Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 24-month implementation and cost outcomes from a cluster randomised controlled trial Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.1186/s12966-021-01206-8
Background Physical Activity 4 Everyone (PA4E1) is an evidence-based program effective at increasing adolescent physical activity (PA) and improving weight status. This study aimed to determine a) the effectiveness of an adapted implementation intervention to scale-up PA4E1 at 24-month follow-up, b) fidelity and reach, and c) the cost and cost-effectiveness of the implementation support intervention. Methods A cluster randomised controlled trial using a type III hybrid implementation-effectiveness design in 49 lower socio-economic secondary schools, randomised to a program ( n = 24) or control group ( n = 25). An adapted implementation intervention consisting of seven strategies was developed to support schools to implement PA4E1 over 24-months. The primary outcome was the proportion of schools implementing at least four of the 7 PA practices, assessed via computer assisted telephone interviews (CATI) with Head Physical Education Teachers. Secondary outcomes included the mean number of PA practices implemented, fidelity and reach, cost and cost-effectiveness. Logistic regression models assessed program effects. Results At baseline, no schools implemented four of the 7 PA practices. At 24-months, significantly more schools in the program group (16/23, 69.6%) implemented at least four of the 7 PA practices than the control group (0/25, 0%) ( p < 0.001). At 24-months, program schools were implementing an average of 3.6 more practices than control schools (4.1 (1.7) vs. 0.5 (0.8), respectively) ( P < 0.001). Fidelity and reach of the implementation intervention were high (> 75%). The total cost of the program was $415,112 AUD (2018) ($17,296 per school; $117.30 per student). Conclusions The adapted implementation intervention provides policy makers and researchers with an effective and potentially cost-effective model for scaling-up the delivery of PA4E1 in secondary schools. Further assessment of sustainability is warranted. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12617000681358 prospectively registered 12th May 2017.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12966-021-01206-8
- https://ijbnpa.biomedcentral.com/track/pdf/10.1186/s12966-021-01206-8
- OA Status
- gold
- Cited By
- 26
- References
- 27
- Related Works
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- OpenAlex ID
- https://openalex.org/W4207011876
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4207011876Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12966-021-01206-8Digital Object Identifier
- Title
-
Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 24-month implementation and cost outcomes from a cluster randomised controlled trialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-10-23Full publication date if available
- Authors
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Rachel Sutherland, Elizabeth Campbell, Matthew Mclaughlin, Nicole Nathan, Luke Wolfenden, David R. Lubans, Philip J. Morgan, Karen Gillham, Christopher Oldmeadow, Andrew Searles, Penny Reeves, Mandy Williams, Nicole Evans, Andrew Bailey, James Boyer, Christophe Lecathelinais, Lynda Davies, Tom McKenzie, Katie Robertson, John WiggersList of authors in order
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https://doi.org/10.1186/s12966-021-01206-8Publisher landing page
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https://ijbnpa.biomedcentral.com/track/pdf/10.1186/s12966-021-01206-8Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://ijbnpa.biomedcentral.com/track/pdf/10.1186/s12966-021-01206-8Direct OA link when available
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Cluster randomised controlled trial, Medicine, Randomized controlled trial, Physical therapy, Fidelity, Intervention (counseling), Cost effectiveness, Cluster (spacecraft), Nursing, Computer science, Risk analysis (engineering), Surgery, Programming language, TelecommunicationsTop concepts (fields/topics) attached by OpenAlex
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26Total citation count in OpenAlex
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2025: 2, 2024: 14, 2023: 8, 2022: 2Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| cited_by_percentile_year.min | 94 |
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| institutions_distinct_count | 20 |
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