{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:23:18Z","timestamp":1789471398000,"version":"build-2803163510"},"reference-count":60,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Division of Nutrition and Physical Activity at the Indiana Department of Health","award":["72645"],"award-info":[{"award-number":["72645"]}]},{"name":"Indiana University Office of the Vice Provost of Research","award":["72645"],"award-info":[{"award-number":["72645"]}]},{"name":"Indiana University Center for Innovative Teaching and Learning","award":["72645"],"award-info":[{"award-number":["72645"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study examines how the 8-week Hoosier Sport program impacts cardiovascular disease (CVD) risks by promoting physical activity (PA) among rural, low-income children. Using a human-centered participatory co-design approach, the program aimed to increase PA levels (e.g., total PA, daily steps) in at-risk children. The present study explored the feasibility of the intervention as well as physiological and psychological changes across the intervention using a hybrid type 2 design (a model that evaluates both the effectiveness of an intervention and its implementation in real-world settings). Favorable feasibility indicators like attendance, acceptability, and compliance, with a 23.3% recruitment rate and 94.3% retention rate, were observed. Moreover, participants attended over 80% of sessions across the 8 weeks. Accelerometers (AX3) tracked daily steps and total PA for 7 days before and after the intervention, revealing increased PA levels throughout. At post-intervention, notable improvements were observed in psychological factors such as autonomy, social competence, and global self-worth. This study highlights the importance of tailored PA interventions in schools, emphasizing their potential to improve PA levels among rural, low-income children.<\/jats:p>","DOI":"10.3390\/ijerph21070913","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T16:23:41Z","timestamp":1720801421000},"page":"913","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Refined Feasibility Testing of an 8-Week Sport and Physical Activity Intervention in a Rural Middle School"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5968-8730","authenticated-orcid":false,"given":"Janette M.","family":"Watkins","sequence":"first","affiliation":[{"name":"Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"},{"name":"Program in Neuroscience, College of Arts and Sciences, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle M.","family":"Goss","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKenna G.","family":"Major","sequence":"additional","affiliation":[{"name":"School of Medicine, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan M.","family":"Kwaiser","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Medellin","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Hobson","sequence":"additional","affiliation":[{"name":"White River Valley Middle School, Lyons, IN 47443, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa M.","family":"Martinez Kercher","sequence":"additional","affiliation":[{"name":"Department of Health & Wellness Design, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4092-7113","authenticated-orcid":false,"given":"Kyle A.","family":"Kercher","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Meyer, U., Schindler, C., Zahner, L., Ernst, D., Hebestreit, H., van Mechelen, W., Rocca, H.-P.B.-L., Probst-Hensch, N., Puder, J.J., and Kriemler, S. (2014). Long-Term Effect of a School-Based Physical Activity Program (KISS) on Fitness and Adiposity in Children: A Cluster-Randomized Controlled Trial. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0087929"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1007\/s00394-020-02260-x","article-title":"The effects of a 2-year physical activity and dietary intervention on plasma lipid concentrations in children: The PANIC Study","volume":"60","author":"Eloranta","year":"2021","journal-title":"Eur. J. Nutr."},{"key":"ref_3","first-page":"CD007651","article-title":"School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18","volume":"2013","author":"Dobbins","year":"2013","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"E153","DOI":"10.1161\/CIR.0000000000001052","article-title":"Heart disease and stroke statistics\u20142022 update: A report from the American Heart Association","volume":"145","author":"Tsao","year":"2022","journal-title":"Circulation"},{"key":"ref_5","unstructured":"U.S. Department of Health and Human Services (2023). Physical Activity Guidelines for Americans."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12966-020-01037-z","article-title":"2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5\u201317 years: Summary of the evidence","volume":"17","author":"Chaput","year":"2020","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"S283","DOI":"10.1139\/apnm-2015-0626","article-title":"Combinations of physical activity, sedentary behaviour and sleep: Relationships with health indicators in school-aged children and youth","volume":"41","author":"Saunders","year":"2016","journal-title":"Appl. Physiol. Nutr. Metab."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1186\/s12966-021-01218-4","article-title":"The effectiveness of digital interventions for increasing physical activity in individuals of low socioeconomic status: A systematic review and meta-analysis","volume":"18","author":"Western","year":"2021","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1111\/obr.12562","article-title":"Barriers and facilitators to young children\u2019s physical activity and sedentary behaviour: A systematic review and synthesis of qualitative literature","volume":"18","author":"Hesketh","year":"2017","journal-title":"Obes. Rev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e13335","DOI":"10.1111\/obr.13335","article-title":"Facilitators and barriers of children\u2019s participation in nutrition, physical activity, and obesity interventions: A systematic review","volume":"22","author":"Clayton","year":"2021","journal-title":"Obes. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"E160","DOI":"10.1161\/CIR.0000000000000884","article-title":"Built environment approaches to increase physical activity: A science advisory from the American Heart Association","volume":"142","author":"Omura","year":"2020","journal-title":"Circulation"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Pedersen, M.R.L., Bredahl, T.V.G., Elmose-\u00d8sterlund, K., and Hansen, A.F. (2022). Motives and barriers related to physical activity within different types of built environments: Implications for health promotion. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159000"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Hu, D., Zhou, S., Crowley-McHattan, Z.J., and Liu, Z. (2021). Factors that influence participation in physical activity in school-aged children and adolescents: A systematic review from the social ecological model perspective. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18063147"},{"key":"ref_14","first-page":"15","article-title":"Creating and sustaining authentic partnerships with community in a systemic model","volume":"14","author":"Barnes","year":"2009","journal-title":"J. High Educ. Outreach. Engagem."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Whitley, M.A., Massey, W.V., Camir\u00e9, M., Boutet, M., and Borbee, A. (2019). Sport-based youth development interventions in the United States: A systematic review. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-6387-z"},{"key":"ref_16","first-page":"8","article-title":"Characteristics of sports-based youth development programs","volume":"75\u201384","author":"Perkins","year":"2007","journal-title":"New Dir. Youth Dev."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Kwon, S., Welch, S., and Mason, M. (2020). Physical education environment and student physical activity levels in low-income communities. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-8278-8"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1111\/j.1746-1561.2010.00544.x","article-title":"Physical education resources, class management, and student physical activity levels: A structure-process-outcome approach to evaluating physical education effectiveness","volume":"80","author":"Bevans","year":"2010","journal-title":"J. Sch. Health"},{"key":"ref_19","unstructured":"Centers for Disease Control and Prevention (2011). School Health Guidelines to Promote Healthy Eating and Physical Activity."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1123\/jpah.2020-0161","article-title":"Health literacy and physical activity: A systematic review","volume":"17","author":"Buja","year":"2020","journal-title":"J. Phys. Act. Health"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Deci, E.L., and Ryan, R.M. (1985). Intrinsic Motivation and Self-Determination in Human Behavior, Plenum Press.","DOI":"10.1007\/978-1-4899-2271-7"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.ypmed.2014.07.033","article-title":"Self-determined motivation and physical activity in children and adolescents: A systematic review and meta-analysis","volume":"67","author":"Owen","year":"2014","journal-title":"Prev. Med."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Watkins, J.M., Greeven, S.J., Heeter, K.N., Brunnemer, J.E., Otile, J., Sol\u00e1, P.A.F., Dutta, S., Hobson, J.M., Evanovich, J.M., and Coble, C.J. (2024). Human-centered participatory co-design with children and adults for a prototype lifestyle intervention and implementation strategy in a rural middle school. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-18351-x"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s40798-020-00279-2","article-title":"Physical activity behavior from a transdisciplinary biopsychosocial perspective: A scoping review","volume":"6","author":"John","year":"2020","journal-title":"Sports Med. Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1007\/s11031-017-9646-2","article-title":"Basic psychological needs and work motivation: A longitudinal test of directionality","volume":"42","author":"Olafsen","year":"2018","journal-title":"Motiv. Emot."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s12160-016-9829-1","article-title":"The impact of interventions that integrate accelerometers on physical activity and weight loss: A systematic review","volume":"51","author":"Goode","year":"2017","journal-title":"Ann. Behav. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1249\/MSS.0000000000000870","article-title":"Correlates of agreement between accelerometry and self-reported physical activity","volume":"48","author":"Cerin","year":"2016","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1080\/1612197X.2019.1655774","article-title":"Understanding the relationships between programme quality, psychological needs satisfaction, and mental well-being in competitive youth sport","volume":"19","author":"Bean","year":"2021","journal-title":"Int. J. Sport Exerc. Psychol."},{"key":"ref_30","unstructured":"National Institute on Minority Health and Health Disparities (2017). NIMHD Research Framework."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1037\/hea0000161","article-title":"From ideas to efficacy: The ORBIT model for developing behavioral treatments for chronic diseases","volume":"34","author":"Czajkowski","year":"2015","journal-title":"Health Psychol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1186\/s40814-021-00909-w","article-title":"Small studies, big decisions: The role of pilot\/feasibility studies in incremental science and premature scale-up of behavioral interventions","volume":"7","author":"Beets","year":"2021","journal-title":"Pilot Feasibility Stud."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s40814-023-01270-w","article-title":"Feasibility indicators in obesity-related behavioral intervention preliminary studies: A historical scoping review","volume":"9","author":"Pfledderer","year":"2023","journal-title":"Pilot Feasibility Stud."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/MLR.0b013e3182408812","article-title":"Effectiveness-implementation hybrid designs","volume":"50","author":"Curran","year":"2012","journal-title":"Med. Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav. Res. Methods"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/MLR.0000000000001664","article-title":"Guidelines for designing and evaluating feasibility pilot studies","volume":"60","author":"Teresi","year":"2022","journal-title":"Med. Care"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1123\/jmpb.2019-0075","article-title":"Concurrent validity of ActiGraph GT3X+ and Axivity AX3 accelerometers for estimating physical activity and sedentary behavior","volume":"4","author":"Hedayatrad","year":"2021","journal-title":"J. Meas. Phys. Behav."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Br\u00f8nd, J.C., Gr\u00f8ntved, A., Andersen, L.B., Arvidsson, D., and Olesen, L.G. (2020). Simple method for the objective activity type assessment with preschoolers, children and adolescents. Children, 7.","DOI":"10.3390\/children7070072"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2595","DOI":"10.1249\/MSS.0000000000001717","article-title":"A dual-accelerometer system for classifying physical activity in children and adults","volume":"50","author":"Stewart","year":"2018","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.gaitpost.2016.12.014","article-title":"Comparison of tri-axial accelerometers step-count accuracy in slow walking conditions","volume":"53","author":"Feng","year":"2017","journal-title":"Gait Posture"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"(2002). ATS Statement: Guidelines for the six-minute walk test. Am. J. Respir. Crit. Care Med., 166, 111\u2013117.","DOI":"10.1164\/ajrccm.166.1.at1102"},{"key":"ref_42","first-page":"2227","article-title":"Validation of the Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS)","volume":"41","year":"2022","journal-title":"Eur. J. Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1080\/00223891.2018.1504053","article-title":"The Basic Psychological Need Satisfaction and Frustration Scale: Construct and Predictive Validity in the Italian Context","volume":"102","author":"Liga","year":"2020","journal-title":"J. Personal. Assess."},{"key":"ref_44","unstructured":"Harter, S. (2012). Self-Perception Profile for Children: Manual and Questionnaires, University of Denver, Department of Psychology."},{"key":"ref_45","first-page":"119","article-title":"Psychometric Properties of the Self-Perception Profile for Children in Children with Chronic Illness","volume":"26","author":"Ferro","year":"2017","journal-title":"J. Can. Acad. Child Adolesc. Psychiatry"},{"key":"ref_46","first-page":"38","article-title":"International launch of the PAR-Q+ and ePARmed-X+","volume":"4","author":"Warburton","year":"2011","journal-title":"Health Fit. J. Can."},{"key":"ref_47","unstructured":"RStudio Team (2024). RStudio: Integrated Development for R, RStudio, PBC."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1123\/jmpb.2018-0063","article-title":"GGIR: A Research Community\u2013Driven Open Source R Package for Generating Physical Activity and Sleep Outcomes From Multi-Day Raw Accelerometer Data","volume":"2","author":"Migueles","year":"2019","journal-title":"J. Meas. Phys. Behav."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1186\/s12889-024-19356-2","article-title":"Evaluating the feasibility and acceptability of a co-designed physical activity intervention for rural middle schoolers: A pilot study","volume":"24","author":"Watkins","year":"2024","journal-title":"BMC Public Health"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1479-5868-6-5","article-title":"Effect of a school-based intervention to promote healthy lifestyles in 7\u201311 year old children","volume":"6","author":"Gorely","year":"2009","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.socscimed.2014.04.032","article-title":"Do school-based physical activity interventions increase or reduce inequalities in health?","volume":"112","author":"Maximova","year":"2014","journal-title":"Soc. Sci. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.edurev.2018.09.001","article-title":"Physical activity interventions promoting social competence at school: A systematic review","volume":"25","author":"Demetriou","year":"2018","journal-title":"Educ. Res. Rev."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Shang, Y., Chen, S.-P., and Liu, L.-P. (2023). The role of peer relationships and flow experience in the relationship between physical exercise and social anxiety in middle school students. BMC Psychol., 11.","DOI":"10.1186\/s40359-023-01473-z"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/07303084.2012.10598828","article-title":"Enhancing Youth Leadership Through Sport and Physical Education","volume":"83","author":"Gould","year":"2012","journal-title":"J. Phys. Educ. Recreat. Danc."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Weiss, M., Kipp, L., and Bolter, N. (2012). Training for Life: Optimizing Positive Youth Development Through Sport and Physical Activity. The Oxford Handbook of Sport and Performance Psychology, Oxford University Press.","DOI":"10.1093\/oxfordhb\/9780199731763.013.0024"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1177\/02724316211036748","article-title":"Examining Positive Youth Development Interventions with a Physical Activity Component to Address Bullying Among Pre- and Early Adolescents: A Critical Review of the Literature","volume":"42","author":"Majed","year":"2022","journal-title":"J. Early Adolesc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1249\/MSS.0000000000001275","article-title":"Physical Activity and Global Self-worth in a Longitudinal Study of Children","volume":"49","author":"Reddon","year":"2017","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.mhpa.2011.07.001","article-title":"Physical activity and global self-worth: The role of physical self-esteem indices and gender","volume":"4","author":"Haugen","year":"2011","journal-title":"Ment. Health Phys. Act."},{"key":"ref_59","unstructured":"Project Play (2024). Youth Sports Playbook, Aspen Institute."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.jadohealth.2022.11.247","article-title":"Association Between Head Impact Exposure, Psychological Needs, and Indicators of Mental Health Among U.S. High School Tackle Football Players","volume":"72","author":"Kercher","year":"2023","journal-title":"J. Adolesc. 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