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Promoting fundamental movement skill development and physical activity in early childhood settings: a cluster
Rachel A Jones1, Annaleise Riethmuller, Kylie Hesketh
1University of Wollongong, Wollongong, NSW, Australia.
Insights
A 20-week physical activity program significantly improved preschool children's movement skills and physical activity levels. Staff-led interventions in preschools are feasible, acceptable, and show potential efficacy for enhancing child development.
Area of Science:
- Pediatric Health
- Early Childhood Education
- Exercise Science
Background:
- Preschool-aged children require structured physical activity for optimal development.
- Existing programs often lack feasibility and staff training for sustained implementation.
- Assessing novel intervention strategies is crucial for promoting healthy lifestyles from an early age.
Purpose of the Study:
- To evaluate the feasibility, acceptability, and potential efficacy of a staff-delivered physical activity program for preschool children.
- To compare outcomes between children in an intervention group and a control group receiving usual care.
- To measure improvements in movement skill development and objectively assessed physical activity.
Main Methods:
- A 20-week, 2-arm parallel cluster randomized controlled pilot trial.
- Intervention group: Structured physical activities and staff professional development.
- Control group: Usual care including designated playtime; outcomes measured via movement skill assessments and accelerometry.
Main Results:
- The intervention group demonstrated statistically significant improvements in overall movement skill proficiency (Cohen's d = 0.47).
- Objectively measured physical activity (counts per minute) significantly increased in the intervention group during the preschool day (Cohen's d = 0.46).
- The program was found to be feasible and acceptable to preschool staff and children.
Conclusions:
- A staff-implemented physical activity program is a viable approach for preschool settings.
- The program shows potential efficacy in enhancing both motor skills and physical activity levels in young children.
- Further research can build upon these findings to develop scalable interventions for early childhood physical activity.
Abstract:
The aim of this study was to assess the feasibility, acceptability and potential efficacy of a physical activity program for preschool children. A 20-week, 2-arm parallel cluster randomized controlled pilot trial was conducted. The intervention comprised structured activities for children and professional development for staff. The control group participated in usual care activities, which included designated inside and outside playtime. Primary outcomes were movement skill development and objectively measured physical activity. At follow-up, compared with children in the control group, children in the intervention group showed greater improvements in movement skill proficiency, with this improvement statically significant for overall movement skill development (adjust diff. = 2.08, 95% CI 0.76, 3.40; Cohen's d = 0.47) and significantly greater increases in objectively measured physical activity (counts per minute) during the preschool day (adjust diff. = 110.5, 95% CI 33.6, 187.3; Cohen's d = 0.46). This study demonstrates that a physical activity program implemented by staff within a preschool setting is feasible, acceptable and potentially efficacious.
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