Clustered randomised controlled trial of two education interventions designed to increase physical activity and well-being of secondary school students: the MOVE Project

OBJECTIVE

To assess the effectiveness of 2 interventions in improving the physical activity and well-being of secondary school children.

DESIGN

A clustered randomised controlled trial; classes, 1 per school, were assigned to 1 of 3 intervention arms or a control group based on a 2×2 factorial design. The interventions were peer-mentoring and participative learning. Year 7 children (aged 11-12) in the peer-mentoring intervention were paired with year 9 children for 6 weekly mentoring meetings. Year 7 children in the participative learning arm took part in 6 weekly geography lessons using personalised physical activity and Global Positioning System (GPS) data. Year 7 children in the combined intervention received both interventions, with the year 9 children only participating in the mentoring sessions.

PARTICIPANTS

1494 year 7 students from 60 schools in the North of England took part in the trial. Of these, 43 students opted out of taking part in the evaluation measurements, 2 moved teaching group and 58 changed school. Valid accelerometry outcome data were collected for 892 students from 53 schools; and well-being outcome data were available for 927 students from 52 schools.

MAIN OUTCOME MEASURES

The primary outcomes were mean minutes of accelerometer-measured moderate-to-vigorous intensity physical activity per day, and well-being as evaluated by the KIDSCREEN-27 questionnaire. These data were collected 6 weeks after the intervention; a 12-month follow-up is planned.

RESULTS

No significant effects (main or interaction) were observed for the outcomes. However, small positive differences were found for both outcomes for the participative learning intervention.

CONCLUSIONS

These findings suggest that the 2 school-based interventions did not modify levels of physical activity or well-being within the period monitored. Change in physical activity may require more comprehensive individual behavioural intervention, and/or more system-based efforts to address wider environmental influences such as family, peers, physical environment, transport and educational policy.

TRIAL REGISTRATION NUMBER

ISRCTN82956355.

Inattention, hyperactivity and impulsiveness: their impact on academic achievement and progress

BACKGROUND

Children with Attention Deficit Hyperactivity Disorder (ADHD) have been found to achieve lower grades at school than their peers. Does this extend to pupils who are apparently exceptionally inattentive, hyperactive or impulsive, but have not been diagnosed as having ADHD?

AIMS

This study determined the proportion of children who were assessed by their teachers as exceptionally inattentive, hyperactive or impulsive in the classroom. The relationships between these traits, achievement and progress were examined.

SAMPLE

The participants comprised 4148 children from a nationally representative sample of schools in England.

METHODS

Reading and mathematics achievement of the participants was assessed at the start and end of the reception year, and in year 2. Behaviour was assessed at the end of reception using a rating scale based on the diagnostic criteria for ADHD (American Psychiatric Association, 1994).

RESULTS

The proportion of children with exceptional scores on the behaviour rating scale was reported. The reading and mathematics attainment and value-added of children with high scores on the behaviour rating scale were found to be educationally and statistically significantly lower than children with zero scores.

CONCLUSIONS

The achievement of children with high scores on the behaviour rating scale replicated previous studies which investigated the achievement of children with ADHD. The behaviour rating scale could be a useful tool for raising the awareness of teachers to young children with severe behavioural problems of inattention, hyperactivity and impulsivity who have not been diagnosed as having ADHD but may nevertheless be at risk of similar outcomes.