SmokeFree Sports Project Report

Children and young people are amongst the most vulnerable groups in society and are highly susceptible to smoking experimentation and addiction. In Liverpool, smoking prevalence is significantly higher than the UK average. Therefore early intervention strategies are required for smoking prevention and cessation. Research has found a negative association between smoking and physical activity. SmokeFree Sports aims to explore whether physical activity and sport can be used to promote the smoke free message to children and young people. SmokeFree Sports is an innovative multi-dimensional campaign that incorporates social-marketing strategies alongside the provision of sports and physical activities to: a) de-normalise smoking among youth b) empower youth to stay smoke free, and c) increase awareness of the dangers of smoking using positive messaging through the medium of sport and physical activity. This project is delivered across Liverpool and aims to reduce the prevalence of smoking and prevent the uptake of smoking in children and young people. The initiative, which is managed by Liverpool John Moores University in partnership with Liverpool PCT, employs a variety of strategies to promote and deliver the smoke free message to children and young people including a) training sports coaches and teachers to deliver the smoke free message, b) delivering SFS messages in schools and youth clubs through sport and physical activity, c) asking children to sign a pledge to be smoke free, d) support voluntary sports clubs to adopt a smoke free policy on their playing fields, e) encouraging organizations and individuals interested in health and sport to sign up to the SmokeFree Sports Charter and f) signposting children to smoking cessation services

Formative Evaluation of Open Goals: A UK Community-Based Multi-Sport Family Programme

Community parks provide opportunities for physical activity (PA) and facilitate social interactions. This formative evaluation assesses the implementation of ‘Open Goals’ (OG), a novel multi-sport programme aiming to increase family PA and community cohesion, delivered weekly by Liverpool Football Club’s charitable foundation to local parks in Liverpool, North West England. Three Open Goals parks were chosen for the evaluation settings. Formative evaluation measures included: System for Observing Play and Recreation in Communities (SOPARC) observations (n = 10), direct session observations (n = 8), semi-structured interviews with Open Goals coaching staff (n = 3), and informal feedback from families (n = 5) about their experiences of Open Goals. Descriptive statistics and thematic analysis were applied to quantitative and qualitative data, respectively. Within the three evaluation parks, Open Goals reached 107 participants from May–July 2019, through 423 session attendances. Fidelity of the programme was high (M = 69% of session content delivered as intended). Overall park use when OG was offered compared to when it was not offered was not statistically significant (p = 0.051), however, target area use was significantly increased (p = 0.001). Overall physical activity levels in parks were significantly (p = 0.002) higher when Open Goals was being offered, compared to when it was not. Coaches reported that engagement in OG positively affected family co-participation and children’s behavioural development. Contextual issues included environmental and social barriers to programme engagement, including the co-participation element of the programme and criticism of the marketing of OG. It is evident that community-based multi-sport PA programmes endorsed by professional football clubs are well positioned to connect with local communities in deprived areas and to encourage PA and community engagement. This study suggests that such programmes may have the ability to improve park usage in specific areas, along with improving physical activity levels among families, although further research is required. Effective marketing strategies are needed for promotional purposes. Upskilling of coaches in the encouragement of family co-participation may support regular family engagement in PA in local parks

SmokeFree Sports 2012-13: Final Project Report

Many children enjoy taking part in physical activity, whilst physical education, sport and play are common denominators among children worldwide. Physical activity contexts therefore provide an opportunity to deliver health promotion activity en masse in a positive, fun and healthy environment. Over the past three years SmokeFree Sports has sought to harness this potential and develop an effective and engaging mechanism to prevent and protect children from smoking. The main purpose of this report is to provide an overview of the research findings from the final phase of the SmokeFree Sports project – a smoking prevention intervention conducted in Liverpool primary schools in the 2012-13 academic year. The report also includes a summary of the innovative practices and campaign activities that have captured the interest of children and families, teachers and schools, and the local community. Information is presented in as much detail as possible, whilst findings are reported objectively together with practical recommendations so that others can learn from our experience

The effects of interventions on fundamental movement skills, physical activity and psychological well-being among children

