Abstract:
INTRODUCTION:Physical inactivity has been described as a global pandemic. Interventions aimed at developing skills in lifelong physical activities may provide the foundation for an active lifestyle into adulthood. In general, school-based physical activity interventions targeting adolescents have produced modest results and few have been designed to be 'scaled-up' and disseminated. This study aims to: (1) assess the effectiveness of two physical activity promotion programmes (ie, NEAT and ATLAS) that have been modified for scalability; and (2) evaluate the dissemination of these programmes throughout government funded secondary schools. METHODS AND ANALYSIS:The study will be conducted in two phases. In the first phase (cluster randomised controlled trial), 16 schools will be randomly allocated to the intervention or a usual care control condition. In the second phase, the Reach, Effectiveness, Adoption, Implementation and Maintenance (Re-AIM) framework will be used to guide the design and evaluation of programme dissemination throughout New South Wales (NSW), Australia. In both phases, teachers will be trained to deliver the NEAT and ATLAS programmes, which will include: (1) interactive student seminars; (2) structured physical activity programmes; (3) lunch-time fitness sessions; and (4) web-based smartphone apps. In the cluster RCT, study outcomes will be assessed at baseline, 6 months (primary end point) and 12-months. Muscular fitness will be the primary outcome and secondary outcomes will include: objectively measured body composition, cardiorespiratory fitness, flexibility, resistance training skill competency, physical activity, self-reported recreational screen-time, sleep, sugar-sweetened beverage and junk food snack consumption, self-esteem and well-being. ETHICS AND DISSEMINATION:This study has received approval from the University of Newcastle (H-2014-0312) and the NSW Department of Education (SERAP: 2012121) human research ethics committees. This study is funded by the Australian Research Council (FT140100399) and the NSW Department of Education. TRIAL REGISTRATION NUMBER:ACTRN12615000360516; Pre-results.
journal_name
BMJ Openjournal_title
BMJ openauthors
Lubans DR,Smith JJ,Peralta LR,Plotnikoff RC,Okely AD,Salmon J,Eather N,Dewar DL,Kennedy S,Lonsdale C,Hilland TA,Estabrooks P,Finn TL,Pollock E,Morgan PJdoi
10.1136/bmjopen-2015-010448subject
Has Abstractpub_date
2016-06-27 00:00:00pages
e010448issue
6issn
2044-6055pii
bmjopen-2015-010448journal_volume
6pub_type
杂志文章,多中心研究,随机对照试验相关文献
BMJ Open文献大全abstract:OBJECTIVE:Sinemet, a combination drug containing carbidopa and levodopa is considered the gold standard therapy for the treatment of Parkinson's disease (PD). When approved by the Food and Drug Administration (FDA) in 1988, a maximum daily dosage limit of 800 mg (eight tablets) of the 25/100 carbidopa/levodopa formulat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001971
更新日期:2012-12-11 00:00:00
abstract:INTRODUCTION:Return to work (RTW) after breast cancer (BC) is still a new field of research. The factors determining shorter sick leave duration of patients with BC have not been clearly identified. The aim of this study was to describe work during BC treatment and to identify factors associated with sick leave duratio...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-020276
更新日期:2018-05-18 00:00:00
abstract:BACKGROUND:The juvenile form of Huntington's disease (HD) is a rare disorder. There are no population-based estimates of either its incidence or prevalence in any population in the world. The present study was undertaken to estimate the frequency of juvenile HD in the UK and to examine the range of pharmacological trea...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002085
更新日期:2013-04-03 00:00:00
abstract:OBJECTIVES:To determine the incidence of adverse drug events (ADEs) and assess their severity and preventability in four Saudi hospitals. DESIGN:Prospective cohort study. SETTING:The study included patients admitted to medical, surgical and intensive care units (ICUs) of four hospitals in Saudi Arabia. These hospital...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010831
更新日期:2016-07-12 00:00:00
abstract:OBJECTIVE:To find consensus on appropriate and feasible structure, process and outcome indicators for the evaluation of in-hospital geriatric co-management programmes. DESIGN:An international two-round Delphi study based on a systematic literature review (searching databases, reference lists, prospective citations and...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-020617
更新日期:2018-03-16 00:00:00
abstract:OBJECTIVE:To evaluate the cost-utility of 100 days of antibiotics in patients with chronic low back pain (LBP) and type I or II Modic changes included in the Antibiotic treatment In patients with chronic low back pain and Modic changes (AIM) study. DESIGN:A cost-utility analysis from a societal and healthcare perspect...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035461
