Physical activity interventions in the school setting: A systematic review

Objectives

To review the effectiveness of school-based interventions with a physical activity component by measuring changes in psychological determinants, physical activity, and health outcomes.

Design

Systematic Review.

Method

We conducted a literature search of school-based controlled studies that involved a physical activity intervention targeting school students. Study design, methodological quality, and effectiveness of interventions on three target levels, ‘health and fitness’ (BMI and motor performance), ‘physical activity’, and ‘psychological determinants’ (knowledge of physical activity effects, self-concept, and attitudes towards physical activity), were analysed. Furthermore, we examined the influence of specific factors (e.g., age and gender) and mediator effects.

Results

The literature search identified 129 studies. The majority of the studies examining motor performance, physical activity, and knowledge of physical activity achieved significant results (69.7%, 56.8% and 87.5%, respectively). Significant effects on self-concept and attitudes were also found but to a smaller extent (in 30% and 43.8% of the studies, respectively). Only a few studies examining BMI (2.7%), physical activity (6.8%), and attitudes towards physical activity (12.5%) revealed negative effects, with better results observed for the control group. Intervention effects were influenced by the students’ age, intervention type, and frequency of the interventions. Self-efficacy was found to mediate the relationship between the program and the students’ physical activity.

Conclusions

Numerous school-based physical activity interventions achieved positive effects on three target levels. Further research is needed to clarify the mediator effects of psychological variables on physical activity and health and to increase our knowledge about the mechanisms that underlie behavioural change.     

Five direct behavior rating multi-item scales: Sensitivity to the effects of classroom interventions

Direct Behavior Rating (DBR) is a tool designed for the assessment of behavioral changes over time. Unlike methods for summative evaluations, the development of progress monitoring tools requires evaluation of sensitivity to change. The present study aimed to evaluate this psychometric feature of five newly developed DBR Multi-Item Scales (DBR-MIS). Teachers identified students with behaviors interfering with their learning or the learning of others and implemented a Daily Report Card (DRC) intervention in the classroom settings for two months. The analyses were performed on 31 AB single case studies. Change metrics were calculated at an individual level by using Tau-U_{A vs. B + trend B} and Hedges' g and at a scale-level by using Mixed Effect Meta-Analysis, Hierarchical Linear Models (HLMs), and Between-Case Standardized Mean Difference (BC-SMD). HLMs were estimated considering both fixed and random effects of intervention and linear trend within the intervention phase. The results supported sensitivity to change for three DBR-MIS (i.e., Academic Engagement, Organizational Skills, and Disruptive Behavior), and the relative magnitudes were consistent across the metrics. Sensitivity to change of DBR-MIS Interpersonal Skills received moderate support. Conversely, empirical evidence was not provided for sensitivity to change of DBR-MIS Oppositional Behavior. Particular emphasis was placed on the intervention trend in that responses to behavioral interventions might occur gradually or require consistency over time in order to be observed by raters. Implications for the use of the new DBR-MIS in the context of progress monitoring of social-emotional behaviors are discussed.     

A point contingency for homework submission in the graduate school classroom

We explored the effects of points versus no points on the submission of homework assignments and quiz performance in a graduate-level course. Students were more likely to submit homework assignments during points weeks, but quiz scores were relatively unaffected.     

Suggested behavioral interventions in the classroom to assist students prenatally exposed to drugs

The population of children exposed prenatally to alcohol, cocaine, methamphetamine, and other legal or illegal substances has been rapidly growing in America. The known characteristics of this group include deficits in rule-governed behavior, impulsivity, attention to task, language, sleep attachment, learning, social competence, coordination, hypersensitivity to environmental stimuli, and conduct problems. The purpose of this paper was to describe the characteristics of this population and match known, empirically demonstrated, data-based strategies, such as teacher attention and praise, token reinforcement programs, daily report cards, contingency contracting, self-instructional training, self-management, peer tutoring, Direct Instruction, and combining behavior therapy with stimulant medication therapy, to specific academic and social deficits in children with parental histories of substance abuse. © 1998 John Wiley & Sons, Ltd.     

