Trauma-Sensitive Physical Activity Program for Trauma Support

(CSPAP-T Trial)

Overseen By Kim Garrett, MPH

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Seattle Children's Hospital

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 6

8000 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a trauma-sensitive physical activity program in schools, helping students who may have experienced trauma engage in activities tailored to their needs. The program, known as CSPAP-T (Comprehensive School Physical Activity Program - Trauma-sensitive Approach), will be implemented in various school groups over three years to evaluate its effectiveness and optimal implementation. It suits students aged 11-14 attending one of the participating schools. As an unphased trial, this study provides students the opportunity to benefit from a supportive environment tailored to their unique needs.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this trauma-sensitive physical activity program is safe for students?

Research shows that the trauma-adapted Comprehensive School Physical Activity Program (CSPAP-T) is safe and supportive for students. This program aims to increase physical activity while being mindful of students' past trauma. Although specific data on negative effects for CSPAP-T is lacking, the program is designed to be accessible and effective in schools, prioritizing student well-being.

CSPAP-T addresses the needs of students who may have experienced trauma, making it likely to be well-received. The trial does not involve drug treatments but focuses on physical activities, which generally pose fewer safety concerns than medications. No specific side effects have been reported, making it a promising choice for schools seeking to include more supportive physical activity programs. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Trauma-Sensitive Physical Activity Program for Trauma Support (CSPAP-T) because it offers a novel approach to supporting trauma survivors. Unlike traditional treatments that might focus on talk therapy or medication, CSPAP-T integrates physical activity with trauma-sensitive practices. This innovative combination aims to promote healing by addressing both the physical and psychological aspects of trauma. By involving schools in this program, it also has the potential to create supportive environments where young trauma survivors can feel safe and empowered, potentially leading to improved mental health outcomes and overall well-being.

What evidence suggests that the CSPAP-T program is effective for trauma support?

Research shows that the trauma-adapted Comprehensive School Physical Activity Program (CSPAP-T) supports students in participating in physical activity. Earlier studies of CSPAP-based programs found small increases in physical activity among young people. However, using more components of the program led to larger increases. This trial will test the CSPAP-T program in different school groups, referred to as wedges. Programs like these often face challenges in schools with limited resources, but making them sensitive to trauma may enhance their effectiveness. Early testing of this trauma-sensitive approach in real schools assessed its functionality, helping to create a supportive environment for physical activity. ^{1 2 3 4 5}

Are You a Good Fit for This Trial?

This trial is for kids aged 11-14 and adults over 18 who either attend or work at one of the participating schools. It's designed to help those with allergies and improve physical activity through a special program.

Inclusion Criteria

Teacher/Staff: Work at one of the participating schools during the study period

I am a teacher or staff member aged 18 or older.

Adolescent: Attend one of the participating schools during the study period

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Control Phase

Schools provide baseline data before switching to the intervention phase

1 year

Data collection 2 times per year (Fall, Spring)

Intervention Phase

Implementation of trauma-sensitive physical activity practices in schools

2 years

Data collection 2 times per year (Fall, Spring)

Maintenance Phase

Assessment of sustainability of the intervention

1 year

Data collection 2 times per year (Fall, Spring)

Follow-up

Participants are monitored for long-term effects and sustainability of the intervention

1 year

What Are the Treatments Tested in This Trial?

Interventions

• CSPAP-T

Trial Overview The study tests a trauma-adapted school program called CSPAP-T, aimed at promoting physical activity in a way that's sensitive to students' emotional needs. The trial will unfold over three years using a stepped wedge design.

How Is the Trial Designed?

Group I: Wedge 3 includes Schools 6, 7, and 8. Experimental Treatment 1 Intervention

Group II: Wedge 2 includes Schools 3, 4, and 5. Experimental Treatment 1 Intervention

Group III: Wedge 1 includes Schools 1 and 2. Experimental Treatment 1 Intervention

Who Is Running the Clinical Trial?

