Abstract
Background It is important to assess implementation of active learning interventions to maximize their impact. Quality of process, or how well one engages program participants, has been less studied than other implementation components (e.g., dose, fidelity). This cross-sectional study examined associations between teacher engagement behaviors, teacher feedback, and student physical activity outcomes during active classroom lessons.Methods This study used data from the Texas Initiatives for Children’s Activity and Nutrition (I-CAN!) randomized controlled trial. Multivariate analysis of covariance was conducted to compare student physical activity outcomes by teachers’ engagement behaviors. Bivariate correlations were conducted to examine associations between teacher feedback and student physical activity outcomes. A latent profile analysis was used to examine whether there were subsets of teachers with similar feedback profiles.Results The final analytic sample included 82 teachers (N = 100 observations). Teacher-directed changes in physical activity and/or teacher participation in physical activity demonstrated significantly higher ratings for student physical activity intensity, class participation, and how often children were active (all p < .05). Physical Activity Reinforcement and Technical Instruction feedback were positively associated with activity intensity (r=-.20, p < .05 and r = .33, p < .01, respectively). Technical Instruction feedback was positively associated with how many (r = .31, p < .01) and how often (r = .44, p < .01) students were active during lessons. Negative feedback was negatively associated with how many (r=-.20, p < .05) and how often (r=-.28, p < .01) students were active, as well as activity intensity (r=-.27, p < .01). All teachers were represented by relatively high levels of Game Instruction and Classroom Management feedback, moderate levels of Content Reinforcement and Content Instruction feedback, and low levels of Negative, Technical Instruction, and Physical Activity Reinforcement feedback. These data did not indicate the existence of multiple feedback profiles.Conclusions These findings suggest that teacher engagement and feedback to students during physically active, academic lessons can help promote student engagement in physical activity. Teachers have primary responsibility for implementing school-based interventions, and it is critical to develop strategies that increase teachers’ ability to implement them successfully. Opportunities to maximize intervention delivery, such as co-designing with teachers, should be utilized in school-based, physical activity interventions.