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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Randomised controlled feasibility study of a school-based multi-level intervention to increase physical activity and

Nelli Hankonen1,2, Matti T J Heino3, Sini-Tuuli Hynynen3

  • 1Faculty of Social Sciences, University of Tampere, Kalevankatu 4, 33014, Tampere, Finland. nelli.hankonen@uta.fi.

The International Journal of Behavioral Nutrition and Physical Activity
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Summary
This summary is machine-generated.

This study found that a school-based intervention was feasible and acceptable for increasing physical activity (PA) and reducing sedentary behavior (SB) in vocational students. Further trials can test its effectiveness after modifications.

Keywords:
AcceptabilityBehaviour change technique useFeasibilityPilot trialPlanningSelf-determination theorySelf-regulationVocational upper secondary school

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Area of Science:

  • Public Health
  • Behavioral Science
  • Adolescent Health

Background:

  • Limited long-term effectiveness of school-based physical activity (PA) interventions in older adolescents.
  • Few interventions have addressed sedentary behavior (SB) in this demographic.
  • Need for evidence-based strategies to promote PA and reduce SB in vocational school students.

Purpose of the Study:

  • To investigate the feasibility and acceptability of a multi-level intervention designed to increase PA and decrease SB among vocational school students.
  • To examine the uptake of behavior change techniques (BCTs) by student participants.
  • To assess the impact of the intervention on teachers' strategies to reduce student sitting time.

Main Methods:

  • Cluster-randomised controlled trial with outcome assessor blinding.
  • Intervention included group sessions for students, teacher training workshops, and provision of PA equipment.
  • Data collection involved self-reported PA and SB, accelerometry, body composition, and acceptability questionnaires.

Main Results:

  • High recruitment (64% students, 88.9% teachers) and retention rates (76.7% students, 93.8% teachers).
  • High acceptability of intervention components (students M=6.29/7) and feasible data collection procedures.
  • Increased BCT use reported by students, though some uptake was suboptimal; BCT use correlated with objective PA measures.
  • Teachers increased sitting reduction strategies post-intervention and at follow-up (p<0.05).

Conclusions:

  • The target groups showed willingness to participate, with good response rates and adequate retention.
  • The trial protocol was acceptable, and findings will inform modifications for future intervention effectiveness trials.
  • Further investigation into BCT use enhanced intervention procedures, paving the way for a definitive trial.