Introducing physically active lessons in UK secondary schools: feasibility study and pilot cluster-randomised controlled trial
View/ Open
gammon_et_al_2019 (714.6Kb)
Download
Publication date
2019-05Author
Gammon, C.Morton, K.
Atkin, A.
Corder, K.
Daly-Smith, Andy
Quarmby, T.
Suhrcke, M.
Turner, D.
van Sluijs, E.
Keyword
Physical activitySecondary schools
United Kingdom
UK
Physically Active Lessons
PAL
Training programme
Teachers
Rights
(c) 2019 The Authors and/or their employers. This is an Open Access article distributed under the Creative Commons CC-BY-NC license (https://creativecommons.org/licenses/by-nc/4.0/)Peer-Reviewed
YesOpen Access status
openAccessAccepted for publication
2019-02-18
Metadata
Show full item recordAbstract
Assess feasibility, acceptability and costs of delivering a physically active lessons (PAL) training programme to secondary school teachers and explore preliminary effectiveness for reducing pupils' sedentary time. Secondary schools in East England; one school participated in a pre-post feasibility study, two in a pilot cluster-randomised controlled trial. In the pilot trial, blinding to group assignment was not possible. Across studies, 321 randomly selected students (51% male; mean age: 12.9 years), 78 teachers (35% male) and 2 assistant head teachers enrolled; 296 (92%) students, 69 (88%) teachers and 2 assistant head teachers completed the studies. PAL training was delivered to teachers over two after-school sessions. Teachers were made aware of how to integrate movement into lessons; strategies included students collecting data from the environment for class activities and completing activities posted on classroom walls, instead of sitting at desks. Quantitative and qualitative data were collected to assess feasibility and acceptability of PAL training and delivery. Outcomes were assessed at baseline and ~8 weeks post-training; measures included accelerometer-assessed activity, self-reported well-being and observations of time-on-task. Process evaluation was conducted at follow-up. In the feasibility study, teachers reported good acceptability of PAL training and mixed experiences of delivering PAL. In the pilot study, teachers' acceptability of training was lower and teachers identified aspects of the training in need of review, including the outdoor PAL training and learning challenge of PAL strategies. In both studies, students and assistant head teachers reported good acceptability of the intervention. Preliminary effectiveness for reducing students' sedentary time was not demonstrated in either study. No evidence of preliminary effectiveness on the primary outcome and mixed reports of teachers' acceptability of PAL training suggest the need to review the training. The results do not support continuation of research with the current intervention. ISRCTN38409550.Version
Published versionCitation
Gammon C, Morton K, Atkin A et al (2019) Introducing physically active lessons in UK secondary schools: feasibility study and pilot cluster-randomised controlled trial. BMJ Open. 9(5): 025080.Link to Version of Record
https://doi.org/10.1136/bmjopen-2018-025080Type
Articleae974a485f413a2113503eed53cd6c53
https://doi.org/10.1136/bmjopen-2018-025080