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"Tempest, Gavin Daniel"
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A qualitative analysis of perceived barriers and motivators to physical activity in children from ethnic minority groups and white British children
by
Tempest, Gavin Daniel
,
Omojor-Oche, Joyce Ene Omenyo
,
McCullogh, Nicola
in
Athletes
,
Autonomy
,
Barriers
2025
Physical inactivity is a problem worldwide despite the well-known health benefits of physical activity participation. Children from ethnic minority groups report some of the lowest levels of physical activity. In trying to address this, the voices and perspectives of children, especially children from ethnic minority groups, are often overlooked. The primary purpose of this study was to identify and compare the perceived barriers and motivators to physical activity of children from ethnic minority groups and white British children in a UK city. A semi-structured interview on physical activity participation was conducted in English with 20 children aged 8–11 years old (9 from a range of different ethnic minority groups and 11 white British children). The data were coded and analysed via inductive thematic analysis using Nvivo-12. A total of three barriers and eight motivators were identified for both groups. The barriers to physical activity participation were structure of sports; inadequate resources; and children’s social circle. The motivators were self-autonomy; self-confidence; enjoyment of physical activity; positive mental health and wellbeing; social circle; structure of sports; institutional motivators; and the introduction of more gender-balanced organised sports. Differences between groups were however noted amongst the subthemes, particularly in relation to barriers. For children from ethnic minority groups, barrier subthemes comprised parental barriers and obligations to siblings; lack of gender-balanced team sports; lack of variety of sports and lack of sporting equipment; and negative feedback from teammates. For white British children, barrier subthemes were lack of adequate play time in school and lack of financial resources. Such barriers may underpin differences in physical activity participation and should be considered in intervention design.
Journal Article
DE-PASS Best Evidence Statement (BESt): A Systematic Review and Meta-analysis on the Effectiveness of Trials on Device-Measured Physical Activity and Sedentary Behaviour and Their Determinants in Children Aged 5–12 Years
by
Drid, Patrik
,
Carlin, Angela
,
Ciaccioni, Simone
in
Accelerometry - instrumentation
,
Adolescents
,
Bayesian analysis
2025
To combat the high prevalence of physical inactivity among children, there is an urgent need to develop and implement real-world interventions and policies that promote physical activity (PA) and reduce sedentary behaviour (SB). To inform policy makers, the current body of evidence for children's PA/SB interventions needs to be translated.
The current systematic review and meta-analysis aimed to identify modifiable determinants of device-measured PA and SB targeted in available intervention studies with randomized controlled trial (RCT) and controlled trial (CT) designs in children and early adolescents (5-12 years) and to quantify the effects of the interventions within their respective settings on the determinants of PA/SB and the outcomes PA and SB.
A systematic search was conducted in MEDLINE, PsycINFO, Web of Science, SPORTDiscus and CENTRAL. Studies were considered if they were randomized controlled trials (RCTs) or controlled trials (CTs), included children and/or early adolescents (5-12 years; henceforth termed children), measured PA and/or SB using device-based methods and measured PA and/or SB and determinants of PA/SB at least at two timepoints. Risk of bias was assessed using the Cochrane Risk of Bias Tool for Randomised Trials (RoB2) for RCTs and Risk of Bias in Non-randomised Studies of Interventions (ROBINS-I) for CTs. The quality of the generated evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Robust Bayesian meta-analysis was conducted to quantify the effects of the interventions on the determinants of PA/SB, and the outcomes PA and SB, stratifying by study design, duration of PA/SB measurement, intervention setting and duration of follow-up measurement. Study characteristics and interventions were summarized.
Thirty-eight studies were included with a total sample size of n = 14,258 (67% girls). Settings identified were school, family/home, community and combinations of these. The review identified 38 modifiable determinants, spanning seven categories on individual, interpersonal and physical environmental levels, with 66% of determinants on the individual level. Overall, the results indicated trivial-to-moderate effects of the interventions on the determinants of PA and SB, with mostly trivial level of evidence for the presence of an effect (as indicated by a small Bayes factor; BF
< 3.00). The exceptions were moderate effects on parental PA modelling in the family/home setting and SB measured during specific parts of the school day. Higher quality of evidence was found in the family/home setting compared with other settings.
Overall, the results indicated that interventions have neither been effective in modifying the determinants of PA/SB, nor changing the PA/SB outcomes in children. In general, the approach in the current review revealed the breadth of methodological variability in children's PA interventions. Research is needed to address novel approaches to children's PA research and to identify potential determinants to inform policy and future interventions.
International prospective register of systematic reviews (PROSPERO): CRD42021282874.
Journal Article
DE-PASS Best Evidence Statement (BESt): A Systematic Review and Meta-analysis on the Effectiveness of Trials on Device-Measured Physical Activity and Sedentary Behaviour and Their Determinants in Children Aged 5–12 Years
by
Drid, Patrik
,
Carlin, Angela
,
Ciaccioni, Simone
in
Medicine
,
Medicine & Public Health
,
Sports Medicine
2025
Background
To combat the high prevalence of physical inactivity among children, there is an urgent need to develop and implement real-world interventions and policies that promote physical activity (PA) and reduce sedentary behaviour (SB). To inform policy makers, the current body of evidence for children’s PA/SB interventions needs to be translated.
Objectives
The current systematic review and meta-analysis aimed to identify modifiable determinants of device-measured PA and SB targeted in available intervention studies with randomized controlled trial (RCT) and controlled trial (CT) designs in children and early adolescents (5–12 years) and to quantify the effects of the interventions within their respective settings on the determinants of PA/SB and the outcomes PA and SB.
