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The PACO Study: Design, Planning and Preliminary Results Dra. Palma Chillón SPAIN

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Page 1: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

The PACO Study: Design, Planning and

Preliminary Results

Dra. Palma Chillón

SPAIN

Page 2: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez
Page 3: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Funded in 1583

34th position in

Shangai Ranking

Funded in 1983

Page 4: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

ALHAMBRA, arabic palace

Page 5: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

SIERRA NEVADA, 3479 metres

Page 6: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Manuel

HerradorPalma

Chillón

Jonatan

R Ruiz

Francisco B. Ortega

Idoia Labayen

Borja

Martínez

Emilio

Villa

Carlos Rodríguez

Guillermo Sánchez

Cristina Cadenas

José

Mora

Miguel Martín-Matillas

Research group: “PROmoting FITness and Health through physical activity”

Funded in 2013

www.profith.ugr.es

Page 7: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

PROJECTS

Dr. Francisco Ortega

http://profith.ugr.es/prefit

Dr. Jonatan R Ruiz

http://profith.ugr.es/actibate

Dr. Manuel Delgado-Fernández

http://www.alandalusfibromialgia.com

Dr. Francisco Ortega

http://profith.ugr.es/activebrains

Dr. Pablo Tercedor

Dr. Ascensión Marcos, Dr. Jose Castro-Piñero,

Dr. Oscar Veiga

Page 8: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Cycle and Walk to School

Duration: 2017-2020

Page 9: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

9

1987

2017

Page 10: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Health-outcomes

Fitness

Body composition

Socio-environment

Correlates

Environment

Social

Physical

Activity

(Chillón et al., 2012)(Panter et al., 2008) (Lubans et al., 2011)

(Xu et al., 2013)(Pont et al., 2009) (Schoeppe et al., 2013)

Previous finding: 2000-2017

Page 11: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Health-outcomes

Fitness

Body composition

Socio-environment

Correlates

Environment

Social

Physical

Activity

(Chillón et al., 2012)(Panter et al., 2008) (Lubans et al., 2011)

(Xu et al., 2013)(Pont et al., 2009) (Schoeppe et al., 2013)

Previous finding: 2000-2017

More research with higher quality study designs and measures should beconducted to further evaluate interventions and to determine the mostsuccessful strategies for increasing active transport to school

Page 12: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 1. To analyze the patterns of the mode of commuting to

school in Spanish youth in the last two decades.

Objective 2. To design and study the properties of two

questionnaires about mode of commuting to school and other

related variables and design two app mobile phone-based

technological tools targeted in parents and youth to promote active

commuting.

Objective 3. To study the feasibility of an assessment protocol of

the mode of commuting to school and assess the effect of school-

based interventions to promote walking and cycling to school in

four Spanish cities (i.e., Granada, Valencia, Jaen, Toledo).

Objectives:

Page 13: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 1:

To analyze the patterns and evolution of mode of commuting to school in

Spanish children and adolescents in the last 17 years, based on data coming

from previous studies conducted in this population from 2000 to 2016 and

including around 24615 children and 15845 adolescents from all the

Spanish regions.

2000

2016

- 1st phase: emails to collect data

- 2nd phase: set a common data base

- 3rd phase: data analysis

- 4rd phase: write and difund results

- Cross-sectional study

- Trend study

Dr. Javier Huertas-

Delgado

PhD Student

Gálvez-Fernández

Page 14: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objetivo 1

2000

2016

Page 15: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez
Page 16: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Nª PREGUNTA / QUESTION RESPUESTAS / ANSWERS

1X

En una semana normal de escuela, ¿cuántos días utilizas los

siguientes modos de transporte para ir y volver? (más de 4 activo

en andar y bici) SE HACE MODOS MÁS DE 4

Andando, bicicleta, monopatín, transporte público, autobús escolar, coche

2X¿Con qué frecuencia utilizas cada uno de los siguientes medios de

transporte cuando vas y vuelves del Instituto?Bicicleta, autobús, coche, metro tranvía tren, moto, andando, otros

3

¿Cómo realiza tu hijo/a su camino escolar de IDA y VUELTA

habitualmente? Marca con una X. Elige sólo la forma de

desplazamiento que use más a menudo el niño/a lo largo del curso.

Si en el trayecto utiliza dos diferentes, elige aquella en la que realice

el trayecto más largo. En caso de marcar Otro, rellena la

descripción abajo

Andando, bicicleta, moto, coche, coche compartido, autobús escolar, otros

4 ¿Cómo suele ir su hijo de casa al colegio? Autobús, coche/moto, bicicleta, andando

5XEn los últimos 7 días, ¿cuántos fuiste a la escuela a pie o en

bicicleta?

