Objective Assessment of Physical Activity in Before-school Physical Activity Programs

Study Overview
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Brief Summary
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This study will determine the effectiveness of a free before-school physical activity program, BOKS (Build Our Kids' Success), in increasing objectively measured physical activity levels among children in elementary and middle school in 7 schools in Massachusetts.

Detailed Description
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This study will determine the effectiveness of a free before-school physical activity program, BOKS (Build Our Kids' Success), in increasing objectively measured physical activity levels among children in elementary and middle school in 7 schools in Massachusetts. The study focuses on capturing valid and objective assessments of student-level physical activity during BOKS program time and assessing the impact of the BOKS program on overall daily physical activity levels using minute-by-minute physical activity level data among elementary aged students. Data is also collected to understand how increasing physical activity may impact students' sleep.

Official Title
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Objective Assessment of Physical Activity in Before-school Physical Activity Programs

Conditions
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Physical Activity, Sleep

Intervention / Treatment
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* Behavioral: Before School Physical Activity Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Attending public elementary and middle school in two selected Massachusetts communities with BOKS programming Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention<br>Students in grades K-6 at 7 schools in two communities participating in a before school physical activity program offered at no cost to participating families that focuses on engaging elementary and middle school students in physical activity, skill development and brief nutrition education sessions. . | Behavioral: Before School Physical Activity Program<br>* BOKS is a before school physical activity program offered at no cost to participating families that focuses on engaging elementary and middle school students in physical activity, skill development and brief nutrition education sessions that prepare them for a day of learning. The BOKS curriculum includes 12 weeks of instruction and 40 minutes of structured kid-friendly activities that include warm-ups, skill of the week, running, relay and obstacle course activities and nutritional tips. The BOKS team provides training for BOKS leaders free of charge each month. BOKS is currently being used in more than 1,800 schools in the US and Canada.<br>* Other names: Build Our Kids Success (BOKS);|
| No Intervention: Comparison<br>Students in grades K-6 at the same 7 schools in two communities as the intervention participants, but who did not participate in the before school physical activity program. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total steps per day | The primary outcome measure is a physical activity measure of how many steps per day participants took. | Participants wore a Fitbit activity monitor for up to 5 school days beginning with the before school period simultaneously for 24 hours/day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Active minutes | A secondary outcome measure is a measure of how many minutes participants spent in light, moderate and vigorous activity per day. | Participants wore a Fitbit activity monitor for up to 5 school days beginning with the before school period simultaneously for 24 hours/day | 
| Sleep duration | A secondary outcome measure is the amount of time participants spent asleep each night, measured by a Fitbit activity monitor, which collects a measure of total sleep time. | Participants wore Fitbit activity monitors for 24 hours for up to 5 school days |