Evidence for the Efficacy of the Youth-Physical Activity towards Health (Y-PATH) Intervention

Abstract

The physical education environment is a key opportunity to intervene because of access to children and adolescents for the purpose of increasing physical activity participation and improving fundamental movement skill proficiency. A non-randomised controlled trial involving two schools in a rural Irish town was carried out in September 2011 to evaluate the Youth-Physical Activity Towards Health (Y-PATH) intervention. Data were collected on 12 to 14 year olds (n = 174) at 3 time points (pre, post and retention). Data collected included measured height and weight, physical activity measured by accelerometry and by self-report and fundamental movement skill performance. Both the control and intervention school showed significant increases in daily physical activity and gross motor skill proficiency over time. Two-way repeated measures ANOVA showed a significant interaction effect between school attended and time for physical activity (F (2, 38) = 6.177, p = .005) and fundamental movement skills (F (2, 100) = 4.132, p = .019), with a significantly greater increase in physical activity and fundamental movement skills observed in the intervention school. Preliminary findings from this study suggest a positive effect for the Y-PATH intervention and provide support for its potential in increasing physical activity and fundamental movement skill levels of adolescent youth. Further research involving a definitive randomised controlled trial with a larger sample size is warranted.

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O’ Brien, W. , Issartel, J. and Belton, S. (2013) Evidence for the Efficacy of the Youth-Physical Activity towards Health (Y-PATH) Intervention. Advances in Physical Education, 3, 145-153. doi: 10.4236/ape.2013.34024.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Aibar, A., Bois, J. E., Generelo, E., Zaragoza Casterad, J., & Paillard, T. (2012). A cross-cultural study of adolescents’ physiccal activity levels in France and Spain. European Journal of Sport Science, 1-8.
http://dx.doi.org/10.1080/17461391.2012.746733
[2] Anderson, C. B., Hagstromer, M., & Yngve, A. (2005). Validation of the PDPAR as an adolescent diary: Effect of accelerometer cut points. Medicine & Science in Sports & Exercise, 37, 1224-1230.
http://dx.doi.org/10.1249/01.mss.0000170073.57440.df
[3] Barnett, L. M., Morgan, P. J., Van Beurden, E., Ball, K., & Lubans, D. R. (2011). A reverse pathway: Actual and perceived skill proficiency and physical activity. Medicine & Science in Sports & Exercise, 43, 898-904.
http://dx.doi.org/10.1249/MSS.0b013e3181fdfadd
[4] Barnett, L. M., Van Beurden, E., Morgan, P. J., Brooks, L. O., & Beard, J. R. (2008). Does childhood motor skill proficiency predict adolescent fitness? Medicine & Science in Sports & Exercise, 40, 2137-2144. http://dx.doi.org/10.1249/MSS.0b013e31818160d3
[5] Barnett, L. M., Van Beurden, E., Morgan, P. J., Brooks, L. O., & Beard, J. R. (2009). Childhood motor skill proficiency as a predictor of adolescent physical activity. Journal of Adolescent Health, 44, 252-259.
http://dx.doi.org/10.1016/j.jadohealth.2008.07.004
[6] Barnett, L. M., Van Beurden, E., Morgan, P. J., Brooks, L. O., & Beard, J. R. (2010). Gender differences in motor skill proficiency from childhood to adolescence: A longitudinal study. Research Quarterly for Exercise and Sport, 81, 162-170.
[7] Belton, S., O’ Brien, W., Wickel, E. E., & Issartel, J. (In Press). Patterns of Non-Compliance in Adolescent Field Based Accelerometer Research. Journal of Physical Activity & Health.
[8] Berkson, S. S., Espinola, J., Corso, K. A., Cabral, H., McGowan, R., & Chomitz, V. R. (2013). Reliability of height and weight measurements collected by physical education teachers for a school-based body mass index surveillance and screening system. The Journal of School Health, 83, 21-27.
http://dx.doi.org/10.1111/j.1746-1561.2012.00743.x
[9] Booth, M. L., Okely, T., McLellan, L., Phongsavan, P., Macaskill, P., Patterson, J. et al. (1999). Mastery of fundamental motor skills among New South Wales school students: Prevalence and sociodemographic distribution. Journal of Science and Medicine in Sport, 2, 93-105.
