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Published on: March 7, 2019
A cluster randomised trial to evaluate a physical activity intervention among 3-5 year old children attending long
Meghan Finch1, Luke Wolfenden, Philip J Morgan
1Hunter New England Population Health, Newcastle, NSW, Australia. Meghan.finch@hnehealth.nsw.gov.au
Insights
This study evaluated a childcare intervention to boost physical activity in young children. Results will inform future programs promoting active lifestyles for preschoolers in long day care.
Area of Science:
- Child health and development
- Public health interventions
- Early childhood education
Background:
- Young children exhibit insufficient physical activity and high sedentary behavior.
- Childcare settings offer opportunities for interventions but evidence is limited.
- This study addresses the need for effective physical activity promotion in long day care.
Purpose of the Study:
- To assess the effectiveness of a staff-delivered, multi-component physical activity intervention.
- To evaluate the acceptability and implementation of the intervention by childcare services.
- To increase physical activity levels in children aged 3-5 years attending long day care.
Main Methods:
- Cluster randomised controlled trial involving 300 children across 20 long day care services.
- Intervention group received structured movement activities, increased opportunities, staff role modeling, and reduced screen time.
- Control group received a wait list. Physical activity measured during childcare attendance.
Main Results:
- Data on child physical activity levels are pending.
- Acceptability and implementation data will be collected from services and staff.
- The study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12610000087055).
Conclusions:
- The trial will provide crucial evidence on physical activity interventions for young children.
- Findings will inform the design and delivery of future health promotion programs in early childhood settings.
- This research contributes to addressing childhood physical inactivity in Australia.
Background:
Young children are not participating in recommended levels of physical activity and exhibit high levels of sedentary behaviour. Childcare services provide access to large numbers of young children for prolonged periods, yet there is limited experimental evidence regarding the effectiveness of physical activity interventions implemented in this setting. The aim of this study is to assess the effectiveness and acceptability of a multi-component physical activity intervention, delivered by childcare service staff, in increasing the physical activity levels of children attending long day care services.
Methods/Design:
The study will employ a cluster randomised controlled trial design. Three hundred children aged between 3-5 years from twenty randomly selected long day care services in the Hunter Region of New South Wales, Australia will be invited to participate in the trial. Ten of the 20 long day care services will be randomly allocated to deliver the intervention with the remaining ten services allocated to a wait list control group. The physical activity intervention will consist of a number of strategies including: delivering structured fundamental movement skill activities, increasing physical activity opportunities, increasing staff role modelling, providing children with a physical activity promoting indoor and outdoor environment and limiting children's small screen recreation and sedentary behaviours. Intervention effectiveness will be measured via child physical activity levels during attendance at long day care. The study also seeks to determine the acceptability and extent of implementation of the intervention by services and their staff participating in the study.
Discussion:
The trial will address current gaps in the research evidence base and contribute to the design and delivery of future interventions promoting physical activity for young children in long day care settings.
Trial Registration:
Australian New Zealand Clinical Trials Registry ACTRN12610000087055.
