Comparative Effectiveness of After-School Programs to Increase Physical Activity
Background. We conducted a comparative effectiveness analysis to evaluate the difference in the amount of physical activity children engaged in when enrolled in a physical activity-enhanced after-school program based in a community recreation center versus a standard school-based after-school progra...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2013/576821 |
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| author | Sabina B. Gesell Evan C. Sommer E. Warren Lambert Ana Regina Vides de Andrade Lauren Whitaker Lauren Davis Bettina M. Beech Stephanie J. Mitchell Nkiruka Arinze Stevon Neloms Colleen K. Ryan Shari L. Barkin |
| author_facet | Sabina B. Gesell Evan C. Sommer E. Warren Lambert Ana Regina Vides de Andrade Lauren Whitaker Lauren Davis Bettina M. Beech Stephanie J. Mitchell Nkiruka Arinze Stevon Neloms Colleen K. Ryan Shari L. Barkin |
| author_sort | Sabina B. Gesell |
| collection | DOAJ |
| description | Background. We conducted a comparative effectiveness analysis to evaluate the difference in the amount of physical activity children engaged in when enrolled in a physical activity-enhanced after-school program based in a community recreation center versus a standard school-based after-school program. Methods. The study was a natural experiment with 54 elementary school children attending the community ASP and 37 attending the school-based ASP. Accelerometry was used to measure physical activity. Data were collected at baseline, 6 weeks, and 12 weeks, with 91% retention. Results. At baseline, 43% of the multiethnic sample was overweight/obese, and the mean age was 7.9 years (SD = 1.7). Linear latent growth models suggested that the average difference between the two groups of children at Week 12 was 14.7 percentage points in moderate-vigorous physical activity (P<.001). Cost analysis suggested that children attending traditional school-based ASPs—at an average cost of $17.67 per day—would need an additional daily investment of $1.59 per child for 12 weeks to increase their moderate-vigorous physical activity by a model-implied 14.7 percentage points. Conclusions. A low-cost, alternative after-school program featuring adult-led physical activities in a community recreation center was associated with increased physical activity compared to standard-of-care school-based after-school program. |
| format | Article |
| id | doaj-art-31978cdf032a46ab958ce78c65f80700 |
| institution | DOAJ |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-31978cdf032a46ab958ce78c65f807002025-08-20T03:18:39ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/576821576821Comparative Effectiveness of After-School Programs to Increase Physical ActivitySabina B. Gesell0Evan C. Sommer1E. Warren Lambert2Ana Regina Vides de Andrade3Lauren Whitaker4Lauren Davis5Bettina M. Beech6Stephanie J. Mitchell7Nkiruka Arinze8Stevon Neloms9Colleen K. Ryan10Shari L. Barkin11Department of Social Sciences and Health Policy, and the Maya Angleou Center for Health Equity, Wake Forest School of Medicine, Winston-Salem, NC 27157, USADepartment of Psychology and Human Development, Vanderbilt University, Nashville, TN 37240, USAKennedy Center, Vanderbilt University, Nashville, TN 37203, USADepartment of Economics, Center for Evaluation and Program Improvement, Peabody College, Vanderbilt University, Nashville, TN 37203, USAClinical Research Center, Vanderbilt University, Nashville, TN 37232, USACenter for Evaluation and Program Improvement, Peabody College, Vanderbilt University, Nashville, TN 37203, USADepartments of Family Medicine and Pediatrics, Office of Rural Health and Health Disparities, University of Mississippi Medical Center, Jackson, MS 39216, USACenter for Translational Science, Children’s National Medical Center, Washington, DC 20010, USAVanderbilt University School of Medicine, Nashville, TN 37232, USANashville Metropolitan Board of Parks and Recreation, Nashville, TN 37215, USADepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232, USADepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232, USABackground. We conducted a comparative effectiveness analysis to evaluate the difference in the amount of physical activity children engaged in when enrolled in a physical activity-enhanced after-school program based in a community recreation center versus a standard school-based after-school program. Methods. The study was a natural experiment with 54 elementary school children attending the community ASP and 37 attending the school-based ASP. Accelerometry was used to measure physical activity. Data were collected at baseline, 6 weeks, and 12 weeks, with 91% retention. Results. At baseline, 43% of the multiethnic sample was overweight/obese, and the mean age was 7.9 years (SD = 1.7). Linear latent growth models suggested that the average difference between the two groups of children at Week 12 was 14.7 percentage points in moderate-vigorous physical activity (P<.001). Cost analysis suggested that children attending traditional school-based ASPs—at an average cost of $17.67 per day—would need an additional daily investment of $1.59 per child for 12 weeks to increase their moderate-vigorous physical activity by a model-implied 14.7 percentage points. Conclusions. A low-cost, alternative after-school program featuring adult-led physical activities in a community recreation center was associated with increased physical activity compared to standard-of-care school-based after-school program.http://dx.doi.org/10.1155/2013/576821 |
| spellingShingle | Sabina B. Gesell Evan C. Sommer E. Warren Lambert Ana Regina Vides de Andrade Lauren Whitaker Lauren Davis Bettina M. Beech Stephanie J. Mitchell Nkiruka Arinze Stevon Neloms Colleen K. Ryan Shari L. Barkin Comparative Effectiveness of After-School Programs to Increase Physical Activity Journal of Obesity |
| title | Comparative Effectiveness of After-School Programs to Increase Physical Activity |
| title_full | Comparative Effectiveness of After-School Programs to Increase Physical Activity |
| title_fullStr | Comparative Effectiveness of After-School Programs to Increase Physical Activity |
| title_full_unstemmed | Comparative Effectiveness of After-School Programs to Increase Physical Activity |
| title_short | Comparative Effectiveness of After-School Programs to Increase Physical Activity |
| title_sort | comparative effectiveness of after school programs to increase physical activity |
| url | http://dx.doi.org/10.1155/2013/576821 |
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