old problems: new solutions research report - full version
DESCRIPTION
An independently researched report into the effectiveness of using an ESP playground as an intervention to reduce childhood obesity.TRANSCRIPT
Old Problems: NEW SolutionsUSING THE PLAYGROUND AS A COST EFFECTIVE
PREVENTATIVE MEASURE TO REDUCE CHILDHOOD OBESITY
INDEPENDENTLY RESEARCHED BY:
EVIDENCE
Early Years Primary Secondary SEN CPD
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Summary Background:Thestudyhasbeendesignedtoprovideindicatorsofchangefollowinginstallationofnewplaygroundfacilitiesinall163schoolsinSWEssexPCT.Datawerecapturedbeforeplaygroundswereinstalled(Dec/January)toprovidebaseline(before)data.Datawerethencapturedafterplaygroundswereinstalled(June).Assessmentsofinterventioneffectivenesswerebasedoncomparingthesebefore‐afterdata,usingstandardstatisticaltestingprocedures.
Methods:TheMAINformofdatacapturewasbasedonindependentobserversreportingontheplaygroundbehaviourofINDIVIDUALchildrenin15schoolsdrawntorepresentmedianenrolmentsinSWEssexschools(primaryandsecondary).Inthesesameschoolsinterviewswithteachersandpupilsassessedqualitativeexperiencesofthenewinstallationsandanychangetheymayhaveinitiated.
Asasubsidiaryformofquantitativedata,teachersfromallschoolswereinvitedtoprovidetheirestimatesofobservationsofplaygroundbehaviourofALLCHILDRENintheirclass.Additionally,toprovidecorroboration,asimplerobservationreportdocumentwasforwardedtoheadteachersinallschools.Finally,intheschoolsvolunteeringforintensiveobservationsofplaygroundbehaviour,interviewswithteachersandpupilswereundertakenbeforeandafterinstallationtoassesssubjectiveexperiencesofchangeandofimplementingthenewfacilitieswithinroutinesandhabits.
Findings:themainfindingisthatindependentlyobservedchildrenweremorephysicallyactivefollowinginstallation.Comparingbeforewithafter,teacherobservationssuggestthatmorethan1in7childrenbecamemoreactiveafterinstallation.Thisconvertstofourpupils/classwhowouldhaveremainedinactivebutforthenewinstallation.Teacherinterviews,butnotclassobservations,notedanimportantpositiveimpactonactivitytypes.Headteacherssawhigh‘physical’valueinthenewinstallationbutalsoreportedotherimportantbenefitsfortheclimateofthewholeschool.Theinstallationscreatedanewenergyforbreaktimesandencouragedmorestafftospendtimethere,whichitselfmaycatalysefurtherengagementofchildren.
Playgroundaccessduringtheschooldayreachesalmosteveryenrolledchild,yet,schoolshaveespeciallydifferentpracticeregardingaccesstoplaygroundsbeforeandaftertheschooldaybegins.Untrainedstaffwereoftenanxiousaboutencouragingplaygroundactivities,especiallythatinvolvingequipment.Incontrast,trainingbuildson‘wholeschool’commitmentstophysicalactivityandmulti‐skilldevelopment.
Summary:Withinthelimitationsofresponserates,therangeofsourcesanddifferent,robustandvalid,methodsshowsthattheinstallationhasbeenassociatedwithincreasedphysicalactivityamongactivechildren.Further,morechildrenweremorehighlyengagedduringplaygroundtime,includingthosewhohadpreviouslybeenonlylightlyengaged.Thefullvalueofthesefindingsemergeswhencontextualisedtothegrowingconcernsaboutrisingobesityanddecliningphysicalactivityamongyoungpeople,especiallyfemales.
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METHODOLOGYQUANTITATIVE
Twoelementsgeneratedquantitativedata.Themostimportantoftheseistherepeatedobservationofindividualpupils’playgroundbehaviourbyindependentobservers.Thesedataareaimedatshowinghowobservedpupils’physicalactivityandgeneralplaygroundbehaviourrespondedtonewplaygroundprovision.
SchoolswereinvitedtoparticipateaccordingtotheirproximitytotheenrolmentmedianfortheirrespectiveareawithineachofthethreeeducationalconstituenciesintheSWEssexPCT.Invitations,alternativelydrawnfromaboveandbelowthemodeenrolment(basedonfiguresprovidedintheSWEssexSchoolOrganisationalPlan,2007)werecontinueduntila10%sampleof163schoolswascomplete.
Twoindependentobserversthenattendedeachcontributingschooltoobservedifferentchildren’splaygroundbehaviour.Pupilswereselectedusingastandardisedsystem(SOCARP)toensureimpartialitybothinpupilselectionandrecordingofbehaviour.Basedon10‐minutesofdedicatedobservation(with15secondboutsofrecording),scoringwasbasedonawell‐validatedschema,providingindividualindicatorsofpupilactivitylevel,thesizeoftheirsocialgroup,numbersofsocialinteractionsduringbreaktimes.
