The Effect of Increased Physical Activity on Adolescents' Health and Academic Performance: The School in Motion Study

NCT ID: NCT03817047

Last Updated: 2019-01-28

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

2045 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-03

Study Completion Date

2018-06-22

Brief Summary

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This study evaluates the effect of 120 minutes extra of physical education (PE) or physical activity (PA) on adolescents' physical health, mental health, academic performance and learning environment. This is a cluster-randomized controlled trial with three arms, where the participants in two of the groups will have different models of increased PE/PA during the school week, whereas the participants in the third arm is the control group including current practice.

Detailed Description

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This is a school-based, three-arm cluster randomized controlled trial (RCT) recruiting adolescents from secondary schools in Norway. Adolescents (aged 14-15 years) were the unit of analysis, and schools (clusters) were randomly assigned to one of three conditions:

1. the physical active learning group (PAL-group), where the schools each week include one additional physical education (PE) lesson, 30 minutes of physical active learning, and 30 minutes of physical activity (intervention condition);
2. the don't worry - be happy group (DWBH-group), where the schools include one new activity class (60 minutes: Be Happy class) and one additional PE-class (60 minutes: Don't Worry class) per week (intervention condition);or
3. current practice (control condition). An identical set of outcome measures are taken from all participants at baseline, and approximately 12 months after the baseline measures, when the participants were at the end of year 9

Conditions

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Physical Activity Academic Achievement Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a cluster-randomized trial with three parallel arms
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Physical active learning (PAL)

Three components:

1. Physical education (60 minutes)
2. Physical active learning (30 minutes)
3. Physical activity (30 minutes)

Group Type EXPERIMENTAL

Physical education

Intervention Type BEHAVIORAL

Physical education (60 minutes): In addition to the ordinary PE-lessons. The pedagogical activities taught in this lesson should be in line with the curriculum of 9th grade and led by the PE-teacher. In the Don't worry - be happy intervention this class was also organized by the students. The students practiced their Be Happy-activities, or they introduced their class peers to their "Be Happy"-activity. A PE-teacher was present to support the students if necessary.

Physical active learning

Intervention Type BEHAVIORAL

The curriculum of the subjects (i.e. maths, English, Norwegian) were taught in a physically active manner. The lesson should last 30 minutes and be led by the teacher of the current subject.

Physical activity

Intervention Type BEHAVIORAL

Without a connection to any specific subject "Physical activity" should be performed as 30 minutes a week. There are no specific aims to be taught in this lesson, but physical activities that stimulates mastery, joy and well-being should be in focus.

Don't worry - be happy

Two components:

1. Physical education (60 minutes) - don't worry class
2. Physical activity (60 minutes) - be happy class

Group Type EXPERIMENTAL

Physical education

Intervention Type BEHAVIORAL

Physical education (60 minutes): In addition to the ordinary PE-lessons. The pedagogical activities taught in this lesson should be in line with the curriculum of 9th grade and led by the PE-teacher. In the Don't worry - be happy intervention this class was also organized by the students. The students practiced their Be Happy-activities, or they introduced their class peers to their "Be Happy"-activity. A PE-teacher was present to support the students if necessary.

Be happy

Intervention Type BEHAVIORAL

The Be Happy classes were self-organized activity groups of at least three students, developed according to activity preferences across regular classes. The Be Happy groups practiced traditional sports and physical activities, lifestyle sports, dancing, out-door recreation, drama etc. - inside or outside school.

Control group

Current practice

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Physical education

Physical education (60 minutes): In addition to the ordinary PE-lessons. The pedagogical activities taught in this lesson should be in line with the curriculum of 9th grade and led by the PE-teacher. In the Don't worry - be happy intervention this class was also organized by the students. The students practiced their Be Happy-activities, or they introduced their class peers to their "Be Happy"-activity. A PE-teacher was present to support the students if necessary.

Intervention Type BEHAVIORAL

Physical active learning

The curriculum of the subjects (i.e. maths, English, Norwegian) were taught in a physically active manner. The lesson should last 30 minutes and be led by the teacher of the current subject.

Intervention Type BEHAVIORAL

Physical activity

Without a connection to any specific subject "Physical activity" should be performed as 30 minutes a week. There are no specific aims to be taught in this lesson, but physical activities that stimulates mastery, joy and well-being should be in focus.

