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Completed

NCT Number: NCT02192281

Randomized Experiment of Playworks

The purpose of this study is to determine whether Playworks has an impact on student and school outcomes such as physical activity, behavior, and academic performance.

Completed

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mathematica Policy Research

Princeton, New Jersey, 08543-2393, United States

About this study

Playworks is a school-based program that places full-time coaches in low-income schools to organize games and activities during recess. The Robert Wood Johnson Foundation (RWJF) contracted with Mathematica Policy Research and its subcontractor, the John W. Gardner Center for Youth and Their Communities (JGC) at Stanford University, to conduct a rigorous evaluation of Playworks. Twenty-nine schools interested in implementing Playworks, across six cities in the United States, were randomly assigned to treatment and control groups during the 2010-2011 (cohort 1) or 2011-2012 (cohort 2) school year. Random assignment was conducted within matched groups of schools within each city. In total, there were 12 blocks of matched schools. For each block, one school was randomly assigned to the control group and the rest to the treatment group.

During the one-year study period for each cohort, treatment schools received Playworks and control schools were not eligible to implement Playworks. Data from student surveys, accelerometers, and teacher surveys were collected from 4th- and 5th-grade students, teachers, and school staff roughly seven months after Playworks was first implemented in treatment schools.

For the student survey, students were asked to complete a 30-minute student survey in the spring of their study year about their experiences at school. A team of experienced survey administration staff administered the survey in the students' classrooms. In addition to the student survey, teachers were asked to complete a teacher survey that asked teachers about their students' experiences at school.

A subsample of students that were asked to complete the student survey also wore accelerometers during one or two school days. During the accelerometer data collection period, the research team arrived at participating classrooms at the beginning of the school day. Team members described the function of the accelerometer and then attached one to each consented student's hip, using an elastic belt. The accelerometer data was then processed with the ActiLife 5 software package.

The impact of Playworks on study outcomes was estimated by comparing the average outcomes in treatment and control schools using regression models customized to the unit of analysis (teacher or student). The regression models used for analysis included indicators for random assignment blocks to account for the blocked design and school-specific random error terms to account for school-specific effects not attributable to the treatment. Covariates were also included in some models to account for significant differences between treatment and control groups in demographic characteristics. Models for continuous and binary outcome variables were fit using least-squares estimation and logistic regression estimation, respectively. Standard errors for the estimated impacts on teacher- and student-level outcomes accounted for clustering at the school level using generalized estimating equations. Model-based p-values and effect sizes were calculated based on the estimated impacts and corresponding standard errors and multiple comparison adjustments accounted for correlations among the multiple tests. Sampling weights were used when estimating impacts. The weights were constructed to account for both the selection probabilities of students and teachers into the sample and nonresponse.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Students in low-income schools in urban areas
  • Students in schools where at least 50 percent of students qualify for free or reduced-price lunch.

Treatment and study plan

Playworks

Other

The Playworks program places full-time coaches in low-income schools to provide opportunities for organized play during recess and throughout the school day.

Primary outcomes

  1. Mean Number of Accelerometer Intensity Counts Recorded Per Minute During Recess

    Time frame: 8 weeks

  2. Mean Number of Steps Taken Per Minute During Recess

    Time frame: 8 weeks

  3. Mean Percentage of Accelerometer Wear Time During Recess Spent in Sedentary Activity

    Time frame: 8 weeks

  4. Mean Percentage of Accelerometer Wear Time During Recess Spent in Light Activity

    Time frame: 8 weeks

  5. Mean Percentage of Accelerometer Wear Time During Recess Spent in Moderately Intense Activity

    Time frame: 8 weeks

  6. Mean Percentage of Accelerometer Wear Time During Recess Spent in Vigorously Intense Activity

    Time frame: 8 weeks

Secondary outcomes

  1. Percentage of Students Who Participate in Recess Activities That Make Them Sweat and Breathe Hard "Sometimes" or "A Lot"

    Time frame: 8 weeks

  2. Percentage of Teachers Who "Agree" or "Strongly Agree" That Their Students Participate in Physical Activities That Make Them Sweat and Breathe Hard During Recess

    Time frame: 8 weeks

  3. Percentage of Students Who Participated in a Sports Team After School or on the Weekend During the School Year

    Time frame: 8 weeks

  4. Percentage of Students Who Participated in Dance, Gymnastics or Martial Arts Lessons After School or on the Weekend During the School Year

    Time frame: 8 weeks

Other outcomes

  1. Participation in Individual Activities During Recess Scale Score

    Time frame: 8 weeks

  2. Participation in Games During Recess Scale Score

    Time frame: 8 weeks

  3. Percentage of Students Who Report That the Following Happens "Sometimes" or "A Lot": Adults help them play games and sports during recess

    Time frame: 8 weeks

  4. Percentage of Students Who Report That the Following Happens "Sometimes" or "A Lot": Their teacher helps them play games and sports during recess

    Time frame: 8 weeks

  5. Percentage of Students Who Report That the Following Happens "Sometimes" or "A Lot": They talk with friends during recess

    Time frame: 8 weeks

  6. Recess Behavior and Readiness for Class Scale Score

    Time frame: 8 weeks

  7. Recess Misbehavior/Discipline Scale Score

    Time frame: 8 weeks

  8. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Ask an adult to help them solve a conflict during recess

    Time frame: 8 weeks

  9. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Get teased about not being good at games or sports during recess

    Time frame: 8 weeks

  10. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Get into an argument with other students during recess

    Time frame: 8 weeks

  11. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Fight or hit other students during recess

    Time frame: 8 weeks

  12. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Work out problems with other students during recess without fighting

    Time frame: 8 weeks

  13. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Say encouraging things to other students during recess

    Time frame: 8 weeks

  14. Enjoyment of Recess Scale Score

    Time frame: 8 weeks

  15. Percentage of Students Who Agree "A Little" or "A Lot" That They: Like to play games and sports at recess

    Time frame: 8 weeks

  16. Percentage of Students Who Agree "A Little" or "A Lot" That They: Feel like they can join other kids in a game on the playground

    Time frame: 8 weeks

  17. Percentage of Students Who Agree "A Little" or "A Lot" That They: Feel left out at recess

    Time frame: 8 weeks

  18. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Get to play a game that they want during recess

    Time frame: 8 weeks

  19. Percentage of Students Who Report That They Do the Following "Sometimes" or "A Lot": Have to play a game that adults want them to play during recess

    Time frame: 8 weeks

  20. Games and Sports Self-Concept Scale Score

    Time frame: 8 weeks

  21. Percentage of Teachers Who "Agree" or "Strongly Agree" That Their Students: Look forward to recess

    Time frame: 8 weeks

  22. Percentage of Teachers Who "Agree" or "Strongly Agree" That Their Students: Enjoy adult-organized activities at recess

    Time frame: 8 weeks

  23. Percentage of Teachers Who "Agree" or "Strongly Agree" That Their Students: Would be upset about missing recess

    Time frame: 8 weeks

  24. Percentage of Teachers Who "Agree" or "Strongly Agree" That Their Students: Feel ownership over their activities during recess

    Time frame: 8 weeks

Sponsors and collaborators

Lead sponsor

Mathematica Policy Research, Inc.

Other

Registry information

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Jul 16, 2014
Registry last updated
Jul 16, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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