, we aim to study whether the ASP staff themselves benefit from giving autonomy support in terms of increased need satisfaction and autonomous motivation for work.

The intervention: Includes training of ASP-staff members in the fundamental principles of self-determination theory and practical applications for motivating young children in PA through play. Information will be given on the benefits of a physically active lifestyle and the staff will be encouraged to map opportunities for PA in their local ASP and to incorporate strategies to increase PA through play among the children throughout the day.

Methods/design: A complex intervention using a mixed methods approach will be developed and evaluated. A pilot trial will assess the potential of this approach and provide information necessary to perform a cluster-randomized controlled trial (RCT). The cluster-randomized controlled trial (RCT) will together with qualitative interviews and observations, evaluate the effectiveness of the intervention. Outcomes will be measured at baseline (September /October 2016) at the end of the intervention which lasts for 7 months (May 2017), and 1 year after the end of the intervention (May 2018)


Condition or disease Intervention/treatment Phase
Physical Activity Activity Play Motor Activity Quality of Life Autonomy Competence Children After-School Program Behavioral: Active play in after school programs (ASP) Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 456 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Active Play -an After-school-program Intervention to Promote Physical Activity and Health-related Quality of Life in Young Children
Actual Study Start Date : May 2016
Actual Primary Completion Date : May 2018
Actual Study Completion Date : May 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Intervention group
Active play in after school programs (ASP). Training program for ASP staff.
Behavioral: Active play in after school programs (ASP)
  • A 15 hour training-program for ASP-staff aimed to increase active play and physical activity among children in ASPs. The program includes lectures, guided discussions and practical tasks focusing on increasing the staffs competence in how to support active play and PA among all children in the ASP
  • A 8 hour course for local physiotherapists enabling them to guide ASP-staff during parts of the intervention period

No Intervention: Control group
ASP as usual.



Primary Outcome Measures :
  1. Change in minutes spent in moderate to vigorous physical activity in after school programs from baseline to end of intervention (7 months) and 1 year after end of intervention. [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Measures at baseline of a cluster randomized controlled intervention study and measures at the end of the 7 month intervention (measures of change) and 1 year after the end of the intervention (long-term effects). Physical activity is measured objectively by accelerometer (ActiGraph GM3X and GM3X+).


Secondary Outcome Measures :
  1. Heath-related quality of life [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Parent-reported, measured by KIDSCREEN-27 questionnaire (parent version)

  2. Leisure time physical activity [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported/parent-reported, measured by UngKan-2 questionnaire

  3. Active play in the ASP [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported/parent-reported, measured by questionnaire

  4. Body mass index [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    kg/(m2), height and weight measured objectively

  5. Physical activity and play (observations) [ Time Frame: Baseline or end of intervention (7 months) ]
    Qualitative observations of physical activity and play among children during one day in the ASP (sub sample)

  6. Physical activity and play (interviews) [ Time Frame: End of intervention (7 months) ]
    Qualitative interviews with children about active play and physical activity in ASP (sub sample)


Other Outcome Measures:
  1. Work-related Basic Need Satisfaction among SFP-staff [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported, measured by the Work-related Basic Need Satisfaction Scale (W-BNS)

  2. Work motivation in ASP-staff [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported, measured by the Multidimensional Work Motivation Scale (MWMS)

  3. Job Satisfaction in ASP-staff [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported, measured by the Job Satisfaction Scale (JSS)

  4. Satisfaction with Life in ASP-staff [ Time Frame: Baseline, end of intervention (7 months), 1 year after intervention ]
    Self-reported, measured by the Satisfaction with Life Scale (SWSL)

  5. ASP-staff's experiences of taking part in the intervention (process outcome) [ Time Frame: End of intervention (7 months) ]
    Focus group interviews (sub sample)

  6. Local physiotherapist's experiences of taking part in the intervention (process outcome) [ Time Frame: End of intervention (7 months) ]
    Focus group interviews



Information from the National Library of Medicine

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Ages Eligible for Study:   5 Years to 6 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Attends first grade in one of the ASPs included

Exclusion Criteria:

  • Does not attend first grade in one of the ASPs included

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02954614


Sponsors and Collaborators
Oslo Metropolitan University
Norwegian Fund for Postgraduate Training in Physiotherapy
Investigators
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Principal Investigator: Kirsti Riiser, Phd Oslo Metropolitan University
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Kirsti Riiser, Phd, Oslo Metropolitan University
ClinicalTrials.gov Identifier: NCT02954614    
Other Study ID Numbers: 46008
First Posted: November 3, 2016    Key Record Dates
Last Update Posted: September 25, 2018
Last Verified: September 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No