Investigation of the effectiveness and cost-effectiveness of the 'Girls Active' intervention

ISRCTN ISRCTN10688342
DOI https://doi.org/10.1186/ISRCTN10688342
Secondary identifying numbers N/A
Submission date
06/01/2015
Registration date
12/01/2015
Last edited
09/02/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Young people in the UK are not as physically active as they should be. Girls tend to do less physical activity than boys, especially as they progress to secondary school. To address this and encourage girls to be more physically active both inside and outside of school, the Youth Sport Trust has developed a programme called ‘Girls Active’. ‘Girls Active’ provides training, resources and support for teachers to give them the skills to change the way they deliver physical activity, sport and PE, and encourages girls themselves to act as positive role models for others. We want to evaluate how effective ‘Girls Active’ is at increasing physical activity and whether the programme is value for money.

Who can participate?
We will recruit 20 schools in Leicester, Leicestershire and Rutland. Within these schools all girls aged 11-14 years will be eligible to take part, but only 80 girls in each school will be randomly selected to participate in the evaluation.

What does the study involve?
Half of the schools will receive ‘Girls Active’ and the other half will carry on with their usual practice until the end of the study. A team of researchers (with current enhanced DBS clearance) will visit each school to complete the measurements. The girls’ physical activity levels will be measured using a wrist worn physical activity monitor for 7 days. Participating girls will complete questionnaires about their lifestyle and feelings towards physical activity, sport and PE. They will also have physical measurements taken (height, weight and % body fat). We will also ask the teachers to complete a questionnaire about their school’s facilities, PE classes and lunchtime and after school activity sessions. We will carry out all of these measurements just before the schools receive the 'Girls Active' project (baseline) and then again 7 and 14 months after the first measurements (follow-up).

What are the possible benefits and risks of participating?
If we show that ‘Girls Active’ increases physical activity levels in girls, it could be made available to other secondary schools in the UK. It could lead to teenage girls becoming more active, healthier and staying active when they are adults. Any potential risk of participating in this evaluation will be minimised by only using female researchers to take the physical measurements and not showing the participating girls their values.

Where is the study run from?
Diabetes Research Centre, Leicester General Hospital (UK).

When is the study starting and how long is it expected to run for?
From February 2015 to January 2017.

Who is funding the study?
National Institute for Health Research (UK).

Who is the main contact?
Dr Deirdre Harrington (dh204@leicester.ac.uk)
Mrs Kyla Harrington (kyla.harrington@uhl-tr.nhs.uk)

Contact information

Dr Deirdre Harrington
Scientific

Diabetes Research Centre
Univesity of Leicester
Leicester General Hospital
Leicester
LE5 4PW
United Kingdom

ORCiD logoORCID ID 0000-0003-0278-6812
Phone +44 (0)116 258 8630
Email dh204@leicester.ac.uk
Mrs Kyla Harrington
Public

Diabetes Research Centre
Univesity of Leicester
Leicester General Hospital
Leicester
LE5 4PW
United Kingdom

Phone +44 (0)1162584180
Email kyla.harrington@uhl-tr.nhs.uk

Study information

Study designCluster randomised controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typeQuality of life
Scientific titleA cluster randomised controlled trial to investigate the effectiveness and cost-effectiveness of the 'Girls Active' intervention
Study acronymGirls Active
Study hypothesisDespite the health benefits of physical activity, data from the UK suggests that a large proportion of adolescents do not meet the recommended levels of moderate-to-vigorous physical activity (MVPA). This is particularly evident in girls, who are less active than boys across all ages and display a faster rate of decline in physical activity throughout adolescence. Furthermore, a large drop in the proportion of girls meeting MVPA guidelines occurs during and following the transition to secondary school (age 11+). 'Girls Active' has been developed by the Youth Sport Trust to target the lower participation rates observed in adolescent girls, specifically aged 11-14 years. This study will evaluate the effectiveness and cost-effectiveness of the 'Girls Active' intervention.
Ethics approval(s)College of Medicine and Biological Sciences Research Ethics Committee, University of Leicester, 12/12/2014, ref: mlh31-fa761
ConditionPhysical activity
InterventionThis study will recruit 20 schools within Leicester, Leicestershire and Rutland. At each school a random sample of ~80 Key Stage 3 girls (aged 11-14 years) will be selected to take part in the evaluation measures. Baseline visit will record height, weight and percentage body fat. Participants will be asked to complete lifestyle questionnaires and wear a wrist worn accelerometer for the 8 days following the study visit.

