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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Study protocol

Activating schoolyards: study design of a quasi-experimental schoolyard intervention study

Authors: Henriette Bondo Andersen, Charlotte Skau Pawlowski, Hanne Bebendorf Scheller, Jens Troelsen, Mette Toftager, Jasper Schipperijn

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

The aim of the Activating Schoolyards Study is to develop, implement, document and assess a comprehensive schoolyard intervention to promote physical activity (PA) during school recess for primary school children (grade 4-8). The intervention is designed to implement organizational and structural changes in the physical environment.

Method

The study builds on a quasi-experimental study design using a mixed method approach including: 1) an exploratory study aimed at providing input for the developing process; 2) an evaluation of the effect of the interventions using a combination of accelerometer, GPS and GIS; 3) a process evaluation facilitating the intervention development process and identifying barriers and facilitators in the implementation process; 4) a post-intervention end-user evaluation aimed at exploring who uses the schoolyards and how the schoolyards are used. The seven project schools (cases) were selected by means of an open competition and the interventions were developed using a participatory bottom-up approach.

Discussion

The participatory approach and case selection strategy make the study design novel. The use of a mixed methods design including qualitative as well as quantitative methods can be seen as a strength, as the different types of data complement each other and results of one part of the study informed the following parts. A unique aspect of our study is the use of accelerometers in combination with GPS and GIS in the effect evaluation to objectively determine where and how active the students are in the schoolyard, before and after the intervention. This provides a type of data that, to our knowledge, has not been used before in schoolyard interventions. Exploring the change in behavior in relation to specific intervention elements in the schoolyard will lead to recommendations for schools undergoing schoolyard renovations at some point in the future.
Literature
1.
Rothon C, Edwards P, Bhui K, Viner RM, Taylor S, Stansfeld SA. Physical activity and depressive symptoms in adolescents: a prospective study. BMC Med. 2010;8:32.CrossRefPubMedPubMedCentral
2.
Tobias JH, Steer CD, Mattocks CG, Riddoch C, Ness AR. Habitual levels of physical activity influence bone mass in 11-year-old children from the United Kingdom: findings from a large population-based cohort. J Bone Miner Res. 2007;22(1):101–9.CrossRefPubMedPubMedCentral
3.
Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Fundamental movement skills in children and adolescents: review of associated health benefits. Sports Med. 2010;40(12):1019–35.CrossRefPubMed
4.
Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S, et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European youth heart study). Lancet. 2006;368(9532):299–304.CrossRefPubMed
5.
Fedewa AL, Ahn S. The effects of physical activity and physical fitness on children’s achievement and cognitive outcomes: a meta-analysis. Res Q Exerc Sport. 2011;82(3):521–35.CrossRefPubMed
6.
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. (Health Policy for Children and Adolescents, No. 6). WHO Regional Office for Europe: Copenhagen; 2012.
7.
Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.CrossRefPubMed
8.
9.
Andersen LB, Hasselstrom H, Gronfeldt V, Hansen SE, Karsten F. The relationship between physical fitness and clustered risk, and tracking of clustered risk from adolescence to young adulthood: eight years follow-up in the Danish youth and sport study. Int J Behav Nutr Physical Activity. 2004;1(1):6.CrossRef
10.
Telama R. Tracking of physical activity from childhood to adulthood: a review. Obes Facts. 2009;2(3):187–95.CrossRefPubMed
