About this trial
The purpose of the study is to evaluate the impact of providing a skipping rope and informational pamphlet to adolescents aged 10-14 years on their physical activity intentions and behaviors from baseline to 12-month follow-up when compared with adolescents of the same age who are not provided with any intervention. This study comprises a two-arm randomized controlled trial nested within an adolescent cohort, i.e. a 'randomized trial-within-cohort'. The intervention will include providing each participant with a skipping rope and a pamphlet with general instructions for skipping the rope and messages about the importance of physical activity. The investigators hypothesize that adolescents in a South African community who are provided with a skipping rope and an informational pamphlet on physical activity will engage in more physical activity behaviors and will report greater intentions to be physically active at a 12-month follow-up, compared to a control group of adolescents who do not receive the intervention.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Study participant is between ages 10 and 14 years;
Minors (i.e. less than 18 years of age): the parents or guardians provide written informed consent;
Minors: the minor participant provides informed assent;
Study participant is a resident of the study area and intends to stay in the study area for the duration of the study;
Disqualifiers
Participants with physical disabilities that prevent them from doing physical activity will be excluded;
Those participants whose capacity to make meaningful decisions is in question because they are "cognitively impaired" will be excluded;
Individuals with communication difficulties will be excluded.
Study participants who report suicidal behaviors during baseline data collection will be excluded.
Trial design
Parallel
Treatments tested in this trial
Skipping rope and informational pamphlet
Other interventionThe provision of a skipping rope and an informational pamphlet to the intervention arm participants will happen during the participant interview within the overall DASH cohort study. The enumerator conducting the survey interview will provide each participant in the intervention group with a skipping rope and pamphlet and will read a short script explaining how to use the rope, outlining the main benefits of physical activity for adolescents, and asking participants to read the pamphlet in their own time.
Treatment groups
Trial outcomes
Primary outcomes
Duration of moderate to vigorous physical activity (MVPA) per week
Total minutes of MVPA/week. This will be calculated by multiplying the minutes of MVPA on the most recent day participant did MVPA by the number of days MVPA was done.
Secondary outcomes
Proportion of adolescents who meet the MVPA recommendations over the 7 days preceding the interview
Percentage of adolescents who meet the WHO MVPA recommendations of at least 60 minutes/day of MVPA across the week (\>=420 minutes/week)
Intention to engage in physical activity compared to the 7 days preceding the interview
Intention to engage in physical activity compared to previous 7 days. This will be evaluated by asking participants if they intend to change the amount of physical activity they do in the 7 days following the interview, compared to the 7 days preceding the interview.
Other outcomes
Utilization of rope, process outcome
Utilization modality of skipping rope, that is alone or with friends, among intervention group
Sponsors and contacts
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University of KwaZulu
Lead sponsor
Harvard School of Public Health (HSPH)
Collaborator
Africa Academy for Public Health
Collaborator
Heidelberg University
Collaborator
Technical University of Munich
Collaborator
USINGA Health and Demographic Surveillance System
Collaborator