A multi-level examination of school programs, policies and resources associated with physical activity among elementary school youth in the PLAY-ON study

<p>Abstract</p> <p>Background</p> <p>Given the decline in physical activity (PA) levels among youth populations it is vital to understand the factors that are associated with PA in order to inform the development of new prevention programs. Many studies have examined individual characteristics associated with PA among youth yet few have studied the relationship between the school environment and PA despite knowing that there is variability in student PA levels across schools.</p> <p>Methods</p> <p>Using multi-level logistic regression analyses we explored the school- and student-level characteristics associated with PA using data from 2,379 grade 5 to 8 students attending 30 elementary schools in Ontario, Canada as part of the PLAY-Ontario study.</p> <p>Results</p> <p>Findings indicate that there was significant between-school random variation for being moderately and highly active; school-level differences accounted for 4.8% of the variability in the odds of being moderately active and 7.3% of the variability in the odds of being highly active. Students were more likely to be moderately active if they attended a school that used PA as a reward and not as discipline, and students were more likely to be highly active if they attended a school with established community partnerships. Important student characteristics included screen time sedentary behaviour, participating in team sports, and having active friends.</p> <p>Conclusion</p> <p>Future research should evaluate if the optimal population level impact for school-based PA promotion programming might be achieved most economically if intervention selectively targeted the schools that are putting students at the greatest risk for inactivity.</p

Training and research to improve youth health in Guatemala : final technical report

The COMPASS research platform proved to be an effective system for collecting data from schools and students in Guatemala. In Canada, the COMPASS study is a leading-edge research and knowledge-exchange platform being used to understand how to intervene to prevent obesity and substance-use among youth populations. Further to these objectives, while the Canadian team was focused on the project as a technical test of COMPASS in Guatemala, the researchers in Guatemala were keen to see actual data collected from the pilot study. Knowledge-exchange and training has provided the Guatemalan team with insights into successfully conducting population health studies with schools and youth

The COMPASS study: a longitudinal hierarchical research platform for evaluating natural experiments related to changes in school-level programs, policies and built environment resources

Abstract Background Few researchers have the data required to adequately understand how the school environment impacts youth health behaviour development over time. Methods/Design COMPASS is a prospective cohort study designed to annually collect hierarchical longitudinal data from a sample of 90 secondary schools and the 50,000+ grade 9 to 12 students attending those schools. COMPASS uses a rigorous quasi-experimental design to evaluate how changes in school programs, policies, and/or built environment (BE) characteristics are related to changes in multiple youth health behaviours and outcomes over time. These data will allow for the quasi-experimental evaluation of natural experiments that will occur within schools over the course of COMPASS, providing a means for generating “practice based evidence” in school-based prevention programming. Discussion COMPASS is the first study with the infrastructure to robustly evaluate the impact that changes in multiple school-level programs, policies, and BE characteristics within or surrounding a school might have on multiple youth health behaviours or outcomes over time. COMPASS will provide valuable new insight for planning, tailoring and targeting of school-based prevention initiatives where they are most likely to have impact