Evaluating the Effectiveness of the Dissemination of Action Schools! BC

NCT ID: NCT01412203

Last Updated: 2019-10-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1529 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2007-06-30

Brief Summary

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Childhood obesity is a major public health threat. Physical activity and healthy eating contribute to the maintenance of healthy weights. Individually oriented behaviour change programs may not be able to overcome the influence of what has been called an obesogenic environment. Action Schools! BC (AS! BC) used a socio-ecological approach to enhance opportunities for physical activity and healthy eating in elementary schools and created systemic change at the provincial level. AS! BC helps elementary schools customize action plans, based upon their local context, to contribute to the health and well-being of children and the school community. Pilot research showed that AS! BC was an effective and feasible model. The provincial dissemination of AS! BC has been launched and partners from across many sectors are involved to enhance the sharing of knowledge and increase the implementation of the AS! BC model across British Columbia. The dissemination provides an unprecedented opportunity for evaluating how changing the school environment can promoted healthy weights in children. The dissemination was evaluated using a cluster randomized design; 30 elementary schools (n = 1529 consented children) from four (out of five) provincial health authorities volunteered to participate.

The primary goals of the research are:

1. to determine if the Action Schools! BC (AS! BC) model is an effective approach to positively change school environments and health related behaviours of children from diverse geographical regions and cultural groups, and
2. to determine if the supports provided to schools or the community context influence the uptake and use of the AS! BC model.

This research will contribute to the science of obesity prevention and knowledge use as well as public health practice.

Detailed Description

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Conditions

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Physical Activity Obesity Physical Fitness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Usual Practice

School continues with regular programming

Group Type NO_INTERVENTION

No interventions assigned to this group

Action Schools! BC

School adopts the AS!BC model

Group Type EXPERIMENTAL

Action Schools! BC

Intervention Type BEHAVIORAL

AS! BC applies a socioecological, whole school approach to promote healthy living within the elementary school context. Schools are provided with the tools and support needed to create customized action plans that promote physical activity (PA) and healthy living across six Action Zones (School Environment, Scheduled Physical Education (PE), Classroom Action, Family and Community, Extra-curricular, School Spirit). Generalist teachers receive training and resources to implement their Action Plan with the ultimate goal of providing students with 150 minutes of PA/week. The model is choice-based; teachers are asked to provide 15 additional minutes of PA/day within the Classroom Action Zone. The activities require minimal equipment and can be performed in the classroom, hallway or on the school playground.

Interventions

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Action Schools! BC

AS! BC applies a socioecological, whole school approach to promote healthy living within the elementary school context. Schools are provided with the tools and support needed to create customized action plans that promote physical activity (PA) and healthy living across six Action Zones (School Environment, Scheduled Physical Education (PE), Classroom Action, Family and Community, Extra-curricular, School Spirit). Generalist teachers receive training and resources to implement their Action Plan with the ultimate goal of providing students with 150 minutes of PA/week. The model is choice-based; teachers are asked to provide 15 additional minutes of PA/day within the Classroom Action Zone. The activities require minimal equipment and can be performed in the classroom, hallway or on the school playground.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Student attends a school that has agreed to participate in the study
* Student's classroom teacher has agreed to participate in the study
* Student is in grade 4 or 5 at start of study
* Student participates in regular physical education classes at school
* Student's parents provide consent

Exclusion Criteria

* Student does not attend a school that has agreed to participate in the study
* Student's classroom teacher does not agree to participate in the study
* Student is not in grade 4 or 5 at start of study
* Student does not participate in regular physical education classes at school
* Student's parents do not provide consent
Minimum Eligible Age

8 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Victoria

OTHER

Sponsor Role collaborator

University of Waterloo

OTHER

Sponsor Role collaborator

Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

Heart and Stroke Foundation of Canada

OTHER

Sponsor Role collaborator

Ministry of Education, British Columbia

OTHER

Sponsor Role collaborator

Ministry of Health, British Columbia

OTHER_GOV

Sponsor Role collaborator

Ministry of Tourism, Sport and the Arts, British Columbia

OTHER

Sponsor Role collaborator

Provincial Health Services Authority

OTHER

Sponsor Role collaborator

JW Sporta

UNKNOWN

Sponsor Role collaborator

2010 Legacies Now

OTHER

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Heather McKay

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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PJ Naylor, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Victoria

Heather A McKay, PhD

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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University of British Columbia - Vancouver Coastal Health Research Institute

Vancouver, British Columbia, Canada

Site Status

University of Victoria

Victoria, British Columbia, Canada

Site Status

Countries

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Canada

References

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Naylor PJ, Macdonald HM, Reed KE, McKay HA. Action Schools! BC: a socioecological approach to modifying chronic disease risk factors in elementary school children. Prev Chronic Dis. 2006 Apr;3(2):A60. Epub 2006 Mar 15.

Reference Type BACKGROUND
PMID: 16539801 (View on PubMed)

Naylor PJ, Macdonald HM, Zebedee JA, Reed KE, McKay HA. Lessons learned from Action Schools! BC--an 'active school' model to promote physical activity in elementary schools. J Sci Med Sport. 2006 Oct;9(5):413-23. doi: 10.1016/j.jsams.2006.06.013. Epub 2006 Aug 1.

Reference Type BACKGROUND
PMID: 16884957 (View on PubMed)

Nettlefold L, Naylor PJ, Macdonald HM, McKay HA. Scaling up Action Schools! BC: How Does Voltage Drop at Scale Affect Student Level Outcomes? A Cluster Randomized Controlled Trial. Int J Environ Res Public Health. 2021 May 13;18(10):5182. doi: 10.3390/ijerph18105182.

Reference Type DERIVED
PMID: 34068235 (View on PubMed)

McKay HA, Macdonald HM, Nettlefold L, Masse LC, Day M, Naylor PJ. Action Schools! BC implementation: from efficacy to effectiveness to scale-up. Br J Sports Med. 2015 Feb;49(4):210-8. doi: 10.1136/bjsports-2013-093361. Epub 2014 Oct 13.

Reference Type DERIVED
PMID: 25312876 (View on PubMed)

Nettlefold L, McKay HA, Naylor PJ, Bredin SS, Warburton DE. The relationship between objectively measured physical activity, sedentary time, and vascular health in children. Am J Hypertens. 2012 Aug;25(8):914-9. doi: 10.1038/ajh.2012.68.

Reference Type DERIVED
PMID: 22673018 (View on PubMed)

Related Links

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Other Identifiers

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H05-80505

Identifier Type: -

Identifier Source: org_study_id

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