Research article Topical Sections

The feasibility of a theory-based self-regulation intervention in schools to increase older adolescents’ leisure time physical activity behavior

  • Received: 27 June 2018 Accepted: 16 October 2018 Published: 09 November 2018
  • The purpose of this study was to test the feasibility of a theory-based self-regulation intervention to increase older adolescents’ leisure time physical activity (LTPA) behavior. Forty-nine adolescents (M = 15.78 years; SD = 0.52; 31% female) from two schools agreed to participate. Participants were randomly assigned to the experimental or control arm at the school level. The experimental group (n = 24) underwent a brief self-regulation intervention for six weeks. The control group (n = 25) continued with standard classes. Intervention fidelity data was collected to assess feasibility. Outcome measures included self-reported LTPA behavior and self-regulation technique use. Intervention sessions were delivered as intended, participant attendance was high and compliance with intervention content was acceptable. The experimental group reported higher levels of LTPA behavior eight weeks post-intervention and increased use of self-regulation techniques. A brief theory-based self-regulation intervention delivered in a school-setting appears feasible and may increase LTPA behavior and self-regulation in adolescents.

    Citation: James Matthews, Aidan P Moran, Amanda M Hall. The feasibility of a theory-based self-regulation intervention in schools to increase older adolescents’ leisure time physical activity behavior[J]. AIMS Public Health, 2018, 5(4): 421-439. doi: 10.3934/publichealth.2018.4.421

    Related Papers:

  • The purpose of this study was to test the feasibility of a theory-based self-regulation intervention to increase older adolescents’ leisure time physical activity (LTPA) behavior. Forty-nine adolescents (M = 15.78 years; SD = 0.52; 31% female) from two schools agreed to participate. Participants were randomly assigned to the experimental or control arm at the school level. The experimental group (n = 24) underwent a brief self-regulation intervention for six weeks. The control group (n = 25) continued with standard classes. Intervention fidelity data was collected to assess feasibility. Outcome measures included self-reported LTPA behavior and self-regulation technique use. Intervention sessions were delivered as intended, participant attendance was high and compliance with intervention content was acceptable. The experimental group reported higher levels of LTPA behavior eight weeks post-intervention and increased use of self-regulation techniques. A brief theory-based self-regulation intervention delivered in a school-setting appears feasible and may increase LTPA behavior and self-regulation in adolescents.


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    [1] Biddle SJ, Asare M (2011) Physical activity and mental health in children and adolescents: A review of reviews. Brit J Sport Med 45: 886–895. doi: 10.1136/bjsports-2011-090185
    [2] Janssen I, Leblanc AG (2010) Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 7: 40. doi: 10.1186/1479-5868-7-40
    [3] Hallal PC, Andersen LB, Bull FC, et al. (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380: 247–257. doi: 10.1016/S0140-6736(12)60646-1
    [4] Hallal PC, Victora CG, Azevedo MR, et al. (2006) Adolescent physical activity and health: a systematic review. Sports Med 36: 1019–1030. doi: 10.2165/00007256-200636120-00003
    [5] Dobbins M, Husson H, DeCorby K, et al. (2013) School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Db Syst Rev 2: CD007651.
    [6] Dudley D, Okely A, Pearson P, et al. (2011) A systematic review of the effectiveness of physical education and school sport interventions targeting physical activity, movement skills and enjoyment of physical activity. Eur Phys Educ Rev 17: 353–378. doi: 10.1177/1356336X11416734
    [7] Kriemler S, Meyer E, Martin E, et al. (2011) Effect of school-based interventions on physical activity and fitness in children and adolescents: A review of reviews and systematic update. Brit J Sport Med 45: 923–930. doi: 10.1136/bjsports-2011-090186
    [8] Lai SK, Costigan SA, Morgan PJ, et al. (2014) Do school-based interventions focusing on physical activity, fitness, or fundamental movement skill competency produce a sustained impact in these outcomes in children and adolescents? A systematic review of follow-up studies. Sport Med 44: 67–79.
