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A process evaluation of the walking in ScHools (WISH) study using the RE-AIM framework.

BMC public health
March 3, 2025
Angela Carlin et al. (9 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of a peer-led, school-based walking intervention (WISH Study) in increasing physical activity levels among adolescent girls, using the RE-AIM Framework to assess participation, motivation, and enjoyment.

Results Summary

The intervention showed mixed results, with 15% of pupils meeting physical activity guidelines at baseline, variable walk attendance (2-104 walks per school), and self-reported improvements in physical health, mental well-being, and social relationships. Implementation barriers included COVID-19, time constraints, and walk leader availability.

Population

Adolescent girls (12-14 years) from 18 schools in Ireland and Northern Ireland.

Effective Dosage

Brisk walks (10-15 min) during the school day, led by older peer walk leaders.

Duration

Across the school year (2021-22).

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
peer-led, school-based walking intervention
increase
physical activity levels
adolescent girls
-
aimed to increase
#1
peer-led, school-based walking intervention
increase
physical health
pupils and walk leaders
-
self-reported improvements
#2
peer-led, school-based walking intervention
increase
mental well-being
pupils and walk leaders
-
self-reported improvements
#3
peer-led, school-based walking intervention
increase
social relationships
pupils and walk leaders
-
self-reported improvements
#4
walk leader training programme
increase
transferrable skills
walk leaders
-
reported gaining
#5
Abstract

BACKGROUND: Physical inactivity in adolescents is a major public health issue. Schools are important settings for physical activity interventions. The WISH Study was a peer-led, school-based walking intervention that aimed to increase physical activity levels of adolescent girls. This study uses the RE-AIM Framework to present the process evaluation of the WISH Study with a focus on factors that affected participation, motivation, and enjoyment of the intervention. METHODS: Pupils (n589 12-14 years) were recruited from 18 schools in the border region of Ireland and Northern Ireland. In intervention schools (n9), older pupils (15-18 years) were trained as walk leaders and led pupils (12-14 years) in brisk walks (10-15 min) during the school day, across the school year (2021-22). Questionnaires to measure self-efficacy for walking and physical activity, health-related quality of life and reasons for engaging in physical activity were administered throughout the intervention. At the end of the intervention focus groups were held with pupils, and interviews conducted with teachers and walk leaders. Attendance at walks was monitored by walk leaders. Quantitative data were analysed descriptively, and qualitative analysis was undertaken using thematic analysis. Themes were reported under RE-AIM indicators (reach, effectiveness, adoption, implementation, and maintenance). RESULTS: Pupils in the intervention schools (n286) were representative of adolescent girls in Northern Ireland and Ireland, in terms of their activity level. At baseline, 15% of these pupils met the recommended physical activity guidelines of 60 min moderate-vigorous physical activity per day, as measured by accelerometers. The total number of walks reported per school ranged from 2 to 104 across intervention schools. One quarter of pupils (n74, 26%) never attended a walk and 15% (n23) of walk leaders did not lead a walk. Pupils and walk leaders self-reported improvements in their physical health, mental well-being, and social relationships, and walk leaders reported gaining transferrable skills. Implementation was aided by school support in some schools, although barriers such as COVID-19, lack of time, harsh weather, inadequate facilities for indoor walks, and walk leader availability, were identified. Staff engagement was a key driver for the maintenance of walks. CONCLUSIONS: Despite a promising feasibility study and a comprehensive walk leader training programme, the extent to which the intervention was adopted and implemented varied, suggesting future school-based physical activity interventions need to consider individual school contexts to ensure intervention fidelity. TRIAL REGISTRATION: ISRCTN 12847782.

Medical Subject Headings (MeSH)
HumansFemaleAdolescentNorthern IrelandWalkingIrelandChildSchool Health ServicesHealth PromotionSchoolsFocus GroupsSurveys and QuestionnairesCOVID-19MotivationExerciseStudentsProgram EvaluationSelf EfficacyQuality of Life
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.61
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