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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT06376864
Other study ID # RC- FNRA-IG /20-21/SOSC/01
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date January 1, 2023
Est. completion date July 30, 2024

Study information

Verified date April 2024
Source Hong Kong Baptist University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The current study aims to implement the Activity Breaks intervention and evaluate its effectiveness on outcome measures of executive function (EF), physical activity (PA), and sedentary behaviour (SB) in school children.


Description:

In Hong Kong, as well as globally, children fail to meet the current physical activity recommendations of 60-minutes of moderate-to-vigorous physical activity (MVPA) per day. Childhood and adolescence are critical periods for developing favourable lifestyle behaviours that can continue into adulthood. Health-promoting interventions that target physical inactivity are vitally important. Researchers have repeatedly demonstrated that higher academic achievement and better attendance at school occurs among children who are more physically active, healthy and fit. To promote improvements in health and education, it is essential to recognize movement as assistive to establishing cognitive and social skills. The current study aims to implement the Activity Breaks intervention and evaluate its effectiveness on outcome measures of executive function (EF), physical activity (PA), and sedentary behaviour (SB) in school children. The Activity Breaks intervention is a 5-minute Activity Breaks programme that allows classroom teachers of all ages and ability levels to lead simple movement activities within their classrooms, negating the need for additional personnel or space. It is expected that the 5-minute Activity Breaks programme performed three times a day over 8 weeks will not only increases daily PA, but also decreases SB through interrupting prolonged sitting time. The Activity Breaks Programme also improves executive functioning among primary school-aged children. This study will be a pilot clustered randomised controlled trial involving 8 primary schools in Hong Kong. One class from each school will be recruited from primaries 4-6 (8-11-year-old children) as our target population. Schools randomised into the intervention will receive the Activity Breaks Programme whereas schools assigned to the control group will continue to receive their normal daily instruction. Data will be collected from all participants (intervention and control) at three time points: Time 1 (T1) (baseline), Time 2 (T2) (Post-intervention), and Time 3 (T3) (3-month follow-up). The following pupil measures will be captured at all time points: 1. EF; 2. PA levels and SB patterns using accelerometers; and 3. anthropometric measurements. Two measures will be conducted among teachers including teacher interviews and teacher fidelity checks conducted using log books. All analyses will be performed using IBM SPSS statistical programmes. Multi-level modelling regression analyses with repeated measures will be used to determine the effects of the intervention. A mixed-design ANOVA with time (pre, post and follow-up) as a within-subject variable and group (intervention and control) as a between-subjects variable will be conducted, while adjusting for age, gender and body mass index.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 450
Est. completion date July 30, 2024
Est. primary completion date June 30, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 8 Years to 12 Years
Eligibility Inclusion Criteria: - School children in primary school (exclude private or special education schools), grades 4-6 (8-12 years old) - children with parental consent. Exclusion Criteria: - Children with diagnosed behavioural or learning problems (e.g., attention-deficit hyperactivity disorder, ADHD)

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Activity Breaks
The Activity Breaks intervention is a 5-minute Activity Breaks programme that allows classroom teachers of all ages and ability levels to lead simple movement activities within their classrooms, negating the need for additional personnel or space.

Locations

Country Name City State
Hong Kong Department of Sport, Physical Education, and Health, Hong Kong Bapist University Kowloon Tong

Sponsors (1)

Lead Sponsor Collaborator
Hong Kong Baptist University

Country where clinical trial is conducted

Hong Kong, 

References & Publications (38)

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Huang WY, Wong SHS, Sit CHP, Wong MCS, Sum RKW, Wong SWS, Yu JJ. Results from the Hong Kong's 2018 report card on physical activity for children and youth. J Exerc Sci Fit. 2019 Jan;17(1):14-19. doi: 10.1016/j.jesf.2018.10.003. Epub 2018 Oct 8. — View Citation

Kobel, S., Kettner, S., Dreyhaupt, J., & Steinacker, J. M. (2017). Objectively Determined Physical Activity Levels in German Primary School Children after a One Year School-based Health Promoting Intervention. Journal of Childhood Obesity, 2 (2).

