Document Type
Article
Abstract
Background
Primary schools present an opportunity to equitably promote physical activity. To date, school-based interventions have had limited success. Contextual differences between schools could be a key factor that contributes to this lack of impact. However, the elements that constitute a school’s social context (i.e. the organisational, political, cultural, and sociodemographic characteristics) and how they might impact on primary school physical activity are unclear. The aims of this study were to conduct an in-depth qualitative analysis of state primary school social context related to physical activity and, using this analysis, provide recommendations for policy and practice.
Methods
We conducted one-to-one semi-structured interviews with 33 state primary school staff in Southwest England between November 2023 and January 2024. Staff roles included headteachers/principals (n = 5), deputy headteachers/principals (n = 5), class teachers (n = 7), Physical Education (PE) subject leads (n = 8), dedicated PE teachers (n = 4), teaching assistants (n = 2), and one Parent Teacher Association chair. Staff were recruited from 19 purposively-sampled schools with a range of school sizes and sociodemographic characteristics. We used reflexive thematic analysis.
Results
Five themes were generated that highlighted: (1) the impact of regulatory systems and curriculum pressures created an environment where physical activity was difficult to prioritise; (2) schools with high pupil needs experienced increased pressure, which sometimes impacted staff motivation and wellbeing; (3) senior leadership priorities were key to promoting pupil physical activity, influenced by their personal interests/background/values, regulatory inspections, curriculum pressures, and pupil needs; (4) limited PE training during teacher training impacted teacher confidence that, when combined with curriculum pressures, led many schools to outsource PE to external enterprise; and (5) “passionate” individual staff members who dedicated their own time were important to drive physical activity in the pressured school environment.
Conclusion
Revisions to school regulatory systems and policies are needed to enable schools to prioritise physical activity so it is not dependent on “passionate” individuals. Senior leadership plays a key role in prioritising physical activity in the high pressure state primary school environment. It is important that practitioners and researchers consider these diverse and challenging social contextual factors within English state primary schools in intervention design.
Digital Object Identifier (DOI)
Publication Info
Published in BMC Public Health, Volume 25, 2025.
Rights
© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
APA Citation
Walker, R., House, D., Porter, A., Salway, R., Kent-Saisch, S., Beets, M., Lubans, D. R., Vocht, F. de, & Jago, R. (2025). The complexity of promoting physical activity in English state primary schools: an in-depth qualitative analysis of the role of social context. BMC Public Health, 25. https://doi.org/10.1186/s12889-025-23471-z