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Trial registered on ANZCTR


Registration number
ACTRN12618000897268
Ethics application status
Approved
Date submitted
22/05/2018
Date registered
29/05/2018
Date last updated
22/05/2019
Date data sharing statement initially provided
22/05/2019
Type of registration
Retrospectively registered

Titles & IDs
Public title
Understanding the impact of the Active Kids program on school-enrolled children in New South Wales
Scientific title
Understanding the impact of the Active Kids program on school-enrolled children's participation in physical activity, organised sport and active recreation in New South Wales
Secondary ID [1] 294783 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Physical Inactivity 307704 0
Childhood obesity 307705 0
Social wellbeing 307706 0
Condition category
Condition code
Public Health 306763 306763 0 0
Other public health

Intervention/exposure
Study type
Observational
Patient registry
False
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
From January 2018, the New South Wales (NSW) state Government in Australia is providing a universal voucher program through a voucher system for parents/ guardians/ carers to contribute to the cost of their children’s participation in sport and active recreation. Each child aged 4.5 - 18 years old, enrolled in school from Kindergarten to Year 12, and residing in NSW is eligible for a voucher. The voucher is available for each school child, every calendar year, over the next four years (2018-2021) to reduce the cost of sport registration or membership fees for after-school and weekend structured fitness or physical activity, up to $100 per year per child. Eligible activities include recognized sports, swimming lessons, structured fitness programs, outdoor recreation programs, approved active recreation (e.g. dance) and other structure programs of moderate to vigorous activity approved by the NSW Government, Office of Sport.
The aim of this study is to evaluate the extent to which a universal, state-level government voucher program ‘Active Kids’ can increase physical activity levels amongst 4.5 – 18 year old, school enrolled young people, living in New South Wales, Australia. The evaluation will continue for the life of the program i.e. from 2018 until 2021.

All school enrolled children are eligible for one voucher (up to the value of $100) per calendar year. Eligible students can be registered in the program by adults (16 years +) with a Service NSW Government account though a bespoke state-Government technology platform, accessed at https://sport.nsw.gov.au/sectordevelopment/activekids. This webpage includes all information about the program, answers to Frequently Asked Questions and an information hotline for those who need help with their transaction.

Once registration is completed, the account holder will be emailed the voucher, which contains a unique voucher identification number. Eligible activities voucher can be redeemed at are those that are:
- provided as part of a structured program of at least 8 weeks’ duration, and
- involve regular moderate or intense levels of physical activity.
A wide-range of activities are assessed by the NSW government and if eligible the programs are registered in the program. When students pay registration, membership or participation fees for the activity, the voucher can be used as part or all of the payment, depending on the activities total fee. The structured programs are delivered independently by registered physical activity providers. Through redeeming the voucher to register in an organised physical activity, it is anticipated that the child attends and participates in the activity, increasing their total physical activity participation.
Intervention code [1] 301335 0
Not applicable
Comparator / control treatment
No control group (Universally Offered Program)
Control group
Uncontrolled

Outcomes
Primary outcome [1] 305755 0
Child Physical activity status - 7 day recall reported through online questionnaire.

Instrument: NSW Population Health Survey question
Scott JJ, Morgan PJ, Plotnikoff RC, Lubans DR. Reliability and validity of a single-item physical activity measure for adolescents. J Paediatr Child Health. 2015 Aug;51(8):787-93.
Timepoint [1] 305755 0
All eligible account holders will provide primary outcome response at the point of registration each year (2018-2021). Once redeemed, a sequence of three surveys will measure trends in the primary outcome as follows:
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021 (Primary Time point)
Primary outcome [2] 305756 0
Child's participation in organised sport or physical activities - 12 month recall reported through online questionnaire.

Instrument: Ausplay Survey (https://www.ausport.gov.au/information/ausplay)
Timepoint [2] 305756 0
Point of registration annually from 2018-2021
Secondary outcome [1] 346374 0
Self-efficacy to be physically active reported through online questionnaire.

Instrument: Motl, R.W., Dishman, R.K., Trost, S.G., et al., 2000. Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity amongadolescent girls. Prev. Med. 31, 584–594.
Timepoint [1] 346374 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [2] 346375 0
Enjoyment of physical activity reported through online questionnaire.

