FIT FIRST 20: a special school-based physical education program targeted to fourth- and fifth-grade students

ISRCTN ISRCTN14624515
DOI https://doi.org/10.1186/ISRCTN14624515
Secondary identifying numbers Fund application number: 0077612
Submission date
23/10/2023
Registration date
30/10/2023
Last edited
25/10/2023
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
In Denmark, less than one-third of 11- to 15-year-old children are sufficiently physically active. Physically inactive children are more likely to gain excessive weight, be inactive later in life, and develop chronic diseases. Therefore, this study aims to improve the physical fitness and well-being of children with an evidence-based physical education program.

Who can participate?
10-12-year-old children enrolled in a school in Denmark

What does the study involve?
Student participants will receive a special physical education program based on FIT FIRST principles if their schools are randomly assigned to receive the program. In the remaining schools, student participants will attend physical education classes, as previously established by the school. All students will respond to a questionnaire and carry out physical tests during a school day at school start, at the end of the school year, and 1 year after the project.

What are the possible benefits and risks of participating?
The potential benefits are improved physical fitness and well-being after the FIT FIRST program is implemented. No side effects are expected.

Where is the study run from?
University of Southern Denmark (Denmark)

When is the study starting and how long is it expected to run for? (what are the overall start and end dates?)
January 2019 to July 2026

Who is funding the study?
Novo Nordisk Foundation (Denmark)

Who is the main contact?
Peter Krustrup, pkrustrup@health.sdu.dk

Contact information

Ms Chiara Cimenti
Public, Scientific

Campusvej 55
Odense
5230
Denmark

Phone +45 (0)65509311
Email ccimenti@health.sdu.dk
Mr Peter Krustrup
Principal Investigator

Campusvej 55
Odense
5230
Denmark

ORCiD logoORCID ID 0000-0002-1461-9838
Phone +45 (0)21161530
Email pkrustrup@health.sdu.dk

Study information

Study designCluster randomized controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)School
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleThe effects of FIT FIRST 20 on physical fitness, well-being, and sports-club participation in 10-13-year-olds
Study acronymFIT FIRST
Study objectivesA school-based physical activity intervention will improve psychosocial well-being and physical fitness and increase sports club participation among school-aged children and youth (4th to 5th grade, 10-12 years).
Ethics approval(s)Ethics approval not required
Ethics approval additional informationConforming to current legislation, the project was submitted to The Regional Scientific Ethical Committees for Southern Denmark. The committee decided that the project was exempt from the obligation to notify. Notification of this decision was forwarded via email on 01/05/2023.
Health condition(s) or problem(s) studiedWell-being and physical fitness
InterventionParticipating schools are randomly assigned to the intervention group, the intervention and booster group, or the control group. The method of randomisation is stratified. The first and second strata include the schools recruited in the first and second recruitment rounds, respectively. As recruitment continues until summer 2024, new strata will be formed at a later stage.

The intervention and intervention-and-booster schools will implement three weekly 40-minute FIT FIRST lessons during one school year. Intervention-and-booster schools will also receive an 8-week FIT FIRST 20 booster program half-school year after the FIT FIRST program is implemented. A booster is a strategy that is implemented after the end of an intervention to amplify its effects in the long term. It often applies the same principles of the original intervention within a shorter period, but more intensively. The control group will be offered the opportunity to implement the intervention 1 year later. Baseline measurements are conducted at the beginning of a school year, followed by post-intervention assessments at the end of the school year as well as 1 year after the end of the intervention for all participating schools.
Intervention typeBehavioural
Primary outcome measureAll outcomes are measured at baseline as well as 1 year and 2 years after intervention start:
1. Physical fitness measured through the following physical tests: Yo-Yo IR1 Children´s test, the standing long jump test, arrow-agility test, balance test, the handgrip strength test, resting heart rate, blood pressure measurement, and InBody 230 bioimpedance measurements of body mass, lean mass, and fat percentage,
2. Well-being, measured using KIDSCREEN-27
3. Overall self-worth, measured using the Physical Self-Inventory (PSI-S)
4. Motivation to movement, measured using the perceived locus of causality questionnaire and the psychological need states in sport questionnaire
Secondary outcome measuresSports club participation. Data are collected through a questionnaire. Questions include "which sports do you practice in your spare time?" and "how many times a week do you practice sports in your spare time?". Measured at baseline as well as 1 year and 2 years after intervention start.
Overall study start date01/01/2019
Completion date01/07/2026

Eligibility

Participant type(s)Learner/student
Age groupChild
Lower age limit10 Years
Upper age limit12 Years
SexBoth
Target number of participantsCurrently (October 2023), the researchers consider two scenarios for recruitment. Scenario 1 involves an effect size d=.15 and an estimated sample size of 1776. Scenario 2 involves an effect size d=.20 and an estimated sample size of 1085. The total number of schools will vary between 20 and 25 depending on the chosen scenario.
Key inclusion criteria1. Student enrolled in a school in Denmark
2. Student attending 4th, 5th or 6th grade during the research project period
Key exclusion criteriaDoes not meet the inclusion criteria
Date of first enrolment01/04/2023
Date of final enrolment31/08/2024

Locations

Countries of recruitment

  • Denmark

Study participating centre

University of Southern Denmark
Department of Sports Science and Clinical Biomechanics (ISSCB)
Campusvej 55
Odense
5230
Denmark

Sponsor information

University of Southern Denmark
University/education

Campusvej 55
Odense
5230
Denmark

Phone +45 (0)65501000
Email sdu@sdu.dk
Website https://www.sdu.dk/en/om_sdu/institutter_centre/iob_idraet_og_biomekanik
ROR logo "ROR" https://ror.org/03yrrjy16

Funders

Funder type

Charity

Novo Nordisk Fonden
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
Novo Nordisk Foundation, Novo Nordic Foundation, NNF
Location
Denmark

Results and Publications

Intention to publish date01/07/2027
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal.
IPD sharing planThe datasets generated and/or analysed during the current study will be available by requesting them from Peter Krustrup, Professor of Sport and Health Sciences at the University of Southern Denmark (e-mail: pkrustrup@health.sdu.dk). All data will be available after the end of the research project and indefinitely. Data is anonymized and there will be no restrictions in analyses or access criteria.

Editorial Notes

25/10/2023: Study's existence confirmed by the Novo Nordisk Foundation.