Evidence map›Paper›PMID 41327252›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2025

The great live and move challenge and the promotion of physical activity in children: results from a two-school-year cluster-randomized trial.

Mathieu Gourlan, Céline Lambert, Bruno Fregeac, Lucile Mora, Florian Jeanleboeuf, Adrien Minotte, Olivier Coste, Bruno Pereira, Florence Cousson-Gélie

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mathieu GourlanEpidaure-Prevention Department of the Montpellier Cancer Institute, Parc Euromédecine, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France. Mathieu.Gourlan@icm.unicancer.fr.
Céline LambertBiostatistics Unit, CHU Clermont-Ferrand, DRCI, Villa annexe IFSI, 58 rue Montalembert, Clermont Ferrand, 63003, France.
Bruno FregeacAcademic Resource Center of Hérault Dedicated to Health Promotion, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France.
Lucile MoraEpidaure-Prevention Department of the Montpellier Cancer Institute, Parc Euromédecine, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France.
Florian JeanleboeufEpidaure-Prevention Department of the Montpellier Cancer Institute, Parc Euromédecine, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France.
Adrien MinotteEpidaure-Prevention Department of the Montpellier Cancer Institute, Parc Euromédecine, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France.
Olivier CosteDirection de Région Académique à la Jeunesse, à l'Engagement et aux Sports Occitanie, 3 avenue Charles Flahault, Montpellier Cedex 5, 34094, France.
Bruno PereiraBiostatistics Unit, CHU Clermont-Ferrand, DRCI, Villa annexe IFSI, 58 rue Montalembert, Clermont Ferrand, 63003, France.
Florence Cousson-GélieEpidaure-Prevention Department of the Montpellier Cancer Institute, Parc Euromédecine, 208 Avenue des Apothicaires, Montpellier cedex 5, 34298, France.

Funding

Institut National Du Cancer "Population health intervention research: addressing all dimensions of cancer control"SIRIC Montpellier Cancer Grant INCa-DGOS-Inserm 6045
6 · The paper itself

Abstract

backgroundPopulation surveys indicate that a large proportion of children worldwide do not meet the recommended 60 min of moderate-to-vigorous physical activity (PA) daily. This study aimed to assess the impact of the Great Live and Move Challenge (GLMC), a theory of planned behavior (TPB)-based intervention, on PA and TPB variables in French primary school children over two school years. Secondary objectives included assessing whether TPB variables mediated the GLMC's impact on PA and whether the GLMC impacted the strength of the link between TPB variables.

methodsA cluster-randomized controlled trial was conducted over 16 months. One hundred primary schools were randomized into an intervention or control group. A total of 2723 children aged 7-11 years (mean age: 9.1; 49.7% boys) were included (n intervention = 1420, n control = 1303). The GLMC, based on TPB, comprised a motivational phase (targeting attitudes, subjective norms, and perceived behavioral control) and a volitional phase (notably focusing on the intentions-PA link). The intervention involved teachers, parents, and community stakeholders. The primary outcome was the change in the proportion of children meeting PA guidelines after 16 months. Secondary outcomes included changes in mean daily PA and TPB variables. Assessments occurred at baseline, 4, 12, and 16 months. Data were analyzed using mixed models and path analyses.

resultsThe "time × group" interaction indicated that, compared with the control group, the intervention group had a significantly higher proportion of children meeting international PA guidelines after 16 months (OR = 3.38, 95% CI = 2.50 to 4.56, P < 0.001). TPB variables did not significantly mediate the impact of the GLMC on mean daily PA at 16 months. The path coefficient between intentions and mean daily PA was significantly higher in the intervention group than in the control group at 4 (CR = 2.45; β = 0.22 vs. 0.13) and 16 months (CR = 2.87; β = 0.24 vs. 0.14).

conclusionsThe GLMC increased the proportion of children meeting PA guidelines over 16 months, and may help bridge the intentions-PA gap. The absence of mediation by TPB variables highlights the need to investigate other psychosocial mechanisms to better understand how the GLMC promotes PA in children.

trial registrationInternational Standard Randomized Controlled Trial Number (ISRCTN) Registry: 61,116,221 (retrospectively registered).

Indexed as

ExerciseHealth PromotionChildFemaleFranceHealth BehaviorHumansIntentionMaleMotivationSchoolsCluster-randomized controlled trialIntention-behavior gapPhysical activityPrimary preventionPrimary school childrenTheory of planned behavior

Identifiers

PMID41327252
PMCPMC12781596

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.