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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Study protocol

A school-based intervention to promote physical activity among adolescent girls: Rationale, design, and baseline data from the Girls in Sport group randomised controlled trial

Authors: Anthony D Okely, Wayne G Cotton, David R Lubans, Philip J Morgan, Lauren Puglisi, Judy Miller, Jan Wright, Marijka J Batterham, Louisa R Peralta, Janine Perry

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Physical activity levels decline markedly among girls during adolescence. School-based interventions that are multi-component in nature, simultaneously targeting curricular, school environment and policy, and community links, are a promising approach for promoting physical activity. This report describes the rationale, design and baseline data from the Girls in Sport group randomised trial, which aims to prevent the decline in moderate-to-vigorous intensity physical activity (MVPA) among adolescent girls.

Methods/Design

A community-based participatory research approach and action learning framework are used with measurements at baseline and 18-month follow-up. Within each intervention school, a committee develops an action plan aimed at meeting the primary objective (preventing the decline in accelerometer-derived MVPA). Academic partners and the State Department of Education and Training act as critical friends. Control schools continue with their usual school programming. 24 schools were matched then randomized into intervention (n = 12) and control (n = 12) groups. A total of 1518 girls (771 intervention and 747 control) completed baseline assessments (86% response rate). Useable accelerometer data (≥10 hrs/day on at least 3 days) were obtained from 79% of this sample (n = 1199). Randomisation resulted in no differences between intervention and control groups on any of the outcomes. The mean age (SE) of the sample was 13.6 (± 0.02) years and they spent less than 5% of their waking hours in MVPA (4.85 ± 0.06).

Discussion

Girls in Sport will test the effectiveness of schools working towards the same goal, but developing individual, targeted interventions that bring about changes in curriculum, school environment and policy, and community links. By using community-based participatory research and an action learning framework in a secondary school setting, it aims to add to the body of literature on effective school-based interventions through promoting and sustaining increased physical activity participation among adolescent girls.

