ArticleThe international journal of behavioral nutrition and physical activity2016
The theory of expanded, extended, and enhanced opportunities for youth physical activity promotion.
Article in The international journal of behavioral nutrition and physical activity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 9 of them syntheses that pooled it.
What it found
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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.
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Who cites it
97 citing papers in PubMed, 9 syntheses or guidelines pooled it, 204 citations in OpenAlex.
- Effectiveness of Intervention Strategies to Increase Adolescents' Physical Activity and Reduce Sedentary Time in Secondary School Settings, Including Factors Related to Implementation: A Systematic Review and Meta-Analysis.Sports medicine - open · 2024Pooled it
- A systematic review and meta-analysis of the benefits of school-based, peer-led interventions for leaders.Scientific reports · 2022Pooled it
- Exploring activity compensation amongst youth and adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Effects of community health worker-based interventions on physical activity levels in children: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021Pooled it
- Efficacy of School-Based Interventions for Improving Muscular Fitness Outcomes in Adolescent Boys: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children.Journal of sport and health science · 2020Pooled it
- Pooled it
- Moderators of School-Based Physical Activity Interventions on Cardiorespiratory Endurance in Primary School-Aged Children: A Meta-Regression.International journal of environmental research and public health · 2018Pooled it
- A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in secondary school physical education lessons.The international journal of behavioral nutrition and physical activity · 2017Pooled it
- Teacher- Versus Video-Delivered Classroom Activity Breaks and Student Physical Activity: The PAAC-3 Trial.The Journal of school health · 2026Trial
- Scalable physical activity intervention for youth with disability: Burn 2 Learn adapted cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Impact of the ActTeens Program on physical activity and fitness in adolescents: a cluster randomized controlled trial.BMC pediatrics · 2024Trial
- Rethinking children's physical activity interventions at school: A new context-specific approach.Frontiers in public health · 2023Trial
- Effectiveness and cost-effectiveness of the GoActive intervention to increase physical activity among UK adolescents: A cluster randomised controlled trial.PLoS medicine · 2020Trial
- Trial
- Intervention Effects of "Girls on the Move" on Increasing Physical Activity: A Group Randomized Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019Trial
- Action 3:30R: Results of a Cluster Randomised Feasibility Study of a Revised Teaching Assistant-Led Extracurricular Physical Activity Intervention for 8 to 10 Year Olds.International journal of environmental research and public health · 2019Trial
- Process evaluation of a pilot multi-component physical activity intervention - active schools: Skelmersdale.BMC public health · 2018Trial
- Pathways leading to success and non-success: a process evaluation of a cluster randomized physical activity health promotion program applying fuzzy-set qualitative comparative analysis.BMC public health · 2018Trial
- Evaluation of a Pilot School-Based Physical Activity Clustered Randomised Controlled Trial-Active Schools: Skelmersdale.International journal of environmental research and public health · 2018Trial
37 more citing papers are in PubMed but not listed here.
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 at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical activity interventions targeting children and adolescents (≤18 years) often focus on complex intra- and inter-personal behavioral constructs, social-ecological frameworks, or some combination of both. Recently published meta-analytical reviews and large-scale randomized controlled trials have demonstrated that these intervention approaches have largely produced minimal or no improvements in young people's physical activity levels. DISCUSSION: In this paper, we propose that the main reason for previous studies' limited effects is that fundamental mechanisms that lead to change in youth physical activity have often been overlooked or misunderstood. Evidence from observational and experimental studies is presented to support the development of a new theory positing that the primary mechanisms of change in many youth physical activity interventions are approaches that fall into one of the following three categories: (a) the expansion of opportunities for youth to be active by the inclusion of a new occasion to be active, (b) the extension of an existing physical activity opportunity by increasing the amount of time allocated for that opportunity, and/or (c) the enhancement of existing physical activity opportunities through strategies designed to increase physical activity above routine practice. Their application and considerations for intervention design and interpretation are presented. The utility of these mechanisms, referred to as the Theory of Expanded, Extended, and Enhanced Opportunities (TEO), is demonstrated in their parsimony, logical appeal, support with empirical evidence, and the direct and immediate application to numerous settings and contexts. The TEO offers a new way to understand youth physical activity behaviors and provides a common taxonomy by which interventionists can identify appropriate targets for interventions across different settings and contexts. We believe the formalization of the TEO concepts will propel them to the forefront in the design of future intervention studies and through their use, lead to a greater impact on youth activity behaviors than what has been demonstrated in previous studies.
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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.