The feasibility and acceptability of a primary school-based programme targeting diet and physical activity: the PhunkyFoods Programme.

Childhood obesity Diet Intervention Physical activity Schoolchildren

Journal

Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536

Informations de publication

Date de publication:
2019
Historique:
received: 05 03 2018
accepted: 06 12 2019
entrez: 1 1 2020
pubmed: 1 1 2020
medline: 1 1 2020
Statut: epublish

Résumé

This study aims to evaluate the feasibility and acceptability of the PhunkyFoods Programme, a primary school-based intervention to promote healthy nutrition and physical activity knowledge and behaviours to assess outcomes to inform a phase 3 trial. The cluster randomised feasibility trial recruited eight primary schools from the North of England. Elibility criteria included all primary schools in one town, excluding independent and special schools and schools that comprised of only key stage 2 pupils (years 3-6). Eight schools agreed to participate. Randomisation to intervention or control arms was in a 1:1 ratio. Intervention schools received PhunkyFoods over 17 months. Control schools continued with usual curriculum. Assessors were blinded to group assignment. Measures comprised of a Healthy Lifestyle Knowledge Questionnaire and Synchronised Nutrition and Activity Program to assess diet and physical activity, height, weight, and psychological wellbeing. Feasibility outcomes were recruitment, attrition rates, interviews with teaching staff, focus groups with pupils to explore the acceptability of outcome measures, implementation, intervention content, and programme fidelity. Three hundred fifty-eight pupils, aged 6-9 years from eight schools were recruited at baseline (control Whilst the study was not powered to detect a definitive effect, results suggest a potential to increase knowledge of healthy lifestyle behaviours and dietary behaviours, suggesting that with minor changes, a phase 3 trial is likely to be deliverable. ISRCTN, ISRCTN15641330. Registered 8 May 2015-retrospectively registered, 10.1186/ISRCTN15641330.

Sections du résumé

BACKGROUND BACKGROUND
This study aims to evaluate the feasibility and acceptability of the PhunkyFoods Programme, a primary school-based intervention to promote healthy nutrition and physical activity knowledge and behaviours to assess outcomes to inform a phase 3 trial.
METHODS METHODS
The cluster randomised feasibility trial recruited eight primary schools from the North of England. Elibility criteria included all primary schools in one town, excluding independent and special schools and schools that comprised of only key stage 2 pupils (years 3-6). Eight schools agreed to participate. Randomisation to intervention or control arms was in a 1:1 ratio. Intervention schools received PhunkyFoods over 17 months. Control schools continued with usual curriculum. Assessors were blinded to group assignment. Measures comprised of a Healthy Lifestyle Knowledge Questionnaire and Synchronised Nutrition and Activity Program to assess diet and physical activity, height, weight, and psychological wellbeing. Feasibility outcomes were recruitment, attrition rates, interviews with teaching staff, focus groups with pupils to explore the acceptability of outcome measures, implementation, intervention content, and programme fidelity.
RESULTS RESULTS
Three hundred fifty-eight pupils, aged 6-9 years from eight schools were recruited at baseline (control
CONCLUSIONS CONCLUSIONS
Whilst the study was not powered to detect a definitive effect, results suggest a potential to increase knowledge of healthy lifestyle behaviours and dietary behaviours, suggesting that with minor changes, a phase 3 trial is likely to be deliverable.
TRIAL REGISTRATION BACKGROUND
ISRCTN, ISRCTN15641330. Registered 8 May 2015-retrospectively registered, 10.1186/ISRCTN15641330.

Identifiants

pubmed: 31890264
doi: 10.1186/s40814-019-0542-2
pii: 542
pmc: PMC6925414
doi:

Types de publication

Journal Article

Langues

eng

Pagination

152

Informations de copyright

© The Author(s). 2019.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

Références

Obesity (Silver Spring). 2016 May;24(5):1140-7
pubmed: 27112069
Int J Behav Nutr Phys Act. 2015 Feb 25;12:28
pubmed: 25889098
Adolesc Health Med Ther. 2016 Nov 14;7:125-146
pubmed: 27881930
Eur J Clin Nutr. 2015 Feb;69(2):234-41
pubmed: 25139558
Worldviews Evid Based Nurs. 2016 Aug;13(4):294-302
pubmed: 27105396
Public Health Nutr. 2012 Jul;15(7):1284-90
pubmed: 22166312
Am J Clin Nutr. 2012 Oct;96(4):889-901
pubmed: 22952187
Pediatrics. 2003 Apr;111(4 Pt 1):851-9
pubmed: 12671123
Int J Obes (Lond). 2011 Jul;35(7):891-8
pubmed: 20975725
Am J Public Health. 2008 Jan;98(1):111-7
pubmed: 18048778
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Int J Behav Nutr Phys Act. 2008 Jan 29;5:5
pubmed: 18226268
J Sports Sci. 2013;31(12):1280-93
pubmed: 23656302
J Pediatr. 2011 Oct;159(4):584-90
pubmed: 21514597
Int J Behav Nutr Phys Act. 2014 Aug 16;11:99
pubmed: 25128211
J Public Health (Oxf). 2012 Aug;34(3):360-9
pubmed: 22267291
Trials. 2013 Apr 04;14:95
pubmed: 23556434
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
pubmed: 22161367
Int J Epidemiol. 2016 Aug;45(4):1091-1102
pubmed: 27413103
Lancet. 2001 Feb 17;357(9255):505-8
pubmed: 11229668
Int J Obes Relat Metab Disord. 2004 Oct;28(10):1238-46
pubmed: 15314635
Obes Rev. 2012 Mar;13(3):214-33
pubmed: 22070186
J Nutr Educ Behav. 2002 May-Jun;34(3):140-50
pubmed: 12047838
Int J Behav Nutr Phys Act. 2017 Nov 15;14(1):157
pubmed: 29141651
BMC Public Health. 2013 Jul 02;13:626
pubmed: 23819701
Br J Nutr. 2008 Jun;99(6):1266-74
pubmed: 18042307
Appetite. 2000 Jun;34(3):269-75
pubmed: 10888290
BMC Public Health. 2010 Mar 10;10:123
pubmed: 20219104
Public Health Nutr. 2013 Jun;16(6):1073-81
pubmed: 23237386
Med Sci Sports Exerc. 2005 Jul;37(7):1224-30
pubmed: 16015142
Int J Eat Disord. 2008 Jan;41(1):72-81
pubmed: 17634965
BMC Public Health. 2016 Nov 2;16(1):1133
pubmed: 27806692
Int J Behav Nutr Phys Act. 2015 Feb 13;12:15
pubmed: 25885800
Cochrane Database Syst Rev. 2005 Jul 20;(3):CD001871
pubmed: 16034868
J Epidemiol Community Health. 2017 Aug;71(8):827-834
pubmed: 28356325

Auteurs

Pinki Sahota (P)

1School of Clinical and Applied Sciences, Leeds Beckett University, Calverley Street, Leeds, LS1 3HE UK.

Meaghan Christian (M)

1School of Clinical and Applied Sciences, Leeds Beckett University, Calverley Street, Leeds, LS1 3HE UK.

Rhiannon Day (R)

1School of Clinical and Applied Sciences, Leeds Beckett University, Calverley Street, Leeds, LS1 3HE UK.

Kim Cocks (K)

KCStats Consultancy, Leeds, UK.

Classifications MeSH