    [9] Dishman RK, Motl RW, Saunders R, et al. (2005) Enjoyment mediates effects of a school-based physical-activity intervention. Med Sci Sport Ex 37: 478–487. doi: 10.1249/01.MSS.0000155391.62733.A7
    [10] Donnelly JE, Greene JL, Gibson CA, et al. (2009) Physical activity across the curriculum (PAAC): a randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children. Prev Med 49: 336–341. doi: 10.1016/j.ypmed.2009.07.022
    [11] Haerens L, Deforche B, Maes L, et al. (2006) Body mass effects of a physical activity and healthy food intervention in middle schools. Obes 14: 847–854. doi: 10.1038/oby.2006.98
    [12] Hynynen ST, van Stralen MM, Sniehotta FF, et al. (2016) A systematic review of school-based interventions targeting physical activity and sedentary behavior among older adolescents. Int Rev Sport Exer Psych 9: 22–44. doi: 10.1080/1750984X.2015.1081706
    [13] Atkin AJ, Gorely T, Biddle SJH, et al. (2011) Interventions to promote physical activity in young people conducted in the hours immediately after school: A systematic review. Int J Behav Med 18: 176. doi: 10.1007/s12529-010-9111-z
    [14] Kwasnicka D, Dombrowski SU, White M, et al. (2016) Theoretical explanations for maintenance of behavior change: A systematic review of behavior theories. Health Psychol Rev 10: 277–296. doi: 10.1080/17437199.2016.1151372
    [15] Kanfer FH, Gaelick-Buys L (1991) Self-management methods. In: Kanfer FH, Goldstein AP, Helping people change: A textbook of methods. New York, NY: Pergamon.
    [16] Michie S, Abraham C, Whittington C, et al. (2009) Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychol 28: 690–701. doi: 10.1037/a0016136
    [17] Lubans DR, Morgan PJ (2009) Social, psychological and behavioral correlates of pedometer step counts in a sample of Australian adolescents. J Sci Med Sport 12: 141–147. doi: 10.1016/j.jsams.2007.06.010
    [18] Matthews J, Moran AP (2011) Physical activity and self-regulation strategy use in adolescents. Am J Health Behav 35: 807–814.
    [19] Shimon JM, Petlichkoff LM (2009) Impact of pedometer use and self-regulation strategies on junior high school physical education students' daily step counts. J Phys Act Health 6: 178–184. doi: 10.1123/jpah.6.2.178
    [20] Trost SG, Hutley J (2015) Use of physical activity self-management strategies by high school students. Paed Ex Sci 27: 168–174.
    [21] Craig P, Dieppe P, Macintyre S, et al. (2008) Developing and evaluating complex interventions: the new medical research council guidance. BMJ 337: a1655.
    [22] Davis R, Campbell R, Hildon Z, et al. (2015) Theories of behavior and behavior change across the social and behavioral sciences: A scoping review. Health Psychol Rev 9: 323–344. doi: 10.1080/17437199.2014.941722
    [23] Zimmerman BJ (2000) Attaining self-regulation: a social cognitive perspective. In: Boekaerts M, Pintrich PR , Zeidner M, Handbook of self-regulation, MO: Academic Press, 13–39.
    [24] Cleary TJ, Zimmerman BJ (2004) Self-regulation empowerment program: a school-based program to enhance self-regulated and self-motivated cycles of student learning. Psychol Sch 41: 537–549. doi: 10.1002/pits.10177
    [25] Clark SE, Ste-Marie DM (2008) The impact of self-as-a-model interventions on children's self-regulation of learning and swimming performance. J Sport Sci 25: 577–586.
    [26] Zimmerman BJ (1989) A social cognitive view of self-regulated academic learning. J Educ Psychol 81:329–339. doi: 10.1037/0022-0663.81.3.329
    [27] Zimmerman BJ (2006). Development and adaption of expertise: The role of self-regulatory process and beliefs. In: Ericsson KA, The Cambridge handbook of expertise and expert performance, New York: Cambridge University Press, 705–722.
