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Efficacy of a Free-Play Intervention to Increase Physical Activity during Childcare: A Randomized Controlled Trial

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Title: Efficacy of a Free-Play Intervention to Increase Physical Activity during Childcare: A Randomized Controlled Trial
Language: English
Authors: Wolfenden, Luke, Jones, Jannah, Parmenter, Ben, Razak, Lubna Abdul, Wiggers, John, Morgan, Philip J., Finch, Meghan, Sutherland, Rachel, Lecathelinais, Christophe, Clinton-McHarg, Tara, Gillham, Karen, Yoong, Sze Lin
Source: Health Education Research. Feb 2019 34(1):84-97.
Availability: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Peer Reviewed: Y
Page Count: 14
Publication Date: 2019
Document Type: Journal Articles
Reports - Research
Descriptors: Child Care, Physical Activity Level, Intervention, Play, Outdoor Education, Randomized Controlled Trials, Preschool Children, Age Differences, Gender Differences, Family Environment, Measurement Equipment
DOI: 10.1093/her/cyy041
ISSN: 0268-1153
Abstract: The 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.
Abstractor: As Provided
Entry Date: 2019
Accession Number: EJ1208226
Database: ERIC
FullText Text:
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  Data: Efficacy of a Free-Play Intervention to Increase Physical Activity during Childcare: A Randomized Controlled Trial
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Research%22"><i>Health Education Research</i></searchLink>. Feb 2019 34(1):84-97.
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  Data: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
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  Data: 14
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  Data: <searchLink fieldCode="DE" term="%22Child+Care%22">Child Care</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+Activity+Level%22">Physical Activity Level</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Play%22">Play</searchLink><br /><searchLink fieldCode="DE" term="%22Outdoor+Education%22">Outdoor Education</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+Controlled+Trials%22">Randomized Controlled Trials</searchLink><br /><searchLink fieldCode="DE" term="%22Preschool+Children%22">Preschool Children</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+Differences%22">Gender Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Environment%22">Family Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Measurement+Equipment%22">Measurement Equipment</searchLink>
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  Data: 10.1093/her/cyy041
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  Data: 0268-1153
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The 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.
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  Data: As Provided
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  Data: 2019
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  Data: EJ1208226
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        Value: 10.1093/her/cyy041
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      Pagination:
        PageCount: 14
        StartPage: 84
    Subjects:
      – SubjectFull: Child Care
        Type: general
      – SubjectFull: Physical Activity Level
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      – SubjectFull: Intervention
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