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Social SupportNCT07770997

The Green Prescription Program for Increasing Physical Activity in Adolescents

A study testing Green Prescription (Teacher-Led) and Green Prescription (Interdisciplinary) in people with Social Support and Screen Time, run by Poznan University of Physical Education at 1 site in Poland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study evaluated the effectiveness of the Green Prescription, a school-based behavioral intervention that incorporated health education, designed to increase physical activity among adolescents aged 15-17 years who were insufficiently active. Read more about this study

Who is it for?
Ages 15 to 17 yearsHealthy volunteers can take part
Conditions the study is for
Social Support, Screen Time, Physical Inactivity
What is being tested?
Green Prescription (Teacher-Led) and Green Prescription (Interdisciplinary)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
308 participants
Where
1 sitePoland
Study dates
3 Jun 2024to 30 Jun 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

None listed.

Who cannot join

  • Secondary obesity.
  • Acute or chronic medical conditions preventing participation in physical activity.
  • Pregnancy or breastfeeding.
  • Current psychological or psychiatric diagnosis requiring active treatment.
  • Failure to provide written informed consent.

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Poznan University of Physical Education

    Poznan, Greater Poland Voivodeship, 61-871

Other trials in Poland

About this study

Official title: Effectiveness of the Green Prescription: The Preventive Role of Health Education

This study evaluated the effectiveness of the Green Prescription, a school-based behavioral intervention that incorporated health education, designed to increase physical activity among adolescents aged 15-17 years who were insufficiently active.

Participants received individualized written physical activity recommendations together with motivational support to encourage gradual increases in leisure-time physical activity. The intervention was tailored to three target groups: adolescents with overweight or obesity, excessive screen time, or low perceived social support.

Read more

The study consisted of two sequential cohorts. In the first cohort, the Green Prescription was delivered by a physical education teacher. In the second cohort, the intervention was delivered by a physical education teacher supported by an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist.

Physical activity and other health-related outcomes were assessed at baseline, immediately after the 12-week intervention, and six months later.

The study evaluated the effectiveness of the Green Prescription in each intervention group and determined whether the interdisciplinary delivery model resulted in greater improvements in physical activity and healthy lifestyle behaviors than the teacher-led model.

Read the detailed description

Regular physical activity during adolescence contributes to physical, mental, and social well-being. Despite well-established health benefits, many adolescents do not achieve recommended levels of physical activity. Schools provide an important setting for implementing behavioral interventions that encourage lifelong healthy habits.

The Green Prescription was a school-based behavioral intervention that incorporated health education to promote leisure-time physical activity among adolescents with insufficient physical activity. The intervention combined individualized written physical activity recommendations with health education and regular motivational support. Activity goals were tailored to each participant and were progressively increased throughout the intervention.

The study consisted of two sequential cohorts. Participants with insufficient physical activity were assigned to one of three intervention groups according to their primary risk factor: overweight or obesity, excessive screen time, or low perceived social support. Each intervention group followed the same Green Prescription framework while receiving recommendations and educational materials tailored to its primary risk factor. Adolescents with sufficient physical activity served as a comparison group and did not receive the intervention.

In the first cohort, the Green Prescription was delivered by a physical education teacher. In the second cohort, the intervention was delivered by a physical education teacher supported by an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist. Each cohort included three parallel intervention groups and one comparison group, allowing evaluation of both the effectiveness of the Green Prescription within each target group and the added value of the interdisciplinary delivery model.

Outcomes were assessed at baseline, immediately after the 12-week intervention, and six months after completion of the intervention. The study evaluated both the immediate and sustained effects of the Green Prescription on physical activity and related health outcomes.

Being tested
Green Prescription (Teacher-Led), Green Prescription (Interdisciplinary)
Keywords
physical activity, risk groups, screen time, adolescents, overweight, social support, obesity
Medical subject headings
Sedentary Behavior, Motor Activity, Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Green Prescription (Teacher-Led)Behavioural

    The Green Prescription is a school-based behavioral intervention incorporating health education to promote leisure-time physical activity among adolescents with insufficient physical activity. The intervention includes individualized weekly written physical activity recommendations, educational materials, and weekly motivational support, supplemented by additional support when required, delivered by a physical education teacher over a 12-week period. All participants follow the same Green Prescription framework, with group-specific objectives, physical activity recommendations, and educational materials tailored to their primary risk profile (overweight or obesity, excessive recreational screen time, or low perceived social support).

