The CHAMP ASP: Promoting Physical Activity & Health in Children

NCT05342701 | Active Not Recruiting

• 2 other identifiers: HUM00208311R01NR018830
• Study Type: interventional
• Target: 264
• Locations: 1 country
• Sites: 1

Brief Summary

Currently, 10 million children participate in afterschool programs (ASPs) each day, and ASPs provide a great opportunity to enhance children's health outside of the regular school environment, particularly given the decline in physical education. This proposed, randomized cluster, controlled trial will examine the immediate (pre- to post-test) and sustained (1-year post-intervention follow-up) effects of CHAMP-ASP on physical activity (primary outcome), motor performance, perceived motor competence, health-related physical fitness, and weight status. CHAMP-ASP will be implemented by ASP staff and will be conducted in ASPs located in Ypsilanti/Ann Arbor, Michigan. Children (N = 264; CHAMP-ASP=132 and control=132) K-2 graders (typically ages 5-8 years) will participate 35 minutes/day X 3-4 days/week for 19 weeks (dose of 1995 - 2240 minutes). The aims are to: a) examine the immediate and sustained effects of CHAMP-ASP on physical activity, motor performance, and perceived motor competence relative to the control ASP, b) examine the immediate and sustained effects of CHAMP-ASP on secondary health outcomes - health-related physical fitness (cardiorespiratory fitness, muscular strength), and weight status compared to children in schools randomized to control ASP, and c) determine if perceived motor competence mediates the effect of CHAMP-ASP on moderate-to-vigorous physical activity.

Conditions

Physical Inactivity

Outcome Measures

Primary Outcomes (6)

• Changes in Motor Competence - process measures

  Process scores will be assessed with the Test of Gross Motor Development (TGMD, 3rd edition); scores from the two subscales (locomotor and ball skills) will be reported as raw scores for each skills and an overall score (total MC score). The project will assess changes overtime for this measure

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Motor Competence - product measures

  Product scores will use throwing speed, kicking speed, jump distance, running speed, and hopping speed. Product score will vary for each participant (i.e., kick, run, hopping, and throw velocity along with jumping distance - faster scores and greater distance are indicators of better MC).

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Physical Activity

  Actigraph GTX3+ tri-axial accelerometer will be used to measure the frequency, intensity, and duration of PA among children during the ASP and in free-living settings. Participants will be asked to wear the same accelerometer for 7 full days (5 week and 2 weekend days). Data will be set to collect data in raw mode (30 Hz), and will be processed using ActiLife software or other, more advanced techniques, such as machine learning approaches.

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Health-related fitness - Cardiorespiratory endurance

  Cardiorespiratory endurance will be assessed with a 6-min walk test. For the 6-min walk test, the children walk as fast as possible around two cones for 6 minutes.

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Health-related fitness - Muscular Strength

  Muscular strength will be assessed with test of handgrip strength. Upper body strength will be assessed using a hand grip strength with a dynamometer, which has been deemed reliable and valid in 6-12-year-olds \[62\]. Grip will be appropriately adjusted for size, and two trials on the right and left sides (elbow extended) will be assessed (muscular strength). The sum of maximum score (kg) of two trials for each hand will be used in analyses.

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Health-related fitness - Body Composition

  Body composition (i.e., body fat) will be assessed with bioelectrical impedance. Body fat percentage will be the average of two measurements assessed (to the nearest 0.1%, respectively) with a bioelectric impedance analysis scale (Tanita). The assessment will be completed in a designated, private area

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

Secondary Outcomes (7)

• Demographics

  Baseline

• Changes in Perceived Motor Competence (Global)

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• Changes in Digital Scale of Perceived Motor Competence (DSPMC)

  baseline, post-intervention (i.e., 24 weeks post baseline), and 1 year post-intervention follow-up

• CHAMP ASP Acceptability Questionnaire

  post-intervention (i.e., 24 weeks post baseline)

• Family Questionnaire

  baseline

Study Arms (2)

CHAMP-ASP

EXPERIMENTAL

CHAMP, is a mastery climate motor skills intervention, that provides children the opportunity to establish behaviors that reinforce decision-making while participating in a motor activity tasks. Children will participate in CHAMP for 35 minutes/day 3-4 days per week for 19 weeks. Each 35-min session consists of three parts: 1. 3-5 min of motor skill introductory activity that includes a group motor activity, the teaching of the lesson that includes a demonstration and understanding of developmentally appropriate learning clues; 2. 25 min of motor skill instruction and practice (i.e., 'active motor engagement'), participants will be encouraged to move through 3-4 motor activity stations that align with the TARGET structure; and 3. 3 -5 min motor skill closure activity that involves a review of the lesson and critical elements.