    [28] Naylor PJ, Nettlefold L, Race D, et al. (2015) Implementation of school based physical activity interventions: A systematic review. Prev Med 72: 95–115. doi: 10.1016/j.ypmed.2014.12.034
    [29] Hoffmann TC, Glasziou PP, Boutron I, et al. (2014) Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ 348: g1687. doi: 10.1136/bmj.g1687
    [30] McEwan D, Harden SM, Zumbo BD, et al. (2016) The effectiveness of multi-component goal setting interventions for changing physical activity behavior: A systematic review and meta-analysis. Health Psychol Rev 10: 67–88. doi: 10.1080/17437199.2015.1104258
    [31] Koka A, Hagger MS (2017) A brief intervention to increase physical activity behavior among adolescents using mental simulations and action planning. Psychol Health Med 22: 701–710. doi: 10.1080/13548506.2016.1211298
    [32] Sarkisian CA, Prohaska TR, Davis C, et al. (2007) Pilot test of an attribution retraining intervention to raise walking levels in sedentary older adults. J Am Ger Soc 55: 1842–1846. doi: 10.1111/j.1532-5415.2007.01427.x
    [33] Schofield L, Mummery WK, Schofield G (2005) Effects of a controlled pedometer-intervention trial for low-active adolescent girls. Med Sci Sports Exer 37: 1414–1420. doi: 10.1249/01.mss.0000174889.89600.e3
    [34] Sun H, Chen A (2010) A pedagogical understanding of the self-determination theory in physical education. Quest 62: 364–384. doi: 10.1080/00336297.2010.10483655
    [35] Azzarito L, Ennis CD (2003) A sense of connection: Toward social constructivist physical education. Sport Educ Soc 8: 179–197. doi: 10.1080/13573320309255
    [36] Palinscar AS (1998) Social constructivist perspectives on teaching and learning, Ann Rev Psychol 49: 345–375.
    [37] Godin G (2011) The Godin-Shephard leisure-time physical activity questionnaire. Health Fit J Can 4: 18–22.
    [38] Chatzisarantis NL, Kamarova S, Kawabata M, et al. (2015) Developing and evaluating utility of school-based intervention programs in promoting leisure-time physical activity: An application of the theory of planned behavior. Int J Sport Psychol 46: 95–116.
    [39] Sallis JF, Buono MJ, Roby JJ (1993) Seven-day recall and other physical activity self-reports in children and adolescents. Med Sci Sport Exer 25: 99–108. doi: 10.1249/00005768-199301000-00014
    [40] Jacobs DR, Ainsworth BE, Hartman TJ, et al. (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sport Exer 25: 81–91. doi: 10.1249/00005768-199301000-00012
    [41] Cumming SP, Standage M, Gillison F, et al. (2008) Sex differences in exercise behavior during adolescence: Is biological maturation a confounding factor? J Adolescent Health 42: 480–485. doi: 10.1016/j.jadohealth.2007.10.005
    [42] Goldfield GS, Henderson K, Buchholz A, et al. (2011) Physical activity and psychological adjustment in adolescents. J Phys Act Health 8: 157–163. doi: 10.1123/jpah.8.2.157
    [43] Mailey EL, McAuley E (2014) Impact of a brief intervention on physical activity and social cognitive determinants among working mothers: a randomized trial. J Behav Med 37:343–355. doi: 10.1007/s10865-013-9492-y
    [44] Lubans DR, Plotnikoff RC, Miller A, et al. (2015) Using pedometers for measuring and increasing physical activity in children and adolescents. the next step. Am J Lifestyle Med 9: 418–427. doi: 10.1177/1559827614537774
    [45] Hardy L, Roberts R, Thomas PR, et al. (2010) Test of performance strategies: Instrument refinement using confirmatory factor analysis. Psychol Sport Exer 11: 27–35. doi: 10.1016/j.psychsport.2009.04.007
    [46] Grim M, Petosa R, Hortz B, et al. (2013) Formative evaluation of MyFit: a curriculum to promote self-regulation of physical activity among middle school students. Am J Health Educ 44: 81–88. doi: 10.1080/19325037.2013.764238
    [47] Giacobbi PR Jr, Tuccitto DE, Buman MP, et al. (2010) A measurement and conceptual investigation of exercise imagery establishing construct validity. Res Q Exerc Sport 81: 485–493. doi: 10.1080/02701367.2010.10599710
    [48] McAuley E, Duncan TE, Russell DW (1992) Measuring causal attributions: The revised causal dimension scale (CDSII). Pers Soc Psychol Bull 18: 566–573. doi: 10.1177/0146167292185006
    [49] McKnight PE, McKnight KM, Figueredo AJ (2007) Missing data: A gentle introduction. New York: Guilford Press.