A large proportion of UK children do not meet the recommended guidelines for participation in physical activity, which is a public health concern as the prevalence of overweight and obesity among children is rising. Increasing perceptions of competence and levels of fundamental movement skill proficiency are potential strategies to promote physical activity. The aims of this thesis were to, a) investigate the prevalence of skill proficiency and levels of perceived physical competence in UK children, b) examine the relationships between fundamental movement skill competence and physical self-perceptions with children's physical activity, fitness and body fatness, and c) determine the effectiveness of non-curricular interventions to increase fundamental movement skills and enhance perceptions of competence. The first stage of research presented is the cross-sectional study of 152 children (41% boys; Age mean 9.7?0.3 years), which were recruited from 8 primary schools. Children completed the Children and Youth Physical Self-Perception Profile (CYPSPP) and were assessed on 8 skills using video-analysis and process measures. In addition, cardiorespiratory fitness was directly measured during a treadmill protocol to exhaustion; body fat (%) was determined by dual-energy x-ray absorptiometry; and physical activity was assessed by accelerometers over 7 days. The results revealed that children generally had positive perceptions of their physical self. However, levels of physical self-perceptions did not significantly predict physical activity behaviour. Perceptions of physical condition and physical strength were weak predictors of cardiorespiratory fitness and percent body fat, collectively explaining 7% and 7.8% of variance. Children's perceptions of competence were not related to their actual competence levels. Prevalence of proficiency in fundamental movement skills was low-to-moderate in boys and low in girls. Chi-square tests revealed a significantly (P < 0.01) higher proportion of boys were rated as proficient than girls in the kick (x = 37.4), catch (x = 25.3), strike (x = 28.4) and throw (x = 44.1). Total skill score significantly (P < 0.01) accounted for 11% and 9.2% of the variance in physical activity and percent total body fat, respectively. Locomotor skills significantly (P<0.01) predicted 7.7% of unique variance in moderate-to vigorous physical activity, 5.6% of total physical activity, 13.4% of cardiorespiratory fitness, and 23.7% of variance in percent body fat. Object-control skills weakly predicted total body fat (2%; P=0.04) but did not account for variance in other outcomes. This study highlighted the importance of fundamental movement skills to children's health and identified the need for interventions to enhance skill competence in older children. The next stage of research sought to determine the efficacy of interventions to increase skill competence and physical self-perceptions. An exploratory study examined the effects of a 9 week afterschool multi-skills club on skill proficiency, physical self-perceptions and body mass index (BMI) in 8-9 year old children. Two schools were randomly assigned to either a comparison (n = 15) or multi-skill club (n = 19) group. The multi-skill club received 18 coaching sessions designed to improve movement skills, while the comparison group followed normal routines. Children completed the CY-PSPP and assessments of seven movement skills, and were measured for stature and mass to calculate BMI. It was found that children in the multi-skill club had higher BMI (P<0.05) and possibly lower perceptions of body attractiveness and physical condition than children in the comparison group at post-test. Participation in the multi-skill club delivered significant (P<0.01) improvements in proficiency at post-test in static balance, whilst potentially practically important improvements were observed in performance of the catch, throw and kick skills. It was concluded that an afterschool multi-skill club offers a viable opportunity for movement skill acquisition, but any such programme would need to run for a longer duration to identify if this type of activity could benefit all skills. The final study was unique in that it was the first study to assess the impact of three different 12 month interventions on children's skill levels and perceived physical competence. One hundred and fifty-two 9-10 year old children were randomised by school to one of four conditions: a bi-weekly high-intensity physical activity afterschool club (HIPA; n=36); a bi-weekly multi-skill (fundamental movement skill) after-school club (FMS; n=37); a behaviour-modification programme (PASS; n=45); or a control-comparison (CON; n=34). Outcome measures, as employed within the cross-sectional study, were assessed at baseline, 9- and 12 months. It was found that participation in the FMS group was associated with moderate positive intervention effects on skill competence and increased the likelihood of attaining proficiency at post-test skill in 7 out of 8 skills. Participation in HIPA was associated with a small positive intervention effect on locomotor skill competence, and increased likelihood of proficiency in 5 skills, while PASS had no effect on skill competence but did increase the likelihood of attaining proficiency in 3 skills. In boys, participation in FMS and HIPA were associated with higher perceptions of sports competence, condition, and physical self-worth; HIPA elevated perceptions of strength, and, FMS increased perceived body attractiveness. PASS was associated with more positive perceptions of sports competence and body attractiveness at 9- but not 12-months. In girls, there were no positive intervention effects on CY-PSPP subscales, whilst all interventions were associated with more negative perceptions of body attractiveness. No group differences were found for body fat or physical activity, which increased from baseline to mid-test but fell sharply at post test in all conditions. Boys in HIPA improved fitness levels relative to controls, whilst girls participating in the FMS and PASS groups had lower fitness at post-test. It was concluded that multi-skill afterschool clubs are most effective at improving fundamental movement skills. Afterschool clubs may provide a means to augment boys' perceptions of competence, irrespective of activity mode; however, after-school clubs do not appear to enhance physical self-perceptions in girls. Behaviour-modification programmes appear least effective at improving actual and perceived competence, but a combined structured exercise and behaviour modification programme may be necessary to improve health outcomes. A subsequent follow-up study is required to assess long term impact of the interventions. The studies within this thesis have provided a detailed insight into the effects of different interventions on children's actual and perceived competence. To summarise, it was found that many children are not proficient at fundamental movement skills, which is important given their associations with important health outcomes. A multi-skill club programme can best impact such skills, whilst other forms of physical activity can also promote skill development. Perceptions of physical competence do not appear to have strong associations with children's health at this age. The influences of interventions on perceptions of competence appear complex and gender differences suggest that different forms of interventions may be necessary for girls