[10] Bouchard, C., Blair, S. N., & Haskell, W. L. (2007). Physical activity and health. Champaign, IL: Human Kinetics.
[11] Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100, 126-131.
[12] Cavanagh, T., Macfarlane, A., Glynn, T., & Macfarlane, S. (2012). Creating peaceful and effective schools through a culture of care. Discourse: Studies in the Cultural Politics of Education, 33, 443-455.
[13] Cliff, D. P., Okely, A. D., Morgan, P. J., Steele, J. R., Jones, R. A., Colyvas, K., et al. (2011). Movement skills and physical activity in obese children: Randomized controlled trial. Medicine & Science in Sports & Exercise, 43, 90-100.
http://dx.doi.org/10.1249/MSS.0b013e3181e741e8
[14] Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ, 320, 1240-1243.
http://dx.doi.org/10.1136/bmj.320.7244.1240
[15] Corder, K., Van Sluijs, E. M., Wright, A., Whincup, P., Wareham, N. J., & Ekelund, U. (2009). Is it possible to assess free-living physical activity and energy expenditure in young people by self-report? American Journal of Clinical Nutrition, 89, 862-870.
http://dx.doi.org/10.3945/ajcn.2008.26739.862
[16] Department of Education Victoria. (1996). Fundamental motor skills: A manual for classroom teachers. Melbourne, Australia.
[17] Dishman, R. K., Motl, R. W., Saunders, R., Felton, G., Ward, D. S., Dowda, M., & Pate, R. R. (2004). Self-efficacy partially mediates the effect of a school-based physical-activity intervention among adolescent girls. Preventive Medicine, 38, 628-636.
http://dx.doi.org/10.1016/j.ypmed.2003.12.007
[18] Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J., et al. (2012). Youth risk behavior surveillance—United States, 2011. Morbidity and Mortality Weekly Report, 61, 1-162.
[19] Esliger, D., Copeland, J., Barnes, J., & Tremblay, M. (2005). Standardizing and optimizing the use of accelerometer data for free-living physical activity monitoring. Journal of Physical Activity & Health, 3, 366-383.
[20] Evenson, K. R., Catellier, D. J., Gill, K., Ondrak, K. S., & McMurray, R. G. (2008). Calibration of two objective measures of physical activity for children. Journal of Sports Sciences, 26, 1557-1565.
http://dx.doi.org/10.1080/02640410802334196
[21] Gallahue, D. L., & Ozmun, J. C. (2006). Understanding motor development: Infants, children, adolescents, adults (6th ed.). New York, NY: Mc-Graw Hill.
[22] Garn, A. C., McCaughtry, N., Shen, B., Martin, J., & Fahlman, M. (2013). Underserved adolescent girls’ physical activity intentions and behaviors: Relationships with the motivational climate and perceived competence in physical education. Advances in Physical Education, 3, 103-110. http://dx.doi.org/10.4236/ape.2013.32018
[23] Gorely, T., Nevill, M. E., Morris, J. G., Stensel, D. J., & Nevill, A. (2009). Effect of a school-based intervention to promote healthy life-styles in 7 11 years old children. The International Journal of Behavioral Nutrition and Physical Activity, 6, 5.
http://dx.doi.org/10.1186/1479-5868-6-5
[24] Grasten, A., Watt, A., Jaakkola, T., & Liukkonen, J. (2012). Directly measured and self-reported physical activity in a sample of Finnish secondary school students. Advances in Physical Education, 2, 132-138. http://dx.doi.org/10.4236/ape.2012.23023
[25] Haerens, L., De Bourdeaudhuij, I., Maes, L., Cardon, G., & Deforche, B. (2007). School-based randomized controlled trial of a physical activity intervention among adolescents. The Journal of Adolescent Health, 40, 258-265.
http://dx.doi.org/10.1016/j.jadohealth.2006.09.028
[26] Haerens, L., Deforche, B., Maes, L., Cardon, G., Stevens, V., & De Bourdeaudhuij, I. (2006). Evaluation of a 2-year physical activity and healthy eating intervention in middle school children. Health Education Research, 21, 911-921.
http://dx.doi.org/10.1093/her/cyl115
[27] Hardy, L., King, L., Espinel, P., Cosgrove, C., & Bauman, A., (2010). NSW schools physical activity and nutrition survey (SPANS). Full Report. Sydney: NSW Ministry of Health.
