Effectiveness of a school-based physical activity-related injury prevention program on risk behavior and neuromotor fitness a cluster randomized controlled trial

International Journal of Behavioral Nutrition and Physical Activity

Research

Ingrid Bakker¹  Dorine CM Collard²  Evert ALM Verhagen²  Mai JM Chinapaw³  Willem van Mechelen³ 

[1] Department of Physical Activity and Health, TNO Quality of Life, PO Box 2215, Wassenaarseweg 56, 2301, Leiden, CE, The Netherlands;Body@Work, Research Centre Physical Activity, Work and Health, TNO-VU University Medical Centre, Amsterdam, The Netherlands;Department of Public & Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081, Amsterdam, BT, The Netherlands;Department of Public & Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081, Amsterdam, BT, The Netherlands;Body@Work, Research Centre Physical Activity, Work and Health, TNO-VU University Medical Centre, Amsterdam, The Netherlands;

关键词: Social Norm;    Injury Prevention;    Leisure Time Activity;    Improve Score;    Physical Education Class;   

DOI  :  10.1186/1479-5868-7-9

 received in 2009-06-30, accepted in 2010-01-28,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTo investigate the effects of a school-based physical activity-related injury prevention program, called 'iPlay', on risk behavior and neuromotor fitness.MethodsIn this cluster randomized controlled trial 40 primary schools throughout the Netherlands were randomly assigned in an intervention (n = 20) or control group (n = 20). The study includes 2,210 children aged 10-12 years.The iPlay-intervention takes one school year and consists of a teacher manual, informative newsletters and posters, a website, and simple exercises to be carried out during physical education classes.Outcomes measures were self-reported injury preventing behavior, self-reported behavioral determinants (knowledge, attitude, social-influence, self-efficacy, and intention), and neuromotor fitness.ResultsThe iPlay-program was not able to significantly improve injury-preventing behavior. The program did significantly improve knowledge and attitude, two determinants of behavior. The effect of the intervention-program on behavior appeared to be significantly mediated by knowledge and attitude. Improved scores on attitude, social norm, self-efficacy and intention were significantly related to changes in injury preventing behavior. Furthermore, iPlay resulted in small non-significant improvements in neuromotor fitness in favor of the intervention group.ConclusionThis cluster randomized controlled trial showed that the iPlay-program did significantly improved behavioral determinants. However, this effect on knowledge and attitude was not strong enough to improve injury preventing behavior. Furthermore, the results confirm the hypothetical model that injury preventing behavior is determined by intention, attitude, social norm and self-efficacy.Trial numberISRCTN78846684

【 授权许可】

Unknown   
© Collard et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.