Developing and Testing an Implementation Strategy for Act... | NCT05048433

ID	Type	Description	Link
K01HL151817	U.S. NIH Grant/Contract		View source

Status Module

Name	Class
National Heart, Lung, and Blood Institute (NHLBI)	NIH

Oversight Module

Description Module

Design Module

Interventional Study Design

Biospecimen

No data available

No data is available for this block.

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
Implementation strategy for active learning to promote physical activity	Experimental		Behavioral: Implementation strategy for active learning to promote physical activity
Usual implementation support	Active Comparator		Behavioral: Usual implementation support

Interventions

Name	Type	Description	Arm Group Labels	Other Names
Implementation strategy for active learning to promote physical activity	Behavioral	The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)	The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.	Baseline
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)	The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.	Approximately 7 months after baseline
Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)	The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.	Approximately 13 months after baseline
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery	Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.	Baseline
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery	Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per week of active learning used.	Approximately 7 months after baseline
Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

Eligibility Module

Name	Affiliation	Role
Timothy J Walker, PhD	The University of Texas Health Science Center, Houston	Principal Investigator

Facility	Status	City	State	ZIP	Country	Contacts
The University of Texas Health Science Center at Houston		Houston	Texas	77030	United States

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
41310531	Derived	Walker TJ, Craig DW, Pfledderer CD, Lee M, Onadeko K, Saving EE, Bartholomew JB, Fernandez ME. Feasibility and acceptability of an implementation strategy to enhance use of classroom-based physical activity approaches in elementary schools: a mixed methods study. BMC Public Health. 2025 Nov 27;26(1):36. doi: 10.1186/s12889-025-25333-0.
35256018	Derived	Walker TJ, Kohl HW 3rd, Bartholomew JB, Green C, Fernandez ME. Using Implementation Mapping to develop and test an implementation strategy for active learning to promote physical activity in children: a feasibility study using a hybrid type 2 design. Implement Sci Commun. 2022 Mar 7;3(1):26. doi: 10.1186/s43058-022-00271-9.

Results Section

Participant Flow Module

Arm/Group Information

ID	Title	Description
FG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.

Baseline Characteristics Module

Outcome Measures Module

Adverse Events Module

More Info Module

Type	Includes Protocol	Includes SAP	Includes ICF	Document Label	Document Date	Document Uploaded Date	Document File Name
Prot_SAP	Yes	Yes	No	Study Protocol and Statistical Analysis Plan	Oct 22, 2025

Arm/Group Information

ID	Title	Description
BG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
BG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.
BG002	Total	Total of all reporting groups

Units	Counts
Participants	BG000159 BG001142 BG002301

Baseline Measures

Title

Description

Population Description

Parameter Type

Dispersion Type

Unit of Measure

Calculate Percentage

Denominator Units Selected

Denominators

Classes

Age, Continuous

Data were not collected from 6 Teacher participants in the Usual implementation support arm because 3 teacher participants did not complete the survey and 3 did not answer this question. Baseline data were not collected for 1 child participant in each arm because the study team was unable to obtain the required information from the school partners. As a result, these participants were not included in the baseline analysis for age.

Mean

Standard Deviation

years

Title

Denominators

Categories

Title	Measurements
	OG0004.7± 0.4 OG0014.3± 1

Primary

Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)

The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.

Data were only collected from Teacher Participants who completed the survey.

Posted

Mean

Standard Deviation

score on a scale

Approximately 7 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Primary

Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)

The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.

Data were only collected from Teacher Participants who completed the survey.

Posted

Mean

Standard Deviation

score on a scale

Approximately 13 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Primary

Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.

Data were only collected from Teacher Participants who completed the self-reported implementation log.

Posted

Mean

Standard Deviation

minutes per day

Baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Primary

Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per week of active learning used.

Data were only collected from Teacher Participants who completed the self-reported implementation log.

Posted

Mean

Standard Deviation

minutes per day

Approximately 7 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Primary

Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.

Data were only collected from Teacher Participants who completed the self-reported implementation log.

Posted

Mean

Standard Deviation

minutes per day

Approximately 13 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Primary

Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

Dose of delivery is the number of minutes per day of active learning used.

Data were only collected from Teacher Participants who completed the Survey.

Posted

Mean

Standard Deviation

minutes per day

Baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units	Counts

Primary

Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

Dose of delivery is the number of minutes per day of active learning used.

Data were only collected from Teacher Participants who completed the Survey.

Posted

Mean

Standard Deviation

minutes per day

Approximately 7 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units	Counts

Primary

Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

Dose of delivery is the number of minutes per day of active learning used.

Data were only collected from Teacher Participants who completed the Survey.

Posted

Mean

Standard Deviation

minutes per day

Approximately 13 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units	Counts

Primary

Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.

Posted

Mean

Standard Deviation

minutes per day

Baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units	Counts

Primary

Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.

Posted

Mean

Standard Deviation

minutes per day

Approximately 7 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units

Primary

Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

Data were collected only from participants who wore the ActiGraph GT3X+ accelerometer for sufficient time to meet valid wear-time criteria.

Posted

Mean

Standard Deviation

minutes per day

Approximately 13 months after baseline

ID	Title	Description
OG000	Implementation Strategy for Active Learning to Promote Physical Activity	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.
OG001	Usual Implementation Support	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Units

Arm/Groups

ID	Title	Description	Deaths (At Risk)	Serious Events (At Risk)	Other Events (At Risk)
EG000	Implementation Strategy for Active Learning to Promote Physical Activity: Children	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.	124	124	124
EG001	Usual Implementation Support: Children	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.	104	104	104
EG002	Implementation Strategy for Active Learning to Promote Physical Activity: Teachers	Implementation strategy for active learning to promote physical activity: The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.	35	35	38
EG003	Usual Implementation Support: Teachers	Usual implementation support: Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.	38	38	35