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

Autor/inn/en	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
Titel	Efficacy of a Free-Play Intervention to Increase Physical Activity during Childcare: A Randomized Controlled Trial
Quelle	In: Health Education Research, 34 (2019) 1, S.84-97 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyy041
Schlagwörter	Child Care; Physical Activity Level; Intervention; Play; Outdoor Education; Randomized Controlled Trials; Preschool Children; Age Differences; Gender Differences; Family Environment; Measurement Equipment + Suchen Sie Ihr Suchwort? Kinderfürsorge; Kinderbetreuung; Spiel; Freiluftunterricht; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Age; Difference; Age difference; Altersunterschied; Geschlechterkonflikt; Familienmilieu; Messinstrument
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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01