Trial Registration Number

Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610001077​055
Appendix
Available only for authorised users
Literature
1.
go back to reference World Health Organisation: Global health risks: Mortality and burden of disease attributable to selected major risks. 2009, Geneva, Switzerland: World Health Organisation World Health Organisation: Global health risks: Mortality and burden of disease attributable to selected major risks. 2009, Geneva, Switzerland: World Health Organisation
2.
go back to reference Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O: Physical activity from childhood to adulthood: a 21-year tracking study. American journal of preventive medicine. 2005, 28: 267-273. 10.1016/j.amepre.2004.12.003.CrossRefPubMed Telama R, Yang X, Viikari J, Välimäki I, Wanne O, Raitakari O: Physical activity from childhood to adulthood: a 21-year tracking study. American journal of preventive medicine. 2005, 28: 267-273. 10.1016/j.amepre.2004.12.003.CrossRefPubMed
3.
go back to reference Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise. 2008, 40: 181-188.CrossRefPubMed Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise. 2008, 40: 181-188.CrossRefPubMed
4.
go back to reference Hardy LL, Okely AD, Booth MTD: Physical activity among adolescents in New South Wales (Australia): 1997 and 2004. Medicine and science in sports and exercise. 2008, 40: 835-841. 10.1249/MSS.0b013e318163f286.CrossRefPubMed Hardy LL, Okely AD, Booth MTD: Physical activity among adolescents in New South Wales (Australia): 1997 and 2004. Medicine and science in sports and exercise. 2008, 40: 835-841. 10.1249/MSS.0b013e318163f286.CrossRefPubMed
5.
go back to reference Kimm SY, Glynn NW, Kriska AM, Barton BA, Kromsberg SS, Daniels SR, Crawford PB, Sabry ZI, Liu K: Decline in physical activity in black girls and white girls during adolescence. The New England Journal of Medicine. 2002, 347: 709-715. 10.1056/NEJMoa003277.CrossRefPubMed Kimm SY, Glynn NW, Kriska AM, Barton BA, Kromsberg SS, Daniels SR, Crawford PB, Sabry ZI, Liu K: Decline in physical activity in black girls and white girls during adolescence. The New England Journal of Medicine. 2002, 347: 709-715. 10.1056/NEJMoa003277.CrossRefPubMed
6.
go back to reference Nader PR, Bradley RH, Houts RM, McRitchie SL, O'Brien M: Moderate-to-vigorous physical activity from ages 9 to 15 years. Journal of the American Medical Association. 2008, 300: 295-305. 10.1001/jama.300.3.295.CrossRefPubMed Nader PR, Bradley RH, Houts RM, McRitchie SL, O'Brien M: Moderate-to-vigorous physical activity from ages 9 to 15 years. Journal of the American Medical Association. 2008, 300: 295-305. 10.1001/jama.300.3.295.CrossRefPubMed
7.
go back to reference McKenzie TL, Sallis J, Prochaska J, Conway T, Marshall S, Rosengard P: Evaluation of a two-year middle-school physical education intervention: M-SPAN. Medicine and science in sports and exercise. 2004, 36: 1382-1388. 10.1249/01.MSS.0000135792.20358.4D.CrossRefPubMed McKenzie TL, Sallis J, Prochaska J, Conway T, Marshall S, Rosengard P: Evaluation of a two-year middle-school physical education intervention: M-SPAN. Medicine and science in sports and exercise. 2004, 36: 1382-1388. 10.1249/01.MSS.0000135792.20358.4D.CrossRefPubMed
8.
go back to reference Dudley D, Okely AD, Pearson P, Peat J: Engaging adolescent girls from linguistically diverse and low income backgrounds in school sport: a pilot randomised controlled trial. Journal of Science and Medicine in Sport. 2010, 13: 217-224.CrossRefPubMed Dudley D, Okely AD, Pearson P, Peat J: Engaging adolescent girls from linguistically diverse and low income backgrounds in school sport: a pilot randomised controlled trial. Journal of Science and Medicine in Sport. 2010, 13: 217-224.CrossRefPubMed
9.
go back to reference Lubans DR, Morgan PJ, Callister R, Collins CE: Effects of integrating pedometers, parental materials, and email support within an extracurricular school sport intervention. Journal of Adolescent Health. 2009, 44: 176-183. 10.1016/j.jadohealth.2008.06.020.CrossRefPubMed Lubans DR, Morgan PJ, Callister R, Collins CE: Effects of integrating pedometers, parental materials, and email support within an extracurricular school sport intervention. Journal of Adolescent Health. 2009, 44: 176-183. 10.1016/j.jadohealth.2008.06.020.CrossRefPubMed
10.
go back to reference Pate R, Ward D, Saunders R, Felton G, Dishman R, Dowda M: Promotion of Physical Activity Among High-School Girls: A Randomized Controlled Trial. American Journal of Public Health. 2005, 95: 1582-1587. 10.2105/AJPH.2004.045807.CrossRefPubMedPubMedCentral Pate R, Ward D, Saunders R, Felton G, Dishman R, Dowda M: Promotion of Physical Activity Among High-School Girls: A Randomized Controlled Trial. American Journal of Public Health. 2005, 95: 1582-1587. 10.2105/AJPH.2004.045807.CrossRefPubMedPubMedCentral
