Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation

doi:10.1186/s12889-016-3243-2

Randomized Controlled Trial

. 2016 Aug 24;16(1):873.

doi: 10.1186/s12889-016-3243-2.

Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation

Chris Lonsdale¹, Taren Sanders², Kristen E Cohen³, Philip Parker², Michael Noetel⁴, Tim Hartwig⁵, Diego Vasconcellos², Morwenna Kirwan⁶, Philip Morgan³, Jo Salmon⁷, Marj Moodie⁸, Heather McKay⁹, Andrew Bennie¹⁰, Ron Plotnikoff³, Renata L Cinelli¹¹, David Greene⁵, Louisa R Peralta¹², Dylan P Cliff¹³, Gregory S Kolt¹⁰, Jennifer M Gore¹⁴, Lan Gao⁸, David R Lubans³

Affiliations

¹ Institute for Positive Psychology and Education, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia. chris.lonsdale@acu.edu.au.
² Institute for Positive Psychology and Education, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
³ Priority Research Centre for Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, NSW, 2308, Australia.
⁴ Institute for Positive Psychology and Education and School of Exercise Science, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
⁵ School of Exercise Science, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
⁶ Physical Activity Research Group, School of Human Health and Social Sciences, Central Queensland University, Building 18, Yaamba Road, Rockhampton, QLD, 4702, Australia.
⁷ Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
⁸ Deakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, Geelong, VIC, Australia.
⁹ Center for Hip Health and Mobility, University of British Columbia, 7/F, 2635 Laurel Street, Vancouver, BC, V5Z 1 M9, Canada.
¹⁰ School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
¹¹ School of Education, Australian Catholic University, 250 Victoria Parade East, Melbourne, VIC, 3002, Australia.
¹² Faculty of Education and Social Work, University of Sydney, Sydney, NSW, 2006, Australia.
¹³ Early Start Research Institute, School of Education, University of Wollongong, Wollongong, NSW, 2522, Australia.
¹⁴ Teachers and Teaching Research Centre, School of Education, University of Newcastle, Callaghan, NSW, 2308, Australia.

PMID: 27557641
PMCID: PMC4997792
DOI: 10.1186/s12889-016-3243-2

Randomized Controlled Trial

Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation

Chris Lonsdale et al. BMC Public Health. 2016.

. 2016 Aug 24;16(1):873.

doi: 10.1186/s12889-016-3243-2.

Authors

Affiliations

¹ Institute for Positive Psychology and Education, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia. chris.lonsdale@acu.edu.au.
² Institute for Positive Psychology and Education, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
³ Priority Research Centre for Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, NSW, 2308, Australia.
⁴ Institute for Positive Psychology and Education and School of Exercise Science, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
⁵ School of Exercise Science, Australian Catholic University, Edward Clancy Building 167-169 Albert St, Strathfield, NSW, 2135, Australia.
⁶ Physical Activity Research Group, School of Human Health and Social Sciences, Central Queensland University, Building 18, Yaamba Road, Rockhampton, QLD, 4702, Australia.
⁷ Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
⁸ Deakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, Geelong, VIC, Australia.
⁹ Center for Hip Health and Mobility, University of British Columbia, 7/F, 2635 Laurel Street, Vancouver, BC, V5Z 1 M9, Canada.
¹⁰ School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
¹¹ School of Education, Australian Catholic University, 250 Victoria Parade East, Melbourne, VIC, 3002, Australia.
¹² Faculty of Education and Social Work, University of Sydney, Sydney, NSW, 2006, Australia.
¹³ Early Start Research Institute, School of Education, University of Wollongong, Wollongong, NSW, 2522, Australia.
¹⁴ Teachers and Teaching Research Centre, School of Education, University of Newcastle, Callaghan, NSW, 2308, Australia.

PMID: 27557641
PMCID: PMC4997792
DOI: 10.1186/s12889-016-3243-2

Erratum in

Erratum to: Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation.
Lonsdale C, Sanders T, Cohen KE, Parker P, Noetel M, Hartwig T, Vasconcellos D, Kirwan M, Morgan P, Salmon J, Moodie M, McKay H, Bennie A, Plotnikoff R, Cinelli RL, Greene D, Peralta LR, Cliff DP, Kolt GS, Gore JM, Gao L, Lubans DR. Lonsdale C, et al. BMC Public Health. 2016 Sep 30;16(1):1026. doi: 10.1186/s12889-016-3724-3. BMC Public Health. 2016. PMID: 27716137 Free PMC article. No abstract available.

