{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:32:42Z","timestamp":1740162762204,"version":"3.37.3"},"reference-count":34,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"unspecified","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002920","name":"Research Grants Council, University Grants Committee","doi-asserted-by":"publisher","award":["CUHK 14609123"],"award-info":[{"award-number":["CUHK 14609123"]}],"id":[{"id":"10.13039\/501100002920","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,5,23]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Little is known about the impact of an ecological dynamics (ED) intervention (EDI) on primary school children\u2019s physical literacy and well-being in the Hong Kong context. The aim of this project is to introduce a physical literacy and well-being framework through an EDI that allows primary school children to develop good physical activity (PA) and daily behavioural habits.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods and analysis<\/jats:title>\n<jats:p>A four-arm (cluster) randomised controlled trial will be conducted to examine the effect of EDI on physical literacy and well-being in primary schools located in each of the 18 administrative districts of Hong Kong. Four classes in senior primary students (grade 4) at each school will be randomly assigned to the four different conditions. These participating schools will be equipped with sit\u2013stand desks, PA recess facility and equipment, and sleep pillows. The research team will adopt both objective measures (aerobic fitness, fundamental movement skills, daily behaviour\u2014physical activity and cognitive function) and self-reported measures (perceived physical literacy, quality of life, sleep quality) covering the elements and domains of physical literacy and well-being to examine the effects of EDIs at four time points, including baseline assessment, 3\u2009months after intervention, postintervention and 3-month follow-up assessment. One-way analyses of variance (ANOVAs) will be used to test for differences in the baseline characteristics of participants between groups. Repeated measure ANOVAs and MANCOVA, with time (baseline, after intervention and follow-up) as within-subjects factor, and intervention group as between-subjects factors, will be used to evaluate the effects of different interventions on the students\u2019 physical literacy and well-being. A Bonferonni correction to the p value will be calculated to adjust for multiple tests.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Ethics and dissemination<\/jats:title>\n<jats:p>Ethical approval was sought from the Joint CUHK-NTEC Clinical Research Ethics Committee in Hong Kong (CREC Ref.No.:2024.027). The finding of this study will be disseminated via peer-reviewed journals, international conference presentations and academic lectures. For secondary analysis of the data, please contact the corresponding author for permission.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Trial registration number<\/jats:title>\n<jats:p>\n<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" specific-use=\"clinicaltrial \" xlink:href=\"ISRCTN84025914\">ISRCTN84025914<\/jats:ext-link>\n<\/jats:p>\n<\/jats:sec>","DOI":"10.1136\/bmjopen-2024-088312","type":"journal-article","created":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T05:06:23Z","timestamp":1722661583000},"page":"e088312","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["An ecological dynamics approach to promote physical literacy and well-being of primary school children: a cluster randomised controlled trial study protocol"],"prefix":"10.1136","volume":"14","clinical-trial-number":[{"clinical-trial-number":"isrctn84025914","registry":"10.18810\/isrctn","type":"preResults"},{"clinical-trial-number":"isrctn84025914","registry":"10.18810\/isrctn"},{"clinical-trial-number":"nct84025914","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct84025914","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4051-9945","authenticated-orcid":false,"given":"Kim Wai Raymond","family":"Sum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy Hui-ping","family":"Sit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Robert","family":"Rudd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia yi","family":"Chow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao fei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,5]]},"reference":[{"key":"2024082721101273000_14.6.e088312.1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-017-0525-8"},{"key":"2024082721101273000_14.6.e088312.2","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdv084"},{"key":"2024082721101273000_14.6.e088312.3","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186591"},{"key":"2024082721101273000_14.6.e088312.4","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802706"},{"key":"2024082721101273000_14.6.e088312.5","doi-asserted-by":"crossref","DOI":"10.1111\/jsr.13378","article-title":"Relationships of physical activity and sedentary behaviour with the previous and subsequent nights\u2019 sleep in children and youth: A systematic review and meta-analysis","volume":"30","author":"Huang","year":"2021","journal-title":"J Sleep Res"},{"key":"2024082721101273000_14.6.e088312.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2010.07.018"},{"key":"2024082721101273000_14.6.e088312.7","doi-asserted-by":"crossref","unstructured":"Whitehead M . 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