SCORE! ACTIVE Trial

Hamilton Health Sciences Corporation1,400 enrolled

Overview

Hamilton is a city with a growing newcomer population. Families who are new to Canada do not always have the same resources to access healthy active living (HAL) activities as compared to Canadian-born families. The SCORE! ACTIVE trial will recruit newcomer families with young children in Hamilton and help provide them with access to HAL activities. Through this, the investigators want to see if newcomer children's perspectives of physical activity will change over time. They will also see if increasing newcomer children's access to these resources will promote an increase in HAL behaviours.

The investigators will conduct a pragmatic, stepped-wedge cluster randomized trial in 14 neighbourhoods to determine the impact of SCORE! ACTIVE trial on the primary outcome of PA self-efficacy among 5-11-year-old children. The SW-CRT involves the sequential transition of clusters, in this case neighbourhoods, from control to intervention conditions in a randomized order. In this case, the method is pragmatic because recruitment and initial baseline measures in each community will occur just before the initiation of the intervention. There have been methodological challenges noted with SW-CRT including identification and recruitment bias, within cluster bias, and secular trends. However, this design is ideal for the implementation of the SCORE! ACTIVE trial because for practical reasons, it is not possible to deliver the intervention to many clusters at the same time. The trial will be reported using CONSORT guidelines and extension of SW-CRT.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

1,400

Conditions

Interventions

Physical activity programOTHER

SCORE! Club is offered twice a week for enrolled participants. Modules will include soccer, arts and health, Sportball, and nature-based activities.

NavigationOTHER

Participants will have access to a navigator from the study team who will help them access resources relating to recreation and physical activity in their communities. For example, the navigator will help direct families with low income to the recreation assistance program if they are interested in such a service.

Health promotionOTHER

Health promotion messaging will be provided to participants via social media and other physical methods (i.e., flyers). Topics will include diet, sleep, physical activity, and other related items.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 11 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Newcomer families (those who have been in Canada for 10 years or less) with at least 1 child aged 5 up to 11 (11.99 years) living in a Hamilton, Ontario. * At least one parent/guardian born outside of Canada and residing in Canada ≤ 10 years. * Families must be living in one of the designated neighbourhood clusters Exclusion Criteria: * Children participating in organized physical activity programs for 3 or more times per week * Families with involvement with child protection services and/or foster care

Outcomes

Primary Outcomes

Children's Self-Perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) Scale

Using CSAPPA, a 19-item scale that measures how children feel about their physical activity skills and their likelihood of choosing physical activities, a change in children's physical activity self-efficacy will be measured at 6 months as the primary outcome.

Time frame: Baseline to 6 months

Secondary Outcomes

Children's Self-Perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) Scale

Using CSAPPA, a change in children's physical activity self-efficacy will also be measured at 12 and 18 months as secondary outcomes.

Time frame: 12 months from baseline; 18 months from baseline

Physical Activity & Sedentary Behavior Questionnaire

Changes in children's physical activity and sedentary behaviours will be measured using the Physical Activity \& Sedentary Behavior Questionnaire.

Time frame: Baseline to 18 months