ClinicalTrials.gg
CompletedNCT03380143Updated Sep 5, 2024

Whole-of-Community Youth Population Physical Activity

An interventional study of Wellness Landscape Intervention and Standard Practice in Physical Activity, sponsored by University of Nebraska. Completed at 1 site in United States. Open to participants aged 7 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-05.

Sponsored by University of Nebraska · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
697
Allocation
Randomized
Ages
7 Years to 12 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Motor Activity by University of Nebraska — none open to participants now, none under way, none of them phase 3. Motor Activity · University of Nebraska.

Enrollment
Largest of 14
697 · median 25
Started
2018
the only one that year
No phase
12 of 19
none open now
Registered
11th of 19
by date

Among the 19 studies in Motor Activity by University of Nebraska, this one has the largest enrollment of the 14 interventional ones that give a count, is the only one that started in 2018, is one of 12 with no phase, and was the 11th registered.

Motor Activity

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

Browse Motor Activity studies →

Open to participants now

None of the 19 studies in Motor Activity by University of Nebraska is open now.

Where they have run

Who these studies take

Of the 1,201 Motor Activity studies recruiting now, 517 (43%) set no upper age limit and 535 (45%) stop at 75 or younger; 180 take children under 18; 420 take healthy volunteers.

This study: 7 Years to 12 Years · all sexes · healthy volunteers too.

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Download CSVNarrow it in search →With an account: the 19 studies in Motor Activity by University of Nebraska as a file.
02

Study summary

This study will evaluate the impact of a whole-of-community multi-level adaptive systems intervention on implementation of community change and youth population physical activity. Building on local health department partnerships, the investigators will conduct a two-wave staggered-start community randomized trial with four volunteer rural communities (each having nested school, after-school, scouting/4-H club, youth sport organizations) randomly assigned to intervention or standard public health practice.

Read the detailed description

The underlying conditions where youth live are associated with population health outcomes, with rural communities facing under-studied challenges. Youth physical activity (PA), a key risk factor linked to later cancer occurrence, is an outcome of community conditions. The proposed work will address a critical public health need by evaluating the impact of a whole-of-community multi-level adaptive systems intervention on implementation of community change and youth population PA. The intervention, Wellscapes, is based on a hierarchical patch dynamics paradigm, given that communities are "wellness landscapes" of spatially heterogeneous geographic areas, characterized by a patchwork of interacting organization and activity settings. The intervention will establish a multi-level system infrastructure (Community Hub, Organization Wellness Teams, Activity Setting/Leaders) and provide training and support for population health quality improvement cycle processes targeting two evidence-based practices (EBPs): (1) stacking time segments of PA episodes within an organization's daily routine, and (2) improving the quality of PA episodes (% time in PA). The omnibus hypothesis is that intervention communities (plus organizations and leaders nested within) will have synergy and capacity to implement EBPs, adapting to continuously changing local system drivers to create a whole-of-community ecosystem of diverse and equitable youth PA opportunities. Building on local health department partnerships, the investigators will conduct a two-wave staggered-start community randomized trial with four volunteer rural communities (each having nested school, after-school, scouting/4-H club, youth sport organizations) randomly assigned to intervention or standard public health practice. For baseline and intervention years, one day per month in the fall (3 days) and spring (3 days), organization activity settings (e.g., classrooms, teams) that house 480 children in 3rd through 6th grades will be assessed, resulting in observed community condition data, PA accelerometer data, and setting reach data (children % attendance by gender, ethnicity, free/reduced lunch status, and grade). The investigators will also obtain estimates of population level PA with the use of the calibrated Youth Activity Profile, as well as community system qualitative data. The specific aims are to: (1) Determine the impact of the intervention on multi-level community system outcomes; and (2) Determine the implementation system drivers of multi-level youth population PA. The investigators will use "big data" multi- level modeling methods for this effectiveness-implementation hybrid design, because there is a dual focus on testing an implementation strategy while simultaneously evaluating youth population PA impact. The research is significant because it evaluates a method for improving population health, theory-based systems, and behavior change processes in low-resource rural communities. The proposed research is novel because the adaptive patch dynamics approach builds capacity for both equitable collaboration and EBPs implementation across multiple local systems that are individually and collectively, dynamic and unpredictable.

03

Conditions studied

  • Physical Activity

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Keywords

  • Children
  • Cancer Prevention
  • Population Health
  • Rural
  • Community
  • School
  • After School
  • Youth Sport
  • Intervention
  • Multilevel
  • Systems
04

Who can participate

Ages eligible
7 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Community located in rural micropolitan area
  • Community is a one high school town
  • Organization is a school district
  • Organization is a after school program
  • Organization is a youth club system
  • Organization is a youth sport delivery system
  • Leaders of settings in school, after-school, club, and youth sport
  • 3rd through 6th grade settings and children within

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
697 participants (actual)

Study arms

  • Experimental
    Wellscapes Intervention

    The wellness landscape intervention (Wellscapes) will establish a multi-level system infrastructure (Community Hub, Organization Wellness Teams, Activity Setting/Leaders) and provide training and support for population health quality improvement cycle processes targeting two evidence-based practices (EBPs): (1) stacking time segments of PA episodes within an organization's daily routine, and (2) improving the quality of PA episodes (% time in PA).

