School of Education, University of Newcastle, Callaghan, New South Wales, Australia.
Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia.
BMJ Open. 2022 Aug 10;12(8):e065321. doi: 10.1136/bmjopen-2022-065321.
Physical activity declines during adolescence, with the lowest levels of activity observed among those with disability. Schools are ideal settings to address this issue; however, few school-based interventions have been specifically designed for older adolescents with disability. Our aim is to investigate the effects of a school-based physical activity programme, involving high-intensity interval training (HIIT), on physical, mental and cognitive health in older adolescents with disability.
We will evaluate the Burn 2 Learn adapted (B2La) intervention using a two-arm, parallel group, cluster randomised controlled trial with allocation occurring at the school level (treatment or waitlist control). Secondary schools will be recruited in two cohorts from New South Wales, Australia. We will aim to recruit 300 older adolescents (aged 15-19 years) with disability from 30 secondary schools (10 in cohort 1 and 20 in cohort 2). Schools allocated to the intervention group will deliver two HIIT sessions per week during scheduled specialist support classes. The sessions will include foundational aerobic and muscle strengthening exercises tailored to meet student needs. We will provide teachers with training, resources, and support to facilitate the delivery of the B2La programme. Study outcomes will be assessed at baseline, 6 months (primary endpoint), and 9 months. Our primary outcome is functional capacity assessed using the 6 min walk/push test. Secondary outcomes include physical activity, muscular fitness, body composition, cognitive function, quality of life, physical literacy, and on-task behaviour in the classroom. We will also conduct economic and process evaluations to determine cost-effectiveness, programme acceptability, implementation, adaptability, and sustainability in schools.
This study has received approval from the University of Newcastle (H-2021-0262) and the New South Wales Department of Education (SERAP: 2021257) human research ethics committees. Findings will be published in peer-reviewed journals, and key stakeholders will be provided with a detailed report following the study.
Australian New Zealand Clinical Trials Registry Number: ACTRN12621000884808.
青少年时期体力活动减少，其中残疾青少年的活动水平最低。学校是解决这个问题的理想场所；然而，专为残疾青少年设计的基于学校的干预措施很少。我们的目的是研究一项基于学校的体力活动计划，包括高强度间歇训练（HIIT），对残疾青少年的身体、心理和认知健康的影响。
我们将使用两臂、平行组、集群随机对照试验，对基于学校的高强度间歇训练（HIIT）方案进行评估，该试验在学校层面（治疗或候补对照组）进行分配。将从澳大利亚新南威尔士州招募两所中学。我们将从 30 所中学（第 1 组 10 所，第 2 组 20 所）招募 300 名 15-19 岁的残疾青少年。分配到干预组的学校将在预定的专业支持课程中每周进行两次 HIIT 课程。课程将包括基础有氧运动和肌肉强化练习，以满足学生的需求。我们将为教师提供培训、资源和支持，以促进 B2La 方案的实施。研究结果将在基线、6 个月（主要终点）和 9 个月时进行评估。我们的主要结果是使用 6 分钟步行/推测试评估的功能能力。次要结果包括体力活动、肌肉力量、身体成分、认知功能、生活质量、体育素养和课堂上的任务行为。我们还将进行经济和过程评估，以确定在学校的成本效益、方案可接受性、实施、适应性和可持续性。
这项研究已获得纽卡斯尔大学（H-2021-0262）和新南威尔士州教育部（SERAP：2021257）人类研究伦理委员会的批准。研究结果将发表在同行评议的期刊上，并在研究结束后向主要利益相关者提供详细报告。
澳大利亚和新西兰临床试验注册中心编号：ACTRN12621000884808。
