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

Trial Summary

What is the purpose of this trial?

Investigators will conduct a hybrid implementation-effectiveness trial of a trauma-adapted Comprehensive School Physical Activity Program (CSPAP) intervention. A clustered stepped wedge design will be used, with the duration of the trial being 3 years.

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 data supports the effectiveness of the treatment CSPAP-T, Comprehensive School Physical Activity Program - Trauma-sensitive Approach, Trauma-adapted CSPAP?

Research shows that Comprehensive School Physical Activity Programs (CSPAP) can increase physical activity in children, which is a key component of the trauma-sensitive approach. This suggests that CSPAP-T may effectively support physical activity and potentially benefit children who have experienced trauma. ^{1 2 3 4 5}

How is the Trauma-Sensitive Physical Activity Program for Trauma Support different from other treatments?

The Trauma-Sensitive Physical Activity Program (CSPAP-T) is unique because it adapts a comprehensive school physical activity framework to be sensitive to trauma, focusing on creating a supportive environment for children who have experienced trauma. Unlike standard physical activity programs, it emphasizes a trauma-informed approach, integrating physical education, activities during and outside school, staff wellness, and family/community engagement to support overall well-being. ^{1 2 3 4 5}

Eligibility Criteria

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

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

Treatment Details

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.

Participant Groups

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+

Findings from Research

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]

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]

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]

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]

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]

References

1. United States pubmed.ncbi.nlm.nih.gov

Physical literacy and Comprehensive School Physical Activity Programs. [2014]

2. United States pubmed.ncbi.nlm.nih.gov

Effect of a Comprehensive School Physical Activity Program on School Day Step Counts in Children. [2018]

3. England pubmed.ncbi.nlm.nih.gov

Evaluation of a comprehensive school physical activity program: Be a Champion! [2021]

4. United States pubmed.ncbi.nlm.nih.gov

Systematic Review and Meta-Analysis of Multi-Component Interventions Through Schools to Increase Physical Activity. [2022]

5. United States pubmed.ncbi.nlm.nih.gov

Before-School Running/Walking Club and Student Physical Activity Levels: An Efficacy Study. [2022]