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Empowering adolescents to be physically active: Three-year results of the Sigue la Huella intervention
Institution:1. Departamento de Expresión Musical, Plástica y Corporal, Universidad de Zaragoza, Huesca C.P. 22002, Spain;2. Department of Kinesiology and Physical Education, McGill University, Montreal H2W 1S4, Canada;1. School of Nuclear Science and Technology, Xi’an Jiaotong University, No.28 Xianning West Road, Xi’an, Shaanxi, 710049, China;2. Division of Cardiology, Department of Internal Medicine, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, South Korea;3. Department of Neurosurgery, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, South Korea;4. Department of Neurology, Jeju National University School of Medicine, Jeju National University Hospital, Jeju, South Korea;1. College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, USA;2. Betty Irene Moore School of Nursing, University of California Davis, 4610 X Street, Sacramento, CA 95817, USA;3. Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA
Abstract:ObjectiveTo examine the effects of a school-based intervention called Sigue la Huella (Follow the Footstep) on adolescents' daily moderate-to-vigorous physical activity (MVPA).MethodThis quasi-experimental, cohort study took place in four secondary schools in Huesca (Spain) during the 2009–2010, 2010–2011, and 2011–2012 academic years (students aged 12–15 years). Two schools were assigned to the experimental condition (n = 368) and two schools to the control condition (n = 314). Sigue la Huella was based on the social ecological model and self-determination theory. MVPA was measured for 7 days on 4 occasions using accelerometers. Data were analyzed with individual growth curve models.ResultsThere was a significant difference in linear growth rate of daily MVPA between the experimental and the control group, independent of study wave, type of school (public vs. private), grade level and gender (p < 0.001). Specifically, MVPA increased in the experimental group (β = 7.02, 95% confidence interval (CI) = 1.27 to 12.78, p = 0.017) and tended to decrease in the control group (β =  5.26, 95% CI =  11.17 to 0.65, p < 0.081). The observed increase was larger in boys than in girls (p = 0.003).ConclusionsSigue la Huella had a positive effect on adolescents' daily MVPA over three school years. Both genders benefited from the intervention, although boys to a greater extent.
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