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Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial. / Harrington, Deirdre; Davies, Melanie; Bodicoat, Danielle et al.
In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 15, 40, 25.04.2018.

Research output: Contribution to journalArticlepeer-review

HarvardHarvard

Harrington, D, Davies, M, Bodicoat, D, Charles, J, Chudasama, Y, Gorely, T, Khunti, K, Plekhanova, T, Rowlands, A, Sherar, L, Edwards, R, Yates, T & Edwardson, C 2018, 'Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial', International Journal of Behavioral Nutrition and Physical Activity, vol. 15, 40. https://doi.org/10.1186/s12966-018-0664-6

APA

Harrington, D., Davies, M., Bodicoat, D., Charles, J., Chudasama, Y., Gorely, T., Khunti, K., Plekhanova, T., Rowlands, A., Sherar, L., Edwards, R., Yates, T., & Edwardson, C. (2018). Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 15, Article 40. https://doi.org/10.1186/s12966-018-0664-6

CBE

Harrington D, Davies M, Bodicoat D, Charles J, Chudasama Y, Gorely T, Khunti K, Plekhanova T, Rowlands A, Sherar L, et al. 2018. Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 15:Article 40. https://doi.org/10.1186/s12966-018-0664-6

MLA

Harrington, Deirdre et al. "Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial". International Journal of Behavioral Nutrition and Physical Activity. 2018. 15. https://doi.org/10.1186/s12966-018-0664-6

VancouverVancouver

Harrington D, Davies M, Bodicoat D, Charles J, Chudasama Y, Gorely T et al. Effectiveness of the ‘Girls Active’ school-based physical activity programme: A cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2018 Apr 25;15:40. doi: 10.1186/s12966-018-0664-6

Author

Harrington, Deirdre ; Davies, Melanie ; Bodicoat, Danielle et al. / Effectiveness of the ‘Girls Active’ school-based physical activity programme : A cluster randomised controlled trial. In: International Journal of Behavioral Nutrition and Physical Activity. 2018 ; Vol. 15.

RIS

TY - JOUR

T1 - Effectiveness of the ‘Girls Active’ school-based physical activity programme

T2 - A cluster randomised controlled trial

AU - Harrington, Deirdre

AU - Davies, Melanie

AU - Bodicoat, Danielle

AU - Charles, Joanna

AU - Chudasama, Yogini

AU - Gorely, Trish

AU - Khunti, Kamlesh

AU - Plekhanova, Tatiana

AU - Rowlands, Alex

AU - Sherar, Lauren

AU - Edwards, Rhiannon

AU - Yates, Thomas

AU - Edwardson, Charlotte

PY - 2018/4/25

Y1 - 2018/4/25

N2 - BackgroundGlobally, adolescent girls’ physical activity (PA) levels are low. The ‘Girls Active’ secondary school-based programme, developed by the Youth Sport Trust, aims to increase PA in adolescent girls. This paper explores the effectiveness of the ‘Girls Active’ school-based PA programme.MethodsA random sample of girls aged 11–14 from 20 secondary schools (Midlands, UK) participated in a two-arm cluster randomised controlled trial. Ten schools received Girls Active and 10 continued with usual practice. Measurements were taken at baseline, seven- and 14-month follow-up. Primary outcome: wrist-worn accelerometer measured moderate- to vigorous-intensity PA (MVPA). Secondary outcomes: overall PA, light PA, sedentary time, body composition, and psychosocial outcomes. Generalised estimating equations, adjusted for school cluster and potential confounders, were used and A priori subgroup analysis was undertaken. Micro-costing and cost-consequence analyses were conducted using bespoke collection methods on programme delivery information. Outcomes for the cost-consequence analysis were health related quality of life measured by the Child Health Utility-9D and service use.ResultsOverall, 1752 pupils participated, 1211 (69.1%) provided valid 14-month accelerometer data. No difference in MVPA (mins/day; 95% confidence intervals) was found at 14 months (1.7; -0.8 to 4.3), there was at seven months (2.4; 0.1 to 4.7). Subgroup analyses showed significant intervention effects on 14-month in larger schools (3.9; 1.39 to 6.09) and in White Europeans (3.1; 0.60 to 6.02) and in early maturers (5.1; 1.69 to 8.48) at seven months. The control group did better in smaller schools at 14-months (-4.38; -7.34 to -1.41). Significant group differences were found in 14-month identified motivation (-0.09; -0.18 to -0.01) and at seven months in: overall PA (1.39 mg/day; 0.1 to 2.2), after-school sedentary time (-4.7; -8.9 to -0.6), whole day (5.7; 1.0 to 10.5) and school day (4.5; 0.25 to 8.75) light PA, self-esteem. Small, statistically significant, differences in some psychosocial variables favoured control schools. Micro-costing demonstrated that delivering the programme resulted in a range of time and financial costs at each school. Cost-consequence analysis demonstrated no effect of the programme for health related quality of life or service use.ConclusionsCompared with usual practice, ‘Girls Active’ did not affect 14-month MVPA.Trial registrationISRCTN10688342