“I Wasn’t Sure What It Meant to be Honest”—Formative Research towards a Physical Literacy Intervention for Preschoolers

Physical literacy (PL) as a concept is important in developing lifelong physical activity; however, there is little research exploring how PL can be developed during the preschool years. This two-phase qualitative study sought the insights of academics/expert practitioners and preschool staff towards PL in order to inform the design of future preschool PL interventions. Phase One comprised of nine semi-structured interviews with experts in the field of children’s physical activity and/or PL. Interview topics included perspectives on the concept of PL and recommendations for interventions targeted at improving preschool PL. Phase Two consisted of focus groups with practitioners from four local children’s centres. Focus groups explored perspectives on the feasibility and acceptability of proposed PL interventions. Interviews and focus groups were analysed by thematic analysis and means of representation, respectively. Findings revealed that whilst there was limited understanding about the concept of PL among preschool educators, knowledge of child development was evident and that all participants agreed that there was a need for further training for practitioners. Perceived barriers to promoting PL noted by practitioners included funding, policy, curricular priorities, parental opinions, and the preschool environment. It was recommended that interventions should be: (i) designed using a participatory approach including all key stakeholders, (ii) conducted over the long term, and (iii) incorporate opportunities for children to engage in free and outdoor play. Furthermore, any intervention should be flexible to allow for variation between children’s centres, aligned to current policy/children’s centre targets and provide training and resources in order to overcome perceived barriers.</jats:p

Benefits of daddy play

The Fathers’ Engagement Project was designed to assess the impact and feasibility of a six week physically active play based programme on fathers’ engagement with their three to five year old children. Sessions were held at City based Children’s Centres. Fathers’ engagement and attitudes to child PA were measured pre- and post-intervention via questionnaire. Acceptability of the intervention was explored through participant and staff focus groups. Results from questionnaires showed that fathers felt more in control of their children and had increased awareness of their role in motivating their child to play. Fathers also suggested that sessions provided opportunities to spend quality time with their children despite there being no significant increase in the overall time fathers self-reported spending with their child during the week or at the weekend. A number of recommendations for both research and practice are provided

Patterns of Objectively Measured Moderate-to-Vigorous Physical Activity in Preschool Children.

