Evidence map›Paper›PMID 31859172›Full record

Trial reportAmerican journal of preventive medicine2020

Active Children Through Individual Vouchers Evaluation: A Mixed-Method RCT.

Michaela L James, Danielle Christian, Samantha C Scott, Charlotte E Todd, Gareth Stratton, Joanne Demmler, Sarah McCoubrey, Julian P J Halcox, Suzanne Audrey, Elizabeth A Ellins and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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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

11 authors.

Michaela L JamesSwansea University Medical School, Swansea University, Swansea, United Kingdom. Electronic address: m.l.james@swansea.ac.uk.
Danielle ChristianDepartment of Sport and Physical Activity, Edge Hill University, Ormskirk, United Kingdom.
Samantha C ScottSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Charlotte E ToddSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Gareth StrattonCollege of Engineering, Bay Campus, Swansea University, Swansea, United Kingdom.
Joanne DemmlerSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Sarah McCoubreyCity and County of Swansea, Swansea, United Kingdom.
Julian P J HalcoxSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Suzanne AudreyPopulation Health Sciences, Bristol, United Kingdom.
Elizabeth A EllinsSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Sinead T BrophySwansea University Medical School, Swansea University, Swansea, United Kingdom.

Funding

British Heart Foundation PG/16/16/32057
6 · The paper itself

Abstract

introductionPhysical activity declines in adolescence, especially among those in deprived areas. Research suggests this may result from accessibility barriers (e.g., cost and locality). The Active Children Through Individual Vouchers Evaluation RCT aimed to improve the fitness and heart health of teenagers in Wales with the help of teenagers who co-produced the study. STUDY

designThis study was a mixed-method RCT. SETTING/

participantsBefore data collection, which took place at baseline, 6 months, and 12 months for both arms, 7 schools were randomized by an external statistician (4 intervention schools, n=524; 3 control schools, n=385).

interventionThe Active Children Through Individual Vouchers Evaluation intervention included provision of activity vouchers (£20 per month), a peer mentoring scheme, and support worker engagement for 12 months between January and December 2017. Data analysis occurred February-April 2018.

main outcome measuresData included measures of cardiovascular fitness, cardiovascular health (blood pressure and pulse wave analysis), motivation, and focus groups.

resultsThe intervention showed a trend to improve the distance ran (primary outcome) and was significant in improving the likelihood of intervention teenagers being fit (OR=1.21, 95% CI=1.07, 1.38, p=0.002). There was a reduction in teenagers classified as having high blood pressure (secondary outcome) in the intervention group (baseline, 5.3% [28/524]; 12 months, 2.7% [14/524]). Data on where teenagers used vouchers and evidence from focus groups showed that teenagers wanted to access more unstructured, informal, and social activities in their local areas.

conclusionsActive Children Through Individual Vouchers Evaluation identified methods that may have a positive impact on cardiovascular fitness, cardiovascular health, and perspectives of activity. Consulting with teenagers, empowering them, and providing more local opportunities for them to take part in activities that are fun, unstructured, and social could positively impact teenage physical activity.

trial registrationISRCTN, ISRCTN75594310.

Indexed as

Health PromotionMotivationAdolescentCardiorespiratory FitnessExerciseFemaleFocus GroupsHumansMaleMentoringPeer GroupSchoolsWales

Identifiers

PMID31859172
PMCPMC6955646

What OpenQuestion holds

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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.