TY  - JOUR
PY  - 2018//
TI  - Effectiveness of the 'Girls Active' school-based physical activity programme: a cluster randomised controlled trial
JO  - International journal of behavioral nutrition and physical activity
A1  - Harrington, Deirdre M.
A1  - Davies, Melanie J.
A1  - Bodicoat, Danielle H.
A1  - Charles, Joanna M.
A1  - Chudasama, Yogini V.
A1  - Gorely, Trish
A1  - Khunti, Kamlesh
A1  - Plekhanova, Tatiana
A1  - Rowlands, Alex V.
A1  - Sherar, Lauren B.
A1  - Tudor Edwards, Rhiannon
A1  - Yates, Thomas
A1  - Edwardson, Charlotte L.
SP  - e40
EP  - e40
VL  - 15
IS  - 1
N2  - BACKGROUND: Globally, adolescent girls' physical activity (PA) levels are low. The 'Girls Active' secondary school-based programme, developed by the Youth Sport Trust, aims to increase PA in adolescent girls. This paper explores the effectiveness of the 'Girls Active' school-based PA programme. <br><br>METHODS: A random sample of girls aged 11-14 from 20 secondary schools (Midlands, UK) participated in a two-arm cluster randomised controlled trial. Ten schools received Girls Active and 10 continued with usual practice. Measurements were taken at baseline, seven- and 14-month follow-up. PRIMARY OUTCOME: wrist-worn accelerometer measured moderate- to vigorous-intensity PA (MVPA). SECONDARY OUTCOMES: overall PA, light PA, sedentary time, body composition, and psychosocial outcomes. Generalised estimating equations, adjusted for school cluster and potential confounders, were used and A priori subgroup analysis was undertaken. Micro-costing and cost-consequence analyses were conducted using bespoke collection methods on programme delivery information. Outcomes for the cost-consequence analysis were health related quality of life measured by the Child Health Utility-9D and service use. <br><br>RESULTS: Overall, 1752 pupils participated, 1211 (69.1%) provided valid 14-month accelerometer data. No difference in MVPA (mins/day; 95% confidence intervals) was found at 14 months (1.7; -0.8 to 4.3), there was at seven months (2.4; 0.1 to 4.7). Subgroup analyses showed significant intervention effects on 14-month in larger schools (3.9; 1.39 to 6.09) and in White Europeans (3.1; 0.60 to 6.02) and in early maturers (5.1; 1.69 to 8.48) at seven months. The control group did better in smaller schools at 14-months (-4.38; -7.34 to -1.41). Significant group differences were found in 14-month identified motivation (-0.09; -0.18 to -0.01) and at seven months in: overall PA (1.39 mg/day; 0.1 to 2.2), after-school sedentary time (-4.7; -8.9 to -0.6), whole day (5.7; 1.0 to 10.5) and school day (4.5; 0.25 to 8.75) light PA, self-esteem. Small, statistically significant, differences in some psychosocial variables favoured control schools. Micro-costing demonstrated that delivering the programme resulted in a range of time and financial costs at each school. Cost-consequence analysis demonstrated no effect of the programme for health related quality of life or service use. <br><br>CONCLUSIONS: Compared with usual practice, 'Girls Active' did not affect 14-month MVPA. TRIAL REGISTRATION: ISRCTN10688342.<p />  <p>Language: en</p>
LA  - en
SN  - 1479-5868
UR  - http://dx.doi.org/10.1186/s12966-018-0664-6
ID  - ref1
ER  -