Trial reportThe international journal of behavioral nutrition and physical activity2015
Intervention fidelity in a school-based diet and physical activity intervention in the UK: Active for Life Year 5.
Trial report in The international journal of behavioral nutrition and physical activity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- A Systematic Review of the Implementation and Effectiveness of 'The Daily Mile' on Markers of Children's Health.International journal of environmental research and public health · 2023Pooled it
- Features of effective staff training programmes within school-based interventions targeting student activity behaviour: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.The Cochrane database of systematic reviews · 2021Pooled it
- A systematic review of the implementation of obesity prevention interventions in early childcare and education settings using the RE-AIM framework.Translational behavioral medicine · 2020Pooled it
- Systematic review of the effect of training interventions on the skills of health professionals in promoting health behaviour, with meta-analysis of subsequent effects on patient health behaviours.BMC health services research · 2020Pooled it
- Measuring implementation fidelity of school-based obesity prevention programmes: a systematic review.The international journal of behavioral nutrition and physical activity · 2018Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease.The Cochrane database of systematic reviews · 2017Pooled it
- Process evaluation of Project Daire: a food environment intervention that impacted food knowledge, wellbeing and dietary habits of primary school children.BMC public health · 2025Trial
- Process evaluation of a pilot multi-component physical activity intervention - active schools: Skelmersdale.BMC public health · 2018Trial
- Physically active academic lessons: acceptance, barriers and facilitators for implementation.BMC public health · 2018Trial
- Intervention fidelity in the definitive cluster randomised controlled trial of the Healthy Lifestyles Programme (HeLP) trial: findings from the process evaluation.The international journal of behavioral nutrition and physical activity · 2017Trial
- Process evaluation results of a cluster randomised controlled childhood obesity prevention trial: the WAVES study.BMC public health · 2017Trial
- Long-term effects of the Active for Life Year 5 (AFLY5) school-based cluster-randomised controlled trial.BMJ open · 2016Trial
- Intervention for adolescent tobacco initiation prevention (IATIP) to promote health and well-being: a protocol for a pilot cluster randomised controlled trial in Dhaka, Bangladesh.Pilot and feasibility studies · 2025Article
- Hoosier Sport Re-Social: a protocol for developing a biopsychosocial body satisfaction intervention in rural Indiana.Pilot and feasibility studies · 2025Article
- Parental engagement and implementation fidelity in a mHealth motor skills intervention for young children.Physical education and sport pedagogy · 2025Article
- School-based learning about sugary drinks: possibilities and potential for curriculum approaches supporting health promotion in New Zealand.Health education research · 2024Article
- Hoosier Sport: a research protocol for a multilevel physical activity-based intervention in rural Indiana.Frontiers in public health · 2023Article
- Is level of implementation linked with intervention outcomes? Process evaluation of the TransformUs intervention to increase children's physical activity and reduce sedentary behaviour.The international journal of behavioral nutrition and physical activity · 2022Article
- Impact of a Teacher Intervention to Encourage Students to Eat School Lunch.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundActive for Life Year 5 (AFLY5) is an educational programme for Year 5 children (aged 9-10) designed to increase children's physical activity, decrease sedentary behaviour and increase fruit and vegetable intake. This paper reports findings from a process evaluation embedded within a randomised controlled trial evaluating the programme's effectiveness. It considers the fidelity of implementation of AFLY5 with a focus on three research questions: 1. To what extent was the intervention delivered as planned? 2. In what ways, if any, did the teachers amend the programme? and 3. What were the reasons for any amendments?
methodsMixed methods were used including data collection via observation of the intervention delivery, questionnaire, teacher's intervention delivery log and semi-structured interviews with teachers and parents. Qualitative data were analysed thematically and quantitative data were summarised using descriptive statistics.
resultsFollowing training, 42 of the 43 intervention school teachers/teaching staff (98%) were confident they could deliver the nutrition and physical activity lessons according to plan. The mean number of lessons taught was 12.3 (s.d. 3.7), equating to 77% of the intervention. Reach was high with 95% of children in intervention schools receiving lessons. A mean of 6.2 (s.d. 2.6) out of 10 homeworks were delivered. Median lesson preparation time was 10 min (IQR 10-20) and 28% of lessons were reported as having been amended. Qualitative findings revealed that those who amended the lessons did so to differentiate for student ability, update them for use with new technologies and to enhance teacher and student engagement. Teachers endorsed the aims of the intervention, but some were frustrated with having to adapt the lesson materials. Teachers also a reported tendency to delegate the physical activity lessons to other staff not trained in the intervention.
conclusionsFidelity of intervention implementation was good but teachers' enthusiasm for the AFLY5 programme was mixed despite them believing that the messages behind the lessons were important. This may have meant that the intervention messages were not delivered as anticipated and explain why the intervention was found not to be effective.
trial registrationISRCTN50133740.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.