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Efficacy of a free-play intervention to increase physical activity during childcare: A randomized controlled trial
journal contribution
posted on 2023-02-15, 22:21 authored by L Wolfenden, J Jones, B Parmenter, LA Razak, J Wiggers, PJ Morgan, M Finch, R Sutherland, C Lecathelinais, T Clinton-Mcharg, K Gillham, Serene YoongSerene YoongThe primary aim of this study was to assess the efficacy of a childcare-based intervention in increasing child physical activity by allowing children unrestricted access to outdoor areas for free-play when structured activity is not taking place. A randomized controlled trial was conducted in six childcare services. Intervention services provided children unrestricted access outdoors for active free-play, while control services provided their usual scheduled periods of outdoor play. Consent was obtained from 231 children. Child moderate to vigorous activity (MVPA), the primary trial outcome, was assessed via accelerometer at baseline and 3 months post baseline. Intervention effects were examined using Generalised Linear Mixed Models. Controlling for child age, gender and baseline outcome measure, at follow-up there were no significant differences between groups in minutes of MVPA in-care (mean difference: 4.85; 95% CI: -3.96, 13.66; P = 0.28), proportion of wear time in-care spent in MVPA (mean difference: 1.52%; 95% CI: -0.50, 3.53; P = 0.14) or total physical activity in-care (mean difference in counts per minute: 23.18; 95% CI: -4.26, 50.61; P = 0.10), nor on measures of child cognition (P = 0.45-0.91). It was concluded that interventions addressing multiple aspects of the childcare and home environment might provide the greatest potential to improve child physical activity.
History
Journal
Health Education ResearchVolume
34Pagination
98-112Location
EnglandPublisher DOI
ISSN
0268-1153eISSN
1465-3648Language
EnglishPublication classification
C1.1 Refereed article in a scholarly journalIssue
1Publisher
OXFORD UNIV PRESSUsage metrics
Keywords
Social SciencesScience & TechnologyLife Sciences & BiomedicineEducation & Educational ResearchPublic, Environmental & Occupational HealthPRESCHOOL-CHILDRENSEDENTARY BEHAVIORACCELEROMETERENVIRONMENTFRUITTIMEChildChild Day Care CentersChild HealthChild, PreschoolEnvironmentExerciseFemaleHealth PromotionHumansMaleClinical ResearchHealth ServicesPediatricBehavioral and Social ScienceCancerClinical Trials and Supportive ActivitiesPrevention3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Prevention of disease and conditions, and promotion of well-beingOral and gastrointestinalPublic Health and Health Services not elsewhere classifiedCurriculum and Pedagogy not elsewhere classified
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