11.
go back to reference Webber L, Catellier D, Lytle L, Murray D, Pratt C, Young D, Elder J, Lohman T, Stevens J, Jobe J, Pate R: Promoting Physical Activity in Middle School Girls: Trial of Activity for Adolescent Girls. American Journal of Preventive Medicine. 2008, 34: 173-184. 10.1016/j.amepre.2007.11.018.CrossRefPubMedPubMedCentral Webber L, Catellier D, Lytle L, Murray D, Pratt C, Young D, Elder J, Lohman T, Stevens J, Jobe J, Pate R: Promoting Physical Activity in Middle School Girls: Trial of Activity for Adolescent Girls. American Journal of Preventive Medicine. 2008, 34: 173-184. 10.1016/j.amepre.2007.11.018.CrossRefPubMedPubMedCentral
12.
go back to reference Australia Health Promoting Schools Association: National Framework for Health Promoting Schools 2000 - 2003. National Health Promoting Schools Initiative, Australia Health Promoting Schools Association. 2001 Australia Health Promoting Schools Association: National Framework for Health Promoting Schools 2000 - 2003. National Health Promoting Schools Initiative, Australia Health Promoting Schools Association. 2001
13.
go back to reference Salmon J, Booth M, Phongsavan P, Murphy N, Timperio A: Promoting Physical Activity Participation among Children and Adolescents. Epidemiologic Reviews. 2007, 29: 144-159. 10.1093/epirev/mxm010.CrossRefPubMed Salmon J, Booth M, Phongsavan P, Murphy N, Timperio A: Promoting Physical Activity Participation among Children and Adolescents. Epidemiologic Reviews. 2007, 29: 144-159. 10.1093/epirev/mxm010.CrossRefPubMed
14.
go back to reference Patton G, Bond L, Butler H, Glover S: Changing Schools, Changing Health? Design and Implementation of the Gatehouse Project. Journal of Adolescent Health. 2003, 33: 231-239. 10.1016/S1054-139X(03)00204-0.CrossRefPubMed Patton G, Bond L, Butler H, Glover S: Changing Schools, Changing Health? Design and Implementation of the Gatehouse Project. Journal of Adolescent Health. 2003, 33: 231-239. 10.1016/S1054-139X(03)00204-0.CrossRefPubMed
15.
go back to reference Patton GC, Bond L, Carlin JB, Thomas L, Butler H, Glover S, Catalano R, Bowes G: Promoting Social Inclusion in Schools: A Group-Randomized Trial of Effects on Student Health Risk Behavior and Well-Being. American Journal of Public Health. 2006, 96: 1582-1587. 10.2105/AJPH.2004.047399.CrossRefPubMedPubMedCentral Patton GC, Bond L, Carlin JB, Thomas L, Butler H, Glover S, Catalano R, Bowes G: Promoting Social Inclusion in Schools: A Group-Randomized Trial of Effects on Student Health Risk Behavior and Well-Being. American Journal of Public Health. 2006, 96: 1582-1587. 10.2105/AJPH.2004.047399.CrossRefPubMedPubMedCentral
19.
go back to reference Wright J, Konza D, Hearne D, Okely AD: The Gold Medal Fitness Project: A model for change. Physical Education and Sport Pedagogy. 2008, 13: 49-64. 10.1080/17408980701345592.CrossRef Wright J, Konza D, Hearne D, Okely AD: The Gold Medal Fitness Project: A model for change. Physical Education and Sport Pedagogy. 2008, 13: 49-64. 10.1080/17408980701345592.CrossRef
20.
go back to reference Ekelund U, Sjöström M, Yngve A, Poortvliet E, Nilsson A, Froberg K, Wedderkopp N, Westerterp K: Physical activity assessed by activity monitor and doubly labelled water in children. Medicine & Science in Sport & Exercise. 2001, 33: 275-281.CrossRef Ekelund U, Sjöström M, Yngve A, Poortvliet E, Nilsson A, Froberg K, Wedderkopp N, Westerterp K: Physical activity assessed by activity monitor and doubly labelled water in children. Medicine & Science in Sport & Exercise. 2001, 33: 275-281.CrossRef
21.
go back to reference Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J: Age and gender differences in objectively measured physical activity in youth. Medicine & Science in Sport & Exercise. 2002, 34: 350-355.CrossRef Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J: Age and gender differences in objectively measured physical activity in youth. Medicine & Science in Sport & Exercise. 2002, 34: 350-355.CrossRef
22.
go back to reference Dishman RK, Motl RW, Sallis JF, Dunn AL, Dirnbaum AS, Welk GJ, Bedimo-Rung AL, Voorhees CC, Jobe JB: Self-management strategies mediate self-efficacy and physical activity. American Journal of Preventative Medicine. 2005, 29: 10-18. 10.1016/j.amepre.2005.03.012.CrossRef Dishman RK, Motl RW, Sallis JF, Dunn AL, Dirnbaum AS, Welk GJ, Bedimo-Rung AL, Voorhees CC, Jobe JB: Self-management strategies mediate self-efficacy and physical activity. American Journal of Preventative Medicine. 2005, 29: 10-18. 10.1016/j.amepre.2005.03.012.CrossRef
23.
