scholarly journals A whole system approach to increasing childrens physical activity in a multi-ethnic UK city: a process evaluation protocol

2021 ◽  
Author(s):  
Jennifer Hall ◽  
Daniel David Bingham ◽  
Amanda Seims ◽  
Sufyan Abid Dogra ◽  
Jan Burkhardt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young People ◽  
Process Evaluation ◽  
Systems Approach ◽  
Structured Interview ◽  
Ripple Effect ◽  
Children And Young People ◽  
Documentary Analysis ◽  
Underlying Mechanisms ◽  
Process Evaluations

Background: Engaging in regular physical activity requires continued complex decision-making in varied and dynamic individual, social and structural contexts. Widespread shortfalls of physical activity interventions suggests the complex underlying mechanisms of change are not yet fully understood. More insightful process evaluations are needed to design and implement more effective approaches. This paper describes the protocol for a process evaluation of the JU:MP programme, a whole systems approach to increasing physical activity in children and young people aged 5-14 years in North Bradford, UK. Methods: This process evaluation, underpinned by realist philosophy, aims to understand the development and implementation of the JU:MP programme and the mechanisms by which JU:MP influences physical activity in children and young people. It also aims to explore behaviour change across wider policy, strategy and neighbourhood systems. A mixed method data collection approach will include semi-structured interview, observation, documentary analysis, surveys, and participatory evaluation methods including reflections and ripple effect mapping. Discussion: Not only is this an innovative approach to process evaluation but it will also feed into iterative programme development to generate evidence-based practice and deliver practice-based evidence. This paper advances knowledge regarding the development of process evaluations for evaluating systems interventions, and emphasises the importance of process evaluation.

scholarly journals A whole system approach to increasing children’s physical activity in a multi-ethnic UK city: a process evaluation protocol

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Hall ◽  
Daniel D. Bingham ◽  
Amanda Seims ◽  
Sufyan Abid Dogra ◽  
Jan Burkhardt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young People ◽  
Process Evaluation ◽  
Systems Approach ◽  
Structured Interview ◽  
Ripple Effect ◽  
Children And Young People ◽  
Documentary Analysis ◽  
Underlying Mechanisms ◽  
Process Evaluations

Abstract Background Engaging in regular physical activity requires continued complex decision-making in varied and dynamic individual, social and structural contexts. Widespread shortfalls of physical activity interventions suggests the complex underlying mechanisms of change are not yet fully understood. More insightful process evaluations are needed to design and implement more effective approaches. This paper describes the protocol for a process evaluation of the JU:MP programme, a whole systems approach to increasing physical activity in children and young people aged 5–14 years in North Bradford, UK. Methods This process evaluation, underpinned by realist philosophy, aims to understand the development and implementation of the JU:MP programme and the mechanisms by which JU:MP influences physical activity in children and young people. It also aims to explore behaviour change across wider policy, strategy and neighbourhood systems. A mixed method data collection approach will include semi-structured interview, observation, documentary analysis, surveys, and participatory evaluation methods including reflections and ripple effect mapping. Discussion This protocol offers an innovative approach on the use of process evaluation feeding into an iterative programme intended to generate evidence-based practice and deliver practice-based evidence. This paper advances knowledge regarding the development of process evaluations for evaluating systems interventions, and emphasises the importance of process evaluation.

scholarly journals ‘Is It Worth It?’ A Qualitative Study of the Beliefs of Overweight and Obese Physically Active Children

2014 ◽  
Vol 11 (6) ◽  
pp. 1219-1224 ◽  
Author(s):  
Kiara Lewis ◽  
Claire Fraser ◽  
Martin Manby
Keyword(s):  
Physical Activity ◽  
Young People ◽  
Qualitative Study ◽  
Weight Status ◽  
Activity Levels ◽  
Physically Active ◽  
Children And Young People ◽  
Activity Settings ◽  
Template Analysis ◽  
Semistructured Interviews

Background:The specific circumstances and contexts that may affect overweight and obese children’s participation in physical activity have thus far been given little attention. The qualitative study discussed in this paper explores the experiences of overweight and obese children and young people who have successfully increased their activity levels.Methods:The study sample was recruited from a community health and fitness scheme for children aged 5 to 16, with a Body Mass Index (BMI) at or above the 91st centile. Semistructured interviews were conducted with 58 children and young people. Data were analyzed using template analysis.Results:The children increased their feelings of capability to undertake physical activity, both while on the scheme and in other physical activity settings. They valued the range of ‘noncompetitive’ activities available and the nonthreatening atmosphere created. The ‘emotional’ support offered by the instructors was perceived as being integral to their enjoyment and continued participation.Conclusions:Physical activity providers need to be able to generate opportunities which allow children of any weight status to participate without fear of stigmatization or bullying. The findings of the current study suggest that to be effective what we should be focusing on is improving the physical activity experience from the child’s perspective.

