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Intervention Satisfaction and Feasibility of the Active Children Through In-Home, Web-Based Physical Activity
Somya Rastogi1, Luis Columna2, Kelli Koltyn2
1Institute for Implementation Sciences in Population Health, The City University of New York, New York, NY, USA.
Insights
The Active Children Through In-Home Web-Based Physical Activity trial successfully met recruitment and retention goals for a web-based physical activity intervention. Future studies should incorporate novelty and social elements to enhance adherence and satisfaction in children.
Area of Science:
- Pediatric physical activity interventions
- Web-based health promotion
- Childhood obesity prevention
Background:
- Insufficient physical activity is a major public health concern in children.
- Web-based interventions offer a scalable approach to promote physical activity.
- The Active Children Through In-Home Web-Based Physical Activity trial aimed to assess a novel intervention delivery method.
Purpose of the Study:
- To evaluate the feasibility and satisfaction of a web-based physical activity intervention for children.
- To assess recruitment, retention, and adherence rates of the intervention.
- To gather participant feedback for future intervention improvements.
Main Methods:
- Eighty-two insufficiently active children (8-11 years) were randomized to an intervention or control group.
- The intervention group engaged in 20-minute exercise videos online, 5 times weekly for 12 weeks.
- Feasibility was measured by recruitment, retention, adherence, and satisfaction via surveys and interviews.
Main Results:
- Recruitment (73.6%) and retention (93.9% and 80.5%) rates exceeded targets.
- Sixty-nine percent of participants demonstrated high adherence.
- Parents reported high satisfaction, while children noted declining interest and suggested improvements like novelty and social interaction.
Conclusions:
- The web-based physical activity intervention demonstrated feasibility and met recruitment and retention targets.
- Moderate adherence was achieved, with potential for improvement.
- Future interventions should prioritize novelty and social components to sustain engagement and satisfaction.
Purpose:
We assessed feasibility and satisfaction of the Active Children Through In-Home Web-Based Physical Activity pilot trial, delivering a web-based movement integration intervention to children.
Method:
Eighty-two children (8-11 y), insufficiently active, were randomly assigned to either exercise intervention (n = 41) or wait-list control (n = 41). The intervention involved 20-minute exercise videos, 5 times weekly for 12 weeks, using the UNICEF Kid Power website at home. Feasibility metrics included recruitment (target: 70%), retention (target: 80%), adherence rates, and satisfaction assessed through surveys and interviews. Retention rate-1 was percentage completing posttest surveys, and retention rate-2 was percentage completing posttest accelerometry. Parent logs assessed adherence.
Results:
Recruitment, retention-1, and retention-2 rates were 73.6%, 93.9%, and 80.5%, respectively. The intervention group had 5 dropouts; wait-list control had none. Sixty-nine percent showed high intervention adherence. Parents consistently expressed satisfaction, finding the intervention enjoyable and beneficial. Although children initially provided positive reviews, their interest declined over time, with increasing expressions of monotony. Suggestions to increase novelty and incorporate a social component were made by participants. The intervention was also found to be particularly useful during inclement weather.
Conclusion:
Active Children Through In-Home Web-Based Physical Activity trial exceeded feasibility targets of recruitment and retention and achieved moderate overall adherence. Future trials should emphasize novelty and peer participation for improved adherence and satisfaction.
