Developing a core outcome set for physical activity interventions in primary schools: a modified-Delphi study.
Creators: name: Ram, Bina
name: Foley, Kimberley A
name: Van Sluijs, Esther
name: Hargreaves, Dougal S
name: Viner, Russell M
name: Saxena, Sonia
Publisher: name: Apollo - University of Cambridge Repository
Year: 2022
Subjects: Public health
1506
1724
Community child health
PUBLIC HEALTH
EPIDEMIOLOGY

description: Peer reviewed: True
description: Acknowledgements: The authors are grateful for support from the National Institute for Health Research (NIHR) School for Public Health Research (SPHR) and the NIHR Applied Research Collaboration Northwest London (ARC NWL). This paper is independent research supported by the NIHR ARC NWL. The authors thank their steering committee for their input and guidance and Esta Orchard for facilitating the children’s workshop and stakeholder meeting. The authors thank all the participants who took part in the study including Molly Adkin, Teatske Altenburg, Thomas Beaney, CÃ-ntia Botton, Anna Chalkley, Paul Chapman, Lotte de Vries, Stuart Fairclough, Lawrence Foweather, Chris Gale, Charan Gill, Muhamet Halilaj, Deirdre Harrington, Frances Hillier-Brown, Josie Hopkins, Daniel Katon, Michelle Kelly-Irving, Amy King, Edward Maile, Natalie McConnon, Catherine McKay, Colin Moran, Francesca Neale, Dasha Nicholls, Nikita Punjabi, Anelise Reis Gaya, Mairead Ryan, Tajvir Singh, Jorien Slot-Heijs, Rodrigo Sudatti Delevatti, Cathryn Taylor, Shannon Tessier, Daniel Umpierre, Esther van Sluijs, Tishya Venkatraman, Julian Winn, Kathryn Woods-Townsend, Callum Wright, Maddie Yang. We would also like to thank the children, the PE specialist teacher (Mr Alex Wilke) and the head teacher (Mr Raphael Moss) at Elsley Primary School. The authors thank The Daily Mile Foundation for funding and support.
description: OBJECTIVES: To develop a core outcome set (COS) for physical activity interventions in primary schools. DESIGN: Modified-Delphi study. SETTING: The UK and international. PARTICIPANTS: 104 participants from four stakeholder groups (educators, public health professionals, health researchers, parents); 16 children (aged 8-9 years) from 1 London primary school. INTERVENTIONS: Physical activity interventions. METHODS: Four-stage process: (1) outcomes extracted from relevant studies identified from an umbrella review and a focus group; (2) list of outcomes produced and domains established; (3) stakeholders completed a two-round Delphi survey by rating (Round 1) and re-rating (Round 2) each outcome on a nine-point Likert Scale from 'not important' to 'critical': a&gt;70% participant threshold identified the outcomes rated 'critical' to measure, and outcomes important to children were identified through a workshop; and (4) a stakeholder meeting to achieve consensus of the outcomes to include in the COS. RESULTS: In total, 74 studies were extracted from 53 reviews. A list of 50 outcomes was produced and three domains were established: 'physical activity and health' (16 outcomes), 'social and emotional health' (22 outcomes) and 'educational performance' (12 outcomes). 104 participants completed survey Round 1; 65 participants completed both rounds. In total, 13 outcomes met the threshold; children identified 8 outcomes. Fourteen outcomes achieved consensus to produce the COS: five outcomes for physical activity and health (diet (varied and balanced), energy, fitness, intensity of physical activity, sleep (number of hours)); seven outcomes for social and emotional health (anxiety, depression, enjoyment, happiness, self-esteem, stress, well-being); and two outcomes for educational performance (concentration, focus). CONCLUSIONS: We have developed the first COS for physical activity interventions in primary schools in consultation with those interested in the development and application of an agreed standardised set of outcomes. Future studies including these outcomes will reduce heterogeneity across studies. TRIAL REGISTRATION NUMBER: Core Outcome Measures in Effectiveness Trials Initiative registration number 1322; Results.