Clinical trial NCT03817047: The Effect of Increased Physical Activity on Adolescents' Health and Academic Performance: The School in Motion Study
Official title: A Cluster-randomized Controlled Trial Evaluating the Effect of Increased Physical Education and Physical Activity on Adolescents' Physical and Mental Health, Academic Performance and Learning Environment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Activity
Academic Achievement
Mental Health
Keywords: Adolescents
Physical activity
Physical fitness
Academic performance
Cluster RCT
Mental health
Secondary school
Physical education
Physical active educational lessons
Accelerometer
Lead sponsor: Norwegian School of Sport Sciences
Sponsor class: OTHER
Collaborators: name: University of Stavanger
name: University of Agder
name: Western Norway University of Applied Sciences
First posted: 2019-01-25
Enrollment: 2045
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This is a cluster-randomized trial with three parallel arms
Primary purpose: PREVENTION

Brief summary: This study evaluates the effect of 120 minutes extra of physical education (PE) or physical activity (PA) on adolescents' physical health, mental health, academic performance and learning environment. This is a cluster-randomized controlled trial with three arms, where the participants in two of the groups will have different models of increased PE/PA during the school week, whereas the participants in the third arm is the control group including current practice.

Detailed description: This is a school-based, three-arm cluster randomized controlled trial (RCT) recruiting adolescents from secondary schools in Norway. Adolescents (aged 14-15 years) were the unit of analysis, and schools (clusters) were randomly assigned to one of three conditions:

1. the physical active learning group (PAL-group), where the schools each week include one additional physical education (PE) lesson, 30 minutes of physical active learning, and 30 minutes of physical activity (intervention condition);
2. the don't worry - be happy group (DWBH-group), where the schools include one new activity class (60 minutes: Be Happy class) and one additional PE-class (60 minutes: Don't Worry class) per week (intervention condition);or
3. current practice (control condition). An identical set of outcome measures are taken from all participants at baseline, and approximately 12 months after the baseline measures, when the participants were at the end of year 9

Eligibility criteria: Inclusion Criteria:

* Subjects enrolled in 9th grade

Exclusion Criteria:

* None

Primary outcomes:
measure: Mean physical activity level
timeFrame: Measured baseline and after 12 months
Secondary outcomes:
measure: Time spent in moderate-to-vigorous physical activity (MVPA)
timeFrame: Measured baseline and after 12 months
measure: Time spent sedentary
timeFrame: Measured baseline and after 12 months
measure: Sedentary behaviour
timeFrame: Measured baseline and after 12 months
measure: Upper limb strength
timeFrame: Measured baseline and after 12 months
measure: Explosive strength in the lower body
timeFrame: Measured baseline and after 12 months
measure: Abdominal muscle endurance
timeFrame: Measured baseline and after 12 months
measure: Cardiorespiratory fitness
timeFrame: Measured baseline and after 12 months
measure: Academic performance in reading
timeFrame: Measured baseline and after 9 months
measure: Academic performance in numeracy
timeFrame: Measured baseline and after 9 months
measure: Overall psychosocial problems and strengths
timeFrame: Measured baseline and after 12 months
measure: Adolescents' subjective health and well-being
timeFrame: Measured baseline and after 12 months
measure: The adolescents domain specific self-evaluation of competence or adequacy
timeFrame: Measured baseline and after 12 months
measure: Symptoms of anxiety and depression
timeFrame: Measured baseline and after 12 months
measure: Learning environment in the classroom
timeFrame: Measured baseline and after 12 months
measure: School environment
timeFrame: Measured baseline and after 12 months
Other outcomes:
measure: Body mass index
timeFrame: Measured baseline and after 12 months
measure: Waist circumference
timeFrame: Measured baseline and after 12 months
measure: Satisfaction of basic psychological needs
timeFrame: Measured baseline and after 12 months
measure: Emotional responses to physical education
timeFrame: Measured baseline and after 12 months
measure: Eagerness to join physical education
timeFrame: Measured baseline and after 12 months
Locations:
city: Oslo
country: Norway
facility: Norwegian School of Sport Sciences
Study officials:
affiliation: Norwegian School of Sport Sciences
name: Elin Kolle, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Malnes L, Haugen T, Hansen BH, Kolle E, Berntsen S. Establishing the Convergent Validity of the Travel Habit Questions in the Health Behavior in School-Aged Children Questionnaire by Quantifying Active Travel in Norwegian Adolescents. Front Sports Act Living. 2022 Apr 6;4:761723. doi: 10.3389/fspor.2022.761723. eCollection 2022.
citation: Neil-Sztramko SE, Caldwell H, Dobbins M. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database Syst Rev. 2021 Sep 23;9(9):CD007651. doi: 10.1002/14651858.CD007651.pub3.
citation: Solberg RB, Steene-Johannessen J, Anderssen SA, Ekelund U, Safvenbom R, Haugen T, Berntsen S, Avitsland A, Lerum O, Resaland GK, Kolle E. Effects of a school-based physical activity intervention on academic performance in 14-year old adolescents: a cluster randomized controlled trial - the School in Motion study. BMC Public Health. 2021 May 6;21(1):871. doi: 10.1186/s12889-021-10901-x.
citation: Kolle E, Solberg RB, Safvenbom R, Dyrstad SM, Berntsen S, Resaland GK, Ekelund U, Anderssen SA, Steene-Johannessen J, Grydeland M. The effect of a school-based intervention on physical activity, cardiorespiratory fitness and muscle strength: the School in Motion cluster randomized trial. Int J Behav Nutr Phys Act. 2020 Nov 26;17(1):154. doi: 10.1186/s12966-020-01060-0.
citation: Avitsland A, Leibinger E, Haugen T, Lerum O, Solberg RB, Kolle E, Dyrstad SM. The association between physical fitness and mental health in Norwegian adolescents. BMC Public Health. 2020 May 24;20(1):776. doi: 10.1186/s12889-020-08936-7.