#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial


Autoři: Sarahjane Belton aff001;  Andrew McCarren aff002;  Bronagh McGrane aff003;  Danielle Powell aff004;  Johann Issartel aff001
Působiště autorů: School of Health and Human Performance, Dublin City University, Dublin, Ireland aff001;  School of Computing, Dublin City University, Dublin, Ireland aff002;  School of Arts Education & Movement, Dublin City University, Dublin, Ireland aff003;  Carnegie School Of Sport, Leeds beckett University, Leeds, United Kingdom aff004
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0221684

Souhrn

Low levels of physical activity in youth are an issue internationally, with the age related decline in levels over the adolescent period of particular concern. This study evaluated a multi-component school-based intervention (Y-PATH: Youth-Physical Activity Towards Health), focused on halting the age-related decline in physical activity of youth in early adolescence. A cluster randomized controlled trial in 20 post primary schools (10 control, 10 intervention) was conducted. Data were collected from all 20 schools at baseline (2013), and 12 months (2014), and from 10 of these schools (5 intervention) at 24 months (2015). The setting was mixed gender post primary schools residing in the greater area of Dublin, Ireland. Principals from each school were asked to nominate one first year class group attending their school in September 2013 to participate in the study (N = 564). Intervention schools implemented the Y-PATH whole school intervention, comprising teacher component, parent component, and PE component; while control schools continued with usual care. The main outcome measure was accelerometer derived average minutes of daily moderate to vigorous physical activity (MVPA). Data were analysed from October 2015 –November 2017. At baseline 490 participants were assessed (mean age 12.78y ± .42). Results of the multilevel regression analysis confirmed that there was a significant time intervention effect, and this was predominantly contributed by the difference between control and intervention groups within females. Findings support the case for national dissemination of the Y-PATH intervention so that the knowledge learned can be translated to routine practice in schools.

Klíčová slova:

Social sciences – Sociology – Education – Schools – Medicine and health sciences – Public and occupational health – Physical activity – Physical fitness – People and places – Population groupings – Professions – Teachers – Age groups – Children – Adolescents – Families – Ethnicities – European people – Irish people – Engineering and technology – Electronics – Accelerometers – Biology and life sciences – Sports science – Sports and exercise medicine – Exercise – Neuroscience – Cognitive science – Cognitive psychology – Learning – Human learning – Learning and memory – Psychology


Zdroje

1. O’Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, et al. The ABC of Physical Activity for Health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci. 2010 Apr;28(6):573–91. doi: 10.1080/02640411003671212 20401789

2. DHC. The National Guidelines on Physical Activity for Ireland [Internet]. Dublin; 2009. http://www.getirelandactive.ie/content/wp-content/uploads/2011/12/Get-Ireland-Active-Guidelines-GIA.pdf

3. Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, et al. Social determinants of health and well-being among young people. Health Behavior in School-aged Children (HBSC) study: international report from the 2009/2010 survey [Internet]. Copenhagen: WHO regional Office for Europe; 2012 [cited 2014 Aug 14]. http://www.hbsc.unito.it/it/images/pdf/hbsc/prelims-part1.pdf

4. Woods C, Moyna N, Quinlan A, Tannehill D, Walsh J. The Children’s Sport Participation and Physical Activity Study (CSPPA Study). Report 1. [Internet]. 2010. https://www4.dcu.ie/shhp/downloads/CSPPA.pdf

5. Sallis JF, McKenzie TL, Beets MW, Beighle A, Erwin H, Lee S. Physical Education’s Role in Public Health: Steps Forward and Backward Over 20 Years and HOPE for the Future. Res Q Exerc Sport. 2012;83(2):125–35. doi: 10.1080/02701367.2012.10599842

6. Payne VG, Morrow JRJ. School physical education as a viable change agent to increase youth physical activity. Pres Counc Phys Fit Sports Res Dig. 2009;10(2):1–8.

7. Report M and MW. Increasing PA. A Report on Recommendations of the Task Force on Community Preventive Services [Internet]. 2001. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5018a1.htm

8. Feng L, Wei D-M, Lin S-T, Maddison R, Ni Mhurchu C, Jiang Y, et al. Systematic review and meta-analysis of school-based obesity interventions in mainland China. PLoS One [Internet]. 2017;12(9):e0184704. Available from: http://dx.plos.org/10.1371/journal.pone.0184704 28910362

9. van Sluijs EMF, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. Br J Sports Med. 2008 Oct;42:653–7. 18685076

10. Kriemler S, Meyer U, Martin E, van Sluijs EMF, Andersen LB, Martin BW. Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med [Internet]. 2011 Sep [cited 2014 Aug 8];45(11):923–30. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3841814&tool=pmcentrez&rendertype=abstract 21836176

11. Krahnstoever Davison K, Schmalz DL. Youth at risk of physical inactivity may benefit more from activity-related support than youth not at risk. Int J Behav Nutr Phys Act. 2006;3(5):1–8.

