A Good Start Matters: Do Supportive Childcare Centre Environments, Policies and Practices Enhance Physical Activity?
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Change in practices related to active play (AP) and fundamental movement skills (FMS)
研究概览
简要总结
The BC government and partners developed Active Play Standards and a capacity-building strategy to help childcare centers implement the Standards. We have developed an intervention to supplement the governmental capacity-building strategies. The intervention is comprised of implementation support strategies targeted at childcare providers in BC that will aid with the sustainment of Active Play best practices at their facilities. The impact of the intervention will be assessed by measuring its impact on a) change in practices with respect to Active Play; and b) improving child-level outcomes (children's physical activity, sedentary behavior, and motor skill competencies). The findings will inform future policies and enhance our understanding of how policy action supported by communication, capacity-building, and sustainment strategies influence the environment of childcare centres.
详细描述
The Director of Licensing Standard of Practice - Active Play (Active Play Standard), mandates the provision of Active Play opportunities (amount of time spent outdoor, amount of physical activity, provision of fundamental skills) in licensed childcare centers in British Columbia, Canada. To support the implementation of this standard, the province released a capacity-building intervention, called Appetite to Play (ATP). Appetite