Trial Outcomes & Findings for Development and Feasibility of an Incentive Scheme to Promote Walking/Cycling to School (NCT NCT02282631)

NCT ID: NCT02282631

Last Updated: 2017-04-04

Results Overview

Percentage of schools who accepted to take part in this study

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

29 participants

Primary outcome timeframe

May 2014 to June 2014

Results posted on

2017-04-04

Participant Flow

School recruitment took place from late May 2014 to early July 2014. I emailed and phoned schools from my office, and then met personally with the two selected schools in mid July 2014. Family recruitment took place in mid September 2014. Invitations were distributed to children at school and returned by parents by post.

Recruitment of schools: one invitation email, second email two weeks later (reminder) and phone call (one week after reminder). Four schools replied positively out of 123 contacted (3.3%). Recruitment of participants: 29 (33.0%) returned a valid consent form before baseline; 2 returned a consent form after the start of baseline and were excluded

Participant milestones

Participant milestones
Measure
Control Group School
School with no intervention (incentive scheme)
Intervention Group School
School with intervention (incentive scheme)
Overall Study
STARTED
14
15
Overall Study
COMPLETED
12
15
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Control Group School
School with no intervention (incentive scheme)
Intervention Group School
School with intervention (incentive scheme)
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Development and Feasibility of an Incentive Scheme to Promote Walking/Cycling to School

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control School
n=14 Participants
School with no intervention; ongoing advice on active school travel.
Intervention School
n=15 Participants
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw. Every trip to school reported by the parent as being active (walking/cycling) corresponds to one ticket entered into the draw. In total, one child can have up to five tickets entered into one draw.
Total
n=29 Participants
Total of all reporting groups
Age, Continuous
9 years of age
n=99 Participants
9 years of age
n=107 Participants
9 years of age
n=206 Participants
Sex: Female, Male
Female
9 Participants
n=99 Participants
7 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
8 Participants
n=107 Participants
13 Participants
n=206 Participants
Ethnic group
White British
13 participants
n=99 Participants
14 participants
n=107 Participants
27 participants
n=206 Participants
Ethnic group
Other Ethnic Group
1 participants
n=99 Participants
1 participants
n=107 Participants
2 participants
n=206 Participants
Car available to drive child to school
9 Participants
n=99 Participants
12 Participants
n=107 Participants
21 Participants
n=206 Participants
Parent completing questionnaire has degree or higher degree
2 Participants
n=99 Participants
6 Participants
n=107 Participants
8 Participants
n=206 Participants

PRIMARY outcome

Timeframe: May 2014 to June 2014

Population: 123 schools were approached; 4 accepted to take part but only 2 were selected to take part

Percentage of schools who accepted to take part in this study

Outcome measures

Outcome measures
Measure
Schools Contacted
n=123 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Schools Who Accepted to Take Part
3.3 % schools who accepted to take part

PRIMARY outcome

Timeframe: September 2014 to December 2014

% of schools who were retained for the whole duration of the study (out of the two who took part)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=2 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
School Retention
100 % schools retained for the whole study

PRIMARY outcome

Timeframe: Sep 2014 to December 2014

Population: Number of participants approached to take part in the study

Number of participants recruited in this study.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=48 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=40 Participants
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Recruitment of Participants
14 N of children who took part in the study
15 N of children who took part in the study

PRIMARY outcome

Timeframe: September 2014 to December 2014

Population: There were 14 participants in the control school, and 15 participants in the intervention school, at baseline. In the post-baseline weeks, there were two dropouts in the control school, and none in the intervention school.

Number of participants who remained in the study until the end.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=14 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=15 Participants
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Retention of Participants
12 N children retained for the whole study
15 N children retained for the whole study

PRIMARY outcome

Timeframe: 1 week

Number of participants who returned their accelerometer to the researcher on the designated day, at end of baseline week (all children wore the accelerometer at the same time)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=14 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=15 Participants
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Number of Participants Who Returned Their Accelerometers on Time at the End of the Baseline Week
11 Participants
15 Participants

PRIMARY outcome

Timeframe: 8 weeks after baseline

Population: Participants who stayed long enough in the study to wear the accelerometer a second time, at post-baseline

Number of participants who returned their accelerometer on time to the researcher (myself) on the designated day, at end of post-baseline week. This was the second week of wear for participants. Whereas all participants were assessed concurrently at baseline, different subsamples were assessed every week at post-baseline.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=12 Participants
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=15 Participants
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Number of Participants Who Returned Their Accelerometers on Time at the End of the Post-baseline Week
8 Participants
12 Participants

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Number of accelerometers lost or damaged in this study

Outcome measures

Outcome measures
Measure
Schools Contacted
n=26 Total N times accelerometer was worn
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=30 Total N times accelerometer was worn
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Accelerometers Lost or Damaged
0 N of accelerometers lost or damaged
0 N of accelerometers lost or damaged

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: The above number of participants corresponds to all participants in each group. The overall N of units analysed takes into account that although only some participants (6 in CG; 8 in IG) had chosen to report ATS by paper reports at baseline, everybody was expected to report by ATS paper report on the two weeks where the accelerometer was worn.

