{ "abstract": "Purpose Despite physical activity (PA)'s health benefits, few adolescents meet recommended levels. This review examined associations between adolescents’ self-reported PA and sedentary behaviours (SB) and their modifiable determinants, assessing interventions across settings (school, home, mixed). Methods Five databases were searched from 2010 to 2023. Eligible studies included experimental studies assessing adolescents’ self-reported PA/SB and modifiable determinants at pre- and post-intervention. Within a social-ecological framework, Robust-Bayesian-Meta-Analyses (RoBMA) were conducted per setting, assessing heterogeneity and publication-bias. Single-study outcomes were narratively reported. A holistic classification of determinant domains was then applied to map measured determinants and targeted intervention components across individual-psychological, individual-behavioural, interpersonal, and environmental domains. Risk of bias and evidence certainty were also evaluated. PROSPERO-ID: CRD42021282874. Results Twelve RCTs and two CTs (school n =10, home n =2, and school-home n =2 settings) were included. Thirteen studies (93%) incorporated theory-based approaches, and 13 studies (93%) addressed multiple determinant domains, although only four (29%) showed high-integration multi-domain designs. Of the 67 unique modifiable determinants identified, 94% were classified within individual/interpersonal categories. In particular, RoBMAs showed minimal or no pooled effects on PA/SB or determinants, except for weak evidence suggesting a small positive effect on planning in school setting, including action and coping planning, implementation intentions, or commitment to a plan of action, with substantial heterogeneity across studies. Risk of bias was due mainly to randomization and outcome measurement issues. The level of certainty from the evidence ranged from very low to low. Discussion Existing interventions predominantly target individual-level factors, with limited coordinated integration across socio-ecological domains. High-quality future trials should test whether well-designed, integrated multilevel interventions can more consistently modify diverse determinants of adolescents' PA/SB across setting and co-occur with psychosocial benefits.", "abstract_shown": true, "affiliations": [ "Department of Education and Sport Sciences, Pegaso University, Naples, Italy", "Department of Movement, Human and Health Sciences, University of Rome \"Foro Italico\", Rome, Italy", "Department of Information Engineering, Control and Management, Faculty of Information Engineering, Computer Science and Statistics, Sapienza University of Rome, Rome, Italy", "Department of Physical Education and Sport Sciences, University of Thessaly, Thessaly, Greece", "Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway", "School of Psychology, Cardiff University, Cardiff, United Kingdom", "Department of Teacher Education, Turku Institute of Advanced Studies, University of Turku, Finland", "Institute of Sports Science and Innovation, Lithuanian Sports University, Lithuania", "Physical Activity for Health Research Centre, Health Research Institute & Department of Physical Education and Sport Sciences, University of Limerick, Ireland", "Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle Upon Tyne, United Kingdom", "Exercise Physiology Laboratory, OrthoSport Banja Luka, Banja Luka, Bosnia and Herzegovina", "Department of Psychology, University of Amsterdam, Amsterdam, Netherlands", "University College London, London, United Kingdom", "Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology (BIPS), Bremen, Germany", "Centre for Exercise Medicine, Physical Activity and Health, Sport and Exercise Sciences Research Institute, University of Ulster, Jordanstown Campus, Coleraine, United Kingdom", "Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Cassino, Italy", "Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy", "Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, Chieti, Italy", "Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia", "Department of Medical, Movement and Wellbeing Sciences, University of Naples Parthenope, Naples, Italy", "Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway", "Laboratory of Sports Medicine, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thessaloniki, Greece", "National Institute of Public Health in Romania, Bucharest, Romania", "Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway", "Laboratory for Integrative and