Intervention Type BEHAVIORAL

Be happy

The Be Happy classes were self-organized activity groups of at least three students, developed according to activity preferences across regular classes. The Be Happy groups practiced traditional sports and physical activities, lifestyle sports, dancing, out-door recreation, drama etc. - inside or outside school.

Intervention Type BEHAVIORAL

Other Intervention Names

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PE-intervention

Eligibility Criteria

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Inclusion Criteria

* Subjects enrolled in 9th grade

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Stavanger

OTHER

Sponsor Role collaborator

University of Agder

OTHER

Sponsor Role collaborator

Western Norway University of Applied Sciences

OTHER

Sponsor Role collaborator

Norwegian School of Sport Sciences

OTHER

Sponsor Role lead

Responsible Party

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Elin Kolle

Vice rector

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elin Kolle, PhD

Role: PRINCIPAL_INVESTIGATOR

Norwegian School of Sport Sciences

Locations

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Norwegian School of Sport Sciences

Oslo, , Norway

Site Status

Countries

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Norway

References

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Malnes L, Haugen T, Nordbo ECA, Ivarsson A, Kolle E, Resaland GK, Solberg RB, Avitsland A, Berntsen S. Objectively measured environmental factors in relation to school travel mode among adolescents: a decision tree analysis. Int J Behav Nutr Phys Act. 2025 Mar 4;22(1):26. doi: 10.1186/s12966-025-01727-6.

Reference Type DERIVED
PMID: 40038743 (View on PubMed)

Malnes L, Berntsen S, Kolle E, Ivarsson A, Dyrstad SM, Resaland GK, Solberg R, Haugen T. School-based physical activity in relation to active travel - a cluster randomized controlled trial among adolescents enrolled in the school in motion study in Norway. Int J Behav Nutr Phys Act. 2023 Nov 21;20(1):136. doi: 10.1186/s12966-023-01534-x.

Reference Type DERIVED
PMID: 37990252 (View on PubMed)

Leibinger E, Avitsland A, Resaland GK, Solberg RB, Kolle E, Dyrstad SM. Relationship between health-related quality of life and physical fitness in Norwegian adolescents. Qual Life Res. 2023 Apr;32(4):1133-1141. doi: 10.1007/s11136-022-03309-6. Epub 2022 Dec 17.

Reference Type DERIVED
PMID: 36527570 (View on PubMed)

Malnes L, Haugen T, Hansen BH, Kolle E, Berntsen S. Establishing the Convergent Validity of the Travel Habit Questions in the Health Behavior in School-Aged Children Questionnaire by Quantifying Active Travel in Norwegian Adolescents. Front Sports Act Living. 2022 Apr 6;4:761723. doi: 10.3389/fspor.2022.761723. eCollection 2022.

Reference Type DERIVED
PMID: 35463834 (View on PubMed)

Neil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021 Sep 23;9(9):CD007651. doi: 10.1002/14651858.CD007651.pub3.

Reference Type DERIVED
PMID: 34555181 (View on PubMed)

Solberg RB, Steene-Johannessen J, Anderssen SA, Ekelund U, Safvenbom R, Haugen T, Berntsen S, Avitsland A, Lerum O, Resaland GK, Kolle E. Effects of a school-based physical activity intervention on academic performance in 14-year old adolescents: a cluster randomized controlled trial - the School in Motion study. BMC Public Health. 2021 May 6;21(1):871. doi: 10.1186/s12889-021-10901-x.

Reference Type DERIVED
PMID: 33957895 (View on PubMed)

Kolle E, Solberg RB, Safvenbom R, Dyrstad SM, Berntsen S, Resaland GK, Ekelund U, Anderssen SA, Steene-Johannessen J, Grydeland M. The effect of a school-based intervention on physical activity, cardiorespiratory fitness and muscle strength: the School in Motion cluster randomized trial. Int J Behav Nutr Phys Act. 2020 Nov 26;17(1):154. doi: 10.1186/s12966-020-01060-0.

Reference Type DERIVED
PMID: 33243246 (View on PubMed)

Avitsland A, Leibinger E, Haugen T, Lerum O, Solberg RB, Kolle E, Dyrstad SM. The association between physical fitness and mental health in Norwegian adolescents. BMC Public Health. 2020 May 24;20(1):776. doi: 10.1186/s12889-020-08936-7.

Reference Type DERIVED
PMID: 32448149 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2207ScIM

Identifier Type: -

Identifier Source: org_study_id

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