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

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dc.contributor.authorNathan, Nicole
dc.contributor.authorWiggers, John
dc.contributor.authorBauman, Adrian E.
dc.contributor.authorRissel, Chris
dc.contributor.authorSearles, Andrew
dc.contributor.authorReeves, Penny
dc.contributor.authorOldmeadow, Christopher
dc.contributor.authorNaylor, Patti-Jean
dc.contributor.authorCradock, Angie L.
dc.contributor.authorSutherland, Rachel
dc.contributor.authorGillham, Karen
dc.contributor.authorDuggan, Bernadette
dc.contributor.authorChad, Sally
dc.contributor.authorMcCarthy, Nicole
dc.contributor.authorPettett, Matthew
dc.contributor.authorJackson, Rebecca
dc.contributor.authorReilly, Kathryn
dc.contributor.authorHerrmann, Vanessa
dc.contributor.authorHope, Kirsty
dc.contributor.authorShoesmith, Adam
dc.contributor.authoret al.
dc.date.accessioned2020-11-20T22:15:42Z
dc.date.available2020-11-20T22:15:42Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractBackground 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.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe authors wish to acknowledge the NSW Department of Education School Sport Unit for their advice with the study. This project is funded by the National Health and Medical Research Council (NHMRC) Partnership Project grant (APP1133013). The NHMRC has not had any role in the design of the study as outlined in this protocol and will not have a role in data collection, analysis of data, interpretation of data and dissemination of findings. As part of the NHMRC Partnership Grant funding arrangement, the following partner organisations also contribute fund: Hunter New England Local Health District and the NSW Health Office of Preventive Health. Individuals in positions that are fully or partly funded by these partner organisations (as described in ‘Competing Interests’) will have a role in the study design, data collection, analysis of data, interpretation of data and dissemination of findings. The University of Newcastle will act as study sponsor make final decisions on each of these study aspects. NN is supported by a NHMRC TRIP Fellowship (APP1132450) and a Hunter New England Clinical Research Fellowship; LW is supported by a NHMRC Career Development Fellowship (APP1128348), Heart Foundation Future Leader Fellowship (101175) and a Hunter New England Clinical Research Fellowship; RS is supported by a NHMRC TRIP Fellowship (APP1150661).en_US
dc.identifier.citationNathan, N., Wiggers, J., Bauman, A. E., Rissel, C., Searles, A., Reeves, P., … 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(1). https://doi.org/10.1186/s12889-019-6492-zen_US
dc.identifier.urihttps://doi.org/10.1186/s12889-019-6492-z
dc.identifier.urihttp://hdl.handle.net/1828/12369
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectPhysical activity
dc.subjectPolicy
dc.subjectSchools
dc.subjectImplementation
dc.subjectGuidelines
dc.subject.departmentSchool of Exercise Science, Physical and Health Education
dc.titleA 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) studyen_US
dc.typeArticleen_US

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