Seattle Children's Hospital

Lead Sponsor

Trials

319

Recruited

5,232,000+

Published Research Related to This Trial

A systematic review of 14 studies found that multicomponent interventions aimed at increasing youth physical activity had a small overall impact (effect size of 0.11), indicating limited effectiveness in boosting total daily physical activity among K-12 students.

Most interventions included components like physical education and family/community engagement, but none incorporated all five recommended components of a comprehensive school physical activity program, suggesting that better alignment with these guidelines could enhance effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Systematic Review and Meta-Analysis of Multi-Component Interventions Through Schools to Increase Physical Activity. Russ, LB., Webster, CA., Beets, MW., et al.[2022]

The Comprehensive School Physical Activity Program (CSPAP) framework is recommended as an effective way to enhance physical activity opportunities for children, which is essential for developing physical literacy.

Evidence suggests that quality physical education, along with before/after school programs, staff involvement, and community engagement, can significantly increase children's participation in physical activities, addressing the low rates of daily physical education currently seen in schools.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Physical literacy and Comprehensive School Physical Activity Programs. Castelli, DM., Centeio, EE., Beighle, AE., et al.[2014]

A comprehensive evaluation strategy for Comprehensive School Physical Activity Programs (CSPAPs) was developed, utilizing systematic observations, accelerometers, and questionnaires to assess student and staff behaviors related to physical activity.

The study demonstrated that while assessing the opportunities and engagement in physical activity in schools is challenging, it is feasible and can effectively inform targeted actions to improve physical activity levels among students.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of a comprehensive school physical activity program: Be a Champion! Singletary, CR., Weaver, G., Carson, RL., et al.[2021]

Before-school running/walking clubs significantly increased physical activity (PA) among 3rd and 4th graders, with participants accumulating over 1,500 steps and around 8-10 minutes of moderate-to-vigorous PA per session.

Importantly, children did not compensate for this increased activity by reducing their PA during the school day, suggesting that these programs can enhance overall activity levels without negatively impacting academic time.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Before-School Running/Walking Club and Student Physical Activity Levels: An Efficacy Study. Stylianou, M., van der Mars, H., Kulinna, PH., et al.[2022]

The Comprehensive School Physical Activity Programming (CSPAP) significantly increased average school day step counts in 327 fourth and fifth graders, indicating its effectiveness in promoting physical activity during school hours.

The study showed that while step counts decreased before the intervention, they stabilized after CSPAP was implemented, suggesting that the program helps maintain higher activity levels throughout the school week.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of a Comprehensive School Physical Activity Program on School Day Step Counts in Children. Burns, RD., Brusseau, TA., Hannon, JC.[2018]

Citations

1. reporter.nih.gov reporter.nih.gov/search/wlML3Gqa-k-ew-4vGR-_dQ/project-details/10899688

Trauma-adapted Comprehensive School Physical Activity Program ... CSPAP-based interventions have the most barriers to sustainability in low resource school districts that serve student populations that experience intersecting ...

2. clinicaltrials.gov clinicaltrials.gov/study/NCT05382975

Study Details | NCT05382975 | A Comprehensive Trauma- ... Investigators will conduct a hybrid implementation-effectiveness trial of a trauma-adapted Comprehensive School Physical Activity Program (CSPAP) intervention.

3. pandemicpact.org pandemicpact.org/grants/P39425

Trauma-adapted Comprehensive School Physical Activity ... We have developed and conducted feasibility testing of a trauma-sensitive adaptation of CSPAP, and are proposing a Hybrid Type I implementation-effectiveness ...

4. trialx.com trialx.com/clinical-trials/listings/231970/a-comprehensive-trauma-sensitive-approach-to-physical-activity-promotion-in-schools-cspap-t/

A Comprehensive Trauma-sensitive Approach to Physical ... Overall, CSPAP-based interventions have had small effect sizes in impacting youth PA, with larger effect sizes seen when more CSPAP domains are ...

5. withpower.com withpower.com/trial/phase-physical-activities-7-2022-1e5e3

Trauma-Sensitive Physical Activity Program for ... Trial Overview The study tests a trauma-adapted school program called CSPAP-T, aimed at promoting physical activity in a way that's sensitive to students' ...