For whom was it effective? Moderators of the effect of a school-based intervention on potential physical activity determinants among Brazilian students

PREVENTIVE MEDICINE

卷:97

Article

Barbosa Filho, Valter Cordeiro^1,2,3  da Silva, Kelly Samara¹  Mota, Jorge³  Cunha Vieira, Neiva Francenely^2,4  Gubert, Fabiane do Amaral^2,4  Lopes, Adair da Silva¹ 

[1] Univ Fed Santa Catarina, Dept Phys Educ, Res Ctr Phys Act & Hlth, Florianopolis, SC, Brazil

[2] Univ Fed Ceara, Res Ctr Phys Act & Hlth Sch, Inst Phys Educ & Sports, Fortaleza, Ceara, Brazil

[3] Univ Porto, Fac Sport, Res Ctr Phys Act Hlth & Leisure, Oporto, Portugal

[4] Univ Fed Ceara, Dept Nursing, Aids Project Educ & Prevent, Fortaleza, Ceara, Brazil

关键词: Motor activity;    Associated factors;    Socioecological theory;    Obesity;    Socioeconomic factors;    Health and environment;    Clinical trial;    Vulnerable populations;   

DOI  :  10.1016/j.ypmed.2017.01.007

来源: Elsevier

【 摘 要 】

Knowledge about the effects of school-based interventions on modifiable physical activity (PA) determinants (e. g., social support), and whether the intervention effect differs according to students' characteristics (e. g., age and gender) are relevant PA promotion topics. This study aims to answer these topics among Brazilian students. This cluster-randomized controlled trial was conducted with 548 students in the intervention group and 537 in the control group (51.5% of boys; aged 11-18 years). The four-month intervention included strategies focused on training teachers, opportunities for PA in the school environment, and health education. Potential PA determinants (attitude, self-efficacy, support of friends, parents, and teachers, perceived neighborhood environment and PA facilities in school) and moderators (gender, age, socioeconomic status (SES), and PA level at baseline) were assessed using self-reported instrument. Height and weight were measured to estimate the students' body mass index (BMI) status. Generalized linear models were used. In general, there was a significant and positive intervention effect for attitude, support of friends and teachers for PA, aswell as PA facilities in school; effect size was 0.29, 0.24, 0.34, and 0.29, respectively (P < 0.05). Age (support of friends, parents and teachers, and PA facilities in school), SES (support of friends and PA facilities in school), and BMI status (support of friends) were moderators of the intervention effect on some outcomes. In conclusion, the intervention improved potential PA determinants, but some changes occurred differently according to students' characteristics. These findings should be considered in PA policies in the school context. (C) 2017 Elsevier Inc. All rights reserved.

【 授权许可】

Free