scholarly journals Developing a Comprehensive School-Based Physical Activity Program with Flexible Design – From Pilot to National Program

2020 ◽  
Author(s):  
Kerli Mooses ◽  
Triin Vihalemm ◽  
Marko Uibu ◽  
Katrin Mägi ◽  
Leene Korp ◽  
...  

Abstract Finding ways to support children in meeting suggested physical activity levels is a worldwide challenge. Current article introduces the design and development process of the Estonian nationwide comprehensive physical activity program Schools in Motion (SiM) which aims to increase the physical activity levels of children in school settings where schools are active partners in the development and implementation process. The SiM program began with 10 pilot schools in 2016 and has now reached 110 schools in 4 years, with yet more schools eager to join. The program is very popular among schools and has received a positive reception among the governors and society at large. The article describes and analyses the key elements of the planning, piloting, implementation, and scaling phases of the SiM program to give a deeper understanding of the development and the design process of nationwide physical activity intervention programs. In addition to the process and program description, we have also tried to address the difficulties faced during the development process, the strengths and challenges associated with an interdisciplinary approach, and involvement of schools as experts. The article includes an overview of the lessons learnt and the main focuses of the coming years. We hope this article and our experiences will provide valuable information to practitioners and researchers in the field.

2020 ◽  
Author(s):  
Kerli Mooses ◽  
Triin Vihalemm ◽  
Marko Uibu ◽  
Katrin Mägi ◽  
Leene Korp ◽  
...  

Abstract This article focuses on the process of designing the vital, participatory school-based intervention program aiming to increase the physical activity in schools. The program analyzed is Estonian nationwide comprehensive physical activity program Schools in Motion (SiM) that recently received European Commission’s #BeActive Education Award. The program has a good performance in terms of willingness of schools to participate in co-creation of program development, the high interest to join the program and zero dropouts, and strong partnership with ministries which enables to actively participate in policy making. Authors analyze the key elements of the planning, piloting, implementation, and scaling phases of the SiM program and share their lessons learnt in co-working with schools. The difficulties faced during the development process, the strengths and challenges associated with an interdisciplinary approach, and involvement of schools as experts have been addressed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kerli Mooses ◽  
Triin Vihalemm ◽  
Marko Uibu ◽  
Katrin Mägi ◽  
Leene Korp ◽  
...  

AbstractThis article focuses on the process of designing the vital, participatory school-based intervention program aiming to increase the physical activity in schools. The program analyzed is Estonian nationwide comprehensive physical activity program Schools in Motion (SiM) that recently received European Commission’s #BeActive Education Award. The program has a good performance in terms of willingness of schools to participate in co-creation of program development, the high interest to join the program and zero dropouts, and strong partnership with ministries which enables to actively participate in policy making. Authors analyze the key elements of the planning, piloting, implementation, and scaling phases of the SiM program and share their lessons learnt in co-working with schools. The difficulties faced during the development process, the strengths and challenges associated with an interdisciplinary approach, and involvement of schools as experts have been addressed.


2019 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Rafaela Gomes Santos ◽  
Ariádny Brandão Gomes ◽  
Douglas Assis Teles Santos ◽  
Marília Santos Andrade ◽  
...  

Abstract Background Physical exercise is an important tool to manage systemic arterial hypertension. However, less is known about the effect of physical exercise on the number of antihypertensive drugs used by older adults. Objectives The aim was to compare the number of antihypertensive drugs used by older female adults with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants that presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results The number of ingested antihypertensive tablets was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets ingested (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusions The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive women.


2020 ◽  
Vol 51 ◽  
pp. 101795
Author(s):  
David González-Cutre ◽  
Alejandro Jiménez-Loaisa ◽  
Manuel Alcaraz-Ibáñez ◽  
María Romero-Elías ◽  
Inês Santos ◽  
...  

2021 ◽  
Author(s):  
Kerli Mooses ◽  
Triin Vihalemm ◽  
Marko Uibu ◽  
Katrin Mägi ◽  
Leene Korp ◽  
...  

Abstract This article focuses on the process of designing the vital, participatory school-based intervention program aiming to increase the physical activity in schools. The program analyzed is Estonian nationwide comprehensive physical activity program Schools in Motion (SiM) that recently received European Commission’s #BeActive Education Award. The program has a good performance in terms of willingness of schools to participate in co-creation of program development, the high interest to join the program and zero dropouts, and strong partnership with ministries which enables to actively participate in policy making. Authors analyze the key elements of the planning, piloting, implementation, and scaling phases of the SiM program and share their lessons learnt in co-working with schools. The difficulties faced during the development process, the strengths and challenges associated with an interdisciplinary approach, and involvement of schools as experts have been addressed.


BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth A. Salerno ◽  
Neha P. Gothe ◽  
Jason Fanning ◽  
Lindsay L. Peterson ◽  
Graham A. Colditz ◽  
...  

Abstract Background Supervised physical activity interventions improve functional health during cancer survivorship, but remain costly and inaccessible for many. We previously reported on the benefits of a DVD-delivered physical activity program (FlexToBa™) in older adults. This is a secondary analysis of the intervention effects among cancer survivors in the original sample. Methods Low active, older adults who self-reported a history of cancer (N = 46; M time since diagnosis = 10.7 ± 9.4 years) participated in a 6-month, home-based physical activity intervention. Participants were randomized to either the DVD-delivered physical activity program focused on flexibility, toning, and balance (FlexToBa™; n = 22) or an attentional control condition (n = 24). Physical function was assessed by the Short Physical Performance Battery (SPPB) at baseline, end of intervention, and at 12 and 24 months after baseline. Results Repeated measures linear mixed models indicated a significant group*time interaction for the SPPB total score (β = − 1.14, p = 0.048), driven by improved function from baseline to six months in the FlexToBa™ group. The intervention group also had improved balance (β = − 0.56, p = 0.041) compared with controls. Similar trends emerged for the SPPB total score during follow-up; the group*time interaction from 0 to 12 months approached significance (β = − 0.97, p = 0.089) and was significant from 0 to 24 months (β = − 1.84, p = 0.012). No significant interactions emerged for other outcomes (ps > 0.11). Conclusions A DVD-delivered physical activity intervention designed for cancer-free older adults was capable of eliciting and maintaining clinically meaningful functional improvements in a subgroup of cancer survivors, with similar effects to the original full sample. These findings inform the dissemination of evidence-based physical activity programs during survivorship. Trial registration ClinicalTrials.govNCT01030419. Registered 11 December 2009


Author(s):  
Alexandra Canori ◽  
Amir Mohammad Amiri ◽  
Binod Thapa-Chhetry ◽  
Margaret A. Finley ◽  
Mary Schmidt-Read ◽  
...  

2018 ◽  
Author(s):  
Lidia Delrieu ◽  
Vincent Pialoux ◽  
Olivia Pérol ◽  
Magali Morelle ◽  
Agnès Martin ◽  
...  

BACKGROUND There is limited knowledge regarding the potential benefits of physical activity in patients with metastatic breast cancer. OBJECTIVE The Advanced stage Breast cancer and Lifestyle Exercise (ABLE) Trial aimed to assess the feasibility of a physical activity intervention in women with metastatic breast cancer and to explore the effects of physical activity on functional, psychological, and clinical parameters. METHODS The ABLE Trial was a single-arm, 6-month intervention study with a home-based, unsupervised, and personalized walking program using an activity tracker. At baseline and 6 months, we assessed anthropometrics, functional fitness, physical activity level, sedentary behavior, quality of life, fatigue, and tumor progression. Paired proportions were compared using the McNemar test and changes of parameters during the intervention were analyzed using the Wilcoxon signed-rank test, the Mann-Whitney test, and Spearman rank correlations. RESULTS Overall, 49 participants (mean age 55 years; recruitment rate 94%) were enrolled and 96% adhered to the exercise prescription (attrition rate 2%). Statistically significant improvements in the 6-minute walking distance test (+7%, <i>P</i>&lt;.001) and isometric quadriceps strength (+22%, <i>P</i>&lt;.001), as well as decreases in body mass index (-2.5%, <i>P</i>=.03) and hip circumference (-4.0%, <i>P</i>&lt;.001) were observed at 6 months. Quality of life remained stable and a nonstatistically significant decrease (-16%, <i>P</i>=.07) in fatigue was observed. CONCLUSIONS The high recruitment and adherence rates suggest the willingness of patients with metastatic breast cancer to participate in a physical activity program. The beneficial outcomes regarding physical fitness and anthropometry of this unsupervised physical activity program may encourage these patients to maintain a physically active lifestyle. Future randomized controlled trials with larger sample sizes are warranted. CLINICALTRIAL ClinicalTrials.gov NCT03148886; https://clinicaltrials.gov/ct2/show/NCT03148886 INTERNATIONAL REGISTERED REPORT RR2-10.2196/10487


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