Methods
A systematic search was conducted in MEDLINE, PsycINFO, Web of Science, SPORTDiscus and CENTRAL. Studies were considered if they were randomized controlled trials (RCTs) or controlled trials (CTs), included children and/or early adolescents (5–12 years; henceforth termed children), measured PA and/or SB using device-based methods and measured PA and/or SB and determinants of PA/SB at least at two timepoints. Risk of bias was assessed using the Cochrane Risk of Bias Tool for Randomised Trials (RoB2) for RCTs and Risk of Bias in Non-randomised Studies of Interventions (ROBINS-I) for CTs. The quality of the generated evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Robust Bayesian meta-analysis was conducted to quantify the effects of the interventions on the determinants of PA/SB, and the outcomes PA and SB, stratifying by study design, duration of PA/SB measurement, intervention setting and duration of follow-up measurement. Study characteristics and interventions were summarized.
Results
Thirty-eight studies were included with a total sample size of
n
= 14,258 (67% girls). Settings identified were school, family/home, community and combinations of these. The review identified 38 modifiable determinants, spanning seven categories on individual, interpersonal and physical environmental levels, with 66% of determinants on the individual level. Overall, the results indicated trivial-to-moderate effects of the interventions on the determinants of PA and SB, with mostly trivial level of evidence for the presence of an effect (as indicated by a small Bayes factor; BF
10
< 3.00). The exceptions were moderate effects on parental PA modelling in the family/home setting and SB measured during specific parts of the school day. Higher quality of evidence was found in the family/home setting compared with other settings.
Discussion
Overall, the results indicated that interventions have neither been effective in modifying the determinants of PA/SB, nor changing the PA/SB outcomes in children. In general, the approach in the current review revealed the breadth of methodological variability in children’s PA interventions. Research is needed to address novel approaches to children’s PA research and to identify potential determinants to inform policy and future interventions.
Registration
International prospective register of systematic reviews (PROSPERO): CRD42021282874.
Journal Article
DE-PASS best evidence statement (BESt): determinants of adolescents’ device-based physical activity and sedentary behaviour in settings: a systematic review and meta-analysis
by
Drid, Patrik
,
Carlin, Angela
,
Ciaccioni, Simone
in
Adolescent
,
Adolescent Behavior - psychology
,
Adolescents
2024
Background
Although physical activity (PA) is associated with significant health benefits, only a small percentage of adolescents meet recommended PA levels. This systematic review with meta-analysis explored the modifiable determinants of adolescents’ device-based PA and/or sedentary behaviour (SB), evaluated in previous interventions and examined the associations between PA/SB and these determinants in settings.
Methods
A search was conducted on five electronic databases, including papers published from January 2010 to July 2023. Randomized Controlled Trials (RCTs) or Controlled Trials (CTs) measuring adolescents’ device-based PA/SB and their modifiable determinants at least at two time points: pre- and post-intervention were considered eligible. PA/SB and determinants were the main outcomes. Modifiable determinants were classified after data extraction adopting the social-ecological perspective. Robust Bayesian meta-analyses (RoBMA) were performed per each study setting. Outcomes identified in only one study were presented narratively. The risk of bias for each study and the certainty of the evidence for each meta-analysis were evaluated. The publication bias was also checked. PROSPERO ID: CRD42021282874.
Results
Fourteen RCTs (eight in school, three in school and family, and one in the family setting) and one CT (in the school setting) were included. Fifty-four modifiable determinants were identified and were combined into 33 broader determinants (21 individual–psychological, four individual–behavioural, seven interpersonal, and one institutional). RoBMAs revealed none or negligible pooled intervention effects on PA/SB or determinants in all settings. The certainty of the evidence of the impact of interventions on outcomes ranged from very low to low. Narratively, intervention effects in favour of the experimental group were detected in school setting for the determinants: knowledge of the environment for practicing PA,
d
= 1.84, 95%CI (1.48, 2.20), behaviour change techniques,
d
= 0.90, 95%CI (0.09, 1.70), choice provided,
d
= 0.70, 95%CI (0.36, 1.03), but no corresponding effects on PA or SB were found.
Conclusions
Weak to minimal evidence regarding the associations between the identified modifiable determinants and adolescents’ device-based PA/SB in settings were found, probably due to intervention ineffectiveness. Well-designed and well-implemented multicomponent interventions should further explore the variety of modifiable determinants of adolescents’ PA/SB, including policy and environmental variables.
Journal Article
Impact of Physical and Cognitive Exertion on Cognitive Control
2018
In a recent study, the differential effects of prolonged physiologically challenging exercise upon two executive processes (cognitive control and working memory) have been investigated. However, the impact of exercise on the selective inhibition task remained debatable and needed further analysis to dissociate the effects induced by exercise intensity from those induced by the time spent on task upon cognitive control outcomes. In this study we propose a thorough analysis of these data, using a generalized mixed model on a trial-by-trial basis and a new measure of the strength of the automatic response based on reaction time distribution, to disentangle the effect of physical fatigue from cognitive fatigue. Despite the prolonged duration of exercise, no decline in cognitive performance was found in response to physical fatigue. The only change observed over the 60-min exercise was an acceleration of the correct trials and an increase of errors for incompatible trials. This pattern, similar in both exercise conditions, supports the occurrence of cognitive fatigue induced by the repetition of the cognitive tasks over time.