go back to reference Motl RW, Dishman RK, Saunders R, Dowda M, Felton D, Pate RR: Measuring enjoyment of physical activity in adolescent girls. American Journal of Preventative Medicine. 2001, 21: 110-117. 10.1016/S0749-3797(01)00326-9.CrossRef Motl RW, Dishman RK, Saunders R, Dowda M, Felton D, Pate RR: Measuring enjoyment of physical activity in adolescent girls. American Journal of Preventative Medicine. 2001, 21: 110-117. 10.1016/S0749-3797(01)00326-9.CrossRef
24.
go back to reference Motl RW, Dishman RK, Trost SG, Saunders R, Dowda M, Felton G, Ward DS, Pate RR: Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity among adolescent girls. Preventive Medicine. 2000, 31: 584-594. 10.1006/pmed.2000.0735.CrossRefPubMed Motl RW, Dishman RK, Trost SG, Saunders R, Dowda M, Felton G, Ward DS, Pate RR: Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity among adolescent girls. Preventive Medicine. 2000, 31: 584-594. 10.1006/pmed.2000.0735.CrossRefPubMed
25.
go back to reference Prochaska JJ, Rodgers MW, Sallis JF: Association of parent and peer support with adolescent physical activity. Research Quarterly for Exercise and Sport. 2002, 73: 206-210.CrossRefPubMed Prochaska JJ, Rodgers MW, Sallis JF: Association of parent and peer support with adolescent physical activity. Research Quarterly for Exercise and Sport. 2002, 73: 206-210.CrossRefPubMed
26.
go back to reference Lubans DR, Morgan PJ, McMormack A: Adolescents and school sport: The relationship between beliefs, social support and physical self-perception. Physical Education & Sport Pedagogy. Accepted February 2010, Lubans DR, Morgan PJ, McMormack A: Adolescents and school sport: The relationship between beliefs, social support and physical self-perception. Physical Education & Sport Pedagogy. Accepted February 2010,
27.
go back to reference Saelens BE, Sallis JF, Calfas KJ, Sarkin JA, Caparosa S: Use of self-management strategies in a 2-Grade cognitive-behavioral intervention to promote physical activity. Behavior Therapy. 2000, 31: 365-379. 10.1016/S0005-7894(00)80020-9.CrossRef Saelens BE, Sallis JF, Calfas KJ, Sarkin JA, Caparosa S: Use of self-management strategies in a 2-Grade cognitive-behavioral intervention to promote physical activity. Behavior Therapy. 2000, 31: 365-379. 10.1016/S0005-7894(00)80020-9.CrossRef
28.
go back to reference Whitehead JR: A study of children's physical self-perceptions using an adapted physical self-perception profile questionnaire. Pediatric Exercise Science. 1995, 7: 132-151. Whitehead JR: A study of children's physical self-perceptions using an adapted physical self-perception profile questionnaire. Pediatric Exercise Science. 1995, 7: 132-151.
29.
go back to reference Asçi FH, Asçi A, Zorba E: Cross-cultural validity and reliability of Physical Self-Perception Profile. International Journal of Sport Psychology. 1999, 30: 399-406. Asçi FH, Asçi A, Zorba E: Cross-cultural validity and reliability of Physical Self-Perception Profile. International Journal of Sport Psychology. 1999, 30: 399-406.
30.
go back to reference Fox KR, Corbin CB: The Physical Self-Perception Profile: development and preliminary validation. Journal of Sport and Exercise Psychology. 1989, 11: 408-430. Fox KR, Corbin CB: The Physical Self-Perception Profile: development and preliminary validation. Journal of Sport and Exercise Psychology. 1989, 11: 408-430.
32.
go back to reference Murray DM: Design and analysis of group-randomized trials. 1988, NY: Oxford University Press Murray DM: Design and analysis of group-randomized trials. 1988, NY: Oxford University Press
33.
go back to reference Andruschko J, Okely AD, Pearson P: A school-based physical activity program for adolescent girls: The Sport4Fun randomized controlled trial. Journal of Science and Medicine in Sport. 2009, 12 (Suppl 6): 77- Andruschko J, Okely AD, Pearson P: A school-based physical activity program for adolescent girls: The Sport4Fun randomized controlled trial. Journal of Science and Medicine in Sport. 2009, 12 (Suppl 6): 77-
34.
go back to reference Hayes RJ, Moulton LH: Chapter 7, Sample Size. Cluster Randomized Trials. 2009, Boca Raton FL.: Chapman & Hall/CRC Hayes RJ, Moulton LH: Chapter 7, Sample Size. Cluster Randomized Trials. 2009, Boca Raton FL.: Chapman & Hall/CRC
35.
go back to reference Krull JL, MacKinnon DP: Multilevel modeling of individual and group level mediated effects. Multivariate Behavioral Research. 2001, 36: 249-277. 10.1207/S15327906MBR3602_06.CrossRefPubMed Krull JL, MacKinnon DP: Multilevel modeling of individual and group level mediated effects. Multivariate Behavioral Research. 2001, 36: 249-277. 10.1207/S15327906MBR3602_06.CrossRefPubMed
36.
go back to reference Australian Government Department of Health and Ageing: Australia's Physical Activity Recommendations for 12-18 year olds: Get out and get active. 2004, Canberra Australian Government Department of Health and Ageing: Australia's Physical Activity Recommendations for 12-18 year olds: Get out and get active. 2004, Canberra