The discipline gap and African Americans: Defiance or cooperation in the high school classroom

African Americans are over-represented in school suspensions, yet little is known about the underlying contributing dynamics. Study 1 reviewed a high school's annual discipline data and 442 students referred for defiance. African Americans were over-represented in referrals for defiance and most students received referrals from one or several teachers. This suggests that defiance referrals are specific to the classroom situation. Examining the situational specificity of referrals, Study 2 used repeated measures and multilevel modeling with a sub-sample of 30 African American students. Attendance, grades, and teacher reports showed that students behaved more defiantly and less cooperatively with teachers perceived as having untrustworthy authority. Predictors of African American student trust in teacher authority included teacher caring and high expectations, offering implications for lowering the discipline gap.     

Effects of extended father-infant contact during the newborn period

Studies within the past decade have suggested that extended contact between mothers and newborns may have positive effects on later parent-infant interaction and may impact favorably upon the establishment of the mother-to-infant attachment bond. The present study was designed to determine whether similar extended contact effects occur for fathers. The results indicated that a group of fathers who attended their infants' births and received extended postpartum hospital contact with their infants engaged in greater amounts of en face behavior and vocalization with their infants and were more involved in infant caretaking responsibilities at 6 weeks postpartum and had higher self-esteem scores following the births compared to another group of fathers who attended their infants' births but received traditional amounts of hospital contact. Although there were more behavioral similarities than differences between the two groups of fathers, positive effects were found on behavioral measures, standardized psychometric measures, and on self-report questionnaires. The results indicated that extended contact effects are at least as salient with fathers as with mothers.     

The chance project: Complex interventions with adolescent school drop-outs in Naples

Abstract

In this paper the authors describe their long experience, as psychoanalytically oriented psychotherapists, with an experimental school project with adolescent school drop-outs, a project that has been running in three deprived contexts of Naples. In the paper the structure of the psychological project supporting workers involved with these disruptive adolescents is analysed in detail along with the theoretical framework that lies behind it. The authors also give some illustrations that show the intense dynamics present in this field of work and some meaningful developments observed in the relationships and communications between adolescents and adults and in the group of peers.     

Profiling the deaf high school student who is a problem in the classroom

The discipline referral forms and available school records of five residential schools for the deaf were surveyed. Students were categorized as being never referred, periodically referred, and chronically referred. The student characteristics of age, sex, degree of hearing loss, and reading ability were used to predict membership in a frequency of referral category through a log-linear analysis statistic. A conceptual model was built and tested statistically which showed that the most important factor was reading ability followed by hearing loss, age, and sex of the student. The "typical problem" student would be a younger male who was a poorer reader and had a less severe hearing loss.     

Opening up in the classroom: effects of expressive writing on graduate school entrance exam performance

Our study sought to determine whether experimental disclosure could improve exam performance and psychological health in students taking a graduate school entrance exam. Students preparing for the GRE, MCAT, LSAT, or PCAT were randomly assigned to write expressively about their upcoming exam or to a neutral writing condition. Participants completed measures of depressive symptoms and test anxiety before and after writing, and exam scores were collected. The experimental disclosure group had significantly higher test scores and significantly lower pre-exam depressive symptoms than the neutral writing group. Although benefits for depressive symptoms were found in expressive writers regardless of exam type, the advantage of expressive writing for test performance was only observed in students taking the MCAT or LSAT.     

Examining classroom influences on student perceptions of school climate: The role of classroom management and exclusionary discipline strategies

There is growing emphasis on the use of positive behavior supports rather than exclusionary discipline strategies to promote a positive classroom environment. Yet, there has been limited research examining the association between these two different approaches to classroom management and students' perceptions of school climate. Data from 1902 students within 93 classrooms that were nested within 37 elementary schools were examined using multilevel structural equation modeling procedures to investigate the association between two different classroom management strategies (i.e., exclusionary discipline strategies and the use of positive behavior supports) and student ratings of school climate (i.e., fairness, order and discipline, student–teacher relationship, and academic motivation). The analyses indicated that greater use of exclusionary discipline strategies was associated with lower order and discipline scores, whereas greater use of classroom-based positive behavior supports was associated with higher scores on order and discipline, fairness, and student–teacher relationship. These findings suggest that pre-service training and professional development activities should promote teachers' use of positive behavior support strategies and encourage reduced reliance on exclusionary discipline strategies in order to enhance the school climate and conditions for learning.     

