{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T10:38:32Z","timestamp":1789468712690,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite well\u2010established health benefits of moderate\u2010to\u2010vigorous physical activity (MVPA), many youth, especially from low\u2010income households, remain insufficiently active. This study examined the feasibility and preliminary efficacy of a fitness wearable\u2010supported intervention to increase MVPA in physical education (PE) classes among underserved adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Four PE classes (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200955 enrolled; ages 11\u201314) at a low\u2010income public school were assigned to either a two\u2010week wearable\u2010supported PE or usual PE, and analyses included the 52 students with pre\u2010 and post\u2010assessment data. Feasibility benchmarks (recruitment, retention, data completeness, adherence, dose, technology) were compared against benchmarks set a priori. Between\u2010group differences in change in MVPA (actigraphy) and psychosocial beliefs (questionnaires) were analyzed using ANCOVA or non\u2010parametric equivalent tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Recruitment, retention, data collection, and technology adherence benchmarks were met. A significant interaction for MVPA of in\u2010class PE was observed (\n                      <jats:italic>F<\/jats:italic>\n                      (1, 47)\u2009=\u200914.60,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01, \u2009=\u20090.24), favoring the intervention group. No significant improvements in psychosocial beliefs were observed in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Schools and health professionals may consider integrating digital health tools, aligned with evidence\u2010based pedagogical strategies and behavior change techniques to facilitate health\u2010enhancing physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Self\u2010monitoring and real\u2010time feedback via fitness wearables may increase in\u2010class engagement in MVPA among underserved adolescents, however, further studies are warranted to strengthen the evidence in this population.<\/jats:p>\n                  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