Qualitative evaluation of a school intervention for the promotion of physical activity: learning from the perspective of the target population
Qualitative evaluations of school-based interventions for physical activity promotion are seldom undertaken, but can provide important insights into unforeseen limitations and consequences of interventions. These understandings can help the refinement of those aspects of school intervention implementation that are not easily identified a priori via quantitative evaluations. We illustrate this argument with the example of evaluative qualitative data collected during a physical activity promotion intervention that we carried out in two Spanish primary schools. The findings of this study uncovered a number of unexpected and difficult to quantify problem areas including; communication problems with parents, classroom-based interventions as off-putting, the legitimization of stereotypical health and body shape associations and even instances of marginalization of some of the very children the interventions were targeting. In conclusion we call for researchers to consider drawing on qualitative evaluations in order to aid the refinement of future school-based interventions.
American College of Sports Medicine. (2013). ACSM’s Guidelines for Exercise Testing and Prescription. Ninth edition. Baltimore: American College of Sports Medicine.
Bazeley, P., & Jackson, K. (2013). Qualitative data analysis with NVivo. London: Sage.
Beltrán-Carrillo, V.J., Devís-Devís, J., & Peiró-Velert, C. (2016). The influence of body discourses on adolescents’ (non)participation in physical activity. Sport, Education and Society. Advance online publication. doi: 10.1080/13573322.2016.1178109
Beltrán-Carrillo, V.J., Devís-Devís, J., Peiró-Velert, C., & Brown, D.H.K. (2012). When physical activity participation promotes inactivity: Negative experiences of Spanish adolescents in physical education and sport. Youth and Society, 44(1), 3-27. doi: 10.1177/0044118X10388262.
Beltrán-Carrillo, V. J., Sierra, A. C., González-Cutre, D., Cervelló, E., & Montero-Carretero, C. (2013, June). Factors influencing parents’s involvement in a school- based intervention for the promotion of physical activity and healthy eating. In N. Balagué and C. Torrents (Chair), 18th annual Congress of the European College of Sport Science. Unifying Sport Science. Symposium conducted at the meeting of the European College of Sport Science, Barcelona.
Biddle, S. J., Markland, D., Gilbourne. D., Chatzisarantis, N. L., & Sparkes, A. C. (2001). Research methods in sport and exercise psychology: quantitative and qualitative issues. Journal of Sports Science, 19, 777-809. doi: 10.1080/026404101317015438
Burrows, L. (2010). ‘Kiwi kids are Weet-Bix TM kids’ body matters in childhood. Sport, Education and Society, 15(2), 235-251.
Cale, L., & Harris, J. (2006). School-based physical activity interventions: effectiveness, trends, issues, implications and recommendations for practice. Sport, Education and Society, 11(4), 401-420. doi: 10.1080/13573320600924890
Cale, L., & Harris, J. (2009). Fitness testing in physical education–a misdirected effort in promoting healthy lifestyles and physical activity? Physical Education and Sport Pedagogy, 14(1), 89-108.
Campos, P., Saguy, A., Emsberger, P., Oliver, E., & Gaesser, G. (2006). The epidemiology of overweight and obesity: public health crisis or moral panic? International Journal of Epidemiology, 35, 55-60. doi: 10.1093/ije/dyi254
Cliff, K., & Wright, J. (2010). Confusing and contradictory: considering obesity discourse and eating disorders as they shape body pedagogies in HPE. Sport, Education and Society, 15(2), 221-233. doi: 10.1080/13573321003683893
Cordon, G. M., & De Bourdeaudhuij, I. M. M. (2002). Physical education and physical activity in elementary schools in Flanders. European Journal of Physical Education, 7(1), 5-18. doi: 10.1080/1740898020070102
Devís-Devís, J., Beltrán-Carrillo, V. J., & Peiró-Velert, C. (2015). Exploring socio- ecological factors influencing active and inactive Spanish students in years 12 and 13. Sport, Education and Society, 20(3), 361-380. doi:10.1080/13573322.2012.754753
Doak, C., Visscher, T., Renders, C., & Seidell, J. C. (2006). The prevention of overweight and obesity in children and adolescents: A review of interventions and programmes. Obesity Reviews, 7(1), 111-136. doi: 10.1111/j.1467- 789X.2006.00234.x
Evans, J., & Davies, B. (2004). Sociology, the body and health in a risk society. In J. Evans, B. Davies &, J. Wright (Eds.), Body knowledge and control: studies in the sociology of physical education and health (pp. 35-51). London: Routledge.
Evans, J., Rich, E., & Davies, B. (2007). Health education or weight management in schools? Cardiometabolic Risk and Weight Management, 2(2), 12-16.
Fairclough, S. J., & Stratton, G. (2006). Effects of a physical education intervention to improve student activity levels. Physical Education and Sport Pedagogy, 11(1), 29-44. doi: 10.1080/17408980500467613
Featherstone, M. (2010). Body, image and affect in consumer culture. Body and Society, 16(1), 193-221. doi: 10.1177/1357034X09354357
Garrett, R. (2004). Negotiating a physical identity: Girls, bodies and physical education. Sport, Education and Society, 9(2), 223-237. doi: 10.1080/1357332042000233958
Golley, R. K., Hendrie, G. A., Slater, A., & Corsini, N. (2010). Interventions that involve parents to improve children’s weight-related nutrition intake and activity patters. What nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness? Obesity Reviews, 12, 114-130. doi: 10.1111/j.1467-789X.2010.00745.x
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. doi: 10.1177/1049732305276687
Humbserstone, B., & Stan, I. (2011). Health, (body) image, and primary schooling: ‘Why do they have to be a certain weight?’ Sport, Education and Society, 16(4), 431-449. doi: 10.1080/13573322.2011.589641
Institute of Medicine. (2013). Educating the student body. Taking physical activity and physical education to school. Washington: The National Academies.