    Activities were adapted to group needs and recommended PA levels. Written recommendations and educational materials were delivered electronically.

  • Green Prescription (Interdisciplinary)Behavioural

    The Green Prescription is a school-based behavioral intervention incorporating health education to promote leisure-time physical activity among adolescents with insufficient physical activity. The intervention includes individualized weekly written physical activity recommendations, educational materials, and weekly motivational support, supplemented by additional support when required, over a 12-week period. The intervention is delivered by a physical education teacher together with an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist. All participants follow the same Green Prescription framework, with group-specific objectives, physical activity recommendations, and educational materials tailored to their primary risk profile (overweight or obesity, excessive screen time, or low perceived social support). Written recommendations and educational materials were delivered electronically.

Study groups in NCT07770997
Study groupRoleWhat they receive
OW - Teacher-Led Green PrescriptionExperimentalAdolescents with insufficient physical activity and overweight or obesity participated in the first study cohort. Participants received the Green Prescription delivered by a physical education teacher. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and improving weight-related health behaviors.
Receives: Behavioral: Green Prescription (Teacher-Led)
HST - Teacher-Led Green PrescriptionExperimentalAdolescents with insufficient physical activity and excessive screen time participated in the first study cohort. Participants received the Green Prescription delivered by a physical education teacher. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and reducing recreational screen time.
Receives: Behavioral: Green Prescription (Teacher-Led)
LSS - Teacher-Led Green PrescriptionExperimentalAdolescents with insufficient physical activity and low perceived social support participated in the first study cohort. Participants received the Green Prescription delivered by a physical education teacher. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and strengthening social support for active lifestyles.
Receives: Behavioral: Green Prescription (Teacher-Led)
Comparison Group - Cohort 1No interventionAdolescents with sufficient physical activity participated in the first study cohort. Participants completed the same assessments as the intervention groups but did not receive the Green Prescription intervention.
OW - Interdisciplinary Green PrescriptionExperimentalAdolescents with insufficient physical activity and overweight or obesity participated in the second study cohort. Participants received the Green Prescription delivered by a physical education teacher with support from an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and improving weight-related health behaviors.
Receives: Behavioral: Green Prescription (Interdisciplinary)
HST - Interdisciplinary Green PrescriptionExperimentalAdolescents with insufficient physical activity and excessive screen time participated in the second study cohort. Participants received the Green Prescription delivered by a physical education teacher with support from an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and reducing recreational screen time.
Receives: Behavioral: Green Prescription (Interdisciplinary)
LSS - Interdisciplinary Green PrescriptionExperimentalAdolescents with insufficient physical activity and low perceived social support participated in the second study cohort. Participants received the Green Prescription delivered by a physical education teacher with support from an interdisciplinary team consisting of a dietitian, psychologist, special education teacher, and physiotherapist. The intervention included individualized physical activity recommendations, motivational support, and educational materials focused on increasing physical activity and strengthening social support for active lifestyles.
Receives: Behavioral: Green Prescription (Interdisciplinary)
Comparison Group - Cohort 2No interventionAdolescents with sufficient physical activity participated in the second study cohort. Participants completed the same assessments as the intervention groups but did not receive the Green Prescription intervention.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Moderate-to-Vigorous Physical Activity (MVPA) Screening Score

    Self-reported physical activity was assessed using the MVPA screening measure. Participants reported the number of days on which they engaged in at least 60 minutes of moderate-to-vigorous physical activity (1) during the previous week (P1) and (2) during a typical week (P2). The MVPA screening score was calculated as the mean of the two responses: (P1 + P2) / 2, with a possible range of 0-7 days. Higher scores indicate a greater number of days with at least 60 minutes of MVPA.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  2. Change in Mean Daily Step Count (Huawei Watch Fit SE)

    Objective physical activity assessed using Huawei Watch Fit SE. Participants wore the device for a 7-day baseline monitoring period, continuously throughout the 12-week intervention, for a 7-day post-intervention monitoring period, and for a 7-day monitoring period at the 6-month follow-up. The primary outcome is the mean daily step count derived from the monitoring periods used for outcome assessment.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

Secondary outcomes (12)
  1. Change in Body Mass Index (BMI)

    Body Mass Index (BMI) was calculated from measured body weight and height as weight in kilograms divided by height in meters squared (kg/m²). Weight and height were combined to derive a single reported BMI value; the reported unit of measure was kg/m².