Once the baseline measurements are complete in all 20 schools an independent statistician will randomise half of the schools to the intervention condition (to receive Girls Active) and half to usual care (the control) condition based on school size and proportion of BME pupils.

The measurement session described above will then be repeated at 7 and 14 months.

Process evaluation will also be undertaken with lead teachers and the girls involved in the Girls Active intervention throughout the length of the evaluation. This will involve asking teachers to complete questionnaires on school physical activity, sport and PE provision, and tracking Girls Active delivery.
Intervention typeBehavioural
Primary outcome measureA significant difference in mean minutes of moderate to vigorous activity between the intervention and the control group, measured by accelerometer at 14 months after baseline assessment.
Secondary outcome measures1. A change in the following outcomes 7 and 14 months after baseline assessment:
1.1. Increase in objectively measured total volume of physical activity (accelerometer counts/days)
1.2. Increase in the proportion of girls meeting MVPA guidelines (objectively measured)
1.3. Increase in objectively measured MVPA at 7 months
1.4. Reduction in time spent sedentary (objectively measured and self-reported)
1.5. Reduction in measures of adiposity (body mass index, percentile, percent body fat)
1.6. Improvement in psychological factors that may mediate physical activity participation
2. A full cost effectiveness and cost-consequence analysis of the 'Girls Active' programme
3. A process evaluation of intervention implementation
Overall study start date01/02/2015
Overall study end date31/01/2017

Eligibility

Participant type(s)Healthy volunteer
Age groupChild
Lower age limit11 Years
Upper age limit14 Years
SexFemale
Target number of participants1600
Total final enrolment1752
Participant inclusion criteriaSchool inclusion criteria:
1. Government-funded secondary school within Leicester, Leicestershire and Rutland
2. Schools with at least 80 Key Stage 3 girls

Pupil inclusion criteria:
1. Key Stage 3 girls (must be aged 11, 12, 13 or 14 years)
Participant exclusion criteriaSchool exclusion criteria:
1. Private or independent schools and designated special needs schools
2. Schools that do not have any Key Stage 3 pupils

Pupil exclusion criteria:
1. Girls outside of the targeted age range
2. Parent opt-out consent returned
Recruitment start date01/02/2015
Recruitment end date31/03/2015

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Diabetes Research Centre
Leicester General Hospital
Leicester
LE5 4PW
United Kingdom

Sponsor information

The University of Leicester
University/education

College of Medicine, Biological Sciences and Psychology
Academic Department
Leicester General Hospital
Leicester
LE5 4PW
England
United Kingdom

Phone +44 (0)1162584867
Email uolsponsor@le.ac.uk
ROR logo "ROR" https://ror.org/04h699437

Funders

Funder type

Government

National Institute for Health Research
Government organisation / National government
Alternative name(s)
National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planTo be confirmed at a later date
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article 04/06/2015 Yes No
Results article 25/04/2018 Yes No
Results article 16/08/2019 19/08/2019 Yes No
Other publications process evaluation 29/08/2019 30/08/2019 Yes No
Results article 01/02/2019 09/02/2023 Yes No

Editorial Notes

09/02/2023: Publication reference added.
30/08/2019: Publication reference added.
19/08/2019: Publication reference and total final enrolment added.
27/04/2018: Publication reference added.