更新日期:2020-06-15 00:00:00
abstract:INTRODUCTION:Breast cancer affects 1 in 10 women worldwide, and mastectomy is a cause of chronic pain with neuropathic characteristics. N-methyl-D-aspartate receptor (NMDAR) antagonists such as ketamine, memantine, dextromethorphan or magnesium are used to treat refractory pain by blocking NMDAR. Oral memantine has bee...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017986
更新日期:2018-10-04 00:00:00
abstract:OBJECTIVES:To promote gender diversity and equity in higher education, Athena Scientific Women's Academic Network (SWAN) supports and recognises higher education institutions (HEI) in advancing the careers of women through charter commitment, awards, training and advocacy since 2005. Most evaluation studies, however, a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032915
更新日期:2020-02-12 00:00:00
abstract:OBJECTIVES AND DESIGN:This field experiment aimed to compare bowel cancer screening participation rates prior to, during and after a mass media campaign promoting screening, and the extent to which a higher intensity campaign in one state led to higher screening rates compared with another state that received lower int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024267
更新日期:2019-01-25 00:00:00
abstract:INTRODUCTION:Palliative care coverage and opioid consumption in India are relatively low compared with global data. The literature suggests commonplace concealment and collusion in withholding information, but these hypotheses lack evidence. OBJECTIVES:This study aimed to develop an explanatory evidence-based model of...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024248
更新日期:2019-03-04 00:00:00
abstract:INTRODUCTION:After primary infection, human herpesviruses establish latency and persist lifelong. Periodic virus reactivation can lead to serious inflammatory complications. Recent research suggests that herpesvirus reactivation may also be linked to acute stroke. An improved understanding of this relationship is vital...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-016427
更新日期:2017-05-29 00:00:00
abstract:OBJECTIVE:Outpatient parenteral antimicrobial therapy (OPAT) provides opportunities for improved cost savings, but in the UK, implementation is patchy and a variety of service models are in use. The slow uptake in the UK and Europe is due to a number of clinical, financial and logistical issues, including concern about...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019099
更新日期:2018-01-10 00:00:00
abstract:OBJECTIVES:Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury. DESIGN AND SETTING:Nationwide cohort study with register follow-up. PARTICIPANTS:Patients between 18 and 60 years with mTBI (In...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026104
更新日期:2019-04-11 00:00:00
abstract:OBJECTIVES:Physicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists' treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskelet...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032329
更新日期:2019-10-07 00:00:00
abstract:OBJECTIVES:Patients with idiopathic intracranial hypertension (IIH) usually require multiple lumbar punctures (LPs) during the course of their disease, and often report significant morbidity associated with the procedure. The aim of this study was to assess the patient's experience of diagnostic LP in IIH. DESIGN, MET...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020445
更新日期:2018-05-30 00:00:00
abstract:OBJECTIVES:Head injury is a common reason for emergency department (ED) attendance. Around 1% of patients have life-threatening injuries, while 80% of patients are discharged. National guidelines (Scottish Intercollegiate Guidelines Network (SIGN)) were introduced in Scotland with the aim of achieving early identificat...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022279
更新日期:2018-12-22 00:00:00
abstract:OBJECTIVE:To explore the rates, characteristics and indications for episiotomy among women delivering vaginally for the first time, as well as parous women. STUDY DESIGN:A prospective, population-based birth cohort study. SETTING:Obstetric departments in six Palestinian government hospitals. PARTICIPANTS:All women w...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-021629
更新日期:2018-07-16 00:00:00
abstract:OBJECTIVE:The International Agency for Research on Cancer classifies hexavalent chromium (Cr(VI)) as a human carcinogen. As reported, cancer mortality was higher in Cr(VI)-contaminated areas. Scientists have recommended studying its health impact on people living in contaminated areas. This study aims to evaluate the h...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021470
更新日期:2018-06-27 00:00:00
