Currently submitted to: JMIR Research Protocols
Date Submitted: Sep 1, 2020
Open Peer Review Period: Sep 1, 2020 - Oct 27, 2020
(currently open for review)
“The feasibility and effect of the BOOSTH-exergame: study protocol of a randomized controlled trial to improve physical activity and health in children
Despite the well-known beneficial health effects of physical activity (PA), the majority of the Dutch primary school children do not meet the recommended PA guidelines. Although there is growing evidence on the effectiveness of exergames on PA in children, there is limited evidence on the effect on health outcomes such as cardiovascular health and health related quality of life (HRQOL), and on factors influencing the effectiveness and feasibility. The exergame BOOSTH uses a wrist worn activity tracker to measure steps per day. As a reward of the performed PA, children can unlock levels in the online BOOSTH game. In addition, the BOOSTH battle enables competition between groups.
Ivestigating the effect of BOOSTH on moderate to vigorous PA (MVPA). Secondary aims are to investigate the feasibility of BOOSTH and the effect on cardiovascular risk factors (anthropometrics, blood pressure, retinal microvasculature) and HRQOL.
This protocol describes a cluster randomized controlled trial in sixteen primary schools in the Netherlands investigating the effect of BOOSTH on moderate to vigorous PA (MVPA) using accelerometry. Secondary aims are to investigate the feasibility of BOOSTH (mixed methods: questionnaires and focus group interviews), and the effect on cardiovascular risk factors (anthropometrics, blood pressure, retinal microvasculature) and HRQOL. Stratification variables and relevant variables related to the outcomes (such as BMI (z-score), sex, age and parenting style and/or missingness will be taken into account. Measurements will be performed at baseline and after three, six-, and twelve months.
The study has received funding from Province Limburg (SAS-2015-04956) and received ethical approval from the Maastricht University Medical Centre, Medical Ethics Committee (METC172043 / NL64324.068.17). The results of the analyses are expected to be published in 2021.
With this study, the effects of the exergame BOOSTH, to increase PA and improve health in children of primary school age, will be investigated. The insights in effectiveness and the feasibility of this study will result in scientific and societal recommendations, which could potentially contribute to widespread implementation of exergames for children. Clinical Trial: The trial is registered with Clinicaltrials.gov NCT03440580 on February 22, 2018.
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