BACKGROUND: Identifying periods of the day which are susceptible to varying levels of physical activity (PA) may help identify key times to intervene and potentially change preschool children's PA behaviors. This study assessed variability of objectively measured moderate-to-vigorous physical activity (MVPA) during weekdays and weekend days among preschool children. METHODS: One hundred and eighty-eight children (aged 3 to 5 years; 53.2% boys) from a northwest English city wore uni-axial accelerometers for 7 consecutive days. RESULTS: Higher levels of MVPA were recorded in boys, particularly those who attended preschool for a half day. Children who attended preschool for a full day engaged in 11.1 minutes less MVPA than children who attended for a half day. After-school hours were characterized by a decrease in activity for all groups. Patterns of activity during the weekend were smoother with less variability. CONCLUSION: This study identified discrete segments of the week, specifically afterschool and during the weekend, when preschoolers engage in low levels of PA. Higher levels of MVPA among children who attended preschool for less time each day suggests that the structured preschool environment is related to decreased activity. Consequently, there is a need for interventions in young children to focus on school and home environments

Primary teachers’ recommendations for the development of a teacher-oriented movement assessment tool for 4-7 year children

To inform the development of a teacher-oriented movement assessment tool, this study aimed to explore primary school teachers’ perceptions of assessing fundamental movement skills (FMS) within physical education (PE) lessons. Thirty-nine primary school teachers of PE, located in the United Kingdom, participated in an individual or group semi-structured interview. Findings signify that teachers perceive a need for an appropriate and effective movement assessment tool that is simple to use, quick to administer, and that provides valuable feedback to guide future teaching and learning. This is vital as teachers indicated that a lack of appropriate resources and a shortage of curriculum time restricts their use of assessment within PE. A movement assessment tool that aligned to the curriculum would be beneficial to teachers to better support children’s learning and acquisition of FMS, as well as to enhance the teachers’ own understanding of the process of assessing FMS

Effect of a sport-for-health intervention (SmokeFree Sports) on smoking-related intentions and cognitions among 9-10 year old primary school children: a controlled trial.

BACKGROUND: Preventing children from smoking is a public health priority. This study evaluated the effects of a sport-for-health smoking prevention programme (SmokeFree Sports) on smoking-related intentions and cognitions among primary school children from deprived communities. METHODS: A non-randomised-controlled trial targeted 9-10 year old children from Merseyside, North-West England. 32 primary schools received a programme of sport-for-health activities over 7 months; 11 comparison schools followed usual routines. Data were collected pre-intervention (T0), and at 8 months (T1) and one year post-intervention (T2). Smoking-related intentions and cognitions were assessed using an online questionnaire. Intervention effects were analysed using multi-level modelling (school, student), adjusted for baseline values and potential confounders. Mixed-sex focus groups (n = 18) were conducted at T1. RESULTS: 961 children completed all assessments and were included in the final analyses. There were no significant differences between the two study groups for non-smoking intentions (T1: β = 0.02, 95 % CI = -0.08-0.12; T2: β = 0.08, 95 % CI = -0.02-0.17) or for cigarette refusal self-efficacy (T1: β = 0.28, 95 % CI = -0.11-0.67; T2: β = 0.23, 95 % CI = -0.07-0.52). At T1 there was a positive intervention effect for cigarette refusal self-efficacy in girls (β = 0.72, 95 % CI = 0.21-1.23). Intervention participants were more likely to 'definitely' believe that: 'it is not safe to smoke for a year or two as long as you quit after that' (RR = 1.19, 95 % CI = 1.07-1.33), 'it is difficult to quit smoking once started' (RR = 1.56, 95 % CI = 1.38-1.76), 'smoke from other peoples' cigarettes is harmful' (RR = 1.19, 95 % CI = 1.20-2.08), 'smoking affects sports performance' (RR = 1.73, 95 % CI = 1.59-1.88) and 'smoking makes 'no difference' to weight' (RR = 2.13, 95 % CI = 1.86-2.44). At T2, significant between-group differences remained just for 'smoking affects sports performance' (RR = 1.57, 95 % CI = 1.43-1.72). Focus groups showed that SFS made children determined to remain smoke free and that the interactive activities aided children's understanding of smoking harms. CONCLUSION: SFS demonstrated short-term positive effects on smoking attitudes among children, and cigarette refusal self-efficacy among girls. Although no effects were observed for non-smoking intentions, children said that SFS made them more determined not to smoke. Most children had strong intentions not to smoke; therefore, smoking prevention programmes should perhaps target early adolescents, who are closer to the age of smoking onset