An active play intervention to improve physical activity and fundamental movement skills in children of low socio-economic status: Feasibility cluster randomised controlled trial

Avril Johnstone*, Adrienne R. Hughes, Lizann Bonnar, Josie N. Booth, John J. Reilly

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Active play is a novel approach to addressing low physical activity levels and fundamental movement skills (FMS) in childhood and new interventions must be developed and evaluated.
Aim: This study aimed to determine the feasibility of a 10-week school-based ‘Active Play’ intervention, and present preliminary findings on four outcomes: physical activity levels, FMS, inhibition, and maths fluency.
Methods: This was a feasibility cluster RCT in which eight schools (one primary 3 class per school) were paired and randomly allocated to either the 10-week intervention (n=4) or waiting-list control (n=4). The Active Play intervention consisted of a 1-hour outdoor physical activity session per week, incorporating 30 minutes of facilitated games and 30 minutes of free play. Feasibility measures were gathered using appropriate methods and physical activity was measured using an ActiGraph GT3X accelerometer, FMS were assessed using the Test of Gross Motor Development-2 (TGMD-2), inhibition was measured using a Flanker Test and maths fluency was assessed using the One Minute Basic Number Facts Test.
Results: 66% of eligible children (n=137) agreed to participate in the research. No schools withdrew from the study and three participants were lost to follow-up. Compliance to the intervention was high- none of the participants missed more than two of the 10 scheduled Active Play sessions. Data lost to follow-up were minimal; most were lost (14%) for school day physical activity. Active play sessions were shorter than planned on average by 10-minutes, and participants spent a mean of 39.4% (14.2) of the session time in moderate-to-vigorous-intensity physical activity (MVPA). There was preliminary evidence of a small intervention effect on MVPA (d= 0.3), FMS score (d= 0.4), inhibition (fish trial: d=0.1, arrow trial d= 0.1) and maths fluency (addition: d= 0.3, subtraction: d= 0.1).
Conclusion: The Active Play intervention was feasible and benefited from a relatively high MVPA content; however, preliminary findings suggest the intervention had a small effect on the outcomes. Having more Active Play sessions per week and/or extending the duration of the intervention may increase the effects and should be tested in a future definitive cluster RCT.
Trial registration: This trial was registered on the International Standardised Randomised Controlled Trials Number Register (ISRCTN) in August 2017 (ISRCTN11607781).
Original languageEnglish
Article number45
Pages (from-to)1-13
Number of pages13
JournalPilot and Feasibility Studies
Volume5
Issue number1
Early online date14 Mar 2019
DOIs
Publication statusPublished - Dec 2019

Keywords

  • active play
  • physical activity
  • moderate-to-vigorous physical activity
  • fundamental movement skills
  • inhibition
  • academic attainment

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