37.
go back to reference Treuth MS, Catellier D, Schmitz KH, Pate RR, Elder J, McMurray RG, Blew RM, Yang S, Webber L: Weekend and Weekday Patterns of Physical Activity in Overweight and Normal-weight Adolescent Girls. Obesity. 2007, 15: 1782-1788. 10.1038/oby.2007.212.CrossRefPubMedPubMedCentral Treuth MS, Catellier D, Schmitz KH, Pate RR, Elder J, McMurray RG, Blew RM, Yang S, Webber L: Weekend and Weekday Patterns of Physical Activity in Overweight and Normal-weight Adolescent Girls. Obesity. 2007, 15: 1782-1788. 10.1038/oby.2007.212.CrossRefPubMedPubMedCentral
38.
go back to reference Lubans DR, Foster C, Biddle SJ: A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Preventive Medicine. 2008, 47: 463-470. 10.1016/j.ypmed.2008.07.011.CrossRefPubMed Lubans DR, Foster C, Biddle SJ: A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Preventive Medicine. 2008, 47: 463-470. 10.1016/j.ypmed.2008.07.011.CrossRefPubMed
39.
go back to reference Lubans DR, Morgan PJ, Callister R, Collins CE, Plotnikoff RC: Exploring the mechanisms of physical activity and dietary behavior change in the Program X intervention for adolescents. Journal of Adolescent Health. 2010, 47: 83-91. 10.1016/j.jadohealth.2009.12.015.CrossRefPubMed Lubans DR, Morgan PJ, Callister R, Collins CE, Plotnikoff RC: Exploring the mechanisms of physical activity and dietary behavior change in the Program X intervention for adolescents. Journal of Adolescent Health. 2010, 47: 83-91. 10.1016/j.jadohealth.2009.12.015.CrossRefPubMed
40.
go back to reference Lytle LA, Murray DM, Evenson KR, Moody J, Pratt CA, Metcalfe L, Parra-Medina D: Mediators Affecting Girls' Levels of Physical Activity Outside of School: Findings from the Trial of Activity in Adolescent Girls. Annals of Behavioral Medicine. 2009, 38: 124-136. 10.1007/s12160-009-9127-2.CrossRefPubMedPubMedCentral Lytle LA, Murray DM, Evenson KR, Moody J, Pratt CA, Metcalfe L, Parra-Medina D: Mediators Affecting Girls' Levels of Physical Activity Outside of School: Findings from the Trial of Activity in Adolescent Girls. Annals of Behavioral Medicine. 2009, 38: 124-136. 10.1007/s12160-009-9127-2.CrossRefPubMedPubMedCentral
41.
go back to reference Weiss MR, Ebbeck V: Self-esteem and perceptions of competence in youth sports. The encyclopedia of sports medicine, Volume IV: The child and adolescent athlete. Edited by: Malina RM. 1996, Oxford: Blackwell Science Ltd, 364-382. Weiss MR, Ebbeck V: Self-esteem and perceptions of competence in youth sports. The encyclopedia of sports medicine, Volume IV: The child and adolescent athlete. Edited by: Malina RM. 1996, Oxford: Blackwell Science Ltd, 364-382.
42.
go back to reference Biddle SJ, Whitehead SH, Nevill ME: Correlates of participation in physical activity for adolescent girls: A systematic review of recent literature. Journal of Physical Activity and Health. 2005, 2: 423-434. Biddle SJ, Whitehead SH, Nevill ME: Correlates of participation in physical activity for adolescent girls: A systematic review of recent literature. Journal of Physical Activity and Health. 2005, 2: 423-434.
43.
go back to reference Crocker P, Sabiston CM, Kowalski KC, McDonough MH, Kowalski N: Longitudinal assessment of the relationship between physical self-concept and health-related behaviour and emotion in adolescent girls. Journal of Applied Sport Psychology. 2006, 18: 185-200. 10.1080/10413200600830257.CrossRef Crocker P, Sabiston CM, Kowalski KC, McDonough MH, Kowalski N: Longitudinal assessment of the relationship between physical self-concept and health-related behaviour and emotion in adolescent girls. Journal of Applied Sport Psychology. 2006, 18: 185-200. 10.1080/10413200600830257.CrossRef
44.
go back to reference Lindwall M, Lingren EC: The effects of a 6-month exercise intervention programme on physical self-perceptions and social physique anxiety in non-physicallly active adolescent Swedish girls. Psychology of Sport & Exercise. 2005, 6: 643-658. 10.1016/j.psychsport.2005.03.003.CrossRef Lindwall M, Lingren EC: The effects of a 6-month exercise intervention programme on physical self-perceptions and social physique anxiety in non-physicallly active adolescent Swedish girls. Psychology of Sport & Exercise. 2005, 6: 643-658. 10.1016/j.psychsport.2005.03.003.CrossRef
Metadata
Title
A school-based intervention to promote physical activity among adolescent girls: Rationale, design, and baseline data from the Girls in Sport group randomised controlled trial
Authors
Anthony D Okely
Wayne G Cotton
David R Lubans
Philip J Morgan
Lauren Puglisi
Judy Miller
Jan Wright
Marijka J Batterham
Louisa R Peralta
Janine Perry
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-658

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