Evidence map›Paper›PMID 27965832›Full record

ArticlePilot and feasibility studies2016

Assessing the feasibility of evaluating and delivering a physical activity intervention for pre-school children: a pilot randomised controlled trial.

Sally E Barber, Cath Jackson, Catherine Hewitt, Hannah R Ainsworth, Hannah Buckley, Shaheen Akhtar, Daniel D Bingham, Ash C Routen, Carolyn Summerbell, Gerry Richardson and 5 more

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Measuring Early Childhood Educators' Physical Activity and Sedentary Behavior-Related Self-Efficacy: A Systematic Review of Tools.Health education & behavior : the official publication of the Society for Public Health Education · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sally E BarberBorn in Bradford Cohort Study, BiB Project Office, Temple Bank House, Bradford Royal Infirmary, Bradford Institute for Health Research, Duckworth Lane, Bradford, BD9 6RJ UK.ORCID 0000-0001-9872-6106
Cath JacksonDepartment of Health Sciences, University of York, York, UK.
Catherine HewittDepartment of Health Sciences, University of York, York, UK.
Hannah R AinsworthDepartment of Health Sciences, University of York, York, UK.
Hannah BuckleyDepartment of Health Sciences, University of York, York, UK.
Shaheen AkhtarBorn in Bradford Cohort Study, BiB Project Office, Temple Bank House, Bradford Royal Infirmary, Bradford Institute for Health Research, Duckworth Lane, Bradford, BD9 6RJ UK.
Daniel D BinghamBorn in Bradford Cohort Study, BiB Project Office, Temple Bank House, Bradford Royal Infirmary, Bradford Institute for Health Research, Duckworth Lane, Bradford, BD9 6RJ UK.
Ash C RoutenNational Centre for Sport and Exercise Medicine (NCSEM), School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Carolyn SummerbellSchool of Medicine, Pharmacy and Health, Durham University Queens Campus, Stockton-on-Tees, Durham UK.
Gerry RichardsonCentre for Health Economics, University of York, York, UK.
Helen J MooreSchool of Medicine, Pharmacy and Health, Durham University Queens Campus, Stockton-on-Tees, Durham UK.
Kate E PickettDepartment of Health Sciences, University of York, York, UK.
Claire O'MalleySchool of Medicine, Pharmacy and Health, Durham University Queens Campus, Stockton-on-Tees, Durham UK.
Shirley BrierleyPublic Health, City of Bradford Metropolitan District Council, Bradford, UK.
John WrightBorn in Bradford Cohort Study, BiB Project Office, Temple Bank House, Bradford Royal Infirmary, Bradford Institute for Health Research, Duckworth Lane, Bradford, BD9 6RJ UK.

Funding

Department of Health 11/3001/16
6 · The paper itself

Abstract

backgroundFew evidence-based physical activity interventions for pre-school children are available. This two-armed pilot cluster randomised controlled trial aimed to evaluate the feasibility of conducting a full-scale trial and of delivering an outdoor physical activity intervention for pre-school children.

methodsSchool was the unit of randomisation, and follow-up occurred at 10 and 52 weeks. Trial feasibility was assessed by recruitment, retention and completion rates of primary (daily moderate-to-vigorous physical activity (MVPA)) and secondary (anthropometric, quality of life, self-efficacy) outcomes. Potential effectiveness was assessed for the primary outcome using a linear regression model comparing MVPA between trial arms adjusting for clustering by school. Feasibility of delivering the intervention was assessed by intervention fidelity and attendance. Semi-structured interviews with parents, intervention facilitators, and head teachers explored acceptability and capability to deliver the intervention as well as acceptability of the study design.

resultsRecruitment rates were 37 % of schools (

conclusionsRecruitment and retention rates suggest a trial in this outdoor setting with this population was feasible but is weather sensitive. However, strategies to increase accelerometer wear-time would need to be implemented for reliable primary outcome data to be obtained. There was high implementation fidelity by facilitators, and the intervention was seen as acceptable and deliverable. However, attendance was low and preliminary data showed no evidence of intervention effectiveness. A revised intervention, building on the successful elements of this pilot alongside adapting implementation strategies to improve attendance, should therefore be considered.

trial registrationTrial registry name and number: Current Controlled Trials, ISRCTN54165860. Date of registration: 4 September 2012.

Indexed as

DeprivationEthnicityPhysical activity interventionPilot randomised controlled trialPre-school childrenProcess evaluation

Identifiers

PMID27965832
PMCPMC5154100

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Registered trials

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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.