Program
Active Teen Leaders Avoiding Screen Time (ATLAS)
Topic: Obesity, Physical Activity, Sedentary Behavior
Target Population: Adolescents, Parents
Sector: School-Based
Target Audience
This program is for adolescent boys, who are 12 to 14 years old, are deemed disadvantaged, and are at risk for obesity, and their parents.
Summary
Active Teen Leaders Avoiding Screen Time (ATLAS), a school-based program, intends to provide adolescent boys with opportunities to be physically active and reduce recreational screen time.
Evidence
One cluster randomized controlled trial was conducted in 361 adolescent boys living in low-income communities. At the end of the 8-month program, there were no significant differences between the intervention and control groups for body mass index, waist circumference, percent body fat, overall physical activity (PA), or moderate-to-vigorous PA. Significant decreases were observed for screen-time use and sugar-sweetened beverage consumption in the intervention group compared to the control group. There was also a significant increase in the intervention group for upper body muscular endurance and resistance training skill competency when compared to the control group. Eighteen months from baseline, additional measures were assessed to examine sustainability of outcomes. No outcomes were sustained except for the reduced screen time and increased resistance training skill competency in the intervention group.
Components
In an effort to increase the physical well-being of male students, at-risk students are identified by school personnel and are asked to complete a two-item questionnaire about their PA and screen-time behavior. Male adolescent students who do not engage in 60 minutes of moderate-to-vigorous PA per day and/or who use greater than 2 hours of screen-based recreation per day are eligible to participate.
The program is based on Self-Determination Theory and Social Cognitive Theory and intends to motivate students to engage in PA and support students’ needs for autonomy, competence, and relatedness through the following components:
- Students attend three interactive seminars that discuss PA, screen-time usage, resistance training, and leadership;
- Students complete enhanced sport sessions at school that include a warm-up; resistance training skill development; a short duration, high-intensity fitness challenge; modified games that include strength and aerobic activities; and a cool down with a discussion of program messages;
- Students participate in lunchtime PA mentoring sessions in which they instruct younger boys about resistance training;
- Parents receive newsletters containing information about the consequences of excessive screen-time use among youth, strategies for reducing screen-time use in the family home, and tips for avoiding conflict when implementing rules around screen time;
- Students are provided pedometers to self-monitor and set goals to increase daily step counts; and
- Students are provided a smartphone application and website to monitor their PA, record their fitness challenge results, receive individualized motivational messaging and an assessment of their resistance training skills, and set goals around PA and screen time.
Previous Use
The program was tested in a cluster randomized controlled trial from 2012 to 2013. Outside of this study, the extent to which the program has been used is unknown.
Training
The program is facilitated by teachers. Teachers attend two professional development workshops throughout the program (pre- and mid-program). Each workshop lasts 6 hours. In addition, teachers are trained by a practicing fitness instructor (i.e., personal trainer) to deliver the enhanced sport sessions using the SAAFE (Supportive, Active, Autonomous, Fair, and Enjoyable) teaching principles.
Considerations
Considerations for implementing this program include acquiring buy-in from schools, parents, and adolescents; finding time in the school day to facilitate 20, 90-minute physical activity sessions for 8 months; ensuring students have access to a smartphone or the internet; and acquiring funds to purchase fitness equipment.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email clearinghouse@psu.edu
Implementation
If you are interested in implementing ATLAS, the Clearinghouse is interested in helping you! Please call 1-877-382-9185 or email clearinghouse@psu.edu
Time
The program lasts 8 months. Participants attend three, 20-minute seminars; 20 sport sessions at school and each lasts 90 minutes; and six, 20-minute lunchtime PA mentoring sessions. Participants also receive a smartphone application and website to use throughout the program. Time to utilize these components will vary.
Cost
Schools are provided fitness equipment to facilitate the program, and this cost is approximately $1,500. Information about additional program costs was not located.
Evaluation Plan
To move ATLAS to the Promising category on the Clearinghouse Continuum of Evidence, at least one evaluation should be performed demonstrating positive effects lasting at least one year from the beginning of the program or at least six months from program completion.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email clearinghouse@psu.edu
Contact
Contact the Clearinghouse with any questions regarding this program. Phone: 1-877-382-9185 Email: clearinghouse@psu.edu
You may also contact David Lubans by phone +02-4921 2049 or email david.lubans@newcastle.edu.au
Source
Lubans et al. (2016), Smith et al. (2014a), and Smith et al. (2014b).