AB - BackgroundGlobally, adolescent girls’ physical activity (PA) levels are low. The ‘Girls Active’ secondary school-based programme, developed by the Youth Sport Trust, aims to increase PA in adolescent girls. This paper explores the effectiveness of the ‘Girls Active’ school-based PA programme.MethodsA random sample of girls aged 11–14 from 20 secondary schools (Midlands, UK) participated in a two-arm cluster randomised controlled trial. Ten schools received Girls Active and 10 continued with usual practice. Measurements were taken at baseline, seven- and 14-month follow-up. Primary outcome: wrist-worn accelerometer measured moderate- to vigorous-intensity PA (MVPA). Secondary outcomes: overall PA, light PA, sedentary time, body composition, and psychosocial outcomes. Generalised estimating equations, adjusted for school cluster and potential confounders, were used and A priori subgroup analysis was undertaken. Micro-costing and cost-consequence analyses were conducted using bespoke collection methods on programme delivery information. Outcomes for the cost-consequence analysis were health related quality of life measured by the Child Health Utility-9D and service use.ResultsOverall, 1752 pupils participated, 1211 (69.1%) provided valid 14-month accelerometer data. No difference in MVPA (mins/day; 95% confidence intervals) was found at 14 months (1.7; -0.8 to 4.3), there was at seven months (2.4; 0.1 to 4.7). Subgroup analyses showed significant intervention effects on 14-month in larger schools (3.9; 1.39 to 6.09) and in White Europeans (3.1; 0.60 to 6.02) and in early maturers (5.1; 1.69 to 8.48) at seven months. The control group did better in smaller schools at 14-months (-4.38; -7.34 to -1.41). Significant group differences were found in 14-month identified motivation (-0.09; -0.18 to -0.01) and at seven months in: overall PA (1.39 mg/day; 0.1 to 2.2), after-school sedentary time (-4.7; -8.9 to -0.6), whole day (5.7; 1.0 to 10.5) and school day (4.5; 0.25 to 8.75) light PA, self-esteem. Small, statistically significant, differences in some psychosocial variables favoured control schools. Micro-costing demonstrated that delivering the programme resulted in a range of time and financial costs at each school. Cost-consequence analysis demonstrated no effect of the programme for health related quality of life or service use.ConclusionsCompared with usual practice, ‘Girls Active’ did not affect 14-month MVPA.Trial registrationISRCTN10688342

KW - Intervention

KW - Physical education

KW - Teacher

KW - Adolescent female

U2 - 10.1186/s12966-018-0664-6

DO - 10.1186/s12966-018-0664-6

M3 - Article

VL - 15

JO - International Journal of Behavioral Nutrition and Physical Activity

JF - International Journal of Behavioral Nutrition and Physical Activity

SN - 1479-5868

M1 - 40

ER -