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  2. Change in Waist Circumference

    Waist circumference was measured in centimetres (cm) and reported as a single waist circumference value in cm at each assessment point.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  3. Change in Hip Circumference

    Hip circumference measured in centimetres (cm).

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  4. Change in Body Fat Percentage

    Body fat percentage (FatP) assessed using Tanita bioelectrical impedance analysis.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  5. Change in Fat Mass

    Fat mass (FatM) measured using Tanita bioelectrical impedance analysis.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  6. Change in Fat-Free Mass

    Fat-free mass (FFM) measured using Tanita bioelectrical impedance analysis.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  7. Change in Total Body Water

    Total body water (TBW) assessed using Tanita bioelectrical impedance analysis.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  8. Change in Predicted Muscle Mass

    Predicted muscle mass (PMM) measured using Tanita bioelectrical impedance analysis.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  9. Change in Screen Time

    Screen time was assessed using selected items from the Health Behaviour in School-aged Children (HBSC) questionnaire and average daily active screen time recorded from participants' smartphones.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  10. Change in Sleep Duration

    Sleep duration assessed using Huawei Watch Fit SE. The outcome is the mean total sleep duration derived from 7-day monitoring periods.

    Measured: Baseline (7-day monitoring period), immediately after the 12-week intervention (7-day monitoring period), and 6 months after completion of the intervention (7-day monitoring period).

  11. Change in Perceived Social Support

    Perceived Social Support assessed using the Short Scale of Youth's Social Support Assessment (SSYSS). Total scores range from 1.0 to 4.0, with higher scores indicating higher perceived support.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

  12. Change in Health-Related Quality of Life

    Health-related quality of life assessed using the KIDSCREEN-52 questionnaire. Total scores range from 23.3 to 100.0, with higher scores indicating better health-related quality of life.

    Measured: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2026
  2. Study start3 Jun 2024
  3. Primary completion20 Jun 2026
  4. Study completion30 Jun 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The study was a controlled pre-post intervention study conducted in two sequential cohorts. In each cohort, participants were allocated to one of four parallel study groups according to predefined eligibility criteria: overweight or obesity (OW), excessive screen time (HST), low perceived social support (LSS), or a comparison group with sufficient physical activity. In the first cohort, the Green Prescription was delivered by a physical education teacher. In the second cohort, the intervention was delivered by a physical education teacher supported by an interdisciplinary team. The comparison group did not receive the intervention.
Masking
None (open label)
Enrolment
308 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07770997
Sponsor's protocol ID
NdS-II/SP/0560/2023/01
Other IDs
NdS-II/SP/0560/2023/01
Status last verified
Jul 2026
First submitted
31 Jul 2026
Last updated
18 Aug 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared because the study involved minors, and no data-sharing plan was included in the study protocol or participant consent procedures.

Publications

  • Marlena Łopatka, Michał Bronikowski, Małgorzata Bronikowska, Agata Korcz, Maryna Khorkova, Dagny Adamczak, Jana Krzysztoszek; Physical activity recommendations for adolescents with overweight, high screen time, and low social support - A scoping review; Biomedical Human Kinetics; Volume 18 Issue 1; pp. 100-111. DOI: 10.2478/bhk-2026-0011

Questions about this trial

What is this clinical trial studying?

A study testing Green Prescription (Teacher-Led) and Green Prescription (Interdisciplinary) in people with Social Support and Screen Time, run by Poznan University of Physical Education at 1 site in Poland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Moderate-to-Vigorous Physical Activity (MVPA) Screening Score (time frame: Baseline, immediately after the 12-week intervention, and 6 months after completion of the intervention.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07770997, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2026.

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