What is known about this topic dSuccessive governments have been committed to providing short breaks for families with a disabled child. The benefits of short breaks for families include: reduction in carer stress; new experiences for disabled children; and carers having time with their other children. What this paper adds dA comprehensive international review of 60 articles or reports examining the impact of short breaks on families with a disabled child. Further research could address the experiences of family members beyond mothers, and examine the long-term impact of short breaks within the contexts of other family support services. AbstractThere are widespread assumptions about the potential impacts of short breaks on family carers and disabled children. This review aims to evaluate the existing international research evidence concerning the impacts of short breaks on families with a disabled child. Electronic literature searches were conducted using ASSIA, PsycInfo, CINAHL, and Web of Science, and requests for information were sent to selected email lists. Of 60 articles or reports identified for inclusion in the review, the vast majority of studies were cross-sectional, with only eight studies using quasi-experimental pre-post designs or longitudinal designs. Nonetheless, the consistency with which some findings have been reported suggests that short breaks appear to have the potential to positively impact on not only the well-being of carers, but also the children receiving short breaks and their families as a whole. Additional research is warranted in a number of areas. First, research needs to consider the impact of short breaks on fathers. Second, there is a need to consider in more depth how short breaks can impact on the siblings of disabled children. Third, research could consider how best short breaks can be combined with other interventions to maximise the impact for disabled children and their families. Fourth, research needs to look at the longer term impact of short breaks on outcomes for disabled children and their families. What is needed is evidence on what type of short breaks are best for children and families with particular characteristics at particular times during the course of the child's maturation towards adulthood.

Background Less than 20% of adolescents globally meet recommended levels of physical activity, and not meeting these recommended levels is associated with social disadvantage and rising disease risk. The determinants of physical activity in adolescents are multilevel and poorly understood, but the school's social environment likely plays an important role. We conducted a cluster randomised controlled trial to assess the effectiveness of a school-based programme (GoActive) to increase moderate-to-vigorous physical activity (MVPA) among adolescents. Methods and findings Non-fee-paying, coeducational schools including Year 9 students in the UK counties of Cambridgeshire and Essex were eligible for inclusion. Within participating schools (n = 16), all Year 9 students were eligible and invited to participate. Participants were 2,862 13-to 14year-olds (84% of eligible students). After baseline assessment, schools were computerrandomised, stratified by school-level pupil premium funding (below/above county-specific median) and county (control: 8 schools, 1,319 participants, mean [SD] participants per school n = 165 [62]; intervention: 8 schools, 1,543 participants, n = 193 [43]). Measurement staff were blinded to allocation. The iteratively developed, feasibility-tested 12-week intervention, aligned with self-determination theory, trained older adolescent mentors and inclass peer-leaders to encourage classes to conduct 2 new weekly activities. Students and classes gained points and rewards for engaging in any activity in or out of school. The

No abstract