Behavioral: Motor Skills Intervention

Control - Standard of Practice

NO INTERVENTION

The Control (standard of practice) condition will be the school typical ASP and will be implemented according to the existing procedures.

Interventions

Motor Skills Intervention BEHAVIORAL

The behavioral motor skill intervention (CHAMP) is an intervention strategy that uniquely address differences in children's development. CHAMP does not equate to a "one size fits all" approach. Children will be in an environment that promotes opportunities for them to development improvement in motor skills based on their specific individual needs and choices. The CHAMP intervention promotes a mastery climate that allows each individual child to be successful and learn while promoting intrinsic motivation and autonomy. CHAMP consists of 35 minutes/day X 3-4 days/week for 19 weeks (dose of 1995 - 2240 minutes). Each session will consist of three parts: (a) 3-5 min of motor skill introductory activity, (b) 25 min of motor skill instruction and practice, and (c) 3-5 min motor skill closure activity.

CHAMP-ASP

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Participants must be attending an ASP in the Ann-Arbor/Ypsilanti and Lansing/East Lansing area

You may not qualify if:

• Participants diagnosed with syndromes or diseases that affect PA participation
• Participants diagnosed with any major illness, developmental, and/or physical disability that limited their ability to participate in movement and physical activity programs.

Sponsors & Collaborators

• University of Michigan: lead
• National Institute of Nursing Research (NINR): collaborator

Study Sites (1)

Leah Elizabeth Robinson

Ann Arbor, Michigan, 48104, United States

Location

Related Publications (8)

• Lohman TG, Ring K, Pfeiffer K, Camhi S, Arredondo E, Pratt C, Pate R, Webber LS. Relationships among fitness, body composition, and physical activity. Med Sci Sports Exerc. 2008 Jun;40(6):1163-70. doi: 10.1249/MSS.0b013e318165c86b.

  PMID: 18460987 BACKGROUND

• Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT; Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012 Jul 21;380(9838):219-29. doi: 10.1016/S0140-6736(12)61031-9.

  PMID: 22818936 BACKGROUND

• Robinson LE, Palmer KK, Bub KL. Effect of the Children's Health Activity Motor Program on Motor Skills and Self-Regulation in Head Start Preschoolers: An Efficacy Trial. Front Public Health. 2016 Sep 8;4:173. doi: 10.3389/fpubh.2016.00173. eCollection 2016.

  PMID: 27660751 BACKGROUND

• Robinson LE, Veldman SLC, Palmer KK, Okely AD. A Ball Skills Intervention in Preschoolers: The CHAMP Randomized Controlled Trial. Med Sci Sports Exerc. 2017 Nov;49(11):2234-2239. doi: 10.1249/MSS.0000000000001339.

  PMID: 29045324 BACKGROUND

• Robinson LE, Stodden DF, Barnett LM, Lopes VP, Logan SW, Rodrigues LP, D'Hondt E. Motor Competence and its Effect on Positive Developmental Trajectories of Health. Sports Med. 2015 Sep;45(9):1273-1284. doi: 10.1007/s40279-015-0351-6.

  PMID: 26201678 BACKGROUND

• Beets MW, Beighle A, Erwin HE, Huberty JL. After-school program impact on physical activity and fitness: a meta-analysis. Am J Prev Med. 2009 Jun;36(6):527-37. doi: 10.1016/j.amepre.2009.01.033. Epub 2009 Apr 11.

  PMID: 19362799 BACKGROUND

• Lima RA, Pfeiffer K, Larsen LR, Bugge A, Moller NC, Anderson LB, Stodden DF. Physical Activity and Motor Competence Present a Positive Reciprocal Longitudinal Relationship Across Childhood and Early Adolescence. J Phys Act Health. 2017 Jun;14(6):440-447. doi: 10.1123/jpah.2016-0473. Epub 2017 Feb 7.

  PMID: 28169569 BACKGROUND

• Robinson LE, Palmer KK, Santiago-Rodriguez ME, Myers ND, Wang L, Pfeiffer KA. Protocol for a multicenter-cluster randomized clinical trial of a motor skills intervention to promote physical activity and health in children: the CHAMP afterschool program study. BMC Public Health. 2022 Aug 13;22(1):1544. doi: 10.1186/s12889-022-13849-8.

  PMID: 35964114 DERIVED

MeSH Terms

Conditions

Sedentary Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Leah E Robinson, PhD

  University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 16, 2022
• First Posted: April 25, 2022
• Study Start: December 1, 2022
• Primary Completion (Estimated): August 31, 2026
• Study Completion (Estimated): August 31, 2026
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)