11.
Kristensen PL, Moller NC, Korsholm L, Wedderkopp N, Andersen LB, Froberg K. Tracking of objectively measured physical activity from childhood to adolescence: the European youth heart study. Scand J Med Sci Sports. 2008;18(2):171–8.CrossRefPubMed
12.
Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51(5):345–51.CrossRefPubMed
13.
Ridgers ND, Stratton G, Fairclough SJ. Physical activity levels of children during school playtime. Sports Med. 2006;36(4):359–71.CrossRefPubMed
14.
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. 2013;2, CD007651.
15.
Erwin H, Abel M, Beighle A, Noland MP, Worley B, Riggs R. The contribution of recess to children’s school-day physical activity. J Phys Act Health. 2012;9(3):442–8.CrossRefPubMed
16.
Mota J, Silva P, Aires L, Santos MP, Oliveira J, Ribeiro JC. Differences in school-day patterns of daily physical activity in girls according to level of physical activity. J Phys Act Health. 2008;5 Suppl 1:S90–7.CrossRefPubMed
17.
Toftager M, Christiansen LB, Ersboll AK, Kristensen PL, Due P, Troelsen J. Intervention effects on adolescent physical activity in the multicomponent SPACE study: a cluster randomized controlled trial. PLoS One. 2014;9(6), e99369.CrossRefPubMedPubMedCentral
18.
Ickes MJ, Erwin H, Beighle A. Systematic review of recess interventions to increase physical activity. J Phys Act Health. 2013;10(6):910–26.CrossRefPubMed
19.
Parrish AM, Okely AD, Stanley RM, Ridgers ND. The effect of school recess interventions on physical activity : a systematic review. Sports Med. 2013;43(4):287–99.CrossRefPubMed
20.
Escalante Y, Garcia-Hermoso A, Backx K, Saavedra JM. Playground designs to increase physical activity levels during school recess: a systematic review. Health Educ Behav. 2014;41(2):138–44.CrossRefPubMed
21.
Broekhuizen K, Scholten AM, de Vries SI. The value of (pre)school playgrounds for children’s physical activity level: a systematic review. Int J Behav Nut Physical Activity. 2014;11:59.CrossRef
22.
Godlee F: Publishing study protocols: making them visible will improve registration, reporting and recruitment. BMC News and Views 2001, 2(4).
23.
Pawlowski C, Troelsen T. En God Omvej- Bevægelse i lokalområdet. Odense Syddansk Universitet-Institut for Idræt og Biomekanik. 2012.
24.
Troelsen J, Christiansen LB, Toftager M, Olesen E, Højgaard B, Brøcker A, et al. SPACE - rum til fysisk aktivitet. Samlet evaluering af en helhedsorienteret, forebyggende indsats for børn og unge. Odense: Center for interventionsforskning, Institut for Idræt og Biomekanik, Syddansk Universitet; 2014.
25.
Anthamatten P, Brink L, Lampe S, Greenwood E, Kingston B, Nigg C. An assessment of schoolyard renovation strategies to encourage children’s physical activity. Int J Behav Nut Physical Activity. 2011;8:27.CrossRef
26.
Pawlowski CS, Tjornhoj-Thomsen T, Schipperijn J, Troelsen J. Barriers for recess physical activity: a gender specific qualitative focus group exploration. BMC Public Health. 2014;14:639.CrossRefPubMedPubMedCentral
27.
Minkler M, Wallerstein N: Community-Based Participatory Research for Health, Second Edition edn. San Francisco: Jossey-Bass; 2008.
28.
Spradley J. Participant Observation. New York: Wadsworth Thomson Learning; 1980.
29.
Darbyshire P, MacDougall C, Schiller W. Multiple methods in qualitative research with children: more insight or just more? Qualitative Res. 2005;5(4):417–36.CrossRef
30.
Horner SD. Using focus group methods with middle school children. Res Nurs Health. 2000;23(6):510–7.CrossRefPubMed
31.
Kusenbach M. Street phenomenology. The go-along as ethnographic research tool. Ethnography. 2003;4(3):455–85.CrossRef
32.
Emerson R, Fretz R, Shaw L. Writing Ethnographic Fieldnotes, vol. Second edition. Chicago: The University of Chicago Press; 2011.CrossRef
33.
Paechter C. Tomboys and girly-girls: embodied femininities in primary schools. Discourse: Studies Cultural Politics Educ. 2010;31(2):221–35.
34.