Instrument: Motl, R.W., Dishman, R.K., Saunders, R., Dowda, M., Felton, G., Pate, R.R., 2001. Measuring enjoyment of physical activity in adolescent girls. Am. J. Prev. Med. 21, 110–117.
Timepoint [2] 346375 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [3] 346377 0
Body Mass Index

Self report height and weight
WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. Geneva; 1995.
Timepoint [3] 346377 0
Point of registration annually from 2018-2021
Secondary outcome [4] 346378 0
Social influences on child's physical activity reported through online questionnaire.

Instrument: Hume C, Ball K, Salmon J. Development and reliability of a self-report questionnaire to examine children’s perceptions of the physical activity environment at home and in the neighbourhood. The International Journal of Behavioral Nutrition and Physical Activity. 2006;3:16. doi:10.1186/1479-5868-3-16.
Timepoint [4] 346378 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [5] 346379 0
Adult self-report physical activity reported through online questionnaire.

Instrument: Milton K, Bull FC, Bauman A Reliability and validity testing of a single-item physical activity measure British Journal of Sports Medicine 2011;45:203-208.
Timepoint [5] 346379 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [6] 346380 0
Adult self-report organised sport or physical activity participation reported through online questionnaire.

Instrument: Ausplay Survey (https://www.ausport.gov.au/information/ausplay)
Timepoint [6] 346380 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [7] 346382 0
Total expenditure on sport and structured activity reported through online questionnaire.

Instrument: Ausplay Survey (https://www.ausport.gov.au/information/ausplay)
Timepoint [7] 346382 0
Point of registration annually from 2018-2021
Secondary outcome [8] 346383 0
Adult knowledge of children's physical activity guidelines

Australian Government Department of Health and Aged Care. National Physical Activity Guidelines for Australians. Canberra: Australian Government Department of Health and Aged Care, 2005. Available online at www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-active-index.htm (accessed 31 March 2009).
Timepoint [8] 346383 0
Point of voucher redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [9] 346385 0
Reasons for using the active kids voucher reported through online questionnaire.

Instrument developed specifically for this study.
Timepoint [9] 346385 0
Point of registration annually from 2018-2021
Secondary outcome [10] 346798 0
Main reasons for engagement in the Active Kids program reported through online questionnaire.

Multiple choice question developed for this study with the option to add 'other' category. More than one reason can be selected.
Timepoint [10] 346798 0
Point of registration annually from 2018-2021
Secondary outcome [11] 346800 0
Active Kids Program adoption

Adoption of the program is indicated by a provider redeeming the unique voucher for their refund though NSW government administration process.
Timepoint [11] 346800 0
31st December each year from 2018 to 2021
Secondary outcome [12] 346801 0
Participation - Self report attendance at voucher activity session, reported through online questionnaire.
Timepoint [12] 346801 0
Point of redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [13] 346802 0
Ease/Difficulty of locating places for the child to be physically active

Instrument modified from European Health Literacy Survey Questionnaire (HLS-EU-Q)
Sørensen et. al. 2013, 'Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)', BMC Public Health , vol. 13, no.948.
Timepoint [13] 346802 0
Point of redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021
Secondary outcome [14] 347378 0
Reasons for not using the active kids voucher reported through online questionnaire.

Instrument developed specifically for this study.
Timepoint [14] 347378 0
Each year, if a study participant registers for a voucher and does not redeem it within 6 months (or before December 31st that year) they will be followed up with the reason for not redeeming the voucher. This will be repeated annually in all study years from 2018-2021.

Secondary outcome [15] 347379 0
Participation - self reported voucher activity session duration when child attends session the voucher was used for.
Timepoint [15] 347379 0
Point of redemption annually from 2018-2021
8 weeks after voucher redemption annually from 2018-2021
18 weeks after voucher redemption annually from 2018-2021

Eligibility
Key inclusion criteria
To be eligible for an Active Kids voucher, children must be between 4.5 years and 18 years, be school enrolled and live in NSW. For children aged 15years and younger, the parent, carer and/or guardian will apply for the voucher. For Children aged 16 years and over they can apply for the voucher themselves. All children, young people and adults who are eligible for an active kids voucher will be eligible to participate in this study.
Minimum age
54 Months
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
This study will exclude people who are not eligible to register for an active kids voucher.

Study design
Purpose
Natural history
Duration
Longitudinal
Selection
Convenience sample
Timing
Prospective
Statistical methods / analysis
There are 1.236 million children who are eligible to claim a voucher on 31st January 2018. A 45% uptake target for each year of the program (4 year total duration) has been given by the NSW government. Everyone who registers for a voucher, each year, will be invited to take part in the evaluation adopting a convenience sampling strategy.

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW

Funding & Sponsors
Funding source category [1] 299389 0
Government body
Name [1] 299389 0
NSW Government, Office of Sport
Address [1] 299389 0
Level 3, 6B Figtree Drive, Sydney Olympic Park NSW 2127
Country [1] 299389 0
Australia
Primary sponsor type
University
Name
SPRINTER group, Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney
Address
Level 6 The Hub, The Charles Perkins Centre (D17), The University of Sydney, NSW, 2006
Country
Australia
Secondary sponsor category [1] 298896 0
None
Name [1] 298896 0
Address [1] 298896 0
Country [1] 298896 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 300293 0
Sydney University Human Research Ethic Committee
Ethics committee address [1] 300293 0
Research Integrity and Ethics Administration
Level 3, Administration Building (F23)
University of Sydney
NSW 2006
Ethics committee country [1] 300293 0
Australia
Date submitted for ethics approval [1] 300293 0
16/11/2017
Approval date [1] 300293 0
13/04/2018
Ethics approval number [1] 300293 0
2017/947

Summary
Brief summary
This evaluation is being led by the University of Sydney, and is delivered in partnership with the NSW Office of Sport through their contractual partnership entitled SPRINTER. The purpose of the study is to investigate the effectiveness of the Active Kids Program in influencing physical activity behaviours, social wellbeing, self-efficacy and interaction with the sport sector, amongst children living in NSW.
Trial website
Trial related presentations / publications
Public notes
The NSW Government is helping kids get active with the new Active Kids program.

From 31 January 2018, parents, guardians and carers can apply for a $100 voucher per calendar year for each student enrolled in school.

The voucher may be used with a registered activity provider for registration, participation and membership costs for sport, fitness and active recreation activities.

The voucher can be used at any time during the calendar year it was issued.

To use the voucher, give your voucher details to an approved Active Kids Provider.

The program runs year-round, so kids can get active at any time!

For more information, visit: https://sport.nsw.gov.au/sectordevelopment/activekids

Contacts
Principal investigator
Name 83182 0
Dr Lindsey J Reece
Address 83182 0
Prevention Research Collaboration | Sydney School of Public Health | Sydney Medical School
D17 Charles Perkins Centre, Level 6, The Hub | The University of Sydney | NSW | 2006
Country 83182 0
Australia
Phone 83182 0
+61 286 276 222
Fax 83182 0
Email 83182 0
lindsey.reece@sydney.edu.au
Contact person for public queries
Name 83183 0
Dr Lindsey J Reece
Address 83183 0
Prevention Research Collaboration | Sydney School of Public Health | Sydney Medical School
D17 Charles Perkins Centre, Level 6, The Hub | The University of Sydney | NSW | 2006
Country 83183 0
Australia
Phone 83183 0
+61 286 276 222
Fax 83183 0
Email 83183 0
lindsey.reece@sydney.edu.au
Contact person for scientific queries
Name 83184 0
Dr Lindsey J Reece
Address 83184 0
Prevention Research Collaboration | Sydney School of Public Health | Sydney Medical School
D17 Charles Perkins Centre, Level 6, The Hub | The University of Sydney | NSW | 2006
Country 83184 0
Australia
Phone 83184 0
+61 286 276 222
Fax 83184 0
Email 83184 0
lindsey.reece@sydney.edu.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
Individual participant data underlying published results only
When will data be available (start and end dates)?
Immediately following publication, no end date determined.
Available to whom?
Only researchers who provide a methodologically sound proposal, case-by-case basis at the discretion of Principal Investigator.
Available for what types of analyses?
Only to achieve the aims in the approved proposal.
How or where can data be obtained?
Access subject to approvals by Principal Investigator, requirement to sign data access agreement.
What supporting documents are/will be available?
No other documents available
Summary results
No Results