[28] Hardy, L., Barnett, L., Espinel, P., & Okely, A. D. (2013). Thirteen-year trends in child and adolescent fundamental movement skills: 1997-2010. Medicine & Science in Sports & Exercise, (Published ahead of Print).
http://dx.doi.org/10.1249/MSS.0b013e3181ac7a45
[29] Jamner, M. S., Spruijt-Metz, D., Bassin, S., & Cooper, D. M. (2004). A controlled evaluation of a school-based intervention to promote physical activity among sedentary adolescent females: Project FAB. The Journal of Adolescent Health, 34, 279-289.
http://dx.doi.org/10.1016/j.jadohealth.2003.06.003
[30] Kahn, E. B., Ramsey, L. T., Brownson, R. C., Heath, G. W., Howze, E. H., Powell, K. E., et al. (2002). The effectiveness of interventions to increase physical activity: A systematic review. American Journal of Preventive Medicine, 22, 73-107.
[31] Kalaja, S. P., Jaakkola, T. T., Liukkonen, J. O., & Digelidis, N. (2012). Development of junior high school students’ fundamental movement skills and physical activity in a naturalistic physiccal education setting. Physical Education and Sport Pedagogy, 17, 411-428.
[32] Kimm, S. Y., Glynn, N. W., Kriska, A. M., Fitzgerald, S. L., Aaron, D. J., Similo, S. L., et al. (2000). Longitudinal changes in physical activity in a biracial cohort during adolescence. Medicine & Science in Sports & Exercise, 32, 1445-1454.
[33] Kriemler, S., Zahner, L., Schindler, C., Meyer, U., Hartmann, T., Hebestreit, H., et al. (2010). Effect of school based physical activity programme (KISS) on fitness and adiposity in primary schoolchildren: Cluster randomised controlled trial. BMJ, 340, 1-8.
http://dx.doi.org/10.1136/bmj.c785
[34] Lavelle, H. V, Mackay, D. F., & Pell, J. P. (2012). Systematic review and meta-analysis of school-based interventions to reduce body mass index. Journal of Public Health, 34, 360-369.
http://dx.doi.org/10.1093/pubmed/fdr116
[35] Logan, S. W., Robinson, L. E., Wilson, A. E., & Lucas, W. A. (2011). Getting the fundamentals of movement: A meta-analysis of the effectiveness of motor skill interventions in children. Child: Care, Health and Development, 38, 305-315.
http://dx.doi.org/10.1111/j.1365-2214.2011.01307.x
[36] Loitz, C. (2013). The importance of lifelong physical literacy. Alberta Centre for Active Living—Research and Education for the Promotion of Physical Activity. Well Spring: Sharing Physical Activity Knowledge 24.
[37] Lubans, D. R., Morgan, P. J., Cliff, D. P., Barnett, L. M., & Okely, A. D. (2010). Fundamental movement skills in children and adolescents: Review of associated health benefits. Sports Medicine, 40, 10191035. http://dx.doi.org/10.2165/11536850-000000000-00000
[38] Martin, E. H., Rudisill, M. E., & Hastie, P. A. (2009). Motivational climate and fundamental motor skill performance in a naturalistic physical education setting. Physical Education & Sport Pedagogy, 14, 227-240. http://dx.doi.org/10.1080/17408980801974952
[39] May, A. L., Kuklina, E. V, & Yoon, P. W. (2012). Prevalence of cardiovascular disease risk factors among US adolescents, 1999-2008. Pediatrics, 129, 1035-1041.
http://dx.doi.org/10.1542/peds.2011-1082
[40] McKenzie, T. L., & Lounsbery, M. A. F. (2009). School physical education: The pill not taken. American Journal of Lifestyle Medicine, 3, 219-225. http://dx.doi.org/10.1177/1559827609331562
[41] McKenzie, T. L., Sallis, J. F., Prochaska, J. J., Conway, T. L., Marshall, S. J., & Rosengard, P. (2004). Evaluation of a two-year middleschool physical education intervention: M-SPAN. Medicine & Science in Sports & Exercise, 36, 1382-1388.