    Behavioral: Wellness Landscape Intervention

  • Active comparator
    Standard Practice

    The standard collective impact public health practice intervention will establish a multi-level system infrastructure and provide training on community development.

    Behavioral: Standard Practice

Interventions

  • BehavioralWellness Landscape Intervention

    Community and organization systems intervention targeting youth population physical activity

    Also known as: Wellscapes

  • BehavioralStandard Practice

    Community development intervention

    Also known as: Collective Impact

06

What researchers measure

Primary outcomes

  1. Change in minutes of moderate-to-vigorous physical activity assessed by accelerometer

    Average of school class, after-school class, youth club meeting, and youth sport practice physical activity

    Time frame: Baseline, 12 months

  2. Change in frequency of implemented episode sessions of physical activity assessed by observation

    Average of observed frequency of implemented physical activity episodes in school class, after-school class, youth club meeting, and youth sport practices

    Time frame: Baseline, 12 months

Secondary outcomes

  1. Change in minutes of moderate-to-vigorous physical activity assessed by self-report

    Youth Physical Activity Profile

    Time frame: Baseline, 12 months

07

Study locations

1 site
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198, United States
08

References and documents

Publications

  • Kellstedt DK, Schenkelberg MA, Essay AM, Welk GJ, Rosenkranz RR, Idoate R, Ramos AK, Grimm B, Dzewaltowski DA. Rural community systems: Youth physical activity promotion through community collaboration. Prev Med Rep. 2021 Jul 6;23:101486. doi: 10.1016/j.pmedr.2021.101486. eCollection 2021 Sep. PubMed 34458077 ↗
  • Kellstedt DK, Schenkelberg MA, Essay AM, Von Seggern MJ, Rosenkranz RR, Welk GJ, High R, Dzewaltowski DA. Youth sport participation and physical activity in rural communities. Arch Public Health. 2021 Apr 8;79(1):46. doi: 10.1186/s13690-021-00570-y. PubMed 33832548 ↗
  • Schenkelberg MA, Essay AM, Rosen MS, Bavari AE, Norgelas SJ, Rosenkranz RR, Welk GJ, Dzewaltowski DA. A protocol for coordinating rural community stakeholders to implement whole-of-community youth physical activity surveillance through school systems. Prev Med Rep. 2021 Aug 26;24:101536. doi: 10.1016/j.pmedr.2021.101536. eCollection 2021 Dec. PubMed 34976611 ↗
  • Essay AM, Schenkelberg MA, Von Seggern MJ, Rosen MS, Schlechter CR, Rosenkranz RR, Dzewaltowski DA. A Protocol for a Local Community Monitoring and Feedback System for Physical Activity in Organized Group Settings for Children. J Phys Act Health. 2023 Mar 25;20(5):385-393. doi: 10.1123/jpah.2022-0486. Print 2023 May 1. PubMed 36965493 ↗
  • Kellstedt DK, Essay AM, Schenkelberg MA, Rosen MS, Von Seggern MJ, Idoate R, Welk GJ, Rosenkranz RR, Dzewaltowski DA. COVID-19 pandemic and changes in children's physical activity in a rural US community: a mixed methods study. BMJ Open. 2022 Oct 27;12(10):e062987. doi: 10.1136/bmjopen-2022-062987. PubMed 36302579 ↗

Individual participant data

Plan to share: Yes — De-identified data for all primary and secondary outcome measures will be made available.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be made available within 1 year of study completion.

Access criteria: Data access will be reviewed by investigator team. Requesters will be required to sign data access agreement.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2018 to primary completion in Jan 2024, 63 months.

Of 5,147 non-industry interventional studies with no phase under Motor Activity, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 36. This study's 63 months is above that.

Counting every sponsor, half of 5,207 studies reached it within 17 months; a quarter within 7 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 6, 2017
First posted
Dec 20, 2017
StartActual
Sep 5, 2018
Primary completionActual
Jan 1, 2024
CompletionActual
Jan 1, 2024
Last update
Sep 5, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03380143
Collaborators
Iowa State University, Kansas State University
Responsible party
Sponsor
First posted
Dec 20, 2017
Start date
Sep 5, 2018
Primary completion
Jan 1, 2024
Completion
Jan 1, 2024
Last update
Sep 5, 2024

Study contacts

David A Dzewaltowski, PhD
principal investigator · University of Nebraska

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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