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Mixed-Methods Systematic Review to Identify Facilitators and Barriers for Parents/Carers to Engage Pre-School

Rachel L Knight1, Catherine A Sharp1, Britt Hallingberg2

  • 1Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK.

Children (Basel, Switzerland)
|November 11, 2022
PubMed

Insights

Parents and caregivers face barriers to engaging preschoolers in physical activity. Addressing infrastructure and affordability are key to promoting activity in young children.

Area of Science:

  • Child Development
  • Public Health
  • Behavioral Science

Background:

  • Low physical activity in children aged 0-5 years is a significant public health concern.
  • Adult caregivers are crucial in facilitating physical activity opportunities for young children.
  • Understanding caregiver perspectives on community-based physical activity is vital for effective interventions.

Purpose of the Study:

  • To systematically review barriers and facilitators for parents/caregivers engaging preschool children in community-based physical activity.
  • To identify factors influencing participation in real-world settings and intervention studies.
  • To inform strategies for promoting physical activity in early childhood.

Main Methods:

  • Systematic literature search across multiple databases (Medline, CINHAL, SPORTDiscus, Web of Science, ProQuest, ASSIA) for studies published between 2015 and May 2022.
  • Inclusion of 16 quantitative and qualitative studies involving 485 parents/caregivers from four countries.
  • Quality assessment using the Mixed Methods Assessment Tool and thematic analysis of extracted data.

Main Results:

  • Nine themes were identified, conceptualized into a socio-ecological model (Individual, Interpersonal, Community, Built Environment).
  • Key barriers and facilitators related to parental beliefs, social support, organizational factors, affordability, and infrastructure were highlighted.
  • Parental engagement is influenced by beliefs, knowledge, social networks, family dynamics, community resources, and environmental factors.

Conclusions:

  • Findings offer insights for practitioners and policymakers to design effective community-based physical activity programs for preschoolers.
  • Strategies must address identified barriers, particularly infrastructure and affordability, to enhance physical activity promotion.
  • Further research should explore fathers' perspectives, socioeconomic/geographic variations, and parental prioritization of physical activity.

Keywords:
physical activitysedentary behavioursedentary timesocio-ecological modeyouth

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