School Poverty Level Moderates the Effectiveness of a Physical Activity Intervention

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  Quader, Zerleen S. ; Sliwa, Sarah ; Haardörfer, Regine ; Suglia, Shakira F. ; Gazmararian, Julie A.
• Description:
  Purpose:
  
  To explore whether school poverty level and funding modified the effectiveness of an evidence-based Comprehensive School Physical Activity Program called Health Empowers You! implemented in elementary schools in Georgia.
  
  Design:
  
  Secondary data analysis of a multi-level, cluster-randomized controlled trial.
  
  Setting:
  
  40 elementary schools in Georgia in 2018–2019.
  
  Subjects:
  
  4th grade students in Georgia.
  
  Measures:
  
  Intervention schools implemented the Health Empowers You! program to increase school-day physical activity. The outcome was average daily moderate-to-vigorous physical activity, school free-reduced price lunch (FRPL) percentage and per pupil expenditures were effect modifiers.
  
  Analysis:
  
  Separate linear mixed regression models estimated the effect of the intervention on average daily moderate-to-vigorous physical activity, with interaction terms between intervention status and (1) school FRPL percentage or (2) per pupil expenditures.
  
  Results:
  
  The effect of the intervention was significantly higher in schools with higher FRPL percentage (intervention*school % FRPL β (95% CI): .06 (.01, .12)), and was modestly, but not statistically significantly, higher in schools with lower per pupil expenditures.
  
  Conclusion:
  
  Findings support the use of the Health Empowers You! intervention, which was effective in lower income schools, and may potentially reduce disparities in students’ physical activity levels.
  
  
• Subjects:
  Child Exercise Female Georgia Health Promotion Humans Male Poverty Program Evaluation School Health Services Schools

  More +
• Keywords:
  Physical Activity School-based Health Interventions
• Source:
  Am J Health Promot. 38(8):1170-1175
• Pubmed ID:
  38850049
• Pubmed Central ID:
  PMC11469946
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; F31 HL156426/HL/NHLBI NIH HHSUnited States/
• Volume:
  38
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c1b8b0012f0ca36d5deb07e1145185fe2156eb23fe6d5dfa0c53d24fa3a3e40fd03ba47f3dcba00c88ee2d195c3de40c837b4e8b0bd2b9736f4d2373889e4dc0
• Download URL:
  https://stacks.cdc.gov/view/cdc/165791/cdc_165791_DS1.pdf
• File Type:
  [PDF - 487.91 KB ]