Exploring associations between active school environments and children's physical activity, mental health and educational performance in Greater London primary schools: the Health and Activity of Pupils in the Primary Years (HAPPY) study protocol.

IF 2.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Bina Ram, Nancy Gullett, Amina Benkhelfa, Mark Cunningham, Mansour Taghavi Azar Sharabiani, Esther van Sluijs, Nadia Siddiqui, Melvyn Hillsdon, Carolyn Summerbell, Miranda Pallan, Sonia Saxena
{"title":"Exploring associations between active school environments and children's physical activity, mental health and educational performance in Greater London primary schools: the Health and Activity of Pupils in the Primary Years (HAPPY) study protocol.","authors":"Bina Ram, Nancy Gullett, Amina Benkhelfa, Mark Cunningham, Mansour Taghavi Azar Sharabiani, Esther van Sluijs, Nadia Siddiqui, Melvyn Hillsdon, Carolyn Summerbell, Miranda Pallan, Sonia Saxena","doi":"10.1136/bmjopen-2025-103463","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>School environments that encourage children to be physically active can embed lifelong positive health behaviours and contribute towards reducing health inequalities. The Health and Activity of Pupils in the Primary Years (HAPPY) study aims to: (1) explore the extent to which the WHO criteria for creating active school environments are implemented by primary schools and (2) examine associations between active school environments and children's physical activity, mental health and educational performance.</p><p><strong>Methods and analysis: </strong>The HAPPY study is a quasi-experimental study comprising: (1) a survey of state-funded Greater London primary schools to identify implementation of the WHO's six criteria and (2) a cross-sectional study to examine associations between schools' active environment score (derived from the school survey) and pupils' physical activity, mental health and educational performance. For our cross-sectional study, we will recruit up to 1000 year-three children (aged 7-8 years). Our primary outcome is accelerometer (GENEActiv) assessed physical activity, our secondary outcomes are parent-reported child mental health (Strengths and Difficulties Questionnaire) and teacher-reported educational performance (age-related expectations). Using multilevel mixed-effects regression models, we will examine associations between the active environment score and physical activity. Physical activity will be included as a measure of acceleration and also different intensities (light, moderate, vigorous). We will repeat this analysis to examine associations between the active environment score and mental health and educational performance. We will adjust for school characteristics and area-level deprivation and include pupil characteristics (eg, sex, ethnic group) as covariates. Clustering at the school level will be included as a random effect.</p><p><strong>Ethics and dissemination: </strong>Ethical approval has been obtained from Imperial College Research Ethics Committee (ref: 6800895). Findings will be disseminated through a summary report to all participating schools, peer-reviewed publications, presentations at national and international conferences and National Institute for Health and Care Research policy briefings.</p>","PeriodicalId":9158,"journal":{"name":"BMJ Open","volume":"15 7","pages":"e103463"},"PeriodicalIF":2.3000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306349/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjopen-2025-103463","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: School environments that encourage children to be physically active can embed lifelong positive health behaviours and contribute towards reducing health inequalities. The Health and Activity of Pupils in the Primary Years (HAPPY) study aims to: (1) explore the extent to which the WHO criteria for creating active school environments are implemented by primary schools and (2) examine associations between active school environments and children's physical activity, mental health and educational performance.

Methods and analysis: The HAPPY study is a quasi-experimental study comprising: (1) a survey of state-funded Greater London primary schools to identify implementation of the WHO's six criteria and (2) a cross-sectional study to examine associations between schools' active environment score (derived from the school survey) and pupils' physical activity, mental health and educational performance. For our cross-sectional study, we will recruit up to 1000 year-three children (aged 7-8 years). Our primary outcome is accelerometer (GENEActiv) assessed physical activity, our secondary outcomes are parent-reported child mental health (Strengths and Difficulties Questionnaire) and teacher-reported educational performance (age-related expectations). Using multilevel mixed-effects regression models, we will examine associations between the active environment score and physical activity. Physical activity will be included as a measure of acceleration and also different intensities (light, moderate, vigorous). We will repeat this analysis to examine associations between the active environment score and mental health and educational performance. We will adjust for school characteristics and area-level deprivation and include pupil characteristics (eg, sex, ethnic group) as covariates. Clustering at the school level will be included as a random effect.

Ethics and dissemination: Ethical approval has been obtained from Imperial College Research Ethics Committee (ref: 6800895). Findings will be disseminated through a summary report to all participating schools, peer-reviewed publications, presentations at national and international conferences and National Institute for Health and Care Research policy briefings.

探索活跃的学校环境与大伦敦小学儿童身体活动、心理健康和教育表现之间的联系:小学生健康和活动(HAPPY)研究协议。
导言:鼓励儿童进行身体活动的学校环境可以嵌入终身的积极健康行为,并有助于减少健康不平等。小学生健康与活动(HAPPY)研究的目的是:(1)探索小学在多大程度上实施了世卫组织关于创造活跃的学校环境的标准;(2)检查活跃的学校环境与儿童身体活动、心理健康和教育成绩之间的联系。方法和分析:HAPPY研究是一项准实验研究,包括:(1)对国家资助的大伦敦小学进行调查,以确定世界卫生组织六项标准的实施情况;(2)进行横断面研究,以检查学校的积极环境得分(来自学校调查)与学生的身体活动、心理健康和教育表现之间的关系。在横断面研究中,我们将招募多达1000名三岁儿童(7-8岁)。我们的主要结果是加速度计(geneactive)评估的身体活动,我们的次要结果是家长报告的儿童心理健康(优势和困难问卷)和教师报告的教育表现(与年龄相关的期望)。使用多水平混合效应回归模型,我们将检验活跃环境得分和身体活动之间的关联。身体活动将作为加速度的衡量标准,也包括不同强度(轻度、中度、剧烈)。我们将重复这一分析,以检验活跃环境得分与心理健康和教育表现之间的关系。我们将根据学校特征和地区贫困进行调整,并将学生特征(如性别、种族)作为协变量。学校层面的聚类将作为随机效应包括在内。伦理与传播:已获得帝国理工学院研究伦理委员会(ref: 6800895)的伦理批准。调查结果将通过摘要报告、同行评议出版物、在国家和国际会议上的演讲以及国家卫生和保健研究所的政策简报会传播给所有参与的学校。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信