N parental ATS\* paper reports returned to researcher(me) \*Active Travel to School * Paper reports with at least 1 box had been ticked out of the five boxes on the form (there was 1 box for each day of the week). * ATS reports were collected weekly, i.e. on the baseline week and on each of the eight post-baseline weeks. Accelerometers were only used twice; once at baseline (1week) and once at post-baseline (1week). * Parental paper ATS reports were preferred by 6 families, but on the 2 accelerometer weeks all participants had to use a paper reports including usual SMS respondents. In contr. group: all used paper reports at baseline (1st accel. week) (n=14), 6 usual paper respondents at post-baseline (6x8 weeks = 48), 6 SMS respondents who had to paper-report on the 2nd accel.week (both dropouts were SMS respondents \& left too early for a 2nd accel.), so total N possible paper reports 14 + 48 + 6=68. Int. school: 15 participants \& 8 usual paper respondents, total=15 + (8 x 8) + 7=86

Outcome measures

Outcome measures
Measure
Schools Contacted
n=68 N of parental ATS paper reports
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=86 N of parental ATS paper reports
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Parental ATS Paper Reports Returned
36 N of parental ATS paper reports returned
78 N of parental ATS paper reports returned

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: N of child ATS reports (always on paper) - is the total number of child ATS reports that could have been returned to the researcher throughout the study

Number of child ATS\* reports returned to the researcher (myself) throughout the study. Child ATS reports were always on paper. \*Active Travel to School

Outcome measures

Outcome measures
Measure
Schools Contacted
n=112 N of child ATS reports
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=135 N of child ATS reports
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Child ATS Reports Returned
108 N child ATS reports returned
134 N child ATS reports returned

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Inter-rater agreement between parent and child ATS\* reports \*Active Travel to School

Outcome measures

Outcome measures
Measure
Schools Contacted
n=356 N trips to school with both reports
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=582 N trips to school with both reports
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Agreement Between Parent and Child Reports
0.264 Kappa score
Interval 0.138 to 0.384
0.716 Kappa score
Interval 0.635 to 0.791

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: Reports of ATS from parent and from child at baseline (week 0) and weekly during the post-randomisation period (week 1-8); ATS trips=active trips to school. This data is from all trips reported by the parent whether child ATS reports are available for the same days or not; this differs from N trips in 'Agreement Between Parent and Child Reports'

Active travel to school (ATS) refers to the behaviour of travelling to school by human-powered means as opposed to motorised transportation, for example by walking or cycling. This was based on parental ATS reports.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=382 total N trips to school (parent-reported
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=597 total N trips to school (parent-reported
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Active Travel to School Based on Parental Report
% ATS trips reported by parent at baseline
59.0 % ATS trips
69.4 % ATS trips
Active Travel to School Based on Parental Report
% ATS trips reported by parent at endline (week 8)
58.6 % ATS trips
82.1 % ATS trips

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: Children in Year 5 (age 9-10); reports of ATS were collected from the parent and from the child at baseline (week 0) and weekly during the post-randomisation period (week 1 to 8); ATS trips=active trips to school. This data are only from child reports of ATS.

Percentage of active trips to school based on child report. This data is from all the trips reported by children, whether parental reports exist for the same day or not. For that reason, this differs from the number of trips reported in 'Agreement Between Parent and Child Reports' because in that case, both parent and child reports were required for the same day.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=634 N trips to school reported by child
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=516 N trips to school reported by child
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Active Travel to School Based on Child Report
% ATS trips reported by child at baseline
86.4 % ATS trips
82.2 % ATS trips
Active Travel to School Based on Child Report
% ATS trips reported by child at endline (week 8)
94.0 % ATS trips
86.3 % ATS trips

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: Trips to school reported, irrespective of the school where they were reported. No comparisons between control and intervention school due to the low number of non-active trips. Number of Participants Analyzed in the "ATS Trips" Arm is the total N of participants whose parents reported ATS and provided data for MVPA. Likewise for "Non-ATS Trips".

differences in minutes of moderate-to-vigorous physical activity (MVPA) between ATS and non-ATS trips during the times reported by the parent as pertaining to the journey to school, based on parental report (i.e. parent reported whether the trip was ATS or non-ATS)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=99 trips to school
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=13 trips to school
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Differences in MVPA During the Times Reported by the Parent, Based on Parental Report
2.46 minutes of MVPA
Standard Deviation 2.83
0.76 minutes of MVPA
Standard Deviation 0.95