References
Used in Placement
Lubans, D. R., Smith, J. J., Plotnikoff, R. C., Dally, K. A., Okely, A. D., Salmon, J., & Morgan, P. J. (2016). Assessing the sustained impact of a school-based obesity prevention program for adolescent boys: The ATLAS cluster randomized controlled trial. The International Journal of Behavioral Nutrition and Physical Activity, 13(1), 92-92. https://doi.org/10.1186/s12966-016-0420-8
Smith, J. J., Morgan, P. J., Plotnikoff, R. C., Dally, K. A., Salmon, J., Okely, A. D., ... Lubans, D. R. (2014b). Smart-phone obesity prevention trial for adolescent boys in low-income communities: The ATLAS RCT. Pediatrics, 134(3), e723-e731. https://doi.org/10.1542/peds.2014-1012
Not Used in Placement
Other
Kennedy, S. G., Smith, J. J., Estabrooks, P. A., Nathan, N., Noetel, M., Morgan, P. J., ... Lubans, D. R. (2021). Evaluating the reach, effectiveness, adoption, implementation and maintenance of the resistance training for teens program. The International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1-122. https://doi.org/10.1186/s12966-021-01195-8
Lubans, D. R., Smith, J. J., Morgan, P., Beauchamp, M., Miller, A., Lonsdale, C., ... Dally, K. (2015). Improving muscular fitness enhances psychological well-being in low-income adolescent boys: Findings from the ATLAS cluster RCT. Journal of Science and Medicine in Sport, 19, e75-e75. https://doi.org/10.1016/j.jsams.2015.12.181.
Lubans, D. R., Smith, J. J., Peralta, L. R., Plotnikoff, R. C., Okely, A. D., Salmon, J., ... Morgan, P. J. (2016). A school-based intervention incorporating smartphone technology to improve health-related fitness among adolescents: Rationale and study protocol for the NEAT and ATLAS 2.0 cluster randomised controlled trial and dissemination study. BMJ Open, 6(6), e010448-e010448. https://doi.org/10.1136/bmjopen-2015-010448.
Lubans, D. R., Smith, J. J., Plotnikoff, R. C., Dally, K., Salmon, J., Okely, A., ... Morgan, P. (2014). Outcomes from the ATLAS school-based intervention incorporating smartphone technology for adolescent boys: A cluster RCT. Journal of Science and Medicine in Sport, 18, e63-e63. https://doi.org/10.1016/j.jsams.2014.11.287
Lubans, D. R., Smith, J. J., Skinner, G., & Morgan, P. J. (2014). Development and implementation of a smartphone application to promote physical activity and reduce screen-time in adolescent boys. Frontiers in Public Health, 2, 42-42. https://doi.org/10.3389/fpubh.2014.00042.
Smith, J. J., Morgan, P. J., Lonsdale, C., Dally, K., Plotnikoff, R. C., & Lubans, D. R. (2017). Mediators of change in screen-time in a school-based intervention for adolescent boys: Findings from the ATLAS cluster randomized controlled trial. Journal of Behavioral Medicine, 40(3), 423-433. https://doi.org/10.1007/s10865-016-9810-2
Smith, J. J., Morgan, P. J., Plotnikoff, R. C., Dally, K. A., Salmon, J., Okely, A. D. … Lubans, D. R. (2014). Improving the health-related fitness and movement skills of adolescent boys from low-income communities: The ATLAS cluster RCT. Journal of Science and Medicine in Sport, 18, e11-e11. https://doi.org/10.1016/j.jsams.2014.11.035
Smith, J. J., Morgan, P. J., Plotnikoff, R. C., Dally, K. A., Salmon, J., Okley, A. D., … Lubans, D. R. (2014a). Rationale and study protocol for the ‘Active teen leaders avoiding screen-time’ (ATLAS) group randomized controlled trial: An obesity prevention intervention for adolescent boys from schools in low-income communities. Contemporary Clinical Trials, 37(1), 106-119. https://doi.org/10.1016/j.cct.2013.11.008
Smith, J. J., Morgan, P. J., Plotnikoff, R. C., Stodden, D. F., & Lubans, D. R. (2016). Mediating effects of resistance training skill competency on health-related fitness and physical activity: The ATLAS cluster randomised controlled trial. Journal of Sports Sciences, 34(8), 772-779. https://doi.org/10.1080/02640414.2015.1069383
van Dongen, B., Finn, T., Hansen, V., Wagemakers, A., Lubans, D., & Dally, K. (2017). The ATLAS school-based health promotion programme: Does a need-supportive learning context help to motivate adolescent boys? European Physical Education Review, 24(3), 330-348. https://doi.org/10.1177/1356336X17695834
Wade, L., Smith, J. J., Duncan, M. J., & Lubans, D. R. (2018). Mediators of aggression in a school-based physical activity intervention for low-income adolescent boys. Mental Health and Physical Activity, 14, 39-46. https://doi.org/10.1016/j.mhpa.2017.12.006