Lavelle HV, Mackay DF, Pell JP. Systematic review and meta-analysis of school-based interventions to reduce body mass index. J Public Health (Oxf). 2012 Aug;34(3):360-9. doi: 10.1093/pubmed/fdr116. Epub 2012 Jan 20. — View Citation

Lorentzen C, Ommundsen Y, Jenum AK, Holme I. The "Romsas in Motion" community intervention: program exposure and psychosocial mediated relationships to change in stages of change in physical activity. Int J Behav Nutr Phys Act. 2007 Apr 30;4:15. doi: 10.1186/1479-5868-4-15. — View Citation

Mahar MT, Murphy SK, Rowe DA, Golden J, Shields AT, Raedeke TD. Effects of a classroom-based program on physical activity and on-task behavior. Med Sci Sports Exerc. 2006 Dec;38(12):2086-94. doi: 10.1249/01.mss.0000235359.16685.a3. — View Citation

Markland, D., & Tobin, V. (2004). A Modification to the Behavioural Regulation in Exercise Questionnaire to Include an Assessment of Amotivation. Journal of Sport and Exercise Psychology, 26(2), 191-196.

McMichan L, Gibson AM, Rowe DA. Classroom-Based Physical Activity and Sedentary Behavior Interventions in Adolescents: A Systematic Review and Meta-Analysis. J Phys Act Health. 2018 May 1;15(5):383-393. doi: 10.1123/jpah.2017-0087. Epub 2018 Mar 23. — View Citation

Mullins NM, Michaliszyn SF, Kelly-Miller N, Groll L. Elementary school classroom physical activity breaks: student, teacher, and facilitator perspectives. Adv Physiol Educ. 2019 Jun 1;43(2):140-148. doi: 10.1152/advan.00002.2019. — View Citation

Murtagh E, Mulvihill M, Markey O. Bizzy Break! The effect of a classroom-based activity break on in-school physical activity levels of primary school children. Pediatr Exerc Sci. 2013 May;25(2):300-7. doi: 10.1123/pes.25.2.300. Epub 2013 Mar 15. — View Citation

Norris E, Dunsmuir S, Duke-Williams O, Stamatakis E, Shelton N. Protocol for the 'Virtual Traveller' cluster-randomised controlled trial: a behaviour change intervention to increase physical activity in primary-school Maths and English lessons. BMJ Open. 2016 Jun 27;6(6):e011982. doi: 10.1136/bmjopen-2016-011982. — View Citation

Ridgers ND, Timperio A, Cerin E, Salmon J. Within- and between-day associations between children's sitting and physical activity time. BMC Public Health. 2015 Sep 23;15:950. doi: 10.1186/s12889-015-2291-3. — View Citation

Routen, A. C., Johnston, J. P., Glazebrook, C., & Sherar, L. B. (2018). Teacher perceptions on the delivery and implementation of movement integration strategies: The CLASS PAL (Physically Active Learning) Programme. International Journal of Educational Research, 88, 48-59.

Salmon J, Arundell L, Hume C, Brown H, Hesketh K, Dunstan DW, Daly RM, Pearson N, Cerin E, Moodie M, Sheppard L, Ball K, Bagley S, Paw MC, Crawford D. A cluster-randomized controlled trial to reduce sedentary behavior and promote physical activity and health of 8-9 year olds: the Transform-Us! study. BMC Public Health. 2011 Oct 4;11:759. doi: 10.1186/1471-2458-11-759. — View Citation

Skrade, M. A. B. (n.d.). Integrated classroom physical activity: Examining perceived need satisfaction and academic performance in children p.93.

Steele RM, van Sluijs EM, Sharp SJ, Landsbaugh JR, Ekelund U, Griffin SJ. An investigation of patterns of children's sedentary and vigorous physical activity throughout the week. Int J Behav Nutr Phys Act. 2010 Dec 9;7:88. doi: 10.1186/1479-5868-7-88. — View Citation

Stewart JA, Dennison DA, Kohl HW, Doyle JA. Exercise level and energy expenditure in the TAKE 10! in-class physical activity program. J Sch Health. 2004 Dec;74(10):397-400. doi: 10.1111/j.1746-1561.2004.tb06605.x. — View Citation

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Taylor SL, Noonan RJ, Knowles ZR, Owen MB, McGrane B, Curry WB, Fairclough SJ. Evaluation of a Pilot School-Based Physical Activity Clustered Randomised Controlled Trial-Active Schools: Skelmersdale. Int J Environ Res Public Health. 2018 May 17;15(5):1011. doi: 10.3390/ijerph15051011. — View Citation