Translational Research in Population Health (ITR), EPIUnit, Institute of Public Health, University of Porto, Porto, Portugal", "Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany", "Local Authority Research Practitioner, Stockport Metropolitan Borough Council, United Kingdom" ], "article_type": "review", "arxiv": null, "author_total": 33, "authors": [ { "affs": [ 0, 1 ], "name": "Simone Ciaccioni", "orcid": "0000-0001-9533-9178" }, { "affs": [ 2 ], "name": "Livia Oddi", "orcid": "0009-0004-0658-5270" }, { "affs": [ 3 ], "name": "Athanasios Kolovelonis", "orcid": "0000-0002-1105-4579" }, { "affs": [ 3 ], "name": "Ioannis Syrmpas", "orcid": "0000-0002-4631-6508" }, { "affs": [ 4 ], "name": "Anna Marcuzzi", "orcid": "0000-0002-5460-4788" }, { "affs": [ 5 ], "name": "Mohammed Khudair", "orcid": "0000-0002-8164-6406" }, { "affs": [ 6, 7, 8 ], "name": "Kwok Ng", "orcid": "0000-0002-5461-7706" }, { "affs": [ 9 ], "name": "Gavin Daniel Tempest", "orcid": "0000-0002-8550-523X" }, { "affs": [ 10 ], "name": "Ratko Perić", "orcid": "0000-0003-3345-6293" }, { "affs": [ 11 ], "name": "Frantis̆ek Bartos̆", "orcid": "0000-0002-0018-5573" }, { "affs": [ 12 ], "name": "Maximilian Maier", "orcid": "0000-0002-9873-6096" }, { "affs": [ 13 ], "name": "Mirko Brandes", "orcid": "0000-0003-2926-4758" }, { "affs": [ 14 ], "name": "Angela Carlin", "orcid": "0000-0001-5404-017X" }, { "affs": [ 15 ], "name": "Cristina Cortis", "orcid": "0000-0001-9643-5532" }, { "affs": [ 16 ], "name": "Chiara Corvino", "orcid": "0000-0002-3909-7618" }, { "affs": [ 17 ], "name": "Andrea Di Credico", "orcid": "0000-0002-8388-9305" }, { "affs": [ 18 ], "name": "Patrik Drid", "orcid": "0000-0002-2075-6038" }, { "affs": [ 19 ], "name": "Francesca Gallè", "orcid": "0000-0002-0504-9562" }, { "affs": [ 17 ], "name": "Pascal Izzicupo", "orcid": "0000-0001-6944-8995" }, { "affs": [ 20 ], "name": "Henriette Jahre", "orcid": "0000-0003-0473-002X" }, { "affs": [ 4 ], "name": "Atle Kongsvold", "orcid": "0000-0003-4887-8288" }, { "affs": [ 21 ], "name": "Evangelia Kouidi", "orcid": "0000-0002-5023-2542" }, { "affs": [ 4 ], "name": "Paul Jarle Mork", "orcid": "0000-0003-3355-2680" }, { "affs": [ 1 ], "name": "Federico Palumbo", "orcid": "0000-0001-7406-0282" }, { "affs": [ 9 ], "name": "Penny Louise Sheena Rumbold", "orcid": "0000-0003-4160-6300" }, { "affs": [ 22 ], "name": "Petru Sandu", "orcid": "0000-0001-6790-4678" }, { "affs": [ 23 ], "name": "Mette Stavnsbo", "orcid": "0000-0002-0920-964X" }, { "affs": [ 24 ], "name": "Sofia Vilela", "orcid": "0000-0002-1944-0140" }, { "affs": [ 8 ], "name": "Catherine B. Woods", "orcid": "0000-0002-0892-6591" }, { "affs": [ 25 ], "name": "Kathrin Wunsch", "orcid": "0000-0001-9400-4130" }, { "affs": [ 1 ], "name": "Laura Capranica", "orcid": "0000-0003-3073-7655" }, { "affs": [ 8 ], "name": "Ciarán MacDonncha", "orcid": "0000-0001-7999-4930" }, { "affs": [ 26 ], "name": "Fiona Chun Man Ling", "orcid": "0000-0003-2357-3779" } ], "bibtex": "https://research.draconitic.com/paper/635pzvjknapfn.bib", "cited_by": 8, "doi": "10.1016/j.mhpa.2026.100803", "fulltext_url": null, "id": "635pzvjknapfn", "issns": [ "1755-2966", "1878-0199" ], "landing_url": "https://doi.org/10.1016/j.mhpa.2026.100803", "language": "en", "licence": "CC-BY", "licence_label": "CC BY", "licence_source": "journal", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [ [ "openalex", "2737|Physical Activity and Health" ] ], "openalex": "W7166800911", "pdf_url": null, "pmcid": null, "pmid": null, "published": "2026-07-01", "publisher": "Elsevier BV", "ris": "https://research.draconitic.com/paper/635pzvjknapfn.ris", "sources": [ { "first_seen": "2026-10-30T13:26:56Z", "native_id": "W7166800911", "source": "openalex", "url": "https://doi.org/10.1016/j.mhpa.2026.100803" } ], "subjects": [ { "field": "medicine", "origin": "openalex:2737|Physical Activity and Health", "subfield": "physiology" } ], "title": "Modifiable determinants of adolescents’ physical activity and sedentary behaviour in school, home and mixed settings: A DE-PASS systematic review and meta-analysis of self-reported data with a holistic analysis", "title_text": "Modifiable determinants of adolescents’ physical activity and sedentary behaviour in school, home and mixed settings: A DE-PASS systematic review and meta-analysis of self-reported data with a holistic analysis", "type": "peer-reviewed", "updated_at": "2026-11-03T13:20:37Z", "url": "https://research.draconitic.com/paper/635pzvjknapfn", "venue": "Mental health and physical activity", "versions": [] }