1. School-based interventions for increasing physical activity and well-being: The MOVE project’s design and conceptual framework Katie Thomson, Sarah Curtis and Chris Dunn on behalf of the MOVE project team Supported by:

2. School of Education Peter Tymms, Joe Elliot, David Bolton and Ash Routen Department of Geography Sarah Curtis, Chris Dunn and Katie Thomson School of Medicine and Health Carolyn Summerbell, Helen Moore and Paul Tiffin and Adatayo Kasim

3. Adolescent Physical Activity Nader et al. (2008)

4. Only 30-40% of children and adolescents do this.

5. Physical Activity Promotion in Schools Schools play a key role in supporting the health and well-being of children and young people. Aims of ‘healthy school’ programme: – to support children and young people in developing healthy behaviours; – to help to raise pupil achievement; – to help to reduce health inequalities; and – to help promote social inclusion. PSHE Physical activity Healthy Eating Emotional health and wellbeing

6. In Education and Public Health policy makers are seeking evidence of ‘what works’ based on trial methodologies; There is a lack of such evidence to inform these areas of policy There is discussion about whether trials methods are the best way to produce evidence to support policy making in this field (other methods might be complementary/better)

7. Aim of the research To design and test the effectiveness of two complementary school-based interventions for increasing MVPA and psychological wellbeing of secondary school-aged children. Also research seeks to reveal how interventions may influence ‘self-efficacy’ and perceptions of home and school neighbourhood that may influence patterns of PA.

8. Rationale for Interventions Participative learning intervention Social environment Built or physical environment Individual/ family Education/ child care settings Community factors Urban design Facilities Attributes of route Specific urban design features Youth characteristics Parent characteristics Home environment Individual’s PA and bodily state

9. The MOVE project design The MOVE project - randomly allocated to one of: Participative learning (Geography) Peer mentoring Participative learning and Peer mentoring Waiting list control 68 schools allocated to 1 of 4 different groups with different ‘intervention’ programmes in each.

10. Measuring and recording activity and movement Accelerometry and GPS

11. Series of 6 Geography lessons Students learn about: -GPS and GIS; they have access to their own activity and GPS data* -physical and social environment and its effect on physical activity; -environmental barriers to being active, plan how to overcome and use space more effectively to promote physical activity. The Participative Learning intervention: Introducing participative learning about PA into Geography classes * Students use GIS to map their route to school and learn about spatial mapping techniques.

12. Stage 1: Comparing street map and satellite images from ‘Google maps’

13. Stage 2: Discussion about what routes show and what they tell us about modes of transportation/physical activity

14. Stage 3: Linking space to health and wellbeing. Different coloured post-its for things/places that are good/bad for health and wellbeing

15. Feasibility and value of control trials in school settings: various challenges! Recruitment of schools Maintaining contact with schools Difficulty of practicing blinding in trial Poor understanding of the nature of control trials in school settings Attrition following randomisation The diversity of school environments (and therefore non-standard delivery of intervention materials) Problems of ‘missing data’ both on the school and individual level

16. However… In general there is an enthusiastic response from schools >60 schools recruited and proceeding with the research Teachers and Pupils are directly engaged in the research and we will be recording their experiences Project legacy : a set of teaching materials designed to bring ideas from health geography into school curricula (planned dissemination via the Geographical Association, Royal Geographical Society and Local Education Authorities). Good potential to promote better knowledge of geographical tools such as GIS New understanding of the potential (and limitations of trials methods)

17. Thank you for listening. Katie Thomson Department of Geography Durham University Science Site, South Road DURHAM DH1 3LE Email: k.h.thomson@dur.ac.ukk.h.thomson@dur.ac.uk Tel: 0191 3341887 www.move-project.org.uk

18. Extra slides

20. Intervention rationale Peer-mentoring intervention Year 7 student paired with Year 9 student. Six weekly classroom-based sessions. Activity worksheets and group discussion. Behavioural skills: -goal setting -self-monitoring -barrier identification -parental support -plan peer-support.