Thesecond,subservient,formofquantitativedatawasbasedonobservationalformsdistributedtoallschools.Thisapproachwasaimedatprovidingestimatesofnumbersofpupilsinvolvedindifferentplaygroundactivities.Aone‐pagequestionnairewaspreparedforHeadteachers,sixA3observationalreportingformsforclassteachers(inprimaryandjuniorschools;insecondaryschoolsonlytwowereprovided)andfourA4sheetsformiddaysupervisors.Thiswascirculatedto163schoolsinDecember(withafollow‐upinFebruaryforthosewhohadnotyethadthenewplaygroundinstalled)andtoallschoolsagaininJune2009.Aswellasaskingfornumericaldata,therewerealsoopportunitiestoprovidequalitativecommentsusingopen‐endedsections.
Toidentifyanyimpactsofthenewplaygroundprovision,percentages(ratherthanactualnumbers)ofpupilsattributedtothedifferentengagementcategoriesandactivitieswerecalculatedandcompared(BaselinevsFollow‐up).Usingpercentageshelpstoovercomeinconsistenciesintroducedbypupilabsenceandfacilitatesincludingallresponses,includingthosewhereonlyonesetofobservationswasreturned.
QUALITATIVE
Interviews
Herethepurposewastoinvestigateteachers’andpupils’perceptionsoftheirplayfacilitiesprior to the introductionof the newequipment and then their perceptions after the newequipment had been installed and teachers trained. The initial phase of the researchidentifiedwhatactivityandbehaviourwasprevalent intheschoolspriortotheinstallationandwhatteachersandpupilswerehopingtogainfromthedevelopment.Semi‐structuredinterviewswerealignedwiththequantitativepurposeofthestudy. Thesetookplacewithpairsofteachers/teachingassistantsin16schools(infants,primaryandsecondary)andwithgroupsofupto6pupilsacrossthe4SchoolSportPartnershipsinthearea.
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Allinterviewswererecordedtoenablein‐depthanalysisfollowingdatacollection.
BeforeInstallation:
• whatactivitypupilstookpartin:
o beforeschool,duringbreaktimesandafterschool
• Whatsupervision/structurewasprovidedatthesetimes
• Whattraining/experiencestaffhadtosupportactivityatthesetimes
• Howdifferentgroupsofpupilsengagedinactivityatthesetimes
• Whatschools/staffwerehopingtogainfromtheinstallationandthetraining.
Pupilinterviewswerecarefullyplannedtoforagesuitabilityandappropriatenessforphasesofdevelopment.Forinfantandprimarychildrenthisinvolvedusingdrawingstohelpchildrenexplaintheirfeelingsandtocreateanenvironmentinwhichtheyfelthappytotalk.Thisapproachfollowsestablishedprotocolsdrawnfromprominentresearchersandreports.Despitedifferentinterviewingstylesinterviewswith,infants,primaryandsecondaryschoolweredesignedtoidentify:
• Howchildrenspendbreak/playtime
• Whospendstimewithwhoatbreak/playtime
• Howbreak/playtimecouldbemademorefun
• Howchildrenfeltabouttheirexistingplayspaces
• Whatchildrenwouldliketoseeintheirplayareas
• Howthechildrenfeltthenewfacilitywouldimpactonplayactivities.
AfterInstallation:
Thefollow‐upinterviewscarriedoutoncethenewequipmenthadbeeninstalledandstafftrainingwasunderway.Again,interviewsinvolvedpairsofteachersandgroupsofchildren.Interviewswiththeteachers/teachingassistantsweredesignedtoidentify:
• Changesinactivitytypesandlevels
• Changesinbehaviour
• Useofdifferentareas/equipment(newandold)
• Staffinvolvementandinfluenceoveranychange
o Schoolmanagementofthefacilities/equipment
o Stafftraining
• Theimpactofnewequipmentondifferentgroupsofchildren
• Staffperceptionoftheimpactofthedevelopment
• Evaluationofthetrainingandtheresource
FINDINGSIndependentObservers
Fifteenschoolsprovidedaccess.Twoobservationperiodsarereportedhere;January2009andagainapproximately6‐monthslater(July2009).Atotalof348childobservationperiodswererecordedbythreeindependentobservers.Their
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observationsweredistributedasfollows;114inmorning(32.8%),211inlunchtime(n=2118,62.8%)andtwoinafternoon(0.6%)breaks.Therewasanevengenderspreadamongobservedpupils(Malesn=171,49.2%;Femalesn=176,51.8%).Observersaveraged3.7reports/breakperiod;thelargestnumberofobservations/breakperobserverwas8.
Table1showsthatthemagnitudeofdifferenceinobservation(beforeimplementationversusafter)achievedstatisticalsignificancefor‘Activitylevel’andfor‘numberofAdultsupervisors’.Ineachcasethefollow‐updataarehigher,suggestingapositiveeffectofprovidingthenewplaygroundfacilities.Theseeffectsareindependentofgroupsizeornumbersofinteractions.
Checkingdataquality
Therewasonlyonedifferenceinscoringbythetwomainobservers(contributing92%ofscores):averageactivitylevelreportsdifferedby0.23,p<0.01.
Table1.SOCARP:Baseline(January)versusFollow‐up(July)differences
Mean(SD)
Beforeinstallation
Afterinstallation
Difference Pvalue
Variable(range)
Activitylevel(1‐5) 3.64(0.58) 3.79(0.67) +0.14 .05
Groupsize* 2.32(0.60) 2.29(0.52) ‐0.02 n.s.
Noofinteractions† 2.30(0.44) 2.38(0.48) +0.07 n.s.
Adultsupervisors 2.39(1.28) 3.72(1.53) +1.32 .001
*Referstothesizeofthegroupinwhichobservedpupilswereengaged.
†Referstonumberofsocialinteractionsreportedduringtheobservation
TeacherObservers
Baseline
Thirty‐sixschools(23%returnrate,148teachers)providedcompletedbaselinequestionnaires.Observationsspannedanaverageof3.93(s=1.70)schooldays,foratotalof507daysofteacherobservation.Thisrepresentedobservationsof4212pupilsfromclasssizesaveraging27.05(SD=4.51),with44.5%femalepupils(n=1782).Amongrespondentstheaveragetotalbreaktimeintheschooldaywas66.77(s=20.26)minutes.Teachersreportedthatonly203oftheirpupils(i.e.,<1%)couldnotparticipateinplaygroundactivities,indicatingalmostuniversalreach.
Table1showsimportantdifferencesinthenumbersofpupilsteachersassignedtothethreedifferentintensitycategoriesofplaygroundactivity.Roughly,these
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proportionsappeartodouble,startingwithafterschool(15%),tobeforeschool(25%)toduringschool(59%).Expressedaspercentages,40.6%pupilswereconsideredhighlyengagedatsomepointduringtheschoolday,comparedto34.5%for‘moderately’and25.1%for‘lightly’engaged.Male:femaleratiosinhighandmoderateplaygroundengagementroutinelyshowconsistentlygreatermaleinvolvement.
Table2.Teachersobservations:Pupils’levelsofplaygroundengagementatdifferentperiods
Nofpupils(row%)
[n,column%]
Highlyengaged Moderatelyengaged
Lightlyengaged
Beforeschool
[1077,25.6%]
376
(34.9%)
405
(37.6%)
306
(28.4%)
Duringschool
[2488,59.2%]
994
(39.9%)
867
(34.8%)
627
(25.2%)
Afterschool[637,15.1%]
334
(52.4%)
180
(28.3%)
123
(19.3)
Total(femalen) 1704(637) 1452(542) 1056(489)
Totalpupilreportsmaynotmatchattributionstocategoriesofactivityengagement.Thesedisparitiesmayreflectpupilsbeingoccupiedinotherbreaktimeactivities.
Inrelationtoengagementusingexistingplaygroundequipment,102teachersnotedthatthehighlyengagedpupilswereusingthisequipment.Thiswaslowerfor‘moderately’(n=69)and‘lightly’(n=27)involvedpupils.Figure1showstheprofileforthethreelevelsofpupilengagement.
Teacherscouldendorseuptosixpositiveoptions(excludingthe‘Don’tknow’option)forplaygroundactivitiesthattheysawpupilsengagein.Teachersmade1284endorsementsofactivityoptionsforhighly,moderatelyandlightlyengagedpupilsbefore,duringandafterschool.Teachersaveragedmostendorsementsforhighlyengagedpupils(n=412),especiallyforduringtheschoolday(2.73,SD=1.59).Thiscomparesto1.99(SD=1.46)formoderatelyand1.21(SD=1.21)forlightlyengagedpupils.
Resultsshowadistinctiveprofileofplaygroundactivityacrosstheschoolday.Givenbalancedmale:femaleclassratios,andalmostuniversalcapacityforinvolvement,thelowinvolvementoffemalesisproblematic.Theresultsarelimitedbythetimededicatedtomakingtheseobservations,therelativelylowreturnrateandtakingobservationsduringaperiodofseverewinterweather(January2009).Only43%ofpupilswerehighlyactive,andtheseweredominatedbyboys,showingthewidepotentialforplaygroundinterventionstohelpmorechildrentoberegularlyactive.
