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| Name | Class |
|---|---|
| University of Victoria | OTHER |
| University of Waterloo | OTHER |
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Heart and Stroke Foundation of Canada |
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Childhood obesity is a major public health threat. Physical activity and healthy eating contribute to the maintenance of healthy weights. Individually oriented behaviour change programs may not be able to overcome the influence of what has been called an obesogenic environment. Action Schools! BC (AS! BC) used a socio-ecological approach to enhance opportunities for physical activity and healthy eating in elementary schools and created systemic change at the provincial level. AS! BC helps elementary schools customize action plans, based upon their local context, to contribute to the health and well-being of children and the school community. Pilot research showed that AS! BC was an effective and feasible model. The provincial dissemination of AS! BC has been launched and partners from across many sectors are involved to enhance the sharing of knowledge and increase the implementation of the AS! BC model across British Columbia. The dissemination provides an unprecedented opportunity for evaluating how changing the school environment can promoted healthy weights in children. The dissemination was evaluated using a cluster randomized design; 30 elementary schools (n = 1529 consented children) from four (out of five) provincial health authorities volunteered to participate.
The primary goals of the research are:
This research will contribute to the science of obesity prevention and knowledge use as well as public health practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual Practice | No Intervention | School continues with regular programming | |
| Action Schools! BC | Experimental | School adopts the AS!BC model |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Action Schools! BC | Behavioral | AS! BC applies a socioecological, whole school approach to promote healthy living within the elementary school context. Schools are provided with the tools and support needed to create customized action plans that promote physical activity (PA) and healthy living across six Action Zones (School Environment, Scheduled Physical Education (PE), Classroom Action, Family and Community, Extra-curricular, School Spirit). Generalist teachers receive training and resources to implement their Action Plan with the ultimate goal of providing students with 150 minutes of PA/week. The model is choice-based; teachers are asked to provide 15 additional minutes of PA/day within the Classroom Action Zone. The activities require minimal equipment and can be performed in the classroom, hallway or on the school playground. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity opportunities delivered (minutes/week) | School level; as measured by Weekly Teacher Logs and Interim Reports | |
| School environment scores | School level; as measured by a modified School Health Inventory | |
| Height (cm) | Student level | |
| Weight (kg) | Student level | |
| Body mass index (kg/m^2) | Student level | |
| Physical fitness (Fitnessgram (C)) | Student level | |
| Children's leisure time physical activity (PAQ-C) | Student level | |
| Children's dietary intake | Student level; 24 hour recall and food frequency survey | |
| Physical activity interventions planned | School level; as measured by Action Plans |
| Measure | Description | Time Frame |
|---|---|---|
| Contextual factors surrounding the use of the intervention | School level
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| PJ Naylor, PhD | University of Victoria | Principal Investigator |
| Heather A McKay, PhD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of British Columbia - Vancouver Coastal Health Research Institute | Vancouver | British Columbia | V5Z 1M9 | Canada | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16539801 | Background | Naylor PJ, Macdonald HM, Reed KE, McKay HA. Action Schools! BC: a socioecological approach to modifying chronic disease risk factors in elementary school children. Prev Chronic Dis. 2006 Apr;3(2):A60. Epub 2006 Mar 15. | |
| 16884957 | Background | Naylor PJ, Macdonald HM, Zebedee JA, Reed KE, McKay HA. Lessons learned from Action Schools! BC--an 'active school' model to promote physical activity in elementary schools. J Sci Med Sport. 2006 Oct;9(5):413-23. doi: 10.1016/j.jsams.2006.06.013. Epub 2006 Aug 1. |
| Label | URL |
|---|---|
| Intervention website | View source |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| OTHER |
| Ministry of Education, British Columbia | OTHER |
| Ministry of Health, British Columbia | OTHER_GOV |
| Ministry of Tourism, Sport and the Arts, British Columbia | OTHER |
| Provincial Health Services Authority British Columbia | OTHER |
| JW Sporta | UNKNOWN |
| 2010 Legacies Now | OTHER |
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|
| University of Victoria |
| Victoria |
| British Columbia |
| V8P 5C2 |
| Canada |
| 34068235 | Derived | Nettlefold L, Naylor PJ, Macdonald HM, McKay HA. Scaling up Action Schools! BC: How Does Voltage Drop at Scale Affect Student Level Outcomes? A Cluster Randomized Controlled Trial. Int J Environ Res Public Health. 2021 May 13;18(10):5182. doi: 10.3390/ijerph18105182. |
| 25312876 | Derived | McKay HA, Macdonald HM, Nettlefold L, Masse LC, Day M, Naylor PJ. Action Schools! BC implementation: from efficacy to effectiveness to scale-up. Br J Sports Med. 2015 Feb;49(4):210-8. doi: 10.1136/bjsports-2013-093361. Epub 2014 Oct 13. |
| 22673018 | Derived | Nettlefold L, McKay HA, Naylor PJ, Bredin SS, Warburton DE. The relationship between objectively measured physical activity, sedentary time, and vascular health in children. Am J Hypertens. 2012 Aug;25(8):914-9. doi: 10.1038/ajh.2012.68. |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |