Attitudes, Norms, and Control: What Is Shaping Fijian Children's Physical Activity and Screen Time Behaviours?

Area of Science:

• Public Health
• Child Development
• Behavioral Science

Background:

• Only 50% of Fijian children meet physical activity (PA) and screen time (ST) recommendations.
• Understanding factors influencing adherence is crucial for developing effective health policies and programs.

Purpose of the Study:

• To examine the association between Fijian caregivers' and children's attitudes, subjective norms, and perceived behavioral control with adherence to PA and ST guidelines.

Main Methods:

• An online survey was administered to Fijian caregivers and children aged 5-17 years.
• Investigated attitudes, subjective norms, and perceived behavioral control concerning PA and ST guidelines.
• Assessed associations with meeting the Asia-Pacific Integrated 24-h Activity Guidelines for Children and Adolescents.

Main Results:

• Caregivers and younger children (5-8 years) believing activity increases happiness were more likely to meet PA recommendations.
• Caregivers enforcing ST restrictions and believing rules aided adherence had children meeting ST recommendations.
• Easy screen access was linked to lower ST recommendation adherence for all age groups.
• Younger children (5-8 years) valuing religious leaders' guidance were more likely to meet ST recommendations.

Conclusions:

• Future initiatives should leverage trusted community figures (teachers, religious leaders, ministries) to enhance guideline adherence.
• Emphasize the link between PA, happiness, and academic performance.
• Support caregivers in establishing and enforcing ST restrictions for improved child health outcomes.