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BaselinevsFollow‐updifferences
Reportsoffollow‐upobservationswerereturnedby103teachers(n=21schools).ComparedtoBaselinetherewerenodifferencesintheaverageclasssize,numberofdayscontributingtotheobservations,orthenumberofgirlsintheclasses.
Statisticallysignificantdifferenceswerefoundinthefollow‐updata;theseshowapositiveeffectonmoreintensiveengagementwithaconcurrentreductioninlowlevelsofplaygroundengagement.Theseareshownintable3.Differencesidentifiedbychangesinthegirls’levelofengagementdonotexplainthetotallevelofchangethatwasobserved,whichsuggeststhatboysandgirlsrespondedequallytothenewplaygroundprovision.Teachers’reportsoftheactivitiestheysawchildrendoingweretalliedforeachperiodintheschooldayandforeachlevelofengagement.Therewerenodifferencesintherespectivetalliesbetweenbeforeandafterinstallation.
Table3.Teacherobservations:Percentagesofpupilsattributedtoplaygroundengagementcategories.
Mean(SD)
Before After Change(vsBefore)
Pvalue
Variable(%)
Highlyengagedpupils
54.43(26.18) 69.15(24.87) 14.7%increase <.001
Moderatelyengagedpupils
27.82(17.15) 23.36(16.49) Nodifference n.s.
Lightlyengagedpupils
17.25(18.11) 6.89(9.18) 10.3%decrease <0001
Girlshighlyengaged
18.64(17.16) 25.17(16.32) 10.6%increase <.01
Girlsmoderatelyengaged
15.76(12.57) 14.39(11.27) Nodifference n.s.
Girlslightlyengaged
11.52(12.44) 5.63(7.49) 5.8%decrease <.01
Otherstatisticallysignificantdifferences(P<0.05)werealsofoundamongteachersreportingfollow‐upobservations.Thesewerelinkedtothethreelevelsofexposuretoplayground(PG)training(NoPGtrainingatmyschool[n=55],OtherschoolstaffhavereceivedPGtraining[n=49],IhavereceivedPGtraining[n=16]).StaffinschoolswithnoexposuretoPGtraining,reportedmorepupilsas‘Lightly’engaged(a7.78%difference)andmoregirlsbeing‘Lightly’engaged(5.64)thanstaffwhosecolleagueshadreceivedtraining.Further,staffwhohadreceivedPGtrainingreportedbasingtheirreportsonfewerdaysofobservations(2.5vs4.4)thanstaffwithnodirectorindirectexposuretoPGtraining.
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Open‐endedcommentsfromteachers
Teachersprovidedatotalof95writtencommentsinfollow‐upreports.Itwasclearthatteacherswerepositiveaboutthenewplaygroundprovision,withrelativelyfewcommentsprovidedinthequestionnaire(C2)‘What,ifany,NEGATIVEpupilimpact(s)haveyounoticedforchildreninyourclass?’.Onecommentrelatedtotraining;‘Becauseofnotrainingasyet,staffweren’tabletohelppupilsandsointerestwanedasquicklyasitwasaroused’.Anothersawproblematicbehaviour;‘Hascausedsomenegativebehaviourinthatsomechildrenhavebeenunabletoshareortaketurnsorhavearguedoverequipment’.Thissameteacherhadconcernsaboutthequalityofsurface;‘…weedsaregrowingthrough.Tarmacisnotevenwithholesinit.’Negativeimpactswerealsolinkedtopupils’over‐exuberance,disagreements,fightsandinjury.
Oneteacherwasconcernedthatchildrenmayrequireadulthelptousetheequipmentandthatthismightnotalwaysbeavailable.Otherteacherscommentedabouttheorientationofequipment,‘facesawayfromplaygroundmakingitsoyoucannotseethechildren’,whereasanotherfoundbenefits–presumablythroughreducingovercrowdinginhotspots‐in‘thechildrenspreadoutmore.’Forotherstherewereclassroomeffects‘Somechildrenrefusetocomeofftheapparatusattheendofbreaktimes’.Thiscontrastedwithapositiveclassroomeffectexpressedas‘’Morereadytolearnwhenreturnedtoclass’,‘Awaytouseunspentenergybeforesettlingbackdowntoclassroomactivities.Childrencouldthenrefocus’,and‘Helpstoreducefidgetingduringlearningtime.Increasestheirselfconfidence.’
Inrelationto‘surprising’pupilimpacts(C3),therewerepositivecommentsaboutsociability;‘…morecollaborativeplay’,‘….encouragingeachother’,‘…moreteam/groupactivitiesenhancingsocialskills’,‘(especiallygirls)whoplaywithyoungerpupilswhoarenotalwayssiblings’,‘Thenumberofpupils‘…howspontaneoustheywere’and‘Tryingtoplaychess–fantastic!’.Othersnoted‘Itwasgoodtoseechildrenthatarenotusuallyactivetalkingpartinclassgames’and‘…theirself‐esteemandconfidencewasdefinitelyraised.’
Othersvaluedthevarietyproducedbythechanges;‘…moreinteractionbetweenboysandgirls’,‘Childrenhavemorethingstokeepthemactivewhennotplayingfootball’,‘Childrenengagedandcreatedgameswiththenewequipment’,‘Childrenenjoychallengingthemselvesonthetrimtrail–childrenwhoIdidnotconsidertobephysical’,‘Childrennotpreviouslyengagedenjoyedthenewfacilities’,‘Childrenaremuchmorelikelytobeinvolvedinpositiveactivities’and‘…mychildren,whoallhavespeechandlanguagedifficulties,wereintegratingfurtherwiththeirmainstreamcounterparts.’Anotherteacherreportedthatherschoolwastryingtooptimisetheactivitypotential;‘Weareallawareandencouragephysicalactivityintheplayground’.Twoteacherssummarisedtheirfeelingsbycommenting;‘Thechildrenreallyenjoythemandithelpswithkeepingthemactive’and‘Theplaygroundisgreat.Thankyou’.
Headteachers
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Forty‐fivebaselinereportswereprovidedbyheadteachers,fourfromsecondaryschools.Table5showsheadteacherestimatesofcurrentschoolperformanceandhowplaygroundplaycontributestothosevariables.Thesefivevariablesweredrawnfromtheliteratureregardingthewiderimpactofplaygroundprovisionandshowthatbeforethenewinstalledwereinplace‘attitudestolearning’wasmostfavourablyrated,withplaygroundplaymakingthegreatestcontributionstoPAinvolvementandPAattitudes.
Table4identifiestheproportionsofpupilscurrentlyestimatedbyheadteacherstobeinvolvedwithplaygroundactivitiesbeforeduringandaftertheschoolday.Thefinalcolumnshowsaspirationsforchange;headteacherswouldliketodoubleinvolvementbeforeandafterschoolinvolvement,whilemakingalmosta20%increaseininvolvementduringtheschoolday.
Headteachers:Beforeversusafterdifferences
Headteachersgenerated24fullsetsofresponsesafterplaygroundshadbeeninstalled.Fromthesetherewerenodifferencesinestimatesoftheactivitytheyeitherreportedseeingamongtheirpupilsorintheiraspirationsforthenewinstallations.Table4showstheproportionsofpupilsidentifiedasactiveatdifferenttimesintheday.Noneofthesescoresdifferedstatisticallywhencomparedtotheequivalentbaselinevalues.
Table4.Headteacherassessmentsofpupilplaygroundinvolvementandaimsforchange.
Mean(SD)
Beforeestimate Afterestimate Beforeaim Afteraim
Pupilinvolvement%
Beforeschool 12.88(22.33) 22.42(32.64) 23.87(29.89) 24.86(35.23)
Duringschool 61.62(36.34) 75.45(31.16) 82.87(29.49) 78.64(34.23)
Afterschool 11.74(21.36) 18.50(28.53) 21.43(26.61) 21.43(16.90)
Table5highlightsscoresforthecurrentschoolperformanceandfortherelativecontributionsofplaygroundactivity.Underlineditemsindicatestatisticallysignificantdifferencesinfollow‐upscoresforestimatesofcurrentschoolperformance.Itemsinboldindicatestatisticallysignificantdifferencesinthecontributionattributedtoplaygroundplay.Of10possiblecomparisons,eightachievedahigherscoreoncetheplaygroundshadbeeninstalled.
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Table5.Headteachers’estimatesofschoolperformanceandcontributionsofplaygroundplay.
Before After
Performance(1‐100)
Playcontribution
(1‐5)
Performance(1‐100)
Playcontribution
(1‐5)
Attitudestowardlearning 69.69(14.25)
3.76(0.71)
76.19(13.59)
4.64(0.63)
Citizenship 70.16(20.90)
3.76(0.74)
81.10(12.50)
4.36(0.74)
Movementcompetence 63.55(14.96)
3.59(0.69)
72.38(9.95)
4.36(0.65)
PAinvolvement 68.71(18.41)
3.79(0.81)
80.95(13.39)
4.71(0.73)
PAattitudes 67.66(14.42)
3.76(0.75)
80.95(13.39)
4.65(0.74)
Headsprovidedfewerqualitativecommentsthanotherstaff,althoughoneendedhiscommentary‘Ithinktheschemeisbrilliant.’Incontrasttotheworriesofsometeachers,oneheadteacherreported‘fewerminorincidents’sincetheplaygroundhadbeeninstalled.