Tremblay MS, Barnes JD, Gonzalez SA, Katzmarzyk PT, Onywera VO, Reilly JJ, Tomkinson GR; Global Matrix 2.0 Research Team. Global Matrix 2.0: Report Card Grades on the Physical Activity of Children and Youth Comparing 38 Countries. J Phys Act Health. 2016 Nov;13(11 Suppl 2):S343-S366. doi: 10.1123/jpah.2016-0594. — View Citation

Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, Faulkner G, Gray CE, Gruber R, Janson K, Janssen I, Katzmarzyk PT, Kho ME, Latimer-Cheung AE, LeBlanc C, Okely AD, Olds T, Pate RR, Phillips A, Poitras VJ, Rodenburg S, Sampson M, Saunders TJ, Stone JA, Stratton G, Weiss SK, Zehr L. Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. Appl Physiol Nutr Metab. 2016 Jun;41(6 Suppl 3):S311-27. doi: 10.1139/apnm-2016-0151. — View Citation

Tremblay MS, Gray CE, Akinroye K, Harrington DM, Katzmarzyk PT, Lambert EV, Liukkonen J, Maddison R, Ocansey RT, Onywera VO, Prista A, Reilly JJ, Rodriguez Martinez MP, Sarmiento Duenas OL, Standage M, Tomkinson G. Physical activity of children: a global matrix of grades comparing 15 countries. J Phys Act Health. 2014 May;11 Suppl 1:S113-25. doi: 10.1123/jpah.2014-0177. — View Citation

Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, Goldfield G, Connor Gorber S. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011 Sep 21;8:98. doi: 10.1186/1479-5868-8-98. — View Citation

Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med. 2003 Nov;25(4):277-82. doi: 10.1016/s0749-3797(03)00217-4. — View Citation

van Stralen MM, Yildirim M, Wulp A, te Velde SJ, Verloigne M, Doessegger A, Androutsos O, Kovacs E, Brug J, Chinapaw MJ. Measured sedentary time and physical activity during the school day of European 10- to 12-year-old children: the ENERGY project. J Sci Med Sport. 2014 Mar;17(2):201-6. doi: 10.1016/j.jsams.2013.04.019. Epub 2013 May 24. Erratum In: J Sci Med Sport. 2014 Jul;17(4):450. — View Citation

Watson A, Timperio A, Brown H, Hesketh KD. A primary school active break programme (ACTI-BREAK): study protocol for a pilot cluster randomised controlled trial. Trials. 2017 Sep 19;18(1):433. doi: 10.1186/s13063-017-2163-5. — View Citation

* Note: There are 38 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Executive function The Wisconsin Card Sorting Test (WCST): The computerized version of the WCST will be used to assess flexibility in decision making in this study. The number of total errors and perseverative errors and failure to maintain a set will be used as scores. baseline, 8 weeks, and 20 weeks
Primary Psychological capacities Stroop Task. A computerized modified Stroop task will be used to reflect inhibition skills that help individuals override a prepotent response in favour of an alternative response. baseline, 8 weeks, and 20 weeks
Primary Working memory Digit Span Backward: In this test, a participant will be presented with a series of digits to be repeated backwards. baseline, 8 weeks, and 20 weeks
Primary Attention Measures of child attention levels will be measured using the online version of d2-R test of attention. TN-E is a total performance score which gives a measure of the relationship between performance accuracy and speed. TN-E scores are defined as 50-60% bad, 60-70% medium, 70-85% normal and over 85% is good. baseline, 8 weeks, and 20 weeks
Secondary Physical activity (min/week) The ActiGraph GT3X+ monitor (ActiGraph LLC, Pensacola, FL, USA) will be used to measure physical activity levels. baseline, 8 weeks, and 20 weeks
Secondary Sedentary behavior (hour) The ActiGraph GT3X+ monitor (ActiGraph LLC, Pensacola, FL, USA) will be used to measure sedentary behavior. baseline, 8 weeks, and 20 weeks
Secondary Body weight (kg) Body weight will be measured in light clothing to the nearest 0.1 kg with a calibrated electronic scale. baseline, 8 weeks, and 20 weeks
Secondary Height (cm) Height will be measured without shoes to the nearest 0.1 cm using a stadiometer in accordance with standard procedures. baseline, 8 weeks, and 20 weeks
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