Kahn. E. B., Ramsey, L.T., Brownson, R. C., Hearh, G. W., Howze, E. H., Powell, K. E., … Corso, P. (2002). The effectiveness of interventions to increase physical activity. American Journal of Preventive Medicine, 22(4S), 73-107.
Kelder, S. H., Karp, G. G., Scruggs, P. W., & Brown, H. (2014). Setting the stage: Coordinated approaches to school health and physical education. Journal of Teaching in Physical Education, 33(4), 440-448. doi: 10.1123/jtpe.2014-0087
Kulinna, P. H., Brusseau., T., Cothran, D., & Tudor-Locke, C. (2012). Changing school physical activity: An examination of individual school designed programs. Journal of Teaching in Physical Education, 31(2), 113-130.
Lee, J., & Macdonald, D. (2010). ‘Are they just checking our obesity or what?’ The healthism discourse and rural young women. Sport, Education and Society, 15(2), 203-219. doi: 10.1080/13573321003683851
Márquez, S., Rodríguez, J., & De Abajo, S. (2006). Sedentarismo y salud: efectos beneficiosos de la actividad física [Physical inactivity and health: beneficial effects of physical activity]. Apunts, Educació Física i Esports, 83, 12-24.
Martínez-Baena, A. C., Romero-Cerezo, C., & Delgado-Fernández, M. (2011). Profesorado y padres ante la promoción de la actividad física del centro escolar [Teachers and parents' point of view about the school as promoter of physical activity]. Revista Internacional De Medicina y Ciencias De La Actividad Física y Del Deporte, 11(42), 310-327.
Martos, D., Devís, J., & Sparkes, A. C. (2009). Sport and physical activity in a high security Spanish prison: an ethnographic study of multiple meanings. Sport, Education and Society, 14(1), 77-96. doi: 10.1080/13573320802615189
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs, Health Education Quarterly, 15, 351- 377. doi: 10.1177/109019818801500401
McMullen, J., Kulinna, P., & Cothran. D. (2014). Physical activity opportunities during the school day: Classroom teachers' perceptions of using activity breaks in the classroom. Journal of Teaching in Physical Education, 33(4), 511-527. doi: 10.1123/jtpe.2014-0062
Murillo-Pardo, B., García-Bengoechea, E., Generelo-Lanaspa, E., Bush, P. L., Zaragoza-Casterad, J., Julián-Clemente, J. A., & García-González, L. (2013). Promising school-based strategies and intervention guidelines to increase physical activity of adolescents. Health Education Research, 28(3), 523-538. doi: 10.1093/her/cyt040
Rich, E., & Evans, J. (2005). ‘Fat ethics’: the obesity discourse and body politics. Social Theory and Health, 3, 341-358. doi: 10.1057/palgrave.sth.8700057
Salmon, J., Booth, M. L., Phongsavan, P., Murphy, N., & Timperio, A. (2007). Promoting physical activity participation among children and adolescents. Epidemiologic Reviews, 29, 144-159. doi: 10.1093/epirev/mxm010
Sallis, J. F., & Owen, N. (1999). Physical activity and behavioral medicine. Thousand Oaks: Sage.
Silverman, D. (2000). Doing qualitative research: a practical handbook. London: Sage.
Sparkes, A., & Partington, S. (2003). Narrative practice and its potential contribution to sport psychology: the example of flow. The Sport Psychologist, 17(3), 292-317.
Story, M., Nanney, M., & Schwartz, M. B. (2009). Schools and obesity prevention: Creating school environments and policies to promote healthy eating and physical activity. Milbank Quarterly, 87(1), 71-100. doi: 10.1111/j.1468- 0009.2009.00548.x
Telama, R., Yang, X., Leskinen, E., Kankaanpaa, A., Hirvensalo, M., Tammelin, T., … Raitakari., O. T. (2014). Tracking of physical activity from early childhood through youth into adulthood. Medicine and Science in Sports and Exercise, 46(5), 955-962. doi: 10.1249/MSS.0000000000000181
Van Lippevelde, W., Verloigne, M., De Bourdeaudhuij, I., Brug, J., Bjelland, M., Lien, N., & Maes, L. (2012). Does parental involvement make a difference in school- based nutrition and physical activity interventions? A systematic review of randomized controlled trials. International Journal of Public Health, 57(4), 673- 678. doi: 10.1007/s00038-012-0335-3
Webster, C. A., & Suzuki, N. (2014). Land of the rising pulse: A social ecological perspective of physical activity opportunities for schoolchildren in Japan. Journal of Teaching in Physical Education, 33(3), 304-325. doi: 10.1123/jtpe.2014-0003
Welk, G. J., Eisenmann, J. C., & Dollman, J. (2006). Health-related physical activity in children and adolescents: a bio-behavioral perspective. In D. Kirk, M. O’Sullivan, & D. Macdonald (Eds.), The handbook of physical education (pp. 665-684). London: Sage.
Zhang, T., Solmon, M. A., Gao, Z., & Kosma, M. (2012). Promoting school students' physical activity: a social ecological perspective. Journal of Applied Sport Psychology, 24(1), 92-105. doi: 10.1080/10413200.2011.627083