Format

Send to

Choose Destination
Prev Med. 2014 Jan;58:9-16. doi: 10.1016/j.ypmed.2013.10.004. Epub 2013 Oct 18.

A cluster randomized trial of a multi-level intervention, delivered by service staff, to increase physical activity of children attending center-based childcare.

Author information

1
Hunter New England Population Health, Newcastle, NSW, Australia; School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia. Electronic address: meghan.finch@hnehealth.nsw.gov.au.
2
School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia.
3
School of Education, University of Newcastle, Newcastle, NSW, Australia; Priority Research Center in Physical Activity and Nutrition, University of Newcastle, Newcastle, NSW, Australia.
4
Hunter New England Population Health, Newcastle, NSW, Australia; School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, Newcastle, NSW, Australia.
5
Hunter New England Population Health, Newcastle, NSW, Australia.

Abstract

OBJECTIVE:

To evaluate the impact of a multi-level intervention on the physical activity levels of 3-5 year old children attending center-based childcare services.

METHOD:

The trial was conducted in New South Wales Australia in 2010 in 20 centers with 459 children. The intervention, included: fundamental movement skill sessions; structured activities; staff role modelling; limiting small screen recreation and sedentary time; and anactivity promoting physical environment. Control services continued with usual routines. Physical activity during care was assessed using pedometers at baseline and at six months after baseline. Intervention implementation was assessed via observation of staff physical activity practices and audits of service environment and policy.

RESULTS:

Mean step counts at baseline and follow-up were 17.20 (CI 15.94-18.46) and 16.12 (CI 14.86-17.30) in the intervention group and 13.78 (CI 12.76-14.80) and 13.87 (CI 12.57-15.17) in the control group (p=0.12). Intervention services showed significantly greater increases in the total minutes that teachers led structured activities, relative to control group services (p=0.02).

CONCLUSION:

The intervention showed no significant effect on child step counts per minute despite increasing time that staff delivered structured activity which is likely to be attributable to difficulties experienced by service staff in delivering a number of intervention components.

KEYWORDS:

Child day-care centers; Childcare; Physical activity; Preschool; Young children

PMID:
24145204
DOI:
10.1016/j.ypmed.2013.10.004
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center