Rowlands AV. Accelerometer assessment of physical activity in children: an update. Pediatr Exerc Sci. 2007;19(3):252–66.CrossRefPubMed
35.
Reilly JJ, Penpraze V, Hislop J, Davies G, Grant S, Paton JY. Objective measurement of physical activity and sedentary behaviour: review with new data. Arch Dis Child. 2008;93(7):614–9.CrossRefPubMed
36.
Schipperijn J, Kerr J, Duncan S, Madsen T, Klinker CD, Troelsen J. Dynamic accuracy of GPS receivers for use in health research: a novel method to assess GPS accuracy in real-world settings. Front Public Health. 2014;2:21.CrossRefPubMedPubMedCentral
37.
Dale R: Evaluation in the Context of Development work. In: Evaluating delevopment programmes. edn. London: Edited by Edition S. Sage; 2004
38.
Gittelsohn J, Steckler A, Johnson CC, Pratt C, Grieser M, Pickrel J, et al. Formative research in school and community-based health programs and studies: “state of the art” and the TAAG approach. Health Educ Behav. 2006;33(1):25–39.CrossRefPubMedPubMedCentral
39.
Mason J. Organizing and indexing qualitative data. In: Mason J, editor. Qualitative Researching. 2nd ed. London: SAGE Publications Ltd; 2002. p. 147–72.
40.
Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297–322.CrossRefPubMed
41.
Ridgers ND, Stratton G, Fairclough SJ, Twisk JW. Long-term effects of a playground markings and physical structures on children’s recess physical activity levels. Prev Med. 2007;44(5):393–7.CrossRefPubMed
42.
Stratton G, Mullan E. The effect of multicolor playground markings on children’s physical activity level during recess. Prev Med. 2005;41(5-6):828–33.CrossRefPubMed
43.
Toftager M, Christiansen LB, Kristensen PL, Troelsen J. SPACE for physical activity–a multicomponent intervention study: study design and baseline findings from a cluster randomized controlled trial. BMC Public Health. 2011;11:777.CrossRefPubMedPubMedCentral
44.
Flyvbjerg B. Five misunderstandings about case-study research. Qual Inquiry. 2006;12(2):219–45.CrossRef
45.
Jensen E, Øhlenschlæger N. Efter afslaget. By Plan Nyt. 2013;2.
46.
Frederiksen M, Gundelach P, Nielsen R: Mixed Method. Hans Reitzels Forlag: Copenhagen; 2014.
47.
Fjortoft I, Lofman O, Halvorsen Thoren K. Schoolyard physical activity in 14-year-old adolescents assessed by mobile GPS and heart rate monitoring analysed by GIS. Scand J Public Health. 2010;38(5 Suppl):28–37.CrossRefPubMed
48.
Andersen HB, Klinker CD, Toftager M, Pawlowski CS, Schipperijn J: Objectively measured differences in physical activity in five types of schoolyard area. Landscape Urban Plan 2014;134:83
49.
Fjortoft I, Kristoffersen B, Sageie J. Children in schoolyards: Tracking movement patterns and physical activity in schoolyards using global positioning system and heart rate monitoring. Landscape Urban Plan. 2009;93(3-4):210–7.CrossRef
50.
Dessing D, Pierik FH, Sterkenburg RP, van Dommelen P, Maas J, de Vries SI. Schoolyard physical activity of 6-11 year old children assessed by GPS and accelerometry. Int J Behav Nutr Physical Activity. 2013;10:97.CrossRef
51.
Brink LA, Nigg CR, Lampe SM, Kingston BA, Mootz AL, van Vliet W. Influence of schoolyard renovations on children’s physical activity: the learning landscapes program. Am J Public Health. 2010;100(9):1672–8.CrossRefPubMedPubMedCentral
52.
Dyment JE, Bell AC, Lucas AJ. The relationship between school ground design and intensity of physical activity. Children’s Geographies. 2009;7(3):261–76.CrossRef
53.
Klinker CD, Schipperijn J, Kerr J, Ersboll AK, Troelsen J. Context-specific outdoor time and physical activity among school-children across gender and age: using accelerometers and gps to advance methods. Front Public Health. 2014;2:20.CrossRefPubMedPubMedCentral
Metadata
Title
Activating schoolyards: study design of a quasi-experimental schoolyard intervention study
Authors
Henriette Bondo Andersen
Charlotte Skau Pawlowski
Hanne Bebendorf Scheller
Jens Troelsen
Mette Toftager
Jasper Schipperijn
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1828-9

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