scholarly journals Prevalence and Trends of Physical Activity in Thai Children and Young People: Pooled Panel Data Analysis from Thailand’s Surveillance on Physical Activity 2012–2020

2021 ◽  
Vol 18 (19) ◽  
pp. 10088
Author(s):  
Dyah Anantalia Widyastari ◽  
Pairoj Saonuam ◽  
Niramon Rasri ◽  
Kornkanok Pongpradit ◽  
Piyawat Katewongsa
Keyword(s):  
Physical Activity ◽  
Data Analysis ◽  
Panel Data ◽  
Young People ◽  
Secondary School ◽  
Online Survey ◽  
Panel Data Analysis ◽  
Significant Drop ◽  
Children And Young People ◽  
Face To Face

This study aims to describe the level and trends of physical activity (PA) in Thai children and young people and examine PA changes during transitional periods. Employing nine rounds of Thailand’s Surveillance on Physical Activity (SPA) 2012–2020, this study pooled three sets of data and included children and young people aged 6–17 years in the analysis: 1595 in SPA2012–2016, 1287 in SPA2017–2019, and 853 persons in SPA2020. Face-to-face interviews were conducted in five regions, 13 provinces, and 36 villages in SPA2012–2019, whereas an online survey was administered in all provinces in SPA2020. The prevalence of sufficient moderate-to-vigorous PA (MVPA) among Thais aged 6–17 years ranged from 19.0 percent to 27.6 percent, with a significant drop during the period of COVID-19 spread in 2020. The average daily MVPA ranged from 46 to 57 min and dropped to 36 min during the pandemic. Boys were consistently more active than girls in all nine rounds of the SPA, and girls had more difficulty in maintaining or improving their PA level. A significant increase in the proportion of Thai children and young people with sufficient MVPA was observed during their transition from late primary to early secondary school grades.

scholarly journals Protocol for the Process Evaluation of the Online Remote Behavioural Intervention for Tics (ORBIT) Randomised Controlled Trial for children and young people

2019 ◽  
Author(s):  
Kareem Khan ◽  
Chris Hollis ◽  
Charlotte L Hall ◽  
E Bethan Davies ◽  
David Mataix-Cols ◽  
...  
Keyword(s):  
Young People ◽  
Process Evaluation ◽  
Qualitative Data ◽  
Controlled Trial ◽  
Clinical Care ◽  
Complex Interventions ◽  
Behavioural Intervention ◽  
Main Trial ◽  
Children And Young People ◽  
Standard Clinical Practice

Abstract Background Process evaluations are an important component in the interpretation and understanding of outcomes in trials. The ‘Online Remote Behavioural Intervention for Tics’ (ORBIT) study is a randomized controlled trial evaluating the effectiveness of an internet delivered behavioural intervention (called BIP TIC) compared to an internet delivered education program aimed at children and young people with tics. A process evaluation will be undertaken alongside the main trial to determine precisely how the behavioural intervention works and ascertain whether, and if so, how, the intervention could be successfully implemented in standard clinical practice. This protocol paper describes the rationale, aims, and methodology of the ORBIT trial process evaluation. Methods The process evaluation will use a mixed-methods design following the UK Medical Research Council’s 2015 guidelines, comprising of both quantitative and qualitative data collection. This will include: analyzing data usage of participants in the intervention arm; purposively sampled, semi-structured interviews of parents and children, therapists and supervisors, and referring clinicians of the ORBIT trial, as well as analysis of qualitative comments input into the online therapy platform by participants at the end of treatment. Qualitative data will be analyzed thematically. Quantitative and qualitative data will be integrated in a triangulation approach, to provide an understanding of how the intervention works, and what resources are needed for effective implementation, uptake and use in routine clinical care. Discussion This process evaluation will explore the experiences of participants, therapists and supervisors, and referring clinicians of a complex online intervention. By contextualising trial efficacy results, this will help understand how and if the intervention worked and what may be required to sustain the implementation of the treatment long-term. The findings will also aid in our understanding of factors that can affect the success of complex interventions. This will enable future researchers developing online behavioural interventions for children and young people with mental health and neurological disorders to gain invaluable information from this process evaluation.

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