Social comparisons in the classroom: an investigation of the better than average effect among secondary school children

The better than average (BTA) effect refers to the tendency for the majority of people to rate themselves as being higher on positive attributes and lower on negative attributes than other people. The present study examined the occurrence of the BTA effect on five important characteristics among 15,806 first-year secondary school Dutch students. In addition, it explored the influence of students' gender, cultural background, and ability level on their evaluations of characteristics relative to their classmates. Results yielded small BTA effects, with the exception of the item “being eager to get high grades,” on which the effect was much larger. In addition, larger BTA effects were found among boys than girls, but this difference could not be attributed to actual differences in performance. Likewise, larger BTA effects were found among ethnic minority students from Turkish and Moroccan backgrounds than ethnic majority students, but this difference also could not be attributed to actual differences in performance. Theoretical and practical implications of these findings are discussed.     

Deliberation in citizenship education: how the school context contributes to the development of an open classroom climate

Schools are expected to contribute to preparing students for engaged citizenship. Research shows that open classroom discussions on political issues have a positive effect on political attitudes and behaviour. However, a deeper understanding of why students perceive their classrooms as open for discussion is missing. The purpose of this study is to examine how deliberative democratic theory can be used to explain such perceptions. We argue that the openness of the discussion climate is positively affected by, on the one hand, a context of good student–teacher relations characterised by fairness and respect, and, on the other hand, by the level of collective efficacy, which is the perception of responsiveness of the school towards student demands. Using multilevel analyses on the European data of the International Civic and Citizenship Education Study (ICCS 2009), we find that these predictors are significant at the student level and the school level. This means that both the individual experience of a student as well as the average school’s score on good student–teacher relations and collective efficacy affect how students perceive the discussion climate. Our findings, based on high-quality survey data from 22 countries, are a significant contribution to clarifying the underlying mechanism leading to an open classroom climate. As such discussions have proven to be an effective way to stimulate political engagement, we conclude that a school context characterised by fairness and responsiveness, should not be overlooked by schools and policy.     

Assessment and treatment of object mouthing in a public school classroom

Little research has been conducted to evaluate the most effective treatments for object mouthing in school or classroom settings. The current case example illustrates the process for conducting a functional assessment and implementing treatment for object mouthing in a public school special education classroom. Teacher and parent interview, direct observations, and functional analysis were used to determine that the object mouthing of a 4‐year‐old girl with severe developmental disabilities was maintained by automatic reinforcement. Free operant preference assessments determined physical parameters of objects that were highly mouthed. Paired choice preference assessments determined which competing items to use in a treatment evaluation. Initial treatment consisted of fixed‐time delivery of a competing food item that reduced object mouthing to very low levels. To completely eliminate the mouthing, physical response blocking was added. Data are presented demonstrating the success of the treatment for up to 15 weeks of follow‐up after the initial treatment evaluation. Copyright © 2006 John Wiley & Sons, Ltd.     

The application of operant conditioning techniques in a secondary school classroom

The effects of teacher praise and disapproval on two target behaviors, inappropriate talking and turning around, were investigated in a high school English class of 25 students. The contingencies were applied to all students in the experimental class utilizing a multiple baseline experimental design in which the contingencies were aimed first at decreasing inappropriate talking behavior and then at decreasing inappropriate turning behavior. Observations were made of both student and teacher behavior. The results demonstrated that the combination of disapproval for the target behaviors and praise for appropriate, incompatible behaviors substantially reduced the incidence of the target behaviors in the experimental class. Observations of these behaviors in a control class of 26 students taught by the same teacher revealed no particular changes. The findings emphasize the importance of teacher-supplied social contingencies at the secondary school level.     

Safe and unsafe school spaces: Comparing elementary school student perceptions to common ecological interventions and operationalizations

There is a burgeoning literature on school safety in the United States. Often, researchers determine the problem and intervention. Few studies, however, examine how students understand school safety. In this study, elementary school students in the United States (n = 225) marked safe and unsafe school places; this was correlated with other commonly used school safety measures. Results indicate that children have different perceptions of safety based on school location. Additionally, for older children, unsafe places correlated with injury data, adult absence and low levels of territoriality. For younger children, unsafe places were associated with adult absence and referrals. Safe places were places that were more likely to have an adult. Results bring into question some common safety interventions. Implications include working with children to determine what is meant by ‘safe’ and interventions. Copyright © 2010 John Wiley & Sons, Ltd.