abstract:OBJECTIVE:Screening is a key strategy to address the rising burden of chronic kidney disease (CKD) in low-income and middle-income countries. However, there are few reports regarding the implementation of screening programmes in resource-limited settings. The objectives of this study are to (1) to share programmatic ex...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019778
更新日期:2018-01-21 00:00:00
abstract:OBJECTIVES:The research aimed to support the effectiveness and necessity of the communication training and methodology introduced in the postgraduate pharmacy training and community pharmacy practice in Hungary. DESIGN:Two cross-sectional questionnaire surveys before and after the introduction of a methodological reco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039603
更新日期:2020-12-08 00:00:00
abstract:OBJECTIVE:Evidence-based clinical resources (EBCRs) have the potential to improve diagnostic and therapeutic accuracy. The majority of US teaching medical institutions have incorporated them into clinical training. Many EBCRs are subscription based, and their cost is prohibitive for most clinicians and trainees in low-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026947
更新日期:2019-08-08 00:00:00
abstract:OBJECTIVE:To examine the effect of an outdoor smokefree law in parks and on beaches on observed smoking in selected venues. METHODS:The study involved repeated observations in selected parks and beaches in Vancouver, British Columbia, Canada. The main outcome measure was changes in observed smoking rates in selected v...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002916
更新日期:2013-06-20 00:00:00
abstract:INTRODUCTION:The prevalence of emotional difficulties in young people is increasing. This upward trend is largely accounted for by escalating symptoms of anxiety and depression. As part of a public health response, there is increasing emphasis on universal prevention programmes delivered in school settings. This protoc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029044
更新日期:2019-09-03 00:00:00
abstract:INTRODUCTION:International prevalence rates for problem gambling are estimated at 2.3%. Problem gambling is a serious global public health concern due to adverse personal and social consequences. Previous research evaluating the effectiveness of psychological interventions for the treatment of problem gambling has been...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-009385
更新日期:2015-11-24 00:00:00
abstract:OBJECTIVES:The aim was to study whether a workplace-registered frequent short-term sick leave spell pattern was an early indicator of future disability pension or future long-term sick leave among municipal eldercare workers. SETTING:The municipal healthcare sector in the city of Aarhus, which is the second largest ci...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003941
更新日期:2014-02-07 00:00:00
abstract:OBJECTIVES:Previous qualitative research investigating the experiences of women diagnosed with gestational diabetes (GD) has provided important insights into the development of behaviour change interventions. However, these studies often lack a theoretical underpinning. This study explored the use of the capability, op...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037318
更新日期:2020-08-04 00:00:00
abstract:PURPOSE:Cardiovascular disease (CVD) is a major challenge to global health. The same epidemiological transition scenario is replayed as countries develop, but with variations based on environment, culture and ethnic mixture. The Baependi Heart Study was set up in 2005 to develop a longitudinal family-based cohort study...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011598
更新日期:2016-10-21 00:00:00
abstract:OBJECTIVES:The prevalence of neck/back pain (NBP) is high worldwide. Limited number of studies have investigated workers with occasional NBP regarding the risk of developing long-duration activity limiting NBP (LNBP). The objectives were to assess (1) the effect of poor work ability and sleep disturbances in persons wi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033946
更新日期:2020-06-03 00:00:00
abstract:OBJECTIVES:Intrinsic capacity (IC) was proposed by the WHO as a new concept for capturing an individual's functional capacities across their lifetime. We aimed to investigate the prevalence and factors associated with IC decline and examine associations between IC and adverse outcomes among community-dwelling older adu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043062
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:There is a growing body of evidence associating financial strain (FS) with poor health but most of this research has been cross-sectional and adult-focused. During the 'Great Recession' many UK households experienced increased FS. The primary aim of this study was to determine the impact of increased FS on c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015559
更新日期:2017-03-09 00:00:00