Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program

Abstract Background Effective family functioning, such as communication, family organization, and family cohesion, is essential for family well-being and child development. Promoting family physical activity (PA) through shared activities offers a promising strategy for enhancing family dynamics. De...

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Main Authors: Alfred S. Y. Lee, Chris M. Blanchard, Mark R. Beauchamp, Valerie Carson, Sheri Madigan, Shaelyn Strachan, Leigh M. Vanderloo, Evangeline Streight, Sandy Courtnall, Ryan E. Rhodes
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Trials
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Online Access:https://doi.org/10.1186/s13063-025-08977-6
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author Alfred S. Y. Lee
Chris M. Blanchard
Mark R. Beauchamp
Valerie Carson
Sheri Madigan
Shaelyn Strachan
Leigh M. Vanderloo
Evangeline Streight
Sandy Courtnall
Ryan E. Rhodes
author_facet Alfred S. Y. Lee
Chris M. Blanchard
Mark R. Beauchamp
Valerie Carson
Sheri Madigan
Shaelyn Strachan
Leigh M. Vanderloo
Evangeline Streight
Sandy Courtnall
Ryan E. Rhodes
author_sort Alfred S. Y. Lee
collection DOAJ
description Abstract Background Effective family functioning, such as communication, family organization, and family cohesion, is essential for family well-being and child development. Promoting family physical activity (PA) through shared activities offers a promising strategy for enhancing family dynamics. Developing a strong parenting PA identity (e.g., seeing oneself as a parent who supports their child’s PA) and a family social identity around PA (e.g., perceiving the family as an active unit) may further strengthen motivation and commitment to engaging in PA. This study aims to evaluate the efficacy of three family PA interventions: (1) PA education alone; (2) PA education + PA parenting self-regulation skills; and (3) PA education + PA parenting self-regulation skills + PA parenting identity. The primary outcome is family cohesion, a key dimension of family functioning. Secondary objectives include examining the effects of these interventions on (1) family-functioning dimensions of flexibility and organization, (2) child PA levels and parent–child co-participation in PA, (3) parental PA support and its potential antecedents (i.e., parental support constructs derived from the Multi-Process Action Control Framework, and parent-perceived family PA social identity), and (4) exploring potential moderating effects of seasonal variation, child and parent characteristics, intervention adherence, and PA type. Methods The three-armed, single-blind randomized controlled trial compares the efficacy of the three interventions over a 6-month period. Families are eligible if they have a child between the ages of 6 and 12 who is not meeting the Canadian 24-Hour Movement Guidelines for Children and Youth. Participants are randomly assigned to one of the three intervention groups. Family functioning, child PA and parent–child co-participation in PA, parental PA support, family PA social identity, and related constructs (e.g., perceived capability and opportunity, behavioral regulation, and habit) are assessed at baseline, 6 weeks, 3 months, and 6 months post-intervention. Recruitment methods include social media, recruitment poster drops, and community-based promotion. Trial registration ClinicalTrials.gov NCT06098716. Registered on October of 2023, updated on August 2024.
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spelling doaj-art-88d17ad5bbe44e8fb210bb69c504db5a2025-08-20T03:46:12ZengBMCTrials1745-62152025-08-0126111910.1186/s13063-025-08977-6Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” programAlfred S. Y. Lee0Chris M. Blanchard1Mark R. Beauchamp2Valerie Carson3Sheri Madigan4Shaelyn Strachan5Leigh M. Vanderloo6Evangeline Streight7Sandy Courtnall8Ryan E. Rhodes9Behavioural Medicine Laboratory, Faculty of Education, School of Exercise Science, Physical and Health Education, University of VictoriaFaculty of Medicine, Dalhousie UniversitySchool of Kinesiology, University of British ColumbiaFaculty of Kinesiology, Sport, and Recreation, University of AlbertaFaculty of Arts and Alberta Children’s Hospital Research Institute, University of CalgaryFaculty of Kinesiology and Recreation Management, University of ManitobaSchool of Occupational Therapy, Western UniversityBehavioural Medicine Laboratory, Faculty of Education, School of Exercise Science, Physical and Health Education, University of VictoriaBehavioural Medicine Laboratory, Faculty of Education, School of Exercise Science, Physical and Health Education, University of VictoriaBehavioural Medicine Laboratory, Faculty of Education, School of Exercise Science, Physical and Health Education, University of VictoriaAbstract Background Effective family functioning, such as communication, family organization, and family cohesion, is essential for family well-being and child development. Promoting family physical activity (PA) through shared activities offers a promising strategy for enhancing family dynamics. Developing a strong parenting PA identity (e.g., seeing oneself as a parent who supports their child’s PA) and a family social identity around PA (e.g., perceiving the family as an active unit) may further strengthen motivation and commitment to engaging in PA. This study aims to evaluate the efficacy of three family PA interventions: (1) PA education alone; (2) PA education + PA parenting self-regulation skills; and (3) PA education + PA parenting self-regulation skills + PA parenting identity. The primary outcome is family cohesion, a key dimension of family functioning. Secondary objectives include examining the effects of these interventions on (1) family-functioning dimensions of flexibility and organization, (2) child PA levels and parent–child co-participation in PA, (3) parental PA support and its potential antecedents (i.e., parental support constructs derived from the Multi-Process Action Control Framework, and parent-perceived family PA social identity), and (4) exploring potential moderating effects of seasonal variation, child and parent characteristics, intervention adherence, and PA type. Methods The three-armed, single-blind randomized controlled trial compares the efficacy of the three interventions over a 6-month period. Families are eligible if they have a child between the ages of 6 and 12 who is not meeting the Canadian 24-Hour Movement Guidelines for Children and Youth. Participants are randomly assigned to one of the three intervention groups. Family functioning, child PA and parent–child co-participation in PA, parental PA support, family PA social identity, and related constructs (e.g., perceived capability and opportunity, behavioral regulation, and habit) are assessed at baseline, 6 weeks, 3 months, and 6 months post-intervention. Recruitment methods include social media, recruitment poster drops, and community-based promotion. Trial registration ClinicalTrials.gov NCT06098716. Registered on October of 2023, updated on August 2024.https://doi.org/10.1186/s13063-025-08977-6Family cohesionFamily organizationMulti-process action controlChildrenExerciseIdentity
spellingShingle Alfred S. Y. Lee
Chris M. Blanchard
Mark R. Beauchamp
Valerie Carson
Sheri Madigan
Shaelyn Strachan
Leigh M. Vanderloo
Evangeline Streight
Sandy Courtnall
Ryan E. Rhodes
Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
Trials
Family cohesion
Family organization
Multi-process action control
Children
Exercise
Identity
title Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
title_full Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
title_fullStr Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
title_full_unstemmed Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
title_short Promoting family functioning through physical activity: a randomized trial to evaluate the “All in the Family” program
title_sort promoting family functioning through physical activity a randomized trial to evaluate the all in the family program
topic Family cohesion
Family organization
Multi-process action control
Children
Exercise
Identity
url https://doi.org/10.1186/s13063-025-08977-6
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