Exploring the Impact and Feasibility of a Pathway to Sport and Long-term Participation in Young People

NCT02517333 | Unknown

• 1 other identifier: 140844
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 5

Brief Summary

The importance of play and physical activity include its many benefits on positively improving health and well-being, enhancing children's and young people's thinking and performance in school, improving their sleep and enabling confidence and skill building (Janssen and LeBlanc, 2010; Budde et al., 2008; Sallis and Patrick, 1994). However, children with movement difficulties (MD) and physical disabilities are at risk of decreased physical activity and subsequently decreased physical fitness and overall health and well-being as a result. To build upon current findings and to follow-up on a continuing study, looking at the impact (responses) and recovery during and following acute exercise at different intensities in children and adolescents with and without movement difficulties, this next phase aims to provide an intervention to improve fitness levels and health measures and to strategically provide a pathway for longer term participation in physical activity in young people. Implement and evaluate a pathway to sport for 14+ year old young people who do not regularly participate in sport due to Neurodevelopmental conditions, young people presenting with poor coordination and movement, and even children and adolescents with special educational needs. The pathway hopes to promote engagement, participation, inclusion and confidence (EPIC) in sport within local schools and the community through 1) targeted recruitment, 2) confidence and skill building (EPIC Club), 3) connection to sport ('Have a go days') and 4) exit to long term participation.

Conditions

Dyspraxia

Keywords

Motor skill proficiency; movement difficulties; Developmental Coordination Disorder (DCD); Low physical fitness

Outcome Measures

Primary Outcomes (1)

• Fitness Measures

  Measures are composite and consists of multiple primary outcome measures focused around fitness. Pre- and post-assessments surrounding the EPIC Club gym sessions will seek to monitor changes to fitness measures. The Astrand bike test is a submaximal test of aerobic capacity to predict maximal oxygen uptake based on heart rate and work rate. Arm and leg strength will also be assessed and a motor skill (balance)

  6 weeks

Secondary Outcomes (2)

• Physical activity questionnaire (PAQ-A) and Child Health Utility (9D) Questionnaire

  6 weeks

• Adherence

  6 weeks

Study Arms (1)

Proof-of-principle (PoP)

OTHER

Proof-of-principle phase of the study. All participants undergo the exercise intervention as part of the feasibility. 1. Screen within Year 9 Class 2. Targeted recruitment for those scoring in bottom 5th percentile 3. Invite students to take part in 6-week intervention 4. Enroll students participating 5. Pre-intervention assessment 6. Start 6-week Epic Club gym intervention (1-2 times weekly for 45-60 mins) consisting of 30 min cardiovascular exercise and 25-30 min strength/resistance and weight training 7. Post-intervention assessment 8. Exit to longer-term sport/physical activity

Other: EPIC Club

Interventions

EPIC Club OTHER

Weekly exercise gym sessions (1-2 times weekly) for 45-60 mins each session. Participants will start with a warm-up of 30 mins cardiovascular training either doing cycling, treadmill running or cross-training. The remainder of the session consists of strength/resistance and weight-training involving leg press, leg extensor, pull downs, kettle bells, dumbbells. Gym sessions aim to involve bursts of high-intensity and monitoring of heart rate (potentially with wrist activity monitors with heart rate monitoring and accelerometers) to identify level of physical activity intensity. Participants will also have the opportunity to engage in 'Have a go' sports days run by the Oxfordshire Sports Partnership.

Proof-of-principle (PoP)

Eligibility Criteria

• Age: 13 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Participants must be able to walk with or without support for at least 5 meters, be able to safely take part in two-step instructions.
• GP approval will only be required prior to participation in the training intervention and the assessments if parent/guardian requests so or if the investigators feel there is a need for medical clearance for the child/adolescent to safely participant.
• The participant should be able to mount the cycle ergometer with or without assistance

You may not qualify if:

• Any behavioral issues that would prevent safe participation or may put the participant, investigators and others at risk
• Any contraindications to perform maximal exercise
• Individuals suffering from muscular degenerative conditions or with uncontrolled medical conditions (e.g. asthma, diabetes, epilepsy- must be stable and on medication for greater than 12 weeks)

Sponsors & Collaborators

• Oxford Brookes University: lead
• Sport England: collaborator
• Oxfordshire Sports Partnership: collaborator

Study Sites (5)

Cherwell School

Oxford, OX2 7EE, United Kingdom

Location

CLEAR Unit

Oxford, OX3 0BP, United Kingdom

Location

Cheney School

Oxford, OX3 7QH, United Kingdom

Location

Wheatley Park School

Oxford, OX33 1QH, United Kingdom

Location

The Oxford Academy

Oxford, OX4 6JZ, United Kingdom

Location

Related Publications (1)

• Weedon BD, Liu F, Mahmoud W, Metz R, Beunder K, Delextrat A, Morris MG, Esser P, Collett J, Meaney A, Howells K, Dawes H. The relationship of gross upper and lower limb motor competence to measures of health and fitness in adolescents aged 13-14 years. BMJ Open Sport Exerc Med. 2018 Mar 8;4(1):e000288. doi: 10.1136/bmjsem-2017-000288. eCollection 2018.

  PMID: 29629179 DERIVED

MeSH Terms

Conditions

Apraxias; Motor Skills Disorders

Condition Hierarchy (Ancestors)

Psychomotor Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Helen Dawes, Professor

  Oxford Brookes University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: August 3, 2015
• First Posted: August 7, 2015
• Study Start: March 1, 2014
• Primary Completion: June 1, 2018
• Study Completion: June 1, 2018
• Last Updated: April 19, 2018

Record last verified: 2018-04

Locations

GB (5)