Ningún día (PASIVO), 1-2 días en semana (PASIVO), 3-4 días a la semana (ACTIVO), todos los

días (ACTIVO)

6 Como vas andando al centro educativo Caminando, en bici, en moto, autobús escolar, autobús en línea, en coche, otra forma

7 ¿Cómo sueles ir y venir del colegio? Andando, trasporte público, bus del colegio, en moto, en coche, en bici

8 ¿Cómo te desplazas a tu cole Caminando, en coche, en autobús

9X ¿Su hijo se desplaza andando? Verdadero o Falso

11 ¿Cómo vas habitualmente al colegio? Como has ido esta semana Andando, bicicleta, coche, autobús, moto y otros

12 ¿Cómo llevas a tu hijo al colegio?Andando con mi hijo de la mano, andando con mi hijo en carricoche, bicicleta con silla

portabebés, coche, autobús, moto, otro

13 ¿En los últimos 7 días, ¿cómo has ido a la escuela?De forma activa (caminando, bici…), de forma inactiva (coche, bus…) o de forma mixta (ir de

una y volver de otra)

14 Normalmente, ¿cómo vas al instituto? Caminando, en bicicleta (monopatín o patines), transporte público, coche familiar

15 ¿Cómo va habitualmente su hijo al colegio? Andando, en coche, en autobús, otros

16 ¿Cómo vas habitualmente al colegio? Moto coche, autobús, andando, bicicleta

17 ¿Cómo vienes por las mañanas al colegio o instituto?

Caminando en compañía, caminando sin compañía, en bicicleta en compañía, en bicicleta sin

compañía, en bus escolar, en bus de línea, en moto de acompañante, en moto de conductor, en

coche

18 ¿Cómo sueles ir al colegio? Andando, en bici, en coche, en moto, en bus, en coche con el padre o madre de un compañero

21¿Cuál es tu medio de transporte habitual para ir al colegio? Puedes

marcar dos casillasCoche, moto, bus, andando y bicicleta

21¿Cuál es tu medio de transporte habitual para ir al colegio? Puedes

marcar dos casillasCoche, moto, bus, andando y bicicleta

22 ¿Cómo vas habitualmente al instituto Andando, en bici, en coche, en moto, en autobús

23 ¿En qué vas al colegio? Caminando, transporte público, transporte particular, bicicleta, autobús escolar, otros

24 Normalmente, ¿cómo vas al colegio?A pie, en bicicleta, en coche de mis padres, en coche de otros compañeros, en bus urbano,

tranvía, bus escolar, otros

25 ¿Cómo vas habitualmente al instituto? Caminando, en coche, en bici, en bus en moto, en patinete

Page 17: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

To design and study the validity, reliability and feasibility of:

a) two questionnaires about mode of commuting to school and

correlated variables within this behavior targeting in young

people and their parents respectively,

b) a technological tool mobile-based targeted in parents to

improve the perceived safety of the routes from home to school

and,

c) a technological tool mobile-based targeted in children and

adolescents as an interactive game to promote walking to

school and to other destinations.

Page 18: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

- Validity - Reliability:TestRetest

- Feasibility

MAIN OUTCOME: Frequency and

mode of commuting to and from school.

CORRELATES:

Personal (Demographics: gender, birth

date, school, educational level, grade

level, city, postal address)

Psychological (Motivation,

autonomy and self-competence to

barriers to active commute to school),

Environmental (Distance from home

to school, time from home to school)

Social (Accompaniment to school,

social support and social norms to active

commute to school).

Objective 2:

Dr. Yaira Barranco-RuizPhd Student, Jose

Segura-Fernández

Page 19: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez
Page 20: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

App mobile for parents to find the

SAFEST route to school

Dr. Juan M

Fernández-Luna

Phd Studente MJ

Aranda-Balboa

COMPUTER SCIENCE

- Objective: to create Safe routes to school (or other destinations)

- 2 options: walking and cycling

- Safety variables have been discussed with experts and parents

- The local government -Department of Mobility

of Granada- have provided them

Page 21: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

App mobile for parents to find the

SAFEST route to school

Dr. Juan M

Fernández-Luna

Phd Studente MJ

Aranda-Balboa

Focus Group

with parents of

children and

adolescents

Page 22: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

App mobile for adolescents to promote

active commuting to school

Master Student

Isabel Belmonte-Parra

Phd Student,

Romina Salcedo

Dr. Isaac

Pérez-López

COMPUTER SCIENCE

Page 23: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

App mobile for adolescents to promote

active commuting to school

Master Student

Isabel Belmonte-Parra

Phd Student,

Romina Salcedo

Dr. Isaac

Pérez-López

- Tool for the PE teacher to increase

walking to school and other destinations

- The app include pedometer: measure steps

- Objective of the game: to achieve the 10 levels

of the game through moving your “character”

- The “character” moves using the participant

NUMBER OF STEPS performed by him/her in

the real daily life

- Participants can get “objects” (water bottle,

sport shoes) to get extra steps

- Groups of 3 people maximum= 1 team

Page 24: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 2:

App mobile for adolescents to promote

active commuting to school

Graphic designer

Sara

GRAPHIC DESIGNER

Page 25: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Focus Group

with adolescents

Objective 2:

App mobile for adolescents to promote

active commuting to school

Page 26: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

To study the feasibility at real school-settings of the assessment

protocol to evaluate mode of commuting to school and correlated

variables, and to implement and assess the effect of 4 school-based

interventions to promote active commuting to school in secondary

schools:

a) an intervention to promote walking to school using an

application mobile in adolescents,

b) an intervention to promote cycling to school using cycle

training lessons in adolescents,

c) an intervention to promote walking and cycling to school using

an application mobile in children´s parents

d) a global intervention joining the previous ones.

