Classroom teachers' "off-the-shelf" use of movement integration products and its impact on children's sedentary behavior and physical activity

Movement integration (MI) products are one of many MI strategies that aim to reduce students' sedentary behavior (SB) and increase physical activity (PA) during classroom time. This study examined elementary classroom teachers' off-the-shelf (i.e., no researcher support) use of MI products (GoNoodle Plus [GN], ABC for Fitness [ABC], Take10) and their impact on students' SB and PA. Teachers (N = 57) at five schools received one MI product and reported MI strategy uses/day while student (n = 1,098, 52% female, 66% Black) accelerometer-determined SB and PA was assessed. Mixed regression models estimated changes in MI uses/day and SB and PA during the school day prior to and after teachers received the MI product. GoNoodle was the only MI product where overall MI strategy uses/day increased (Δ = 0.8, 95% CI = 0.1, 1.4). Across products, students' SB increased (Δ = 2.2, 95% CI = 1.2, 3.1) while light (Δ = -1.7, 95% CI = 1.2, 3.1) and MVPA (Δ = -0.5, 95% CI = -0.8, -0.2) decreased. For GN SB (Δ = -3.3, 95% CI = -7.8, 1.3), light (Δ = 2.5, 95% CI = -0.7, 5.7), and MVPA (Δ = 0.8, 95% CI = -0.9, 2.5), did not show statistically significant change. For Take10 SB (Δ = 1.0, 95% CI = -0.2, 2.2) and MVPA (Δ = 0.1, 95% CI = -0.3, 0.6) did not change while light PA decreased (Δ = -1.1, 95% CI = -2.0, -0.3). For ABC SB increased (Δ = 11.1, 95% CI = 8.4, 13.9) while light (Δ = -7.0, 95% CI = -8.9, -5.0) and MVPA (Δ = -4.2, 95% CI = -5.2, -3.1) decreased. GN shows promise for classroom teacher use. However, given limited uptake of the other products and the lack of change in children's SB and PA, this study suggests that off-the-shelf MI products cannot be integrated into classroom routines without additional support.