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: This outcome refers to trips to school reported, irrespective of the school where they were reported. There are no comparisons between control and intervention school due to the low number of non-active trips.

differences in MVPA between ATS and non-ATS trips during the hour before the classes (7:56-8:55), based on parental report (i.e. parent reported whether trip was ATS or non-ATS)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=104 trips to school
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=19 trips to school
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Differences in MVPA During the Hour Before the Classes, Based on Parental Report
4.99 minutes of MVPA
Standard Deviation 4.11
2.55 minutes of MVPA
Standard Deviation 1.69

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: This outcome refers to trips to school reported, irrespective of the school where they were reported. There are no comparisons between control and intervention school due to the low number of non-active trips.

differences in minutes of MVPA between ATS and non-ATS trips during the times reported by the parent as pertaining to the journey to school, based on child report (i.e. child reported whether trip was ATS or non-ATS)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=128 trips to school
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=15 trips to school
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Differences in MVPA During the Times Reported by the Parent, Based on Child Report
2.40 minutes of MVPA
Standard Deviation 2.68
0.81 minutes of MVPA
Standard Deviation 0.87

PRIMARY outcome

Timeframe: 9 weeks (one week at baseline plus eight weeks after baseline)

Population: This outcome refers to trips to school reported, irrespective of the school where they were reported. There are no comparisons between control and intervention school due to the low number of non-active trips.

differences in minutes of MVPA between ATS and non-ATS trips during the hour before the classes (7:56-8:55), based on child report (i.e. child reported whether trip was ATS or non-ATS)

Outcome measures

Outcome measures
Measure
Schools Contacted
n=146 trips to school
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=20 trips to school
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Differences in MVPA During the Hour Before the Classes, Based on Child Report
4.99 minutes of MVPA
Standard Deviation 3.91
2.59 minutes of MVPA
Standard Deviation 1.60

PRIMARY outcome

Timeframe: 8 weeks after baseline

Population: \- 'One SMS report' refers to a week in which at least one SMS report of ATS was received from the parent throughout the study. The above 'number of units analyzed' refers to the total number of weeks, for all participants, in which parents could have reported ATS throughout the study.

Number of parental ATS reports by SMS. * In this case, for comparability with data from paper reports, one SMS reports refers to a week in which at least one SMS report was received from the parent. * Parental SMS reports were only possible in those weeks when the child was not wearing the accelerometer. Parents who had chosen to report ATS by SMS were requested to report by paper on the weeks when the child wore the accelerometer (once at baseline, and once at post-baseline), and could report ATS by SMS in all other weeks.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=53 N weeks with at least one SMS reply
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=56 N weeks with at least one SMS reply
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Parental ATS Reports by SMS
51 N weeks with at least one SMS reply
56 N weeks with at least one SMS reply

SECONDARY outcome

Timeframe: 9 weeks

Population: 14 participants in the control school (2 dropouts after baseline) and 15 in the intervention school (0 dropouts). Participants wore the accelerometer twice in the study, for one week each time. N of valid recordings= N children who met the minimum wear target (6h/day on at least 3 days) overall; only valid recordings were used to assess overall PA

Number of participants who met physical activity guidelines, i.e. at least 60 minutes of moderate-to-vigorous physical activity (MVPA) a day, measured by accelerometer (ActiGraph GT3X+); cut points of intensity by Evenson et al (2008) (sedentary \<100 counts per minute (cpm); light \>100cpm; moderate \>=2296cpm; vigorous \>=4012cmp), epoch 10 seconds. Valid wear was at least 6h/day on at least 3 days (weekdays or weekends). NOTE: the above criterion of 10h/day for at least 5 days was changed before the start of the fieldwork, although not on this website. We found studies which suggested that wearing the accelerometer 6h/day on at least three days, with or without weekend days, were sufficient to assess overall levels of physical activity. Consistent with these findings, this new minimum wear criterion was adopted in the present study.

Outcome measures

Outcome measures
Measure
Schools Contacted
n=19 N of valid recordings available overall
Primary schools (or equivalent) located in the North East approached in this study
Intervention Group School
n=27 N of valid recordings available overall
School where the incentive scheme will be run. Incentive scheme: Children who actively travel to school, full or partway, enter a weekly £5 voucher draw, whereby chances of winning are proportional to the number of trips as reported by the parent.
Number of Participants Who Met Physical Activity Guidelines
3 N children who met PA guidelines
3 N children who met PA guidelines

Adverse Events

Control Group School

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Group School

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Samuel Ginja

Institute of Health and Society, Newcastle University

Phone: +44191208

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place