What is needed to promote physical activity in a secondary school?
A qualitative study
DOI:
https://doi.org/10.22456/1982-8918.130358Keywords:
Physical Activity, Adolescents, Secondary School, Psycho-social InterventionAbstract
Interventions are required to modify physical activity behaviours in adolescents, and in this regard, education-based actions seem to be effective. The aim of this study was to explore the beliefs and perceptions of the context stakeholders with respect to adolescents’ health behaviours, as well as intervention programmes to gain insight into the setting where the implementation of an intervention is required. Three focus groups were created with twenty-two participants (nine adolescents, four parents, six teachers, and three local politicians). The educational context, in collaboration with the community, was perceived as a setting with high a potential for physical activity promotion. Engagement and coordination of all stakeholders were considered necessary for a tailored intervention, in addition to programme institutionalization to ensure sustainability. Multilevel intervention with a whole-school and community approach is key to increasing physical activity levels among adolescents.Downloads
References
ALCÁNTARA-PORCUNA, Vanesa et al. Parents’ perceptions on barriers and facilitators of physical activity among schoolchildren: a qualitative study. International Journal of Environmental Research and Public Health, v. 18, n. 6, p. 1–27, 2021. DOI: https://doi.org/10.3390/ijerph18063086
ALCÁNTARA-PORCUNA, Vanesa et al. Teachers’ perceptions of barriers and facilitators of the school environment for physical activity in schoolchildren: a qualitative study. Qualitative Research in Sport, Exercise and Health, v. 14, n. 7, p. 1113-1137, 2022. DOI: https://doi.org/10.1080/2159676X.2022.2037696
ARUNDELL, Lauren et al. A systematic review of the prevalence of sedentary behavior during the after-school period among children aged 5-18 years. International Journal of Behavioral Nutrition and Physical Activity, v. 13, article n. 93, p. 1–9, 2016. Available at: https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-016-0419-1. Accessed on: Nov. 3, 2023.
BASSETT, David R. et al. Estimated energy expenditures for school-based policies and active living. American Journal of Preventive Medicine, v. 44, n. 2, p. 108–113, 2013. DOI: https://doi.org/10.1016/j.amepre.2012.10.017
BAUMAN, Adrian E. et al. Correlates of physical activity: Why are some people physically active and others not? The Lancet, v. 380, n. 9838, p. 258–271, 2012. DOI: https://doi.org/10.1016/S0140-6736(12)60735-1
BERGSTRÖM, Helena et al. Factors influencing the implementation of a school-based parental support programme to promote health-related behaviours - Interviews with teachers and parents. BMC Public Health, v. 15, article n. 541, p. 1–9, 2015. DOI: https://doi.org/10.1186/s12889-015-1896-x
BRAUN, Virginia; CLARKE, Victoria. Conceptual and design thinking for thematic analysis. Qualitative Psychology, v. 9, n. 1, p. 3–26, 2022. DOI: https://doi.org/10.1037/qup0000196
BRAUN, Virginia; CLARKE, Victoria. Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, v. 11, n. 4, p. 589-597, 2019. DOI: https://doi.org/10.1080/2159676X.2019.1628806
BRAUN, Virginia; CLARKE, Victoria. Using thematic analysis in psychology. Qualitative Research in Psychology, v. 3, n. 2, p. 77–101, 2006. DOI: https://doi.org/10.1191/1478088706qp063oa
CARSON, Russell L.; WEBSTER, Collin A. Comprehensive school physical activity programs: putting research into evidence-based practice. Champaign, IL: Human Kinetics, 2019.
CHAPUT, Jean Philippe et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. International Journal of Behavioral Nutrition and Physical Activity, v. 17, article n. 141, p. 1–9, 2020. DOI: https://doi.org/10.1186/s12966-020-01037-z
CORDER, Kirsten et al. Development of a universal approach to increase physical activity among adolescents: The GoActive intervention. BMJ Open, v. 5, n. 8, p. 1–12, 2015. DOI: http://dx.doi.org/10.1136/bmjopen-2015-008610
CRANE, Melanie et al. Understanding the sustainment of population health programmes from a whole-of-system approach. Health Research Policy and Systems, v. 20, n. 37, p. 1–12, 2022. DOI: https://doi.org/10.1186/s12961-022-00843-0
CZOSNEK, Louise et al. Developing an implementation research logic model: using a multiple case study design to establish a worked exemplar. Implementation science communications, v. 3, article n. 90, 2022. DOI: https://doi.org/10.1186/s43058-022-00337-8
EDLER, Johanna Sophie et al. The role of personality traits and social support in relations of health-related behaviours and depressive symptoms. BMC Psychiatry, v. 22, article n. 52, 2022. DOI: https://doi.org/10.1186/s12888-022-03693-w
ELLIOTT, Eloise et al. Conducting a Systematic Needs Assessment for CSPAP Success. In: CARSON, Russell; WEBSTER, Collin (org.). Comprehensive School Physical Activity Programs: Putting Research Into Evidence-based Practice: Champaign, IL: Human Kinetics, 2019. p. 231–246.
