A cluster randomised controlled trial of an intervention to increase the implementation of school physical activity policies and guidelines: Study protocol for the physically active children in education (PACE) study

Nicole Nathan, John Wiggers, Adrian E. Bauman, Chris Rissel, Andrew Searles, Penny Reeves, Christopher Oldmeadow, Patti Jean Naylor, Angie L. Cradock, Rachel Sutherland, Karen Gillham, Bernadette Duggan, Sally Chad, Nicole McCarthy, Matthew Pettett, Rebecca Jackson, Kathryn Reilly, Vanessa Herrmann, Kirsty Hope, Adam ShoesmithLuke Wolfenden

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Background: In an attempt to improve children's physical activity levels governments have introduced policies specifying the minimum time schools are to schedule physical activity each week. Despite this, the majority of schools in many jurisdictions fail to implement these policies. This study will assess the effectiveness of a multi-component implementation strategy on increasing the minutes of planned physical activity scheduled by primary school teachers each week. Methods: A cluster randomised controlled trial will be conducted in 62 primary schools in the Hunter New England region of New South Wales, Australia. Schools will be randomly allocated to receive either a multi-component implementation strategy that includes; obtaining executive support, training in-school champions, provision of tools and resources, implementation prompts, reminders and feedback; or usual practice. The study will employ an effectiveness-implementation hybrid design, assessing both policy implementation and individual (student) behavioural outcomes. The primary trial outcome of mean minutes of physical activity scheduled by classroom teachers across the school week will be measured via teacher log-book at baseline and approximately 12 and 18 months post baseline. A nested evaluation of the impact of policy implementation on child physical activity will be undertaken of students in Grades 2 and 3. Analyses will be performed using an intention to treat framework. Linear mixed effects regression models will be used to assess intervention effects on the primary outcome at both follow-up periods. Discussion: This study will be the one of the first well powered randomised trials internationally to examine the impact of an implementation strategy for a physical activity policy in primary schools and will address a fundamental research translation gap. Given the dearth of research, the findings will be important in informing future implementation efforts in this setting. Trial registration: ANZCTR ACTRN12617001265369 version 1 registered 1st September 2017.

Original languageEnglish
Article number170
Number of pages12
JournalBMC Public Health
Volume19
DOIs
Publication statusPublished - 11 Feb 2019
Externally publishedYes

Bibliographical note

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

  • Guidelines
  • Implementation
  • Physical activity
  • Policy
  • Schools

Fingerprint Dive into the research topics of 'A cluster randomised controlled trial of an intervention to increase the implementation of school physical activity policies and guidelines: Study protocol for the physically active children in education (PACE) study'. Together they form a unique fingerprint.

  • Cite this

    Nathan, N., Wiggers, J., Bauman, A. E., Rissel, C., Searles, A., Reeves, P., Oldmeadow, C., Naylor, P. J., Cradock, A. L., Sutherland, R., Gillham, K., Duggan, B., Chad, S., McCarthy, N., Pettett, M., Jackson, R., Reilly, K., Herrmann, V., Hope, K., ... Wolfenden, L. (2019). A cluster randomised controlled trial of an intervention to increase the implementation of school physical activity policies and guidelines: Study protocol for the physically active children in education (PACE) study. BMC Public Health, 19, [170]. https://doi.org/10.1186/s12889-019-6492-z