Developing and Testing an Implementation Strategy for Active Learning to Promote Physical Activity in Children

NCT05048433 | Completed Results

• 2 other identifiers: HSC-SPH-20-0861K01HL151817
• Study Type: interventional
• Target: 301
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to develop an implementation strategy to improve the use and sustainment of active learning in elementary schools and to conduct a feasibility study to evaluate the impact of the developed implementation strategy on the implementation and effectiveness of active learning.

Conditions

Physical Activity

Keywords

Implementation of Physical Activity Programs in Schools

Outcome Measures

Primary Outcomes (12)

• Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)

  The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.

  Baseline

• Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)

  The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.

  Approximately 7 months after baseline

• Acceptability of Active Learning Among Teachers as Assessed by the Acceptability of Implementation Measure (AIM)

  The Acceptability of Implementation Measure (AIM) total score is from 1 to 5, with higher scores representing higher levels of acceptability.

  Approximately 13 months after baseline

• Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

  Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.

  Baseline

• Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

  Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per week of active learning used.

  Approximately 7 months after baseline

• Implementation Fidelity as Assessed by Self-reported Implementation Logs to Assess Dose of Delivery

  Implementation logs will be completed weekly throughout the study and dose of delivery is the number of minutes per day of active learning used.

  Approximately 13 months after baseline

• Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

  Dose of delivery is the number of minutes per day of active learning used.

  Baseline

• Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

  Dose of delivery is the number of minutes per day of active learning used.

  Approximately 7 months after baseline

• Implementation Fidelity as Assessed by Teacher Survey of Dose of Delivery

  Dose of delivery is the number of minutes per day of active learning used.

  Approximately 13 months after baseline

• Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

  Baseline

• Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

  Approximately 7 months after baseline

• Student Physical Activity as Indicated by Number of Minutes Per Day Spent in Moderate and Vigorous Physical Activity as Assessed by the Actigraph GT3X+ Accelerometer

  Approximately 13 months after baseline

Study Arms (2)

Implementation strategy for active learning to promote physical activity

EXPERIMENTAL

Behavioral: Implementation strategy for active learning to promote physical activity

Usual implementation support

ACTIVE COMPARATOR

Behavioral: Usual implementation support

Interventions

Implementation strategy for active learning to promote physical activity BEHAVIORAL

The experimental arm includes using a multifaceted implementation strategy to support the use of classroom-based physical activity approaches. The strategy consists of a series of leadership trainings designed to help them support teachers, teacher trainings to build skills, and a monthly newsletter to reinforce implementation and provide access to existing resources.

Implementation strategy for active learning to promote physical activity

Usual implementation support BEHAVIORAL

Usual support consists of the potential to access general resources from the district wellness department. These resources include access to funds to send staff to external trainings and general guidance for how to use active learning approaches.

Usual implementation support

Eligibility Criteria

• Age: 5 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• lead teachers who teach kindergarten to fifth grade
• children in kindergarten to fifth grade

You may not qualify if:

• non English or Spanish speaking

Sponsors & Collaborators

• National Heart, Lung, and Blood Institute (NHLBI): collaborator
• The University of Texas Health Science Center, Houston: lead

Study Sites (1)

The University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

Related Publications (2)

• Walker TJ, Craig DW, Pfledderer CD, Lee M, Onadeko K, Saving EE, Bartholomew JB, Fernandez ME. Feasibility and acceptability of an implementation strategy to enhance use of classroom-based physical activity approaches in elementary schools: a mixed methods study. BMC Public Health. 2025 Nov 27;26(1):36. doi: 10.1186/s12889-025-25333-0.

  PMID: 41310531 DERIVED

• Walker TJ, Kohl HW 3rd, Bartholomew JB, Green C, Fernandez ME. Using Implementation Mapping to develop and test an implementation strategy for active learning to promote physical activity in children: a feasibility study using a hybrid type 2 design. Implement Sci Commun. 2022 Mar 7;3(1):26. doi: 10.1186/s43058-022-00271-9.

  PMID: 35256018 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

The reported implementation and physical activity outcomes are unadjusted values.

Results Point of Contact

• Title: Timothy J Walker, PhD
• Organization: The University of Texas Health Science Center at Houston

Timothy.J.Walker@uth.tmc.edu

713-500-9664

Study Officials

• Timothy J Walker, PhD

  The University of Texas Health Science Center, Houston

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 8, 2021
• First Posted: September 17, 2021
• Study Start: August 4, 2023
• Primary Completion: November 22, 2024
• Study Completion: November 22, 2024
• Last Updated: January 14, 2026
• Results First Posted: January 14, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)