Abstract
Many factors contribute to the decline in physical activity (PA) observed during adolescence. We used an ecological framework to review 30 publications of PA interventions published between 1977 and 2009 targeting youth aged 12–18 years (19 PA interventions). We included studies that measured a primary outcome of PA and also examined intervening variables. Most studies targeted the intrapersonal and environmental domains. The body of literature on PA interventions in youth suggests the importance of targeting ecological domains beyond the individual level. Future investigations should be theory-based and include analysis of mediators across ecological domains in order to identify the most effective combination of factors to promote PA in youth.
Similar content being viewed by others
References
Abraham, C., & Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health Psychology, 27, 379–387.
Araújo-Soares, V., McIntyre, T., MacLennan, G., & Sniehotta, F. (2009). Development and exploratory cluster-randomised opportunistic trial of a theory-based intervention to enhance physical activity among adolescents. Psychology & Health, 24, 805–822.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: Worth Publishers.
Baranowski, T., Lin, L., Wetter, D., Resnicow, K., & Hearn, M. (1997). Theory as mediating variables: Why aren’t community interventions working as desired? Annals of Epidemiology, 7(Suppl 7), S89–S95.
Beal, A., Ausiello, J., & Perrin, J. (2001). Social influences on health-risk behaviors among minority middle school students. Journal of Adolescent Health, 28, 474–480.
Butcher, K., Sallis, J., Mayer, J., & Woodruff, S. (2008). Correlates of physical activity guideline compliance for adolescents in 100 US cities. Journal of Adolescent Health, 42, 360–368.
Centers for Disease Control and Prevention. (2010). Youth risk behavior surveillance—United States, 2009. MMWR Surveillance Summaries, 59(SS05), 1–142.
Chatzisarantis, N., & Hagger, M. (2009). Effects of an intervention based on self-determination theory on self-reported leisure time physical activity participation. Psychology & Health, 24, 29–48.
Chinapaw, M., Mokkink, L., van Poppel, M., van Mechelen, W., & Terwee, C. (2010). Physical activity questionnaires for youth: A systematic review of measurement properties. Sports Medicine, 40, 539–563.
Colchico, K., Zybert, P., & Basch, C. (2000). Effects of after-school physical activity on fitness, fatness, and cognitive self-perceptions: A pilot study among urban, minority adolescent girls. American Journal of Public Health, 90, 977–978.
Covelli, M. (2008). Efficacy of a school-based cardiac health promotion intervention for African-American adolescents. Applied Nursing Research, 21, 173–180.
Daley, A., Copeland, R., Wright, N., Roalfe, A., & Wales, J. (2006). Exercise therapy as a treatment for psychopathologic conditions in obese and morbidly obese adolescents: A randomized, controlled trial. Pediatrics, 118, 2126–2134.
Deci, E., & Ryan, R. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum Press.
Dishman, R., Motl, R., Saunders, R., Felton, G., Ward, D., Dowda, M., et al. (2004). Self-efficacy partially mediates the effect of a school-based physical activity intervention among adolescent girls. Preventive Medicine, 38, 628–636.
Dishman, R., Motl, R., Saunders, R., Felton, G., Ward, D., Dowda, M., et al. (2005). Enjoyment mediates effects of a school-based physical-activity intervention. Medicine and Science in Sports and Exercise, 37, 478–487.
Dunton, G., Schneider, M., & Cooper, D. (2007). An investigation of psychology factors related to changes in physical activity and fitness among female adolescents. Psychology & Health, 22, 929–944.
Dzewaltowski, D., Estabrooks, P., Welk, G., Hill, J., Milliken, G., Karteroliotis, K., et al. (2009). Healthy youth places: A randomized controlled trial to determine the effectiveness of facilitating adult and youth leaders to promote physical activity and fruit and vegetable consumption in middle schools. Health Education & Behavior, 36, 583–600.
Gordon-Larsen, P., Nelson, M., & Popkin, B. (2004). Longitudinal physical activity and sedentary behavior trends: Adolescence to adulthood. American Journal of Preventive Medicine, 27, 277–282.
Haerens, L., Cerin, E., Maes, L., Cardon, G., Deforche, B., & De Bourdeaudhuij, I. (2007a). Explaining the effect of a 1-year intervention promoting physical activity in middle schools: A mediation analysis. Public Health Nutrition, 11, 501–512.
Haerens, L., De Bourdeaudhuij, I., Maes, L., Cardon, G., & Deforche, B. (2007b). School-based randomized controlled trial of a physical activity intervention among adolescents. Journal of Adolescent Health, 40, 258–265.
Haerens, L., Deforche, B., Maes, L., Cardon, G., Stevens, V., & De Bourdeaudhuij, I. (2006). Evaluation of a 2-year physical activity and healthy eating intervention in middle school children. Health Education Research, 21, 911–921.
Hansen, H., Froberg, K., Hyldebrandt, N., & Nielsen, J. (1991). A controlled study of eight months of physical training and reduction of blood pressure in children: The Odense schoolchild study. British Medical Journal, 303, 682–685.
Jamner, M., Spruijt-Metz, D., Bassin, S., & Cooper, D. (2004). A controlled evaluation of a school-based intervention to promote physical activity among sedentary adolescent females: Project FAB. Journal of Adolescent Health, 34, 279–289.
Kelly, E., Parra-Medina, D., Pfeiffer, K., Dowda, M., Conway, T., Webber, L., et al. (2010). Correlates of physical activity in black, Hispanic, and white middle school girls. Journal of Physical Activity & Health, 7, 184–193.
Killen, J., Robinson, T., Telch, M., Saylor, K., Maron, D., Rich, T., et al. (1989). The Stanford Adolescent Heart Health Program. Health Education Quarterly, 16, 263–283.
Killen, J., Telch, M., Robinson, T., Maccoby, N., Taylor, C., & Farquhar, J. (1988). Cardiovascular disease risk reduction for tenth graders. A multiple-factor school-based approach. Journal of American Medical Association, 260, 1728–1733.
Kimm, S., Glynn, N., Kriska, A., Barton, B., Kronsberg, S., Daniels, S., et al. (2002). Decline in physical activity in black girls and white girls during adolescence. New England Journal of Medicine, 347, 709–715.
Kohrt, W., Bloomfield, S., Little, K., Nelson, M., Yingling, V., & American College of Sports Medicine. (2004). American College of sports medicine position stand: Physical activity and bone health. Medicine and Science in Sports and Exercise, 36, 1985–1996.
Kriemler, S., Meyer, U., Martin, E., van Sluijs, E., Andersen, L., & Martin, B. (2011). Effect of school-based interventions on physical activity and fitness in children and adolescents: A review of reviews and systematic update. British Journal of Sports Medicine, 45, 923–930.
Lubans, D., & Sylva, K. (2006). Controlled evaluation of a physical activity intervention for senior school students: Effects of the Lifetime Activity Program. Journal of Sport and Exercise Psychology, 28, 252–268.
Lubans, D., & Sylva, K. (2009). Mediators of change following a senior school physical activity intervention. Journal of Science and Medicine in Sport, 12, 134–140.
Lytle, L., Murray, D., Evenson, K., Moody, J., Pratt, C., Metcalfe, L., et al. (2009). Mediators affecting girls’ levels of physical activity outside of school: Findings from the Trial of Activity for Adolescent Girls. Annals of Behavioral Medicine, 38, 124–136.
Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health & Psychology, 28, 690–701.
Neumark-Sztainer, D., Story, M., Hannan, P., & Rex, J. (2003a). New moves: A school-based obesity prevention program for adolescent girls. Preventive Medicine, 37, 41–51.
Neumark-Sztainer, D., Story, M., Hannan, P., Tharp, T., & Rex, J. (2003b). Factors associated with changes in physical activity: A cohort study of inactive adolescent girls. Archives of Pediatric & Adolescent Medicine, 157, 803–810.
O’Connor, T. M., Jago, R., & Baranowski, T. (2009). Engaging parents to increase youth physical activity: A systematic review. American Journal of Preventive Medicine, 37, 141–149.
Pate, R. R., & O’Neill, J. R. (2009). After-school interventions to increase physical activity among youth. British Journal of Sports Medicine, 43, 14–18.
Pate, R., Ross, R., Dowda, M., Trost, S., & Sirard, J. (2003a). Validation of a 3-day physical activity recall instrument in female youth. Pediatric Exercise Science, 15, 257–265.
Pate, R., Saunders, R., Dishman, R., Addy, C., Dowda, M., & Ward, D. (2007). Long-term effects of a physical activity intervention in high school girls. American Journal of Preventive Medicine, 33, 276–280.
Pate, R., Saunders, R., Ward, D., Felton, G., Trost, S., & Dowda, M. (2003b). Evaluation of a community-based intervention to promote physical activity in youth: Lessons from Active Winners. American Journal of Health Promotion, 17, 171–182.
Pate, R., Ward, D., Saunders, R., Felton, G., Dishman, R., & Dowda, M. (2005). Promotion of physical activity among high school girls: A randomized controlled trial. American Journal of Public Health, 95, 1582–1587.