Abstract

Background: Despite the health benefits of regular physical activity, most children are insufficiently active. Schools are ideally placed to promote physical activity; however, many do not provide children with sufficient in-school activity or ensure they have the skills and motivation to be active beyond the school setting. The aim of this project is to modify, scale up and evaluate the effectiveness of an intervention previously shown to be efficacious in improving children's physical activity, fundamental movement skills and cardiorespiratory fitness. The 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) study will focus largely on online delivery to enhance translational capacity.

Methods/design: The intervention will be implemented at school and teacher levels, and will include six components: (i) quality physical education and school sport, (ii) classroom movement breaks, (iii) physically active homework, (iv) active playgrounds, (v) community physical activity links and (vi) parent/caregiver engagement. Experienced physical education teachers will deliver professional learning workshops and follow-up, individualized mentoring to primary teachers (i.e., Kindergarten - Year 6). These activities will be supported by online learning and resources. Teachers will then deliver the iPLAY intervention components in their schools. We will evaluate iPLAY in two complementary studies in primary schools across New South Wales (NSW), Australia. A cluster randomized controlled trial (RCT), involving a representative sample of 20 schools within NSW (1:1 allocation at the school level to intervention and attention control conditions), will assess effectiveness and cost-effectiveness at 12 and 24 months. Students' cardiorespiratory fitness will be the primary outcome in this trial. Key secondary outcomes will include students' moderate-to-vigorous physical activity (via accelerometers), fundamental movement skill proficiency, enjoyment of physical education and sport, cognitive control, performance on standardized tests of numeracy and literacy, and cost-effectiveness. A scale-up implementation study guided by the RE-AIM framework will evaluate the reach, effectiveness, adoption, implementation, and maintenance of the intervention when delivered in 160 primary schools in urban and regional areas of NSW.

Discussion: This project will provide the evidence and a framework for government to guide physical activity promotion throughout NSW primary schools and a potential model for adoption in other states and countries.

Trial registration: Australia and New Zealand Clinical Trials Registry ( ACTRN12616000731493 ). Date of registration: June 3, 2016.

Keywords: Cardiorespiratory fitness; Internet; Online; Physical activity; Teacher professional development; Teacher professional learning.

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Figures

**Fig. 1**
Modified CONSORT Flow Diagram

**Fig. 2**
iPLAY Intervention Implementation Strategies

**Fig. 3**
iPLAY Randomised Controlled Trial and Implementation Study Timelines

See this image and copyright information in PMC

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References

1. Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S, Group LPASW. The pandemic of physical inactivity: Global action for public health. Lancet. 2012;380(9838):294–305. doi: 10.1016/S0140-6736(12)60898-8. - DOI - PubMed
1. Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–737. doi: 10.1016/j.jpeds.2005.01.055. - DOI - PubMed
1. Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(40):1–16. - PMC - PubMed
1. Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011:bjsports90185. - PubMed
1. Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR. Physical activity and physical self-concept in youth: Systematic review and meta-analysis. Sports Med. 2014;44(11):1589–1601. doi: 10.1007/s40279-014-0229-z. - DOI - PubMed

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[1] Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S, Group LPASW. The pandemic of physical inactivity: Global action for public health. Lancet. 2012;380(9838):294–305. doi: 10.1016/S0140-6736(12)60898-8. - DOI - PubMed

[2] Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S, Group LPASW. The pandemic of physical inactivity: Global action for public health. Lancet. 2012;380(9838):294–305. doi: 10.1016/S0140-6736(12)60898-8. - DOI - PubMed

[3] Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–737. doi: 10.1016/j.jpeds.2005.01.055. - DOI - PubMed

[4] Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–737. doi: 10.1016/j.jpeds.2005.01.055. - DOI - PubMed

[5] Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(40):1–16. - PMC - PubMed

[6] Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(40):1–16. - PMC - PubMed

[7] Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011:bjsports90185. - PubMed

[8] Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011:bjsports90185. - PubMed

[9] Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR. Physical activity and physical self-concept in youth: Systematic review and meta-analysis. Sports Med. 2014;44(11):1589–1601. doi: 10.1007/s40279-014-0229-z. - DOI - PubMed

[10] Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR. Physical activity and physical self-concept in youth: Systematic review and meta-analysis. Sports Med. 2014;44(11):1589–1601. doi: 10.1007/s40279-014-0229-z. - DOI - PubMed

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Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation

Affiliations

Scaling-up an efficacious school-based physical activity intervention: Study protocol for the 'Internet-based Professional Learning to help teachers support Activity in Youth' (iPLAY) cluster randomized controlled trial and scale-up implementation evaluation

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