Qualitativeinterviewoutcomes
Evidencefromtheinterviewsacrosstheobservationschoolssuggeststhattheplaygroundshavealreadyhadanimpactonactivitylevelsandthereisthepotentialtoraiseparticipationratesamongstallagepupilsthroughthedevelopmentofappropriatefacilitiesandthetrainingofstafftoworkalongsidethepupils.
Teachersfeelthatthenewplaygrounddevelopmentshavehadasignificantimpactonpupilactivitylevelsandtypes.Followinginstallationbothchildrenandstaffbelievethatthereisahigherlevelofactivityandthattheplaygroundshavebroughtaboutgreaterlevelsofco‐operation.
Teachersroutinelyreportedapositiveimpactontherangeofactivitiesundertakenbyprimaryagedchildren.Manynowtakepartindifferentactivitiesbeforeduringandafterschool,suggestingthatchildrenhavebeenintroducedtoactivitiespreviouslynotavailable.Thishasallowedchildrentopracticeandmasternewskills.Earlyevidencefromtheinterviewsandfromgeneralobservationssuggestincreasedactivitylevelsatplaytimesandamongamajorityofpupilsalthoughtherestillneedstobegreaterattentionpaidtogroupsofnon‐participants.Insecondaryschoolsthisappearstobeanissuesamongoldergirlsandthosepupilswhoappeartohaveweightandfitnessissues.
Schoolswherestaffhavethoughtcarefullyaboutthedesignandusageofthefacilitieshaveseenthemoststrikingofchanges.Previouslyinactivechildrenwere
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nowinvolvedinanumberofsemi‐activeandactivepursuitsandmasteringanumberofcognitivechallenges.Whereschoolshavechangedsystemsandidentifiedappropriatelytrainedstafftoworkalongsidethechildrenatbreaktimesthereseemstohavebeenthelargestchangeinbehaviour.
Bothplaygroundsandstaffactascatalystsforchangeandappropriatelytrainedstaffwithappropriatefacilitiescanhaveanimportantpositiveimpactonpupilperceptionsofthevalueofactivityandultimatelytheamountofactivityinwhichthechildrentakepart.Staffreportacontinuedneedforsupportthatallowsthemtodeveloptheactivitiesandtoensuretheirknowledgeandexpertiseinmotivatingpupilstobeactiveandtohelpthemtodeveloparangeofphysicalskillswhichwillpreparethemforfutureactivelives.
Theimportanceofsupportingresourcesforbothchildrenandstaffwillbeessentialatallstagesoftheproject.Staffwillneedtobeprovidedwithresourceswhichwillhelpthemdeveloptheactivitiesperformedbythechildrenandtheresourceswillneedtobemadeaccessibletochildrenwhowilldevelopthe‘recommended’activitiestosuittheirownparticularneeds.Childrenwilltaketheuseofthefacilitiesbeyondtheexpectationsofusalliftheyaregiventheopportunitiestoexploreandexperimentforthemselves.
Theindicationsfromthisinitialresearchwouldsuggestapositiveoutcomeforpupilssuggeststhatthefacilitydevelopmentandthetrainingofstaffcaninfluencechildren’slevelsofactivity,howchildrenrespondtoeachotherandthedevelopmentofarangeofcorephysicalskills.
Questionnairedatasuggestthatthepotentialofplaygroundspacebothbeforeandafterschoolisnotoptimised.Thelowlevelofinvolvementwithafterschool(versusbeforeschool)suggeststhatdifferentinfluentialprocessesmaybeoperating.
Thetrainingofstaffandwholeschoolcommitmenttophysicalactivityandmulti‐skilldevelopmentaswellasafocusoncross‐curricularactivelearningwillcementtheimpactofthefacilities.
DiscussionandSummaryTo‐datetheprojecthasgeneratedtwomainlinesofrobustandtriangulatedevidence.Thefirst,basedonindependentobserversandonteacherobservationsofpupilsintheirclasses,shownotonlymoreactivityamongindividuals,butalso,greaternumbersofpupilsengagingmorefullyduringbreaktimes.Thesecondlineofevidenceisaffordedbyinterviews(withschoolstaffandchildren)andbyopen‐endedcommentariesprovidedbyschoolobservers.Thesedatanotonlycorrespondtothebroaddirectionoftheobservationaldatabutalsobuildonthelocalimplantationissues.Tobringtogetherthedifferentformsofdata,thediscussionisbasedontheRE‐AIMframework,whichwasusedtodeveloptheresearchdesign.
ReachPlaygroundaccessduringtheschooldayreacheseveryenrolledchild.Fewerthan1%ofpupilswerefundamentallyunabletoparticipateinactivities.
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EffectivenessComparingbeforewithafterinstallation,schoolstaffobservationssuggestthatmorethan1in7childrenbecamemoreactiveaftertheplaygroundswereinstalled.Basedonthefollow‐upsampleof1552pupilsinobservedclasses,thisrepresentsfourmoreactivepupils/classand220extraengagedpupilsintheseschoolswhorespondedwithfollow‐upresponses.
Atapublichealthlevel,andinthecontextofdecliningPAinvolvement,thisscaleofchangeunderlinesoneindicatorofthevalue‐for‐moneyrepresentedbythisinitiative.Ofparticularnoteisthepositivechangeingirls’PAbehaviour,despitelowerbaselineestimates(providedbyclassteachers).Thissubstantialscaleofbehaviourchangeneedstobeseeninthecontextofreturnoninvestmentof£17Kforprimary/juniorschoolsand£25Kforsecondaryschools.Theadditionalbenefitsidentifiedbyheadteachers,intermsofoverallschoolperformanceandcontributionsattributabletolevelsofplaygroundactivityamongpupilsisafurtherendorsementofthevalueoftheseinstallations.
Whenreportswereprovidedbyindependentobservers,thosechildrenwhowereobservedwerealsoidentifiedasbeingmorephysicallyactive.Importantly,thedifferencesinnumbersofpupilsandinlevelsofactivityengagementwerefoundinbothboysandgirls.Thesedifferenceswerenotassociatedwithchangestopupils’groupsizeorattributabletothenumberoftheirinteractionsduringobservationperiods.Instaffreports,neitherwerethesedifferencesassociatedwithdoingmoretypesofactivity.Newinstallationsrevitalisedinterestinactivitiesthatsomechildrenwerealreadydoing.Manyofthechangesrelatetotheplaygroundbeingseendifferently;thenewprovisionmadetheplaygroundamorevaluableandpleasingvenueformostpeopleintheschoolcommunity.
Staffnotedawidearrayofbenefitsfollowingtheinstallation,andanumberemphasisedthebeneficialeffectsonchildrenwhoordinarilyhadnotbeenespeciallyinvolvedinanyplaygroundactivities.Thesebenefitsmayprovideimportantmotivational‘levers’whendevelopingfurthertrainingandstaffdevelopmentopportunities.Staffreportedthatthereweremorereasonstobeintheplayground,whichmadethemmoreenergeticenvironments.Althoughseasonalfactorsmayhaveplayedarolehere,staffwereencouragedtoreporttheirobservationsbasedondayswhenusingtheplaygroundwasareasonableoption;thismayhavediscounteddaysofespeciallybadweather,whichmadethewinterreportsmorealiketothoseofthesummerobservations.Itshouldbenotedthough,thatjustaswintermayhavedissuadedactiveengagementinplaygroundactivities,insummerthemoreactivechildrenmaybedrawnawayfromtheplaygroundsinfavourofon‐siteplayingfields(wheretheyareavailable).
Morespecificbenefitsrangedfromfewerchildrenbeingregardedas‘Lightly’engaged(whichcorrespondedwithmorechildrenbeingregardedas‘Highly’engaged)andevidenceofhigheractivityinrandomlyselectedpupils.Therewerecommentsaboutchildrendevelopingbettermotorskills,learningtoplayco‐operativelyandfindingcognitivechallengesinthenewlyavailablefacilities.
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AdoptionAllschoolswithcapacityforthenewprovisionacceptedit.Someteachersseemedreluctantaboutencouragingpupils,untiltheyhadreceivedtheirowntraining,whileothersprogressedirrespectiveofaccesstotraining.Wheresomeschoolstaffhadbeentrainedtherewasevidencethatthishadbeencascadedtoothers,whereasinotherschoolsthiswasnotthecaseandlowstaffconfidenceprevailed.Inthedatathatareavailable(from148teachersbeforetheinstallationandfrom103after),anumberofthemesemerged.Independentobserversnotedthatmorestaffwereinvolvedinbreaktime‘supervision’,which,initsownrightmayfurtheramplifypupilinvolvement.Theextenttowhichthisreflectsrenewedinterestinplaygroundactivity,betterweatherorachangeinschoolpolicyregardinghowstaffaredeployedduringbreaksisnotclear.
ImplementationImplementationposessomeinterestingchallenges.Notwithstandingthealmost100%reachofaccesstothenewplaygroundduringtheschoolday(andthesubstantialincreasesinthenumbersofpupilswhoweremoreinvolved,butalsothelevelofactivityinthosewhoweresystematicallyobserved),universalitydoesnotextendtobeforeandafterschoolaccess.Schoolshaveespeciallydifferentpracticeregardingopeningbeforetheschooldaybegins.Thismaybedueto‘staffingproblems’aswasreportedbyanumberofteachersontheirobservationforms.ATleastoneschoolhasnowtakenstepstoestablishaplaygroundrotaamongpupils’parentstoensurebeforeschoolaccesstotheplayground.Inthesecasestheplaygroundisunifyingatleastsomelocalparentsandtheschoolandisextendingservicetothecommunity.Beforeschoolinvolvementseemsmoreofanissuethanafterschoolinvolvement,whichsuggestsdifferentmechanismsof(dis)engagementmaybeoperational.
