Promoting physical activity and health in Hong Kong primary school children through a blended physical literacy intervention: protocol and baseline characteristics of the "Stand plus Move" randomized controlled trial

被引:10
作者
Li, Ming Hui [1 ]
Sit, Cindy Hui Ping [1 ]
Wong, Stephen Heung Sang [1 ]
Wing, Yun Kwok [2 ]
Ng, Ching Kong [3 ]
Sum, Raymond Kim Wai [1 ]
机构
[1] Chinese Univ Hong Kong, Dept Sports Sci & Phys Educ, Hong Kong, Peoples R China
[2] Chinese Univ Hong Kong, Fac Med, Dept Psychiat, Hong Kong, Peoples R China
[3] Stewards Pooi Kei Primary Sch, Hong Kong, Peoples R China
关键词
Physical literacy; Sit-stand desk; Physical activity; Children; Primary school; Sleep; Executive functions; SEDENTARY BEHAVIOR; EXECUTIVE FUNCTION; ACUTE EXERCISE; SLEEP QUALITY; ACTIVPAL(TM); ASSOCIATIONS; ADOLESCENTS; VALIDATION; GUIDELINES; PATTERNS;
D O I
10.1186/s13063-021-05925-y
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: Children predominantly remain sedentary in a traditional classroom. This study aimed to demonstrate the design and baseline characteristics of a three-armed intervention program that targeted enhancements in children's physical literacy (PL), physical activity (PA), sleep, and executive functions by constructing an active classroom environment in primary schools. The blended approach involved organized PA participation during recess combined with changes to the classroom environment in response to the emphasis on nurturing children's PL in Hong Kong. Methods: This blended "Stand + Move" intervention adopted a randomized controlled trial design to investigate its effectiveness in improving health-related aspects. Three groups were compared: (1) PA recess intervention, (2) blended (sit-stand desks and PA recess) experimental, and (3) control groups. In this 13-week intervention (from March to September 2019), 76 students (59.2% girls) were recruited and randomly assigned to the three groups. The primary outcomes were children's PL and PA. The secondary outcomes were children's sleep and executive functions. Results: Baseline data were evaluated. The mean age was 9.6 years [standard deviation = 0.61, range 9.0-12.0]. There were no significant differences between trial arms at baseline concerning any of the outcomes (all P = 0.06-0.89). Overall, 22.4% met the recommended PA guidelines, 36.8% met the sleep guidelines, and 10.5% met both guidelines. Three aspects of executive functions were evaluated: inhibition, executive control, and planning. Over half of the participants reported satisfaction with their perceived sleep quality. Conclusions: The designed intervention is regarded as an innovative strategy that incorporates sit-stand desks and PA breaks to reconstruct children's traditional classroom environment. The baseline results suggest that intervention was satisfactory in reducing students' sitting time and increasing their PA engagement. We demonstrated the benefits of this intervention on children's PL, various sleep patterns, and executive functions. As expected, the designed intervention changes made to the classroom improved children's health behaviors, as well as the support from stakeholders at schools and the children's families. Our results also provided the desired evidence for policy reforms in teaching and learning strategies.
引用
收藏
页数:15
相关论文
共 50 条
  • [21] A cluster randomized controlled trial of an after-school playground curriculum intervention to improve children's physical, social, and emotional health: study protocol for the PLAYground project
    Poulos, Allison
    Kulinna, Pamela Hodges
    BMC PUBLIC HEALTH, 2022, 22 (01)
  • [22] Randomized controlled trial of a teleconference fatigue management plus physical activity intervention in adults with multiple sclerosis: rationale and research protocol
    Plow, Matthew
    Finlayson, Marcia
    Motl, Robert W.
    Bethoux, Francois
    BMC NEUROLOGY, 2012, 12
  • [23] Randomized controlled trial of a teleconference fatigue management plus physical activity intervention in adults with multiple sclerosis: rationale and research protocol
    Matthew Plow
    Marcia Finlayson
    Robert W Motl
    Francois Bethoux
    BMC Neurology, 12
  • [24] Protocol for the "Virtual Traveller' cluster-randomised controlled trial: a behaviour change intervention to increase physical activity in primary-school Maths and English lessons
    Norris, E.
    Dunsmuir, S.
    Duke-Williams, O.
    Stamatakis, E.
    Shelton, N.
    BMJ OPEN, 2016, 6 (06):
  • [25] A study protocol for a randomised controlled trial to evaluate the effectiveness of a dog-facilitated physical activity minimal intervention on young children's physical activity, health and development: the PLAYCE PAWS trial
    Ng, Michelle
    Wenden, Elizabeth
    Lester, Leanne
    Westgarth, Carri
    Christian, Hayley
    BMC PUBLIC HEALTH, 2021, 21 (01)
  • [26] A study protocol for a randomised controlled trial to evaluate the effectiveness of a dog-facilitated physical activity minimal intervention on young children’s physical activity, health and development: the PLAYCE PAWS trial
    Michelle Ng
    Elizabeth Wenden
    Leanne Lester
    Carri Westgarth
    Hayley Christian
    BMC Public Health, 21
  • [27] A school-family blended multi-component physical activity program for Fundamental Motor Skills Promotion Program for Obese Children (FMSPPOC): protocol for a cluster randomized controlled trial
    Lin Zhou
    Wei Liang
    Yuxiu He
    Yanping Duan
    Ryan E. Rhodes
    Sonia Lippke
    Julien S. Baker
    Yu Liang
    Lin Han
    Wan Xin Liu
    Qi Liu
    BMC Public Health, 23
  • [28] A Randomized-Controlled Trial of School-Based Active Videogame Intervention on Chinese Children's Aerobic Fitness, Physical Activity Level, and Psychological Correlates
    Lau, Patrick Wing Chung
    Wang, Jing Jing
    Maddison, Ralph
    GAMES FOR HEALTH JOURNAL, 2016, 5 (06) : 405 - 412
  • [29] Improving the fitness and physical activity levels of primary school children: Results of the Fit-4-Fun group randomized controlled trial
    Eather, Narelle
    Morgan, Philip J.
    Lubans, David R.
    PREVENTIVE MEDICINE, 2013, 56 (01) : 12 - 19
  • [30] Promoting Physical Activity and Executive Functions Among Children: A Cluster Randomized Controlled Trial of an After-School Program in Australia
    Veldman, Sanne L. C.
    Jones, Rachel A.
    Stanley, Rebecca M.
    Cliff, Dylan P.
    Vella, Stewart A.
    Howard, Steven J.
    Parrish, Anne-Maree
    Okely, Anthony D.
    JOURNAL OF PHYSICAL ACTIVITY & HEALTH, 2020, 17 (10) : 940 - 946