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Review
. 2018 Dec 15;59(4):E267-E276.
doi: 10.15167/2421-4248/jpmh2018.59.4.847. eCollection 2018 Dec.

Promoting physical activity in upper elementary children using multi-theory model (MTM) of health behavior change

M Sharma  1 , V K Nahar  2
Affiliations
Review

Promoting physical activity in upper elementary children using multi-theory model (MTM) of health behavior change

M Sharma et al. J Prev Med Hyg. .

Abstract

Background: Physical activity and exercise offer numerous benefits to children and Centers for Disease Control and Prevention guidelines require that school children engage in at least 60 minutes of moderate to vigorous physical activity every day. Unfortunately, up to 30% elementary students do not meet these requirements and 79% elementary schools do not provide students with physical education classes every day. The transition from elementary to secondary school is particularly deleterious for levels of physical activity. Therefore, there is a need to develop educational interventions for upper elementary school children to promote physical activity. A new theory multi-theory model (MTM) of health behavior change can be utilized to develop such interventions.

Objectives: The purpose of this article was to develop and introduce an instrument based on MTM for physical activity change in upper elementary school children and propose an approach for changing this behavior among sedentary students.

Methods: A review of literature in MEDLINE, CINAHL, Google Scholar, and ERIC databases was conducted for physical activity in upper elementary children and multi-theory model of health behavior change to prepare this article.

Results: An instrument with Flesch-Kincaid Grade level of 5.4 and the Flesch Reading Ease of 68 making it suitable for administration with upper elementary school children was developed. An approach utilizing the constructs of participatory dialogue, behavioral confidence and changes in physical environment to initiate physical activity and reifying the constructs of emotional transformation, practice for change and changes in social environment to sustain physical activity in upper elementary school children is presented.

Conclusions: MTM offers potential to augment current educational efforts to promote physical activity in upper elementary school children.

Keywords: Behavior; Child; Exercise; Schools.

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Conflict of interest statement

Conflict of interest statement None declared.

Figures

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Fig. 1.
Using Multi-theory model (MTM) of health behavior change to promote physical activity in upper elementary children.
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References

    1. Käll LB, Nilsson M, Lindén T. The impact of a physical activity intervention program on academic achievement in a Swedish elementary school setting. J Sch Health 2014;84(8):473-80. doi: 10.1111/josh.12179. - PubMed
    1. US Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. Available at: http://www.health.gov/paguidelines/pdf/paguide.pdf.
    1. Centers for Disease Control and Prevention. School health guidelines to promote healthy eating and physical activity. Morb Mortal Wkly Rep 2011;60:1-71. - PubMed
    1. Turner L, Johnson TG, Slater SJ, Chaloupka FJ. Physical activity practices in elementary schools and associations with physical education staffing and training. Res Q Exerc Sport 2014;85(4):488-501. doi: 10.1080/02701367.2014.961053. - PubMed
    1. Hollis JL, Williams AJ, Sutherland R, Campbell E, Nathan N, Wolfenden L, Morgan PJ, Lubans DR, Wiggers J. A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons. Prev Med 2016;86:34-54. doi: 10.1016/j.ypmed.2015.11.018. - PubMed