Efficacy of a free-play intervention to increase physical activity during childcare: a randomized controlled trial

Luke Wolfenden1,2,3,4, Jannah Jones1,2,3,4, Ben Parmenter2

  • 1Hunter New England Population Health, Wallsend, NSW, Australia.

Health Education Research
|November 17, 2018
PubMed

Insights

Childcare free-play access did not significantly increase moderate to vigorous physical activity (MVPA). Future interventions should address multiple environmental factors to boost child physical activity.

Area of Science:

  • Pediatrics
  • Public Health
  • Behavioral Science

Background:

  • Childhood physical activity is crucial for development and long-term health.
  • Childcare settings are key environments for influencing children's physical activity levels.
  • Current interventions often focus on structured activities, with less emphasis on free-play opportunities.

Purpose of the Study:

  • To evaluate the effectiveness of a childcare intervention promoting unrestricted outdoor free-play.
  • To determine if increased access to outdoor free-play enhances child physical activity and cognition.

Main Methods:

  • A randomized controlled trial involving 231 children across six childcare services.
  • Intervention group: unrestricted outdoor free-play access during non-structured times.
  • Control group: usual scheduled outdoor play; physical activity measured by accelerometry.

Main Results:

  • No significant differences were found in moderate to vigorous physical activity (MVPA) between groups.
  • Proportion of wear time in MVPA and total physical activity also showed no significant group differences.
  • Child cognition measures did not differ significantly between the intervention and control groups.

Conclusions:

  • Unrestricted outdoor free-play in childcare alone may not be sufficient to increase child physical activity.
  • Comprehensive interventions targeting both childcare and home environments show greater potential.
  • Further research is needed to identify optimal strategies for promoting physical activity in early childhood settings.

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