Page 27: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

INTERVENTIONS IN adolescents from 3rd year in secondary education (14-15y)

from 4 Spanish cities

Dr. AnaQueralt

Dr.JavierMolina

Dr. Palma Chillón

Dr. ManuelHerrador-Colmenero

Dr. Susana Aznar

Dr. Amador J.Lara

Page 28: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

GPS – environment -7 days

Accelerometer –7 days

Objective 3:

Sample Size (n=600) Granada Valencia Jaén Toledo

Intervention a) walking 30 30 30 30

Intervention b) cy cling 30 30 30 30

Intervention c) parents 30 30 30 30

Intervention d) whole 30 30 30 30

Control 30 30 30 30

TOTAL 150 150 150 150

Dr. Emilio Villa-

González

Master Student,

Sergio Rosado

URBAN SCIENCE

Page 29: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

Sample Size (n=600) Granada Valencia Jaén Toledo

Intervention a) walking 30 30 30 30

Intervention b) cy cling 30 30 30 30

Intervention c) parents 30 30 30 30

Intervention d) whole 30 30 30 30

Control 30 30 30 30

TOTAL 150 150 150 150

Page 30: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

Sample Size (n=600) Granada Valencia Jaén Toledo

Intervention a) walking 30 30 30 30

Intervention b) cy cling 30 30 30 30

Intervention c) parents 30 30 30 30

Intervention d) whole 30 30 30 30

Control 30 30 30 30

TOTAL 150 150 150 150

Page 31: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

Sample Size (n=600) Granada Valencia Jaén Toledo

Intervention a) walking 30 30 30 30

Intervention b) cy cling 30 30 30 30

Intervention c) parents 30 30 30 30

Intervention d) whole 30 30 30 30

Control 30 30 30 30

TOTAL 150 150 150 150

Page 32: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Objective 3:

Sample Size (n=600) Granada Valencia Jaén Toledo

Intervention a) walking 30 30 30 30

Intervention b) cy cling 30 30 30 30

Intervention c) parents 30 30 30 30

Intervention d) whole 30 30 30 30

Control 30 30 30 30

TOTAL 150 150 150 150

Page 33: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Expected contributions

a) to understand the current mode of commuting to

school of around 40,000 Spanish children and

adolescents and to analyze the trend in the last two

decades

b) to provide a valid, reliable and feasible tools to

assess the mode of commuting to school and other

related variables and additionally, to provide two

technological mobile-based tools to promote active

commuting, and

c) to plan and implement a feasible assessment

protocol and several school-based intervention

programs to promote walking and cycling to school

that may be replicate in future studies.

Page 34: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Conclusions

1. A comprehensive understanding of the

behaviour of active commuting to school in

Spanish children and adolescents, will be

provided.

2. The results will guide researchers and policy

makers to implement effective intervention

initiatives to promote active commuting as a

public health strategy and contribute to a society

with improved health and quality of life.

INTERDISCIPLINAR TEAM

Page 35: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Budget

Tipo de coste ConceptoCoste

solicitadoCoste

disponible

Costes directos

Gastos de personal 87.000€ 58.000€

Viajes y dietas 9.662€ 6.000€

Otros gastos 6.300€ 2.400€

Adquisición inventariable 14.205€ 2.465€

Alquiler inventariable 0€ 0€

Mantenimiento inventariable 0€ 0€

Fungible y similares 4.805€ 1.400€

Total costes directos 121.972€ 70.265€

(Graduado CC Deporte e Informática)

(Reuniones grupo y congresos)

(Web y publicaciones científicas)

(Disco duro, portátil, 15 GPS)

(NVIVO y Fotocopias)

Total concedido: 70.000€ (57.39%)

Page 36: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez
Page 37: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Fernando Rodríguez

(Valparaíso, Chile)

Susana Paz

(Riobamba, Ecuador)

Robinson Ramírez

(Bogotá, Colombia)

Sandra Mandic

(Dunedin,

New Zealand)

Jason Mendoza

(Seattle, EEUU)

Andy Jones

(Norwich, UK)

Flo Harrison

(Norwich, UK)

Kelly Evenson

(North Carolina, EEUU)

Esther Van Sluijs

(Cambridge, UK)

Enrique Gargía

(Melbourn, Aus)

Greet Cardon

(Gent, Belgium)Dianne S Ward

(North Carolina, EEUU)Paula Santos

(Porto,Portugal)

Page 38: The PACO Study: Design, Planning and Preliminary Results · SIERRA NEVADA, 3479 metres. Manuel Herrador Palma Chillón Jonatan R Ruiz Francisco B. Ortega Idoia Labayen Borja Martínez

Thanks for your attention!

[email protected]