http://dx.doi.org/10.1249/01.MSS.0000135792.20358.4D
[42] Mitchell, B., McLennan, S., Latimer, K., Graham, D., Gilmore, J., & Rush, E. (2013). Improvement of fundamental movement skills through support and mentorship of class room teachers. Obesity Research & Clinical Practice, 7, e230-e234.
http://dx.doi.org/10.1016/j.orcp.2011.11.002
[43] Morano, M., Colella, D., & Caroli, M. (2011). Gross motor skill performance in a sample of overweight and non-overweight preschool children. International Journal of Pediatric Obesity, 6, 42-46.
http://dx.doi.org/10.3109/17477166.2011.613665
[44] Nyberg, G., Ekelund, U., & Marcus, C. (2009). Physical activity in children measured by accelerometry: Stability over time. Scandinavian Journal of Medicine & Science in Sports, 19, 30-35.
http://dx.doi.org/10.1111/j.1600-0838.2007.00756.x
[45] O’Donovan, G., Blazevich, A. J., Boreham, C., Cooper, A. R., Crank, H., Ekelund, U., et al. (2010). The ABC of physical activity for health: A consensus statement from the British association of sport and exercise sciences. Journal of Sports Sciences, 28, 573-591.
http://dx.doi.org/10.1080/02640411003671212
[46] Okely, A. D, Booth, M. L., & Patterson, J. W. (2001). Relationship of physical activity to fundamental movement skills among adolescents. Medicine & Science in Sports & Exercise, 33, 1899-1904.
http://dx.doi.org/10.1097/00005768-200111000-00015
[47] Okely, A. D, & Booth, M. L. (2004). Mastery of fundamental movement skills among children in New South Wales: Prevalence and sociodemographic distribution. Journal of Science and Medicine in Sport, 7, 358-372.
http://dx.doi.org/10.1016/S1440-2440(04)80031-8
[48] Pate, R. R., Ward, D. S., Saunders, R. P., Felton, G., Dishman, R. K., & Dowda, M. (2005). Promotion of physical activity among highschool girls: A randomized controlled trial. American Journal of Public Health, 95, 1582-1587.
http://dx.doi.org/10.2105/AJPH.2004.045807
[49] Payne, V. G., & Morrow, J. R. J. (2009). School physical education as a viable change agent to increase youth physical activity. The President’s Council on Physical Fitness and Sports Research Digest, 10, 1-8.
[50] Perry, C. K., Garside, H., Morones, S., & Hayman, L. L. (2012). Physical activity interventions for adolescents: An ecological perspective. The Journal of Primary Prevention, 33, 111-135.
http://dx.doi.org/10.1007/s10935-012-0270-3
[51] Physical Activity Guidelines Advisory Committee. (2008). Physical activity guidelines advisory committee report, 2008. Washington DC: Department of Health and Human Services.
[52] Physical Activity Guidelines Advisory Committee of the President’s Council on Fitness, Sports & Nutrition (2012). Physical activity guidelines for Americans mid-course report: Strategies to increase physical activity among youth. Washington DC: Department of Health and Human Services.
[53] Prince, S. A., Adamo, K. B., Hamel, M. E., Hardt, J., Gorber, S. C., & Tremblay, M. (2008). A comparison of direct versus selfreport measures for assessing physical activity in adults: A systematic review. The International Journal of Behavioral Nutrition and Physical Activity, 5, 56.
http://dx.doi.org/10.1186/1479-5868-5-56
[54] Sallis, J. F., McKenzie, T. L., Beets, M. W., Beighle, A., Erwin, H., & Lee, S. (2012). Physical education’s role in public health: Steps forward and backward over 20 years and HOPE for the future. Research Quarterly for Exercise and Sport, 83, 125-135.
[55] Salmon, J., Booth, M. L., Phongsavan, P., Murphy, N., & Timperio, A. (2007). Promoting physical activity participation among children and adolescents. Epidemiologic Reviews, 29, 144-159.
http://dx.doi.org/10.1093/epirev/mxm010
[56] Scheerder, J., Vanreusel, B., Beunen, G., Claessens, A., Renson, R., Thomis, M., et al. (2008). Lifetime adherence to sport and physical activity as a goal in physical education. In J. Seghers, & H. Vangrunderbeek (Eds.), Physical Education Research What’s the Evidence. Leuven: Utigeverij Acco.