FERNHALL, Bo; BORGHI-SILVA, Audrey; BABU, Abraham S. The future of physical activity research: funding, opportunities and challenges. Progress in Cardiovascular Diseases, v. 57, n. 4, p. 299-305, 2015. DOI: https://doi.org/10.1016/j.pcad.2014.09.003
GUBA, Egon G. Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology, v. 29, n. 2, p. 75–91, 1981. Available at: http://www.jstor.org/stable/30219811. Accessed on: Nov. 4, 2023.
GUTHOLD, Regina et al. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. The Lancet Child and Adolescent Health, v. 4, n. 1, p. 23–35, 2020. DOI: https://doi.org/10.1016/S2352-4642(19)30323-2
HAERENS, Leen et al. Formative research to develop the IDEFICS physical activity intervention component: Findings from focus groups with children and parents. Journal of Physical Activity and Health, v. 7, n. 2, p. 246–256, 2010. DOI: https://doi.org/10.1123/jpah.7.2.246
HERLITZ, Lauren et al. The sustainability of public health interventions in schools: a systematic review. Implementation Science, v. 15, n. 4, p. 1–28, 2020. https://doi.org/10.1186/s13012-019-0961-8
HILLS, Andrew P.; DENGEL, Donald R.; LUBANS, David R. Supporting public health priorities: recommendations for physical education and physical activity promotion in schools. Progress in Cardiovascular Diseases, v. 57, n. 4, p. 368–374, 2015. DOI: https://doi.org/10.1016/j.pcad.2014.09.010
HINKLEY, Trina; MCCANN, Jennifer R. Mothers’ and fathers’ perceptions of the risks and benefits of screen time and physical activity during early childhood: a qualitative study. BMC Public Health, v. 18, n. 1 p. 1271, 2018. DOI: https://doi.org/10.1186/s12889-018-6199-6
HUNT, Pete et al. A whole school approach: collaborative development of school health policies, processes, and practices. Journal of School Health, v. 85, n. 11, p. 802–809, 2015. DOI: https://doi.org/10.1111/josh.12305
KING, Diane K. et al. Planning for implementation success using RE-AIM and CFIR frameworks: a qualitative study. Frontiers in Public Health, v. 8, 2020. DOI: https://doi.org/10.3389/fpubh.2020.00059
KOHL, Harold W.; COOK, Heather D. Educating the student body. Washington, DC: National Academies Press, 2013. DOI: https://doi.org/10.17226/18314
KWAN, Bethany M. et al. Designing for Dissemination and Sustainability to Promote Equitable Impacts on Health. Annual Review of Public Health, v. 43, p. 331–353, 2022. DOI: https://doi.org/10.1146/annurev-publhealth-052220-112457
LANGFORD, Rebecca et al. The World Health Organization’s Health promoting schools framework: a Cochrane systematic review and meta-analysis. BMC Public Health, v. 15, article n. 130, p. 1–15, 2015. DOI: https://doi.org/10.1186/s12889-015-1360-y
LIU, Kiki S.N. et al. How does the family influence adolescent eating habits in terms of knowledge, attitudes and practices? a global systematic review of qualitative studies. Nutrients, v. 13, n. 11, p. 3717, 2021. DOI: https://doi.org/10.3390/nu13113717
LOVE, Rebecca; ADAMS, Jean; VAN SLUIJS, Esther M.F. Are school-based physical activity interventions effective and equitable? A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity. Obesity Reviews, v. 20, n. 6, p. 859–870, 2019. DOI: https://doi.org/10.1111/obr.12823
MCHALE, Fiona et al. Implementation evaluation of an Irish secondary-level whole school programme: a qualitative inquiry. Health promotion international, v. 37, n. 5, 2022. DOI: https://doi.org/10.1093/heapro/daac131
MCMULLEN, Jaimie et al. International Approaches to Whole-of-School Physical Activity Promotion. Quest, v. 67, n. 4, p. 384–399, 2015. DOI: https://doi.org/10.1080/00336297.2015.1082920
MURILLO-PARDO, Berta et al. Data for action: the use of formative research to design a school-based intervention programme to increase physical activity in adolescents. Global Health Promotion, v. 22, n. 3, p. 45–54, 2014. DOI: https://doi.org/10.1177/1757975914547202
POWELL, Byron J. et al. Enhancing the impact of implementation strategies in healthcare: A research agenda. Frontiers in Public Health, v. 7, 2019. DOI: https://doi.org/10.3389/fpubh.2019.00003
ROLLO, Scott; ANTSYGINA, Olga; TREMBLAY, Mark S. The whole day matters: understanding 24-hour movement guideline adherence and relationships with health indicators. Journal of Sport and Health Science, v. 9, n. 6, p. 493-510, 2020. DOI: https://doi.org/10.1016/j.jshs.2020.07.004
SALLIS, James F. Needs and Challenges Related to Multilevel Interventions: Physical Activity Examples. Health Education and Behavior, v. 45, n. 5, p. 661-667, 2018. DOI: https://doi.org/10.1177/1090198118796458
SALLIS, James F. et al. An ecological approach to creating active living communities. Annual Review of Public Health, v. 27, p. 297–322, 2006. Available at: https://pubmed.ncbi.nlm.nih.gov/16533119/. Accessed on: Nov. 4, 2023.
