Systematic Review and Meta-Analysis of Multi-Component Interventions Through Schools to Increase Physical Activity

Laura B. Russ, Collin A. Webster, Michael W. Beets, David S. Phillips

Research output: Contribution to journalReview articlepeer-review

85 Scopus citations


Background: A gwhole-of-schoolh approach is nationally endorsed to increase youth physical activity (PA). Aligned with this approach, comprehensive school physical activity programs (CSPAP) are recommended. Distinct components of a CSPAP include physical education (PE), PA during the school day (PADS), PA before/after school (PABAS), staff wellness (SW), and family/community engagement (FCE). The effectiveness of interventions incorporating multiple CSPAP components is unclear. A systematic review and meta-analysis were conducted examining the effectiveness of multicomponent interventions on youth total daily PA. Methods: Electronic databases were searched for published studies that (1) occurred in the US; (2) targeted K.12 (5.18 years old); (3) were interventions; (4) reflected . 2 CSPAP components, with at least 1 targeting school-based PA during school hours; and (5) reported outcomes as daily PA improvements. Standardized mean effects (Hedgefs g) from pooled random effects inverse-variance models were estimated. Results: Across 14 studies, 12 included PE, 5 PADS, 1 PABAS, 2 SW, and 14 FCE. No studies included all 5 CSPAP components. Overall, intervention impact was small (0.11, 95% CI Conclusions: As designed, there is limited evidence of the effectiveness of multicomponent interventions to increase youth total daily PA. Increased alignment with CSPAP recommendations may improve intervention effectiveness.

Original languageEnglish (US)
Pages (from-to)1436-1446
Number of pages11
JournalJournal of Physical Activity and Health
Issue number10
StatePublished - Oct 2015


  • Comprehensive school physical activity program
  • Effectiveness
  • Physical education
  • Trial

ASJC Scopus subject areas

  • Medicine(all)


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