BACKGROUND: A "whole-of-school" approach is nationally endorsed to increase youth physical activity (PA). Aligned with this approach, comprehensive school physical activity programs (CSPAP) are recommended. Distinct components of a CSPAP include physical education (PE), PA during the school day (PADS), PA before/after school (PABAS), staff wellness (SW), and family/community engagement (FCE). The effectiveness of interventions incorporating multiple CSPAP components is unclear. A systematic review and meta-analysis were conducted examining the effectiveness of multicomponent interventions on youth total daily PA. METHODS: Electronic databases were searched for published studies that (1) occurred in the US; (2) targeted K-12 (5-18 years old); (3) were interventions; (4) reflected ≥ 2 CSPAP components, with at least 1 targeting school-based PA during school hours; and (5) reported outcomes as daily PA improvements. Standardized mean effects (Hedge's g) from pooled random effects inverse-variance models were estimated. RESULTS: Across 14 studies, 12 included PE, 5 PADS, 1 PABAS, 2 SW, and 14 FCE. No studies included all 5 CSPAP components. Overall, intervention impact was small (0.11, 95% CI 0.03-0.19). CONCLUSIONS: As designed, there is limited evidence of the effectiveness of multicomponent interventions to increase youth total daily PA. Increased alignment with CSPAP recommendations may improve intervention effectiveness.
BACKGROUND: A "whole-of-school" approach is nationally endorsed to increase youth physical activity (PA). Aligned with this approach, comprehensive school physical activity programs (CSPAP) are recommended. Distinct components of a CSPAP include physical education (PE), PA during the school day (PADS), PA before/after school (PABAS), staff wellness (SW), and family/community engagement (FCE). The effectiveness of interventions incorporating multiple CSPAP components is unclear. A systematic review and meta-analysis were conducted examining the effectiveness of multicomponent interventions on youth total daily PA. METHODS: Electronic databases were searched for published studies that (1) occurred in the US; (2) targeted K-12 (5-18 years old); (3) were interventions; (4) reflected ≥ 2 CSPAP components, with at least 1 targeting school-based PA during school hours; and (5) reported outcomes as daily PA improvements. Standardized mean effects (Hedge's g) from pooled random effects inverse-variance models were estimated. RESULTS: Across 14 studies, 12 included PE, 5 PADS, 1 PABAS, 2 SW, and 14 FCE. No studies included all 5 CSPAP components. Overall, intervention impact was small (0.11, 95% CI 0.03-0.19). CONCLUSIONS: As designed, there is limited evidence of the effectiveness of multicomponent interventions to increase youth total daily PA. Increased alignment with CSPAP recommendations may improve intervention effectiveness.
Authors: Camelia R Singletary; Glenn Weaver; Russell L Carson; Michael W Beets; Russell R Pate; Ruth P Saunders; Alexandra G Peluso; Justin B Moore Journal: Eval Program Plann Date: 2019-05-02
Authors: Hayley A Braun; Christi M Kay; Patricia Cheung; Paul S Weiss; Julie A Gazmararian Journal: Public Health Rep Date: 2017 Nov/Dec Impact factor: 2.792
Authors: Pablo Tercedor; Emilio Villa-González; Manuel Ávila-García; Carolina Díaz-Piedra; Alejandro Martínez-Baena; Alberto Soriano-Maldonado; Isaac José Pérez-López; Inmaculada García-Rodríguez; Sandra Mandic; Juan Palomares-Cuadros; Víctor Segura-Jiménez; Francisco Javier Huertas-Delgado Journal: BMC Public Health Date: 2017-09-26 Impact factor: 3.295
Authors: Justin B Moore; Russell L Carson; Collin A Webster; Camelia R Singletary; Darla M Castelli; Russell R Pate; Michael W Beets; Aaron Beighle Journal: Front Public Health Date: 2018-01-05