Literature DB >> 17716952

An overview of "The Active by Choice Today" (ACT) trial for increasing physical activity.

Dawn K Wilson1, Heather Kitzman-Ulrich, Joel E Williams, Ruth Saunders, Sarah Griffin, Russell Pate, M Lee Van Horn, Alexandra Evans, Brent Hutto, Cheryl L Addy, Gary Mixon, Susan B Sisson.   

Abstract

BACKGROUND: Although school-based behavioral interventions for increasing physical activity (PA) in children and adolescents have been conducted, little evidence suggests that these curriculum-based approaches lead to increases in overall activity outside of program days. The overall goal of the "Active by Choice Today" (ACT) trial is to expand the body of knowledge concerning the factors that influence long-term increases in PA in underserved adolescents (low socioeconomic status, minorities) during their middle school years. DESIGN AND
SETTING: An overview of the ACT study design, theoretical framework, process evaluation, and primary hypotheses is presented. The trial involves twenty-four middle schools (1560 6th graders) in South Carolina that are randomly assigned to one of two after-school programs (motivational and life skills intervention, or general health education). INTERVENTION: The intervention integrates constructs from Self-Determination and Social Cognitive Theories to enhance intrinsic motivation and behavioral skills for PA. The intervention targets skill development for PA outside of program days and the after-school program social environment (autonomy, choice, participation, belongingness, fun, enjoyment, support) is designed to positively impact cognitive mediators (self-efficacy, perceived competence), and motivational orientation (intrinsic motivation, commitment, positive self-concept). MAIN HYPOTHESES/OUTCOMES: It is hypothesized that the 17-week motivational and life skills intervention will lead to greater increases in moderate-to-vigorous PA (based on 7-day accelerometry estimates) at post-intervention as compared to the general health education program.
CONCLUSIONS: Implications of this innovative school-based trial are discussed.

Entities:  

Mesh:

Year:  2007        PMID: 17716952      PMCID: PMC2830072          DOI: 10.1016/j.cct.2007.07.001

Source DB:  PubMed          Journal:  Contemp Clin Trials        ISSN: 1551-7144            Impact factor:   2.226


  33 in total

1.  A meta-analytic review of experiments examining the effects of extrinsic rewards on intrinsic motivation.

Authors:  E L Deci; R Koestner; R M Ryan
Journal:  Psychol Bull       Date:  1999-11       Impact factor: 17.737

2.  Using process data to explain outcomes. An illustration from the Child and Adolescent Trial for Cardiovascular Health (CATCH).

Authors:  S A McGraw; D E Sellers; E J Stone; J Bebchuk; E W Edmundson; C C Johnson; K J Bachman; R V Luepker
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3.  Measuring the implementation of health promotion programs: the case of the Breast and Cervical Cancer Program in Maryland.

Authors:  M A Scheirer; M C Shediac; C E Cassady
Journal:  Health Educ Res       Date:  1995-03

4.  Formative evaluation of a motivational intervention for increasing physical activity in underserved youth.

Authors:  Dawn K Wilson; Sarah Griffin; Ruth P Saunders; Alexandra Evans; Gary Mixon; Marcie Wright; Amelia Beasley; M Renee Umstattd; Diana Lattimore; Ashley Watts; Julie Freelove
Journal:  Eval Program Plann       Date:  2006-08

5.  Experiments in changing food habits.

Authors:  M RADKE; D KLISURICH
Journal:  J Am Diet Assoc       Date:  1947-05

6.  Examining the link between program implementation and behavior outcomes in the lifestyle education for activity program (LEAP).

Authors:  Ruth P Saunders; Dianne Ward; Gwen M Felton; Marsha Dowda; Russell R Pate
Journal:  Eval Program Plann       Date:  2006-10-11

7.  Reducing denial and sexual risk behaviors in college students: a comparison of a cognitive and a motivational approach.

Authors:  P Eitel; R Friend
Journal:  Ann Behav Med       Date:  1999

8.  Motivational versus social cognitive interventions for promoting fruit and vegetable intake and physical activity in African American adolescents.

Authors:  Dawn K Wilson; Ronald Friend; Nicole Teasley; Sabra Green; Irvine Lee Reaves; Domenic A Sica
Journal:  Ann Behav Med       Date:  2002

9.  Cardiovascular disease risk reduction for tenth graders. A multiple-factor school-based approach.

Authors:  J D Killen; M J Telch; T N Robinson; N Maccoby; C B Taylor; J W Farquhar
Journal:  JAMA       Date:  1988 Sep 23-30       Impact factor: 56.272

10.  Ethnic, socioeconomic, and sex differences in physical activity among adolescents.

Authors:  J F Sallis; J M Zakarian; M F Hovell; C R Hofstetter
Journal:  J Clin Epidemiol       Date:  1996-02       Impact factor: 6.437

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  28 in total

Review 1.  New perspectives on health disparities and obesity interventions in youth.

Authors:  Dawn K Wilson
Journal:  J Pediatr Psychol       Date:  2009-02-16

2.  The role of motivation in understanding social contextual influences on physical activity in underserved adolescents in the ACT Trial: a cross-sectional study.

Authors:  Hannah G Lawman; Dawn K Wilson; M Lee Van Horn; Nicole Zarrett
Journal:  Child Obes       Date:  2012-12       Impact factor: 2.992

3.  The relationship between psychosocial correlates and physical activity in underserved adolescent boys and girls in the ACT trial.

Authors:  Hannah G Lawman; Dawn K Wilson; M Lee Van Horn; Ken Resnicow; Heather Kitzman-Ulrich
Journal:  J Phys Act Health       Date:  2011-02

4.  Neighborhood and parental supports for physical activity in minority adolescents.

Authors:  Dawn K Wilson; Hannah G Lawman; Michelle Segal; Shauntrelle Chappell
Journal:  Am J Prev Med       Date:  2011-10       Impact factor: 5.043

5.  A longitudinal study of the effects of instrumental and emotional social support on physical activity in underserved adolescents in the ACT trial.

Authors:  E Rebekah Siceloff; Dawn K Wilson; Lee Van Horn
Journal:  Ann Behav Med       Date:  2014-08

Review 6.  School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.

Authors:  Maureen Dobbins; Heather Husson; Kara DeCorby; Rebecca L LaRocca
Journal:  Cochrane Database Syst Rev       Date:  2013-02-28

7.  The association of self-efficacy and parent social support on physical activity in male and female adolescents.

Authors:  Michelle S Peterson; Hannah G Lawman; Dawn K Wilson; Amanda Fairchild; M Lee Van Horn
Journal:  Health Psychol       Date:  2012-08-13       Impact factor: 4.267

8.  Weight status as a moderator of the relationship between motivation, emotional social support, and physical activity in underserved adolescents.

Authors:  Sara M St George; Dawn K Wilson; Hannah G Lawman; M Lee Van Horn
Journal:  J Pediatr Psychol       Date:  2013-01-31

9.  Interactions of socioeconomic position with psychosocial and environmental correlates of children's physical activity: an observational study of South Australian families.

Authors:  James Dollman; Nicole R Lewis
Journal:  Int J Behav Nutr Phys Act       Date:  2009-08-14       Impact factor: 6.457

10.  Using process evaluation for program improvement in dose, fidelity and reach: the ACT trial experience.

Authors:  Dawn K Wilson; Sarah Griffin; Ruth P Saunders; Heather Kitzman-Ulrich; Duncan C Meyers; Leslie Mansard
Journal:  Int J Behav Nutr Phys Act       Date:  2009-11-30       Impact factor: 6.457

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