SHE - SCHOOLS FOR HEALTH IN EUROPE. European Standards & Indicators for Health Promoting Schools. Haderslev: Schools for Health in Europe, 2019. Available at: https://www.schoolsforhealth.org/sites/default/files/editor/Teachers%20resources/european_standards_and_indicators_on_hps_en.pdf. Accessed on: Nov. 5, 2023.
SHENTON, Andrew K. Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, v. 22, p. 63-75, 2004. Available at: https://www.pm.lth.se/fileadmin/_migrated/content_uploads/Shenton_Trustworthiness.pdf. Accessed on: Nov. 5, 2023.
SINGH, Amika S. et al. Effects of physical activity interventions on cognitive and academic performance in children and adolescents: a novel combination of a systematic review and recommendations from an expert panel. British Journal of Sports Medicine, v. 53, n. 10, p. 640–647, 2019. DOI: http://dx.doi.org/10.1136/bjsports-2017-098136
SUTHERLAND, Rachel L. et al. The physical activity 4 everyone cluster randomized trial: 2-year outcomes of a school physical activity intervention among adolescents. American Journal of Preventive Medicine, v. 51, n. 2, p. 195–205, 2016. DOI: https://doi.org/10.1016/j.amepre.2016.02.020
TABAK, Rachel G. et al. Bridging research and practice: Models for dissemination and implementation research. American Journal of Preventive Medicine, v. 43, n. 3, p. 337–350, 2012. DOI: https://doi.org/10.1016/j.amepre.2012.05.024
TELAMA, Risto et al. Tracking of physical activity from early childhood through youth into adulthood. Medicine and Science in Sports and Exercise, v. 46, n. 5, p. 955–962, 2014. DOI: https://doi.org/10.1249/MSS.0000000000000181
TIBBITTS, Byron et al. Considerations for individual-level versus whole-school physical activity interventions: stakeholder perspectives. International Journal of Environmental Research and Public Health, v. 18, n. 14, p. 7628, 2021. DOI: https://doi.org/10.3390/ijerph18147628
TRACY, Sarah J. Qualitative quality: eight “big-tent” criteria for excellent qualitative research. Qualitative Inquiry, v. 16, n. 10, p. 837–851, 2010. DOI: https://doi.org/10.1177/1077800410383121
TREMBLAY, Mark S. et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, v. 8, article n. 98, 2011. DOI: https://doi.org/10.1186/1479-5868-8-98
VERLOIGNE, Maïté et al. Bidirectional associations between sedentary time and sleep duration among 12- to 14-year-old adolescents. BMC Public Health, v. 21, article n. 1673, 2021. DOI: https://doi.org/10.1186/s12889-021-11694-9
VERLOIGNE, Maïté et al. Variation in population levels of sedentary time in European children and adolescents according to cross-European studies: a systematic literature review within DEDIPAC. International Journal of Behavioral Nutrition and Physical Activity, v. 13, article n. 69, 2016. DOI: https://doi.org/10.1186/s12966-016-0395-5
WALUGEMBE, David Roger et al. Sustainability of public health interventions: where are the gaps? Health Research Policy and Systems, v. 17, n. 8, 2019. DOI: https://doi.org/10.1186/s12961-018-0405-y
WATSON, Amanda et al. Effect of classroom-based physical activity interventions on academic and physical activity outcomes: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, v. 14, n. 1, p. 114, 2017. DOI: https://doi.org/10.1186/s12966-017-0569-9
WHO - WORLD HEALTH ORGANIZATION. Making every school a health-promoting school: implementation guidance. Geneva: WHO, 2021. Available at: https://www.who.int/publications/i/item/9789240025073. Accessed on: Nov 5, 2023.
WHO - WORLD HEALTH ORGANIZATION. WHO Guidelines on physical activity and sedentary behaviour. Geneva, WHO, 2020. Available at: https://www.who.int/publications/i/item/9789240015128. Accessed on: Nov. 5, 2023.
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