School Poverty Level Moderates the Effectiveness of a Physical Activity Intervention.

Autor:	Quader ZS; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Sliwa S; Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA., Haardörfer R; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Suglia SF; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Gazmararian JA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	American journal of health promotion : AJHP [Am J Health Promot] 2024 Nov; Vol. 38 (8), pp. 1170-1175. Date of Electronic Publication: 2024 Jun 08.
DOI:	10.1177/08901171241257309
Abstrakt:	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: 4 th 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. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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