Inoneschooltherewerecommentsaboutadoptinga‘wholeschool’approachtopromotingPAontheplaygroundsandtheformsthatthistakesshouldbeinvestigated.Anotherfeatureidentifiedasimportantwasaccesstotrainingforschoolstaff.Oneteachernotedthatlackofawarenessonthepartofstaffmaymeanthatsomechildrenbecomediscouragedfromusingspecificitemsofequipment.Othersnotedthatdespiteencouragement,someitemsofthenewinstallationwere‘neverused’bypupils.
MaintenanceMaintenanceprovidessomeinterestingchallenges.Whilethedataarelimitedtotwoobservations(andtheseweremadeinthemostcontrastingseasonalperiods),theimportantchangesinbehaviourreportedheremeetbothPublicHealthandEducationalobjectivesandpolicydrives.However,maintenancecanbeprofoundlyaffectedbyimmediateandnegativeexperiences.Staffwereoftenanxiousaboutencouragingplaygroundactivities,especiallythatinvolvingequipment.Uppermostinthesenegativeconcernswereinjuries,butmorecommonly,concernsaboutdisputes.Giventhisconcern,itmaybehelpfultoprovidein‐servicetrainingthatenhancessocialskills.Staffwerealsokeenthatequipmentwaslocatedwheretheycould‘keepaneyeon’pupils.Forthisreason,thelocation(andpossiblerelocating)
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ofsomeitemsofplaygroundprovisionmayneedtobeconsidered.Qualitativedatasuggestthatthegreatestbenefits(andfewestsubsequentproblems)werenotedinschoolswereteachersconcernswerecarefullyaddressedinthedesignstages.
Morepositiveissuesrelatedtoprovisionofon‐goingtraining.Althoughourdatadonotshowimportantdifferencesinthepositiveoutcomesassociatedwithtraining(probablyduetoonly16ofourfollow‐upteachershavinghadpersonaltrainingindevelopingplayonthenewplaygrounds),providingsuchtrainingwasarecurrenttopicininterviewsandinopen‐endedsectionsofobservationalreports.Itwillbehelpfultolookmorecloselyaboutthevalueassociatedwithtraining,sinceanegativeuseofattendingin‐servicetrainingisfor‘boxticking.’Giventhattherewereexamplesofolderpupilsshowingyoungerpupilshowtousethedifferentelementsofthenewprovision,someattentionmightalsobegiventodeliveringinterventionstopupilswithinsomeformofpeerleading.Trainingofstaffbuildsuponawholeschoolcommitmenttophysicalactivityandmulti‐skilldevelopment.Addingafocusoncross‐curricularactivelearningwillcementthepositiveimpactofthesenewplaygroundinstallations.
LimitationsAsalwaysitisimportanttoappreciatelimitationsinthedata.Regardingobservationaldata,thebaselinefiguresweredrawnfromaperiodwhereheavysnowpredominated.Sinceallindependentobservationswerearrangedthroughtheschoolsitispossiblethatanelementofself‐presentationhasinfluencedpupilbehaviour,andstaffreportingofit,bothforthebeforeandtheafterinstallationperiods.Prolongingtheobservationfortwomoreperiods(toDecember2009)mayhelptoreduceanysuchinfluences,althoughwecannotbesurethatsimilarissueswillnotinfluencetheindependentobservers.Thesefurtherobservationsarealsolikelytoovercomethe‘noveltyvalueeffects’associatedwithanynewinstallation.
Schoolshavedifferentexposuresand,therefore,accommodation,tothenewprovision.Forexample,withplaygroundinstallationinJanuary,observationsinearlyJulyrepresentoverfivemonthsofexposure.Incontrast,laterinstallationmayhavelimitedexposuretoonlytwomonths.
Althoughweencouragedteacherstobasetheirrecordingsonfivedaysofobservations,fewmetthisstandard;neithercanwebesurehowelltheycompletedthistask.Further,theresponserateregardingteacherobservationswasdisappointing,albeitthatitwasinlinewithresponseratestootherpencil‐and‐paperapproachesinschools.Neithercanbecertainthatthesameteachersprovidedbeforeandafterscoreswithintheindividualschools.Finally,thelowresponserate,especiallyatfollow‐up,risksover‐emphasisingdatafromenthusiasts.Thesefeatureslimithowfarthedatacanbeusedtogeneraliseacrossschoolsorteachersandjustifiesusingthesedatatosupporttheindependentobservationalfindings.
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Lightly engaged pupils
Moderately engaged pupils
Highly engaged pupils
Figure 1. Activities endorsed by teachers for pupils at three different times in the day and for three levels of engagement.