[57] Sibbald, B., & Roland, M. (1998). Understanding controlled trials: Why are randomised controlled trials important? BMJ, 316, 201.
[58] Slootmaker, S. M., Chinapaw, M. J. M., Seidell, J. C., Van Mechelen, W., & Schuit, A. J. (2010). Accelerometers and internet for physical activity promotion in youth? Feasibility and effectiveness of a minimal intervention. Preventive Medicine, 51, 31-36.
http://dx.doi.org/10.1016/j.ypmed.2010.03.015
[59] Slootmaker, S. M., Schuit, A. J., Chinapaw, M. J., Seidell, J. C., & Van Mechelen, W. (2009). Disagreement in physical activity assessed by accelerometer and self-report in subgroups of age, gender, education and weight status. The International Journal of Behavioral Nutrition and Physical Activity, 6, 17.
http://dx.doi.org/10.1186/1479-5868-6-17
[60] Taymoori, P., Niknami, S., Berry, T., Lubans, D., Ghofranipour, F., & Kazemnejad, A. (2008). A school-based randomized controlled trial to improve physical activity among Iranian high school girls. The International Journal of Behavioral Nutrition and Physical Activity, 5, 1-13.
http://dx.doi.org/10.1186/1479-5868-5-18
[61] Telama, R. (2009). Tracking of physical activity from childhood to adulthood: A review. Obesity Facts, 2, 187-195.
http://dx.doi.org/10.1159/000222244
[62] Telama, R., Yang, X., Viikari, J., Valimaki, I., Wanne, O., & Raitakari, O. (2005). Physical activity from childhood to adulthood: A 21-year tracking study. American Journal of Preventive Medicine, 28, 267273. http://dx.doi.org/10.1016/j.amepre.2004.12.003
[63] Ulrich, D. A. (1985). Test of gross motor development. TX: PRO-ED.
[64] Ulrich, D. A. (2000). Test of gross motor development 2: Examiner’s manual (2nd ed.). Austin, TX: PRO-ED.
[65] Van Beurden, E., Barnett, L., Zask, A., Dietrich, U., Brooks, L., & Beard, J. (2003). Can we skill and activate children through primary school physical education lessons: “Move it groove it”—a collaborative health promotion intervention. Preventive Medicine, 36, 493-501.
http://dx.doi.org/10.1016/S0091-7435(02)00044-0
[66] Van Sluijs, E. M. F., McMinn, A. M., & Griffin, S. J. (2008). Effectiveness of interventions to promote physical activity in children and adolescents: Systematic review of controlled trials. British Journal of Sports Medicine, 42, 653-657.
[67] Vasques, C., Magalhaes, P., Cortinhas, A., Mota, P., Leitao, J., & Lopes, V. P. (In Press). Effects of intervention programs on child and adolescent BMI: A meta-analysis study. Journal of Physical Activity & Health.
[68] Ward, D. S., Saunders, R. P., & Pate, R. R. (2007). Physical activity interventions in children and adolescents. Champaign, IL: Human Kinetics.
[69] Wichstrom, L., Von Soest, T., & Kvalem, I. L. (2012). Predictors of growth and decline in leisure time physical activity from adolescence to adulthood. Health Psychology, 32, 775-784.
[70] Woods, C. B., Tannehill, D., Quinlan, A., Moyna, N., & Walsh, J. (2010). The children’s sport participation and physical activity study (CSPPA). Research Report No 1, Dublin.
[71] Yildirim, M., Verloigne, M., De Bourdeaudhuij, I., Androutsos, O., Manios, Y., Felso, R., et al. (2011). Study protocol of physical activity and sedentary behaviour measurement among schoolchildren by accelerometry: Cross-sectional survey as part of the ENERGY-project. BMC Public Health, 11, 1-7.
http://dx.doi.org/10.1186/1471-2458-11-182
[72] Zask, A., Barnett, L. M., Rose, L., Brooks, L. O., Molyneux, M., Hughes, D., et al. (2012). Three year follow-up of an early childhood intervention: Is movement skill sustained? The International Journal of Behavioral Nutrition and Physical Activity, 9, 1-9.
http://dx.doi.org/10.1186/1479-5868-9-127

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