Dataset Information

Developing a core outcome set for physical activity interventions in primary schools: a modified-Delphi study.

ABSTRACT:

Objectives

To develop a core outcome set (COS) for physical activity interventions in primary schools.

Design

Modified-Delphi study.

Setting

The UK and international.

Participants

104 participants from four stakeholder groups (educators, public health professionals, health researchers, parents); 16 children (aged 8-9 years) from 1 London primary school.

Interventions

Physical activity interventions.

Methods

Four-stage process: (1) outcomes extracted from relevant studies identified from an umbrella review and a focus group; (2) list of outcomes produced and domains established; (3) stakeholders completed a two-round Delphi survey by rating (Round 1) and re-rating (Round 2) each outcome on a nine-point Likert Scale from 'not important' to 'critical': a>70% participant threshold identified the outcomes rated 'critical' to measure, and outcomes important to children were identified through a workshop; and (4) a stakeholder meeting to achieve consensus of the outcomes to include in the COS.

Results

In total, 74 studies were extracted from 53 reviews. A list of 50 outcomes was produced and three domains were established: 'physical activity and health' (16 outcomes), 'social and emotional health' (22 outcomes) and 'educational performance' (12 outcomes). 104 participants completed survey Round 1; 65 participants completed both rounds. In total, 13 outcomes met the threshold; children identified 8 outcomes. Fourteen outcomes achieved consensus to produce the COS: five outcomes for physical activity and health (diet (varied and balanced), energy, fitness, intensity of physical activity, sleep (number of hours)); seven outcomes for social and emotional health (anxiety, depression, enjoyment, happiness, self-esteem, stress, well-being); and two outcomes for educational performance (concentration, focus).

Conclusions

We have developed the first COS for physical activity interventions in primary schools in consultation with those interested in the development and application of an agreed standardised set of outcomes. Future studies including these outcomes will reduce heterogeneity across studies.

Trial registration number

Core Outcome Measures in Effectiveness Trials Initiative registration number 1322; Results.

SUBMITTER: Ram B

PROVIDER: S-EPMC9528589 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Developing a core outcome set for physical activity interventions in primary schools: a modified-Delphi study.

Ram Bina B Foley Kimberley A KA van Sluijs Esther E Hargreaves Dougal S DS Viner Russell M RM Saxena Sonia S

BMJ open 20220930 9

<h4>Objectives</h4>To develop a core outcome set (COS) for physical activity interventions in primary schools.<h4>Design</h4>Modified-Delphi study.<h4>Setting</h4>The UK and international.<h4>Participants</h4>104 participants from four stakeholder groups (educators, public health professionals, health researchers, parents); 16 children (aged 8-9 years) from 1 London primary school.<h4>Interventions</h4>Physical activity interventions.<h4>Methods</h4>Four-stage process: (1) outcomes extracted fro ...[more]

PMID: 36180126

Similar Datasets

Project description:BackgroundCore outcome sets are standardised sets of outcomes that should be collected and reported for all clinical trials. They have been widely developed and are increasingly influential in clinical research, but despite this, their use in public health has been limited to date. The aim of this study was to develop a core outcome set for public health trials evaluating interventions to promote physical activity in the general adult population.MethodsThe core outcome set was developed using a three-stage approach: stage one: a review of literature to identify potential domains for inclusion in the core outcome set; stage two: a Delphi survey was carried out to reach consensus about which outcome domains to include in the core outcome set; and stage three: a second Delphi survey was conducted to determine how best to measure the outcome domains included in the core outcome set.ResultsA classification of 13 outcome domains of physical activity was developed (stage one). Twenty people completed round one of the first Delphi survey (stage two), reaching a consensus to include two domains in the core outcome set, 'device-based level of physical activity' (80.0%, n = 16) and 'health-related quality of life' (70.0%, n = 14). No further consensus on the remaining outcome domains was reached in round two. Nineteen people completed the second Delphi survey (stage three). Participants rated the accelerometer (mean rating = 3.89, on a scale of 1 (do not recommend) to 5 (highly recommend)) as the best device to measure level of physical activity, and the EQ-5D (73.7%, n = 14) as the most appropriate measure of health-related quality of life.ConclusionsThis study has made progress towards the development of a core outcome set for use in physical activity trials, however, there was limited consensus about which domains to include. The development of the core outcome set was challenged by the need for trial-specific outcomes, and the complexities of collecting, processing and reporting device-based data.

Dataset Information

Developing a core outcome set for physical activity interventions in primary schools: a modified-Delphi study.

Objectives

Design

Setting

Participants

Interventions

Methods

Results

Conclusions

Trial registration number

Publications

Developing a core outcome set for physical activity interventions in primary schools: a modified-Delphi study.

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