Khadijeh Moulaei, Abbas Sheikhtaheri, Farhad Fatehi, Mostafa Shanbehzadeh, Kambiz Bahaadinbeigy
Patients' perspectives and preferences toward telemedicine versus in-person visits: a mixed-methods study on 1226 patients
BMC medical informatics and decision making
cardiorespiratory fitness important marker childhood health low fitness levels risk factor disease later life levels childrens fitness declined recent decades whether schoolbased physical activity interventions increase fitness population level remains unclear evaluate effect internetbased intervention childrens cardiorespiratory fitness across large number schools cluster randomized clinical trial 22 governmentfunded elementary schools 137 providing consent including 1188 students stratified grades 3 4 new south wales australia randomized schools received intervention included analysis eleven schools received internetbased intervention 11 received control intervention recruitment baseline testing began 2016 ended 2017 research assistants blinded treatment allocation completed followup outcome assessments 12 24 months data analyzed july august 2020 internetbased intervention included standardized online learning teachers minimal inperson support project mentor 910 months multistage 20m shuttle run test cardiorespiratory fitness 1219 participants 49 girls mean sd age 885 071 years 22 schools 1188 students provided baseline primary outcome data 12 months number 20m shuttle runs increased 332 laps 95 ci 244420 laps intervention schools 211 laps 95 ci 138285 laps control schools adjusted difference 120 laps 95 ci 017224 laps 24 months adjusted difference 222 laps 95 ci 089355 laps cost per student aud33 usd26 study schoolbased intervention improved childrens cardiorespiratory fitness delivered large number schools low cost sustained effect 24 months intervention suggests may potential scaled population level httpanzctrorgau identifier actrn12616000731493