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| Name | Class |
|---|---|
| University of Copenhagen | OTHER |
| TrygFonden, Denmark | INDUSTRY |
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This pilot study aims to test the feasibility and acceptability of a previously developed and tested physical literacy (PL) intervention. A promising and internationally tested intervention, the Youth Physical Activity Towards Health (Y PATH), is based on the theory of PL and has proven to be effectful on children's PA levels and motor skills The Promoting Pupils' Physical Literacy (3 PL) project aims to test the feasibility and acceptability of the previously developed and tested Y-PATH intervention in a Danish context among a pupils (9 11 years of age). The hypothesis is that a revised 3 PL intervention protocol, aiming to increase pupils' PL, is ready for effectiveness testing by the end of this project.
This pilot study aims to test the feasibility and acceptability of a previously developed and tested physical literacy (PL) intervention. Regular participation in physical activity (PA) through life can improve health and reduce the risk of developing several chronic diseases like diabetes, cancer, and cardiovascular disease. However, a considerable number of Danish children and adolescents do not meet national PA recommendations. Over the last few years, the construct of PL has gained popularity around the world and has become recognized as a proximal measure for lifelong engagement in PA. PL is a multidisciplinary and comprehensive concept describing an individual's prerequisites to participate in and adhere to physical activities throughout the life course PL includes the elements motivation, confidence, motor skills, physical capacity, knowledge and understanding. In Denmark, development towards theoretically driven and evidence-based PL interventions that aim to increase children's PL have not yet begun. A promising and internationally tested intervention, the Youth Physical Activity Towards Health (Y-PATH), is based on the theory of PL and has proven to be effectful on children's PA levels and motor skills. The Promoting Pupils' Physical Literacy (3 PL) project aims to test the feasibility and acceptability of the previously developed and tested Y-PATH intervention in a Danish context among pupils (9-11 years of age). The hypothesis is that a revised 3 PL intervention protocol, aiming to increase pupils' PL, is ready for effectiveness testing by the end of this project.
Four schools will be recruited and randomly assigned to intervention or control condition. The primary outcomes include the feasibility and acceptability of the 3 PL intervention and will be in concordance with guidance proposed by the Medical Research Council and The Common Guidelines for Education Research and Development. Feasibility of the practicality and recruitment process will be assessed within a document log administered by the project group. The acceptability including demand and experiences, and the intervention implementation degree (secondary outcome) will be evaluated by short bimonthly questionnaires to teachers and interviews with pupils, teachers, parents, and school managers. Preliminary effectiveness (secondary outcome) will be tested by comparing changes in pupils' PL assessed with the Danish Assessment of Physical Literacy (DAPL) tool.
First and foremost, the testing of feasibility and acceptability of a previously developed international intervention will provide a revised 3 PL intervention, a Template for Intervention Description and Replication TIDieR checklist and a protocol, which will provide a solid empirical and theoretical foundation for a future upscaled effectiveness study. The development of a TIDieR checklist and a protocol provides international and national researchers the opportunity to use and compare effectiveness across countries and cultures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Two schools (grade 4-5) will be randomly assigned to recieve the 3PL intervention in their physical education classes during one school year. |
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| Control group | No Intervention | Two schools (grade 4-5) will be randomly assigned to the control group and will continue their normal physical education classes. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Promoting Pupils' Physical Literacy Intervention | Behavioral | The physical literacy intervention 3PL is based on activities, games, and modifications of the physical education classes to target and enhance pupils' physical literacy. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptance rate | Percentage of invited schools participating. | 6 months |
| Success of intervention implementation in PE lessons | Three observations during physical education lessons (PE) that assess the acceptability of the intervention. Also, PE teachers will receive a weekly questionnaire to assess whether they have used the intervention materials in their PE lessons. | 11 months |
| Success of intervention implementation in school systems | Qualitative interviews with school managers and teachers will be undertaken to detect perceived positive or negative effects on organization and how the intervention fits within the school culture. | 11 months |
| Success of intervention implementation for pupils | Qualitative interviews with pupils will be undertaken to understand their experiences of the PE lessons. | 11 months |
| Measure | Description | Time Frame |
|---|---|---|
| Physical literacy (preliminary effectiveness) | This study will assess PL among the pupils before and after the intervention period using the Danish Assessment of Physical Literacy (DAPL) that has been developed and validated in the DAPL project supported by TrygFonden #125640. | 11 months |
| Daily physical activity (preliminary effectiveness) |
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Inclusion Criteria:
School/class-level
Pupil-level
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Peter Bentsen, PhD | Contact | +4540824586 | peter.bentsen@regionh.dk | |
| Thea Toft Amholt, PhD | Contact | +4542427323 | thea.toft.amholt@regionh.dk |
| Name | Affiliation | Role |
|---|---|---|
| Peter Bentsen, PhD | Center for Clinical Research and Prevention | Principal Investigator |
| Peter Elsborg, PhD | Center for Clinical Research and Prevention | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Clinical Research and Prevension, Frederiksberg and Bispebjerg Hospital | Recruiting | Copenhagen | Frederiksberg | 2000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41904598 | Derived | Amholt TT, Kurtzhals M, Melby P, Bolling M, Moller OM, Lise MK, Stage A, O'Brien W, Belton S, Elsborg P, Nielsen G, Bentsen P. Feasibility of the Promoting Pupils' Physical Literacy (3PL) intervention: Does it work? Will it work? Pilot Feasibility Stud. 2026 Mar 28;12(1):60. doi: 10.1186/s40814-026-01806-w. |
| Label | URL |
|---|---|
| Adaptation Protocol | View source |
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| ID | Term |
|---|---|
| D000067010 | Literacy |
| ID | Term |
|---|---|
| D003142 | Communication |
| D001519 | Behavior |
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Physical Activity will be measured with Axivity® AX3 accelerometers worn for 7 consecutive days. Axivity tracks physical activity in activity counts. |
| 11 months |
| Mads Bølling, PhD |
| Center for Clinical Research and Prevention |
| Study Director |
| Thea Toft Amholt, PhD | Center for Clinical Research and Prevention | Study Director |
| Glen Nielsen, PhD | University of Copenhagen | Study Director |
| Paulina Melby, PhD | University of Copenhagen | Study Director |
| Mette Kurtzhals, Cand.scient | University of Southern Denmark | Study Director |
| University of Copenhagen | Recruiting | Copenhagen | Nørrebro | Nørre Allé 51 | Denmark |
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| University of Southern Denmark | Recruiting | Odense | Odense M | 5230 | Denmark |
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