Evidence map›Paper›PMID 33059796›Full record

ArticlePreventing chronic disease2020

Walking School Bus Programs: Implementation Factors, Implementation Outcomes, and Student Outcomes, 2017-2018.

Jordan A Carlson, Chelsea Steel, Carolina M Bejarano, Marshall T Beauchamp, Ann M Davis, James F Sallis, Jon Kerner, Ross Brownson, Sara Zimmerman

Abstract readMulticenter Study
In one paragraph

Article in Preventing chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

9 authors.

Jordan A CarlsonCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Hospital, 610 E. 22nd St, Kansas City, MO 64113. Email: jacarlson@cmh.edu.
Chelsea SteelCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Hospital, Kansas City, Missouri.
Carolina M BejaranoCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Hospital, Kansas City, Missouri.
Marshall T BeauchampClinical Psychology Program, University of Missouri, Kansas City, Missouri.
Ann M DavisDepartment of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas.
James F SallisDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California.
Jon KernerCanadian Partnership Against Cancer, Toronto Ontario, Canada.
Ross BrownsonPrevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri.
Sara ZimmermanSafe Routes Partnership, Berkeley, California.

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Mentored Training for Dissemination and Implemention Research in CancerR25CA171994 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C · 2013 to 2017
$1.5M
Implementation Strategies and Effectiveness for Walking School Bus ProgramsR03HD088776 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI CARLSON, JORDAN A. · 2017 to 2018
$163k
ACL HHS U48DP006395NCI NIH HHS R25 CA171994NICHD NIH HHS R03 HD088776NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

PURPOSE AND

objectivesWalking school bus programs increase children's physical activity through active travel to school; however, research to inform large-scale implementation of such programs is limited. We investigated contextual factors, implementation outcomes, and student outcomes in existing walking school bus programs in the United States and internationally. INTERVENTION APPROACH: Walking school bus programs involve a group of children walking to school together with an adult leader. On the trip to school, these adults provide social support, address potential traffic and interpersonal safety, and serve as role models to the children while children increase their physical activity levels. EVALUATION

methodsWe conducted surveys with existing walking school bus programs identified through internet searches, referrals, and relevant email listservs. Leaders from 184 programs that operated at least 1 trip per week completed the survey. We used regression analyses to compare differences in contextual factors by area income and location, associations between contextual factors and implementation outcomes, and associations between implementation outcomes and student outcomes.

resultsWalking school bus programs in low-income communities had more route leaders and engaged in more active travel to school-related activities of being sustained than those in higher income. Programs that had no external funding, multiple route leaders, and coordination by a school or district staff member (as opposed to a parent) had greater student participation than other programs. Providing more trips than other programs per week was associated with reduced tardiness, reduced bullying, and improved neighborhood walkability. The greatest barriers to implementation were recruiting and maintaining students and identifying and maintaining route leaders. IMPLICATIONS FOR PUBLIC HEALTH: Walking school bus programs can be implemented successfully in many contexts using various models. The involvement of several people in leadership roles is critical for sustainability. Evidence-based implementation strategies that overcome barriers can improve reach, implementation, and sustainability of walking school bus programs and can increase children's physical activity.

Indexed as

ExerciseChildFemaleHumansMaleProgram DevelopmentProgram EvaluationSchoolsStudentsSurveys and QuestionnairesWalking

Identifiers

PMID33059796
PMCPMC7587300

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.