Physical Activity Clinical Trial
Official title:
Effects of a School-based Physical Activity Intervention on Math Achievement - A Randomized Controlled Trial
Background
Increased physical activity can improve cognition and academic skills. However due to
economic concerns and increasing focus on standardized testing, PA in schools often receives
little attention and physical education is reduced in many countries in favor of spending
more time devoted to academic classes. This tendency is not compatible with the increasing
evidence for the association between physical activity, fitness, cognitive and academic
performance.
Despite increasing evidence for the association between PA, fitness, cognitive and academic
performance, very few longitudinal high-quality studies exists examining the effect of
physical activity on academic performance (ref.). Furthermore, to the best of our knowledge
only two studies have assessed academic outcomes following the integration of physical
activity into the classroom with intervention participants scoring significantly higher in
test sections compared to controls which makes generalizing from these results challenging.
To promote policy changes that require more physical activity in school, empirical data are
needed to study the effects of school-based physical activity programs. Therefore the
investigators carried out a cluster randomized controlled trial conducted to examine the
effect on math achievement and executive functions of classroom based PA in math.
Study Design
Twelve elementary schools were cluster randomized to the active math intervention or served
as control. Randomization was performed by shuffling sealed envelopes with intervention
allocation inside to determine group assignment. This happened in a meeting where the
leaders of the schools, employees at the municipalities and the responsible researcher were
present. The study lasted for a school year (43 weeks) and the subjects were tested before
and after the nine-month long intervention.
All tests were performed within one week except for the objective measurement of physical
activity (PA) via accelerometer (ActiGraph, 7163, Pensacola, FL), which took place in a
separate week, just before baseline and endline. In the intervention period (38 weeks) the
participants received on average 6 mathematics lessons of 45 minutes per week with
respectively physically active and traditional teaching.
The intervention
The intervention consisted of math teaching focusing on implementing PA in the classroom as
a facilitating instrument. Teachers were told to include at least 15 minutes of physical
activity in each 45 minutes math lesson. In addition sedentary activities were only allowed
to last for maximum 20 minutes. Classroom-based PA had the aim of creating a meaningful
binding between the mathematical concepts and a specific physical activity to improve mental
representation of mathematics and thus contribute to understanding and memory of the
mathematical concepts.
Classroom teacher training for implementation of the intervention
Training was provided to math teachers at each intervention school in a course given by the
responsible group of researchers. The training was planned in collaboration between
mathematics teachers in the intervention schools and the responsible group of researchers
and was based on the curriculum for mathematics in Danish public schools. The planning of
the teaching content took place on a 4-day mandatory course for all mathematics teachers
with the purpose to enable the teachers to teach active mathematics and thereby to promote
the math achievement.
As part of the course the teachers received a folder with suggestions for PA in math made by
the responsible group of researchers. In addition they developed activities with specific
instructions and inspiration for how teachers could incorporate PA as an element of academic
instruction. Since the teacher's motivation and involvement can influence the outcome of the
study, emphasis was placed on creating high motivation in the course by increasing
understanding of the numerous positive cognitive effects of PA.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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