    [50] Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd ed., Hillsdale, NJ: Lawrence Earlbaum Associates.
    [51] Borelli B (2011) The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. J Public Health Dent 71: S52–63. doi: 10.1111/j.1752-7325.2011.00233.x
    [52] Hankonen N, Sutton S, Prevost AT, et al. (2015) Which behavior change techniques are associated with changes in physical activity, diet and body mass index in people with recently diagnosed diabetes? Ann Behav Med 49: 7–17. doi: 10.1007/s12160-014-9624-9
    [53] Salmoirago-Blotcher E, Druker S, Frisard C, et al. (2018) Integrating mindfulness training in school health education to promote healthy behaviors in adolescents: feasibility and preliminary effects on exercise and dietary habits. Prev Med Rep 9: 92–95. doi: 10.1016/j.pmedr.2018.01.009
    [54] Schoeppe S, Alley S, Van Lippevelde W, et al. (2016) Efficacy of interventions that use apps to improve diet, physical activity and sedentary behavior: a systematic review. Int J Behav Nutr Phys Act 13: 127. doi: 10.1186/s12966-016-0454-y
    [55] Lyons EJ, Baranowski T, Basen-Engquist KM, et al. (2016) Testing the effects of narrative and play on physical activity among breast cancer survivors using mobile apps: Study protocol for a randomized controlled trial. BMC Cancer 16: 202. doi: 10.1186/s12885-016-2244-y
    [56] Giacobbi PG Jr, Hingle M, Johnson T, et al. (2016) See me smoke-free: Protocol for a research study to develop and test the feasibility of an mhealth app for women to address smoking, diet, and physical activity. JMIR Res Protoc 5: e12. doi: 10.2196/resprot.5126
    [57] Lizzy P, Bernice G, Marguerite D (2018) Lessons learned through the implementation of an ehealth physical activity gaming intervention with high school youth. Games for Health J 7:136–142. doi: 10.1089/g4h.2017.0164
    [58] Lonsdale C, Lester A, Owen KB, et al. (2017) An internet-supported school physical activity intervention in low socioeconomic status communities: Results from the activity and motivation in physical education (AMPED) cluster randomised controlled trial. Br J Sports Med: in press.
    [59] Hills AP, Dengel DR, Lubans DR (2015) Supporting public health priorities: recommendations for physical education and physical activity promotion in schools. Prog Cardiovasc Dis 57: 368–374. doi: 10.1016/j.pcad.2014.09.010
    [60] Prestwich A, Webb TL, Connor M (2015) Using theory to develop and test interventions to promote changes in health behavior: Evidence, issues, and recommendations. Curr Opin Psychol 5: 1–5. doi: 10.1016/j.copsyc.2015.02.011
    [61] Hills AP, Mokhtar N, Byrne NM (2014) Assessment of physical activity and energy expenditure: an overview of objective measures. Front Nut 1: 5.
    [62] Toomey E, Matthews J, Guerin S, et al. (2016) Development of a feasible implementation fidelity protocol within a complex physiotherapy-led self-management intervention. Phys Ther 8: 1287–1298.
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