12. WHO WHO. Global Strategy on Diet and Physical Activity [Internet]. Geneva; 2004. http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf

13. Waters E, Bj B, Brown T, Kj C, Gao Y, Armstrong R, et al. Interventions for preventing obesity in children (Review). Public Health. 2013;(12).

14. Salmon J, Booth ML, Phongsavan P, Murphy N, Timperio A. Promoting physical activity participation among children and adolescents. Epidemiol Rev [Internet]. 2007 Jan [cited 2014 Jun 4];29:144–59. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17556765 17556765

15. Dobbins M, Husson H, Decorby K, Rl L. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (Review) SUMMARY OF FINDINGS FOR THE MAIN COMPARISON. Cochrane Libr. 2013;18(2).

16. Metcalf B, Henlry W, Wilkin T. Effectiveness of intervention on physical activity of children: Systematic review and meta-analysis of controlled trials with objectively measured outcomes (EarlyBird 54). BMJ [Internet]. 2012;345(e588). Available from: http://www.bmj.com/content/345/bmj.e5888.pdf%2Bhtml%5Cnhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed10b&NEWS=N&AN=2012577689%5Cnfile:///C:/Users/rel54/AppData/Local/MendeleyLtd./MendeleyDesktop/Downloaded/B.etal.-2012-Effectiveness

17. Belton S, O’Brien W, McGann J, Issartel J. Bright spots physical activity investments that work: Youth-Physical Activity Towards Health (Y-PATH). Br J Sports Med. 2019;53(4):208–12. doi: 10.1136/bjsports-2018-099745 30315116

18. Belton S, O’Brien W, Meegan S, Woods C, Issartel J. Youth-physical activity towards health: Evidence and background to the development of the Y-PATH physical activity intervention for adolescents. BMC Public Health. 2014;14(1).

19. Welk GJ. The Youth Physical Activity Promotion Model: A Conceptual Bridge Between Theory and Practice. Quest [Internet]. 1999 Feb [cited 2013 Jul 26];51(1):5–23. Available from: http://www.tandfonline.com/doi/abs/10.1080/00336297.1999.10484297

20. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol [Internet]. 2000 Jan;55(1):68–78. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11392867 11392867

21. Sánchez-Oliva D, Pulido-González JJ, Leo FM, González-Ponce I, García-Calvo T. Effects of an intervention with teachers in the physical education context: A Self-Determination Theory approach. PLoS One. 2017;12(12):1–17.

22. McGrane B, Belton S, Fairclough SJ, Powell D, Issartel J. Outcomes of the Y-PATH Randomised Controlled Trial: Can a School Based Intervention Improve Fundamental Movement Skill Proficiency in Adolescent Youth? J Phys Act Heal [Internet]. 2018;15(2):89–98. Available from: http://journals.humankinetics.com/doi/10.1123/jpah.2016-0474

23. Ulrich DA. Test of gross motor development 2: Examiner’s manual. 2nd ed. Austin, TX: PRO-ED; 2000.

24. National Council for Curriculum and Assessment. Junior Cycle Physical Education [Internet]. Government of Ireland; 2003. http://www.curriculumonline.ie/Primary/Curriculum-Areas/Physical-Education

25. Cain KL, Sallis JF, Conway TL, Van Dyck D, Calhoon L. Using accelerometers in youth physical activity studies: a review of methods. J Phys Act Health [Internet]. 2013 Mar;10(3):437–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23620392 23620392

26. Belton S, O’Brien W, Wickel EE, Issartel J. Patterns of noncompliance in adolescent field-based accelerometer research. J Phys Act Health [Internet]. 2013 Nov;10(8):1181–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23223684 23223684

27. O’ Brien W, Issartel J, Belton S. Evidence for the Efficacy of the Youth-Physical Activity towards Health (Y-PATH) Intervention. Adv Phys Educ [Internet]. 2013;03(04):145–53. Available from: http://www.scirp.org/journal/PaperDownload.aspx?DOI=10.4236/ape.2013.34024

28. Rich C, Geraci M, Griffiths L, Sera F, Dezateux C, Cortina-Borja M. Quality control methods in accelerometer data processing: defining minimum wear time. PLoS One [Internet]. 2013 Jan [cited 2014 May 26];8(6):e67206. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3691227&tool=pmcentrez&rendertype=abstract 23826236

29. Fitzgibbon ML, Stolley MR, Schiffer L, Braunschweig CL, Gomez SL, Horn L, et al. Hip-Hop to Health Jr. Obesity Prevention Effectiveness Trial: Post-Intervention Results. Obesity. 2013;19(5):994–1003.

30. Esliger DW, Copeland JL, Barnes JD, Tremblay MS. Standardizing and Optimizing the Use of Accelerometer Data for Free-Living Physical Activity Monitoring. J Phys Act Heal. 2005;3(1):366–83.

31. Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, et al. Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. World Heal Organ Heal Policy Child Adolesc No 6 [Internet]. 2012;(6):1–272. Available from: http://www.euro.who.int/en/health-topics/Life-stages/child-and-adolescent-health/publications/2012/social-determinants-of-health-and-well-being-among-young-people.-health-behaviour-in-school-aged-children-hbsc-study

32. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet [Internet]. Elsevier Ltd; 2012 Jul 21 [cited 2014 May 29];380(9838):247–57. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22818937 22818937

33. Sutherland RL, Campbell EM, Lubans DR, Morgan PJ, Nathan NK, Wolfenden L, et al. The Physical Activity 4 Everyone Cluster Randomized Trial: 2-Year Outcomes of a School Physical Activity Intervention Among Adolescents. Am J Prev Med [Internet]. Elsevier; 2016;51(2):195–205. Available from: http://dx.doi.org/10.1016/j.amepre.2016.02.020

34. Grydeland M, Bergh IH, Bjelland M, Lien N, Andersen LF, Ommundsen Y, et al. Intervention effects on physical activity: The HEIA study—a cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10(0806).

35. van Daalen C. Girls’ Experiences in Physical Education: Competition, Evaluation, & Degradation. J Sch Nurs. 2005;21(2):115–21. doi: 10.1177/10598405050210020901

36. Browne J. Reasons for the Selection or Nonselection of Physical Education Studies by Year 12 Girls. J Teach Phys Educ. 1992;11(4):402–10.

37. Bauer KW, Yang YW, Austin SW. “How can we stay healthy when you’re throwing all of this in front of us?” findings from focus groups and interviews in middle schools on environmental influences on nutrition and physical activity. Heal Educ Behav. 2004;31(1):34–46.

38. Owen MB, Curry WB, Kerner C, Newson L, Fairclough SJ. The effectiveness of school-based physical activity interventions for adolescent girls: A systematic review and meta-analysis. Prev Med (Baltim) [Internet]. Elsevier; 2017;105(September):237–49. Available from: http://dx.doi.org/10.1016/j.ypmed.2017.09.018

39. Lai SK, Costigan SA, Morgan PJ, Lubans DR, Stodden DF, Salmon J, et al. Do school-based interventions focusing on physical activity, fitness, or fundamental movement skill competency produce a sustained impact in these outcomes in children and adolescents? A systematic review of follow-up studies. Sport Med. 2014;44(1):67–79.

40. Meyer U, Schindler C, Zahner L, Ernst D, Hebestreit H, Van Mechelen W, et al. Long-term effect of a school-based physical activity program (KISS) on fitness and adiposity in children: A cluster-randomized controlled trial. PLoS One. 2014;9(2).

41. Medical Research Council. Developing and evaluating complex interventions: new guidance. Mediical Res Counc [Internet]. 2006;1–39. Available from: http://www.mrc.ac.uk/documents/pdf/complex-interventions-guidance/

42. Ireland H. Get Ireland Active! The National Physical Activity Plan for Ireland [Internet]. Dublin; 2016. http://health.gov.ie/wp-content/uploads/2016/01/Get-Ireland-Active-the-National-Physical-Activity-Plan.pdf

43. Whitehead M. Physical Literacy: Philosophical Considerations in Relation to Developing a Sense of Self, Universality and Propositional Knowledge. Sport Ethics Philos. 2007;1(3):281–98.

44. Tremblay M, Lloyd M. Physical Literacy Measurement—The Missing Piece. Phys Heal Educ J [Internet]. 2010;76(1):26–30. Available from: http://www.albertaenaction.ca/admin/pages/48/PhysicalLiteracyArticlePHEJournal2010.pdf

45. O’Brien W, Belton S, Issartel J. Promoting physical literacy in Irish adolescent youth: The Youth-Physical Activity Towards Health (Y-PATH) intervention. MOJ Public Heal. 2015;2(6):1–6.

46. NCCA. Junior Cycle Wellbeing Guidelines. National Council for Curriculum and Assessment; 2017.

47. 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 [Internet]. 2013;2(2):Cd007651. Available from: http://onlinelibrary.wiley.com/store/10.1002/14651858.CD007651.pub2/asset/CD007651.pdf?v=1&t=i37epkef&s=61b745fca7a432ed3cd01e37748c406e8364f2b2

48. Borde R, Smith JJ, Sutherland R, Nathan N, Lubans DR. Methodological considerations and impact of school-based interventions on objectively measured physical activity in adolescents: a systematic review and meta-analysis. Obes Rev. 2017;18(4):476–90. doi: 10.1111/obr.12517 28187241


Článek vyšel v časopise

PLOS One


2019 Číslo 9
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 1/2024 (znalostní test z časopisu)
nový kurz

Koncepce osteologické péče pro gynekology a praktické lékaře
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Význam metforminu pro „udržitelnou“ terapii diabetu
Autoři: prof. MUDr. Milan Kvapil, CSc., MBA

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#