Prochaska, J., & Marcus, B. (1994). The transtheoretical model: Applications to exercise. In R. K. Dishman (Ed.), Advances in exercise adherence (pp. 161–180). Champaign, IL: Human Kinetics Publishers.
Rees, R., Kavanagh, J., Harden, A., Shephard, J., Brunton, G., Loiver, S., et al. (2006). Young people and physical activity: A systematic review matching their views to effective interventions. Health Education Research, 21, 806–825.
Robbins, L., Gretebeck, K., Kazanis, A., & Pender, N. (2006). Girls on the Move program to increase physical activity participation. Nursing Research, 55, 206–215.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78.
Sallis, J., & Owen, N. (1997). Ecological models. In K. Glanz, F. Lewis, & B. Rimer (Eds.), Health behaviors and health education: Theory, research, and practice (pp. 403–424). San Francisco, CA: Jossey-Bass.
Sallis, J., Prochaska, J., & Taylor, W. (2000). A review of correlates of physical activity of children and adolescents. Medicine and Science in Sports and Exercise, 32, 963–975.
Sallis, J., Prochaska, J., Taylor, W., Hill, J., & Geraci, J. (1999). Correlates of physical activity in a national sample of girls and boys in grades 4 through 12. Health & Psychology, 18, 410–415.
Schneider, M., Dunton, G., & Cooper, D. (2008). Physical activity and physical self-concept among sedentary adolescent females: An intervention study. Psychology of Sport and Exercise, 9, 1–14.
Shilts, M., Horowitz, M., & Townsend, M. (2009). Guided goal setting: Effectiveness in a dietary and physical activity intervention with low-income adolescents. International Journal of Adolescent Medicine and Health, 21, 111–122.
Spence, J., & Lee, R. (2003). Toward a comprehensive model of physical activity. Psychology of Sport and Exercise, 4, 7–24.
Spruijt-Mertz, D., Nguyen-Michel, S., Gordan, M., Chou, C., & Huang, T. (2008). Reducing sedentary behavior in minority girls via a theory-based, tailored classroom media intervention. International Journal of Pediatric Obesity, 3, 240–248.
Stokols, D. (1992). Toward a social ecology of health promotion. American Psychologist, 47, 6–22.
Taber, D., Stevens, J., Murray, D., Elder, J., Webber, L., Jobe, J., et al. (2009). The effect of a physical activity intervention on bias in self-reported activity. Annals of Epidemiology, 19, 316–322.
Taymoori, P., & Lubans, D. (2008). Mediators of behavior change in two tailored physical activity interventions for adolescent girls. Psychology of Sport and Exercise, 9, 605–619.
Taymoori, P., Niknami, S., Berry, T., Lubans, D., Ghofranipour, F., & Kazemnejad, A. (2008). A school-based randomized controlled trial to improve physical activity among Iranian high school girls. International Journal of Behavioral Nutrition and Physical Activity, 5, 1–13.
Troiano, R., Berrigan, D., Dodd, K., Masse, L., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise, 40, 181–188.
U. S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. Washington, DC: U. S. Department of Health and Human Services.
Van der Host, K., Paw, M., Twisk, J., & Van Mechelen, W. (2007). A brief review of correlates of physical activity and sedentariness in youth. Medicine and Science in Sports and Exercise, 39, 1241–1250.
Van Sluijs, E., Kriemler, S., & McMinn, A. (2011). The effect of community and family interventions of young people’s physical activity levels: A review of reviews and updated systematic review. British Journal of Sports Medicine, 45, 914–922.
Van Sluijs, E., McMinn, A., & Griffin, S. (2008). Effectiveness of interventions to promote physical activity in children and adolescents: Systematic review of controlled trials. British Journal of Sports Medicine, 42, 653–657.
Webber, L., Catellier, D., Lytle, L., Murray, D., Pratt, C., Young, D., et al. (2008). Promoting physical activity in middle school girls: Trial of Activity for Adolescent Girls. American Journal of Preventive Medicine, 34, 173–184.
Wilson, D., Evans, A., Williams, J., Mixon, G., Sirard, J., & Pate, R. (2005). A preliminary test of a student-centered intervention on increasing physical activity in underserved adolescents. Annals of Behavioral Medicine, 30, 119–124.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Perry, C.K., Garside, H., Morones, S. et al. Physical Activity Interventions for Adolescents: An Ecological Perspective. J Primary Prevent 33, 111–135 (2012). https://doi.org/10.1007/s10935-012-0270-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10935-012-0270-3