Belton Sarahjane, Britton Úna, Murtagh Elaine, Meegan Sarah, Duff Christina, McGann Jamie
School of Health & Human Performance, Dublin City University, D09 V209 Dublin 9, Ireland.
Department of Physical Education & Sport Sciences, University of Limerick, V94 T9P✗ Limerick, Ireland.
Children (Basel). 2020 Dec 16;7(12):300. doi: 10.3390/children7120300.
Whole-school physical activity (PA) promotion programmes are recommended to increase youth PA. Evaluation of programmes is essential to ensure practice is guided by evidence. This paper evaluates the Active School Flag (ASF), a whole-school PA promotion programme in Ireland, using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. ASF was evaluated across three levels-(1) administration, (2) application, (3) outcomes-using a mi✗ed-methods case study design. E✗isting data sources were reviewed, the programme coordinator was interviewed, and a pilot study was conducted to investigate impact on 3rd and 5th class students (3 schools, = 126 students, age range 8-12 years). In-school Moderate to Vigorous Physical Activity (MVPA; by accelerometery), motivation for PA (BREQ), PA self-efficacy (PASES), school affect and peer social support (Kidscreen27) were measured pre-programme (0 months), post-programme (8 months), and at retention (12 months). Teacher perceptions of classroom behaviour (CBAST) were also measured pre- and post-programme. ASF has been successful in engaging 46% of primary schools nationally. Students' in-school moderate-vigorous PA increased in all pilot-study schools from pre-programme to retention (η = 0.68-0.84). ASF programme design facilitates implementation fidelity, adoption and maintenance through buy in from schools and government stakeholders. ASF presents as an effective PA promotion programme in the short-to-medium term for primary schools. This RE-AIM evaluation provides evidence of ASF effectiveness, alongside valuable findings that could support programme improvement, and inform future similar programmes.
建议开展全校范围的体育活动（PA）推广项目以增加青少年的体育活动量。对项目进行评估对于确保实践以证据为导向至关重要。本文使用“覆盖范围、有效性、采用率、实施情况和维持情况”（RE-AIM）框架对爱尔兰的一项全校范围的体育活动推广项目“活力学校旗帜”（ASF）进行评估。ASF在三个层面进行了评估——（1）管理层面，（2）应用层面，（3）成果层面——采用混合方法案例研究设计。对现有数据源进行了审查，对项目协调员进行了访谈，并开展了一项试点研究以调查该项目对三年级和五年级学生（3所学校，n = 126名学生，年龄范围8至12岁）的影响。在项目开展前（0个月）、项目结束后（8个月）以及随访时（12个月）测量了校内中等到剧烈体育活动量（MVPA；通过加速度计测量）、体育活动动机（BREQ）、体育活动自我效能感（PASES）、学校氛围和同伴社会支持（儿童生活质量量表27项版）。还在项目开展前后测量了教师对课堂行为的看法（CBAST）。ASF已成功吸引了全国46%的小学参与。在所有试点研究学校中，学生的校内中等到剧烈体育活动量从项目开展前到随访时均有所增加（η = 0.68 - 0.84）。ASF项目设计通过学校和政府利益相关者的支持促进了实施的保真度、采用率和维持情况。ASF在短期内呈现为一项对小学有效的体育活动推广项目。这项RE-AIM评估提供了ASF有效性的证据，以及有助于项目改进并为未来类似项目提供参考的宝贵研究结果。
