"Escola em Ação": School Based Interventions of Incentive to the Practice Physical and Life Habits of Healthy Promotion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 357
- 试验地点
- 2
- 主要终点
- Change from baseline in weekly time in moderate-to-vigorous physical activity at six months
研究概览
简要总结
Background: The health promotion actions carried out in the school environment have positive effects on reducing risk factors for chronic diseases in adolescents. Interdisciplinary strategies involving school and family to increase the level of physical activity among adolescents, inside and outside the school, are essential to encourage healthier lifestyles.
Aim: To determine whether a 24-weeks interdisciplinary intervention program promotes improvement in the level of physical activity, physical fitness, sleep quality, life satisfaction, eating habits and reduce the sedentary behavior of schoolchildren aged 10 to 13 years of public schools in the city of Presidente Prudente, São Paulo, Brazil.
The intervention: Includes training of teacher Physical Education in the principles of self-determination theory and ecological theory at practical applications for motivating adolescents in physical activities and sports. The students will be given information on the benefits of a physically active lifestyle and will be encouraged to participated the new opportunities for physical activity in their school and community. The program will offer physical activity strategies over the 24-weeks during class Physical Education, afternoon recess and active lesson breaks in theoretical classes. Nutritional guidelines and gardening experience will be developed to encourage healthy eating habits among schoolchildren and to reduce salt, oil and sugar in the preparation of school lunch.
Methods/design: The project, which being conducted as cluster randomized trial, is to evaluated whit in a mixed methods, including qualitative and quantitative approach will be used for the construction of the actions integrated to the school physical education curriculum and evaluation of the program by the participants and supporters. The RE-AIM evaluation metric (Reach, Effectiveness, Adoption, Implementation, and Maintenance) is used to guide the validation this program.
详细描述
The intervention will be unfold over the 24-weeks with students of six to seven school terms of implementation physical activity and nutrition intervention strategies. The total of five schools full-time were contacted for participation in the survey, one was excluded because they had no interest in participating. Allocation of pairs of schools in the experimental and control groups was done by randomization (draw for the experimental and control groups), and later the schools were informed about their condition in the study (experimental group or control group). The dimensions assessed in the research were defined from the problems and needs pointed out by the school in the initial stage of training and diagnosis of the local reality. The intervention strategies consisted of the following across: promote teacher Physical Education training; develop school actions integrated in the school curriculum; increase pratice of physical activity (in class time and recess); Improve eating habits (nutritional guidence, gardening experience, school lunch); promote healthy lifestyle program during school breaks; provided with physical activity equipment; parent engagement in health education practice.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Allocation, and those who evaluate the outcomes of the main outcome (physical activity, sedentary behavior, dietary intake and body composition) will be blind to baseline group assignment
入排标准
- 年龄范围
- 10 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Students enrolled in 2017, in the 6th and 7th year of Elementary School in the full-time schools participating in the study
排除标准
- •Students with physical or motor impairment that prevents the performance of physical fitness assessments or with mental or cognitive impairment that prevents them from responding with clarity to the questionnaires and instruments of data collection
研究组 & 干预措施
intervention
Training program for Physical Education teacher. Individual level: moderate to vigorous physical activity. Organizational level: school health policy for healthy lifestyle
干预措施: Training (Behavioral)
intervention
Training program for Physical Education teacher. Individual level: moderate to vigorous physical activity. Organizational level: school health policy for healthy lifestyle
干预措施: Individual level (Behavioral)
intervention
Training program for Physical Education teacher. Individual level: moderate to vigorous physical activity. Organizational level: school health policy for healthy lifestyle
干预措施: Organizational level (Behavioral)
no intervention
Physical Education and school curriculum as usual
结局指标
主要结局
Change from baseline in weekly time in moderate-to-vigorous physical activity at six months
时间窗: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire
Change from baseline in weekly time in sedentary activity at six months
时间窗: Baseline, end of intervention (6 months), 1 year after baseline
Measured with accelerometers for tenn days and supplemented with a questionnaire
次要结局
- Change from baseline in level physical fitness at six months(Baseline, end of intervention (6 months), 1 year after baseline)
- Change from baseline in Physical Education class time in moderate-to-vigorous physical activity at six months(Baseline, end of intervention (6 months), 1 year after baseline)
- Change from baseline in body composition at six months(Baseline, end of intervention (6 months), 1 year after baseline)
- Change from baseline in caloric intake at six months(Baseline, end of intervention (6 months), 1 year after baseline)
研究者
Sueyla Ferreira da Silva dos Santos
Principal Investigator
Universidade Estadual Paulista Júlio de Mesquita Filho