Evidence map›Paper›PMID 36137630›Full record

ArticleBMJ open2022

Cluster randomised controlled trial to determine the impact of an activity enabling uniform on primary school student's fitness and physical activity: study protocol for the Active WeAR Everyday (AWARE) study.

Nicole Nathan, Nicole McCarthy, Alix Hall, Adam Shoesmith, Cassandra Lane, Rebecca Jackson, Rachel Sutherland, Daniel Groombridge, Penny Reeves, James Boyer and 2 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
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

12 authors at 3 institutions in 1 country.

Nicole NathanHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia nicole.nathan@health.nsw.gov.au.ORCID 0000-0002-7726-1714
Nicole McCarthyHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Alix HallSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Adam ShoesmithSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Cassandra LaneHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Rebecca JacksonHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Rachel SutherlandHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Daniel GroombridgeHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Penny ReevesSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
James BoyerSchool Sport Unit, NSW Department of Education, Sydney, New South Wales, Australia.
Bernadette DugganEducation Office (Sport/PDHPE), Catholic Schools Office Diocese of Maitland-Newcastle, Newcastle, New South Wales, Australia.
Luke WolfendenHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Hunter Medical Research Institute · AUHunter New England Local Health District · AUNSW Department of Education · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionMulticomponent school-based physical activity (PA) interventions can improve students' cardiorespiratory fitness (CRF) and PA. Due to the complex nature of such interventions when delivered at scale their effect sizes markedly reduce. Modifying student school uniforms, so that they are more PA enabling, may be a simple intervention that could enhance student health. The primary aim of this trial is to assess the effectiveness of an activity enabling uniform intervention (shorts, polo shirt and sports shoes) in improving children's CRF. METHODS AND ANALYSIS: A cluster randomised controlled trial will be conducted in 24 primary schools in New South Wales (NSW), Australia. Schools will be randomly allocated to either intervention or usual practice following baseline data collection. Active WeAR Everyday intervention schools will allow students in grades 4-6 (aged approx. 9-12 years) to wear their existing sports uniform (shorts, polo shirt and sports shoes) every day. To avoid any financial cost to students they will be provided with two additional sports shirts and one pair of shorts. Study outcomes will be assessed at baseline and 9 months postbaseline. The primary outcome is students' CRF measured using the 20 m multistage fitness test. Secondary outcomes include students': mean daily steps and steps/minute measured via accelerometer, quality of life, mental well-being and perceived PA self-efficacy. The acceptability, feasibility and cost of the intervention will be assessed. Analyses will be performed using an intention-to-treat framework. Linear mixed effects regression models will be used to assess intervention effects on the primary outcome at follow-up. Planned exploratory analyses will examine effects by subgroups (eg, gender). ETHICS AND DISSEMINATION: This study has received approval from Hunter New England Local Health District Human Ethics Committee (2020/ETHO2602) the University of Newcastle, Human Research Ethics Committee (H-2021-0013), NSW Department of Education (SERAP: 2020387) and Catholic School Offices. TRIAL REGISTRATION NUMBER: ACTRN12621000201875.

Indexed as

Quality of LifeSchool Health ServicesAgedChildExerciseHealth PromotionHumansRandomized Controlled Trials as TopicSchoolsStudentsCommunity child healthHealth policyPublic health

Identifiers

PMID36137630
PMCPMC9511594
OpenAlexW4296794043

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.