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Development of a 24-hour movement index: exploring acceptability among Canadian parents
Jian Kun Zhan1, Karim M Khan1,2, Mark S Tremblay3,4,5
1School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.
Frontiers in Sports and Active Living
|August 14, 2025
Summary
Parents find a new "Movement Index" app acceptable for tracking children's physical activity and sleep, aligning with Canadian guidelines. Refinements are needed for accessibility and ethical considerations before wider use.
Area of Science:
- Public Health
- Digital Health
- Child Development
Background:
- Canadian 24-Hour Movement Guidelines aim for optimal child health.
- Low awareness and adherence to guidelines are public health concerns.
- A "Movement Index" app is proposed to aid parents in tracking children's movement behaviors.
Purpose of the Study:
- To explore parental interest in and acceptability of the proposed Movement Index app.
- To identify potential refinements for the app's development.
Main Methods:
- Semi-structured interviews conducted via Zoom with 22 parents of children aged 5-11.
- Thematic analysis using a constant comparative method was applied to interview data.
Main Results:
- The Movement Index app demonstrated acceptability in perceived effectiveness and intervention coherence.
- Acceptability was mostly achieved for affective attitude and ethicality.
- Mixed acceptability was found for burden, opportunity cost, and self-efficacy constructs.
Conclusions:
- The Movement Index app is generally acceptable, with a recommendation to proceed.
- Addressing accessibility and ethical concerns is crucial for successful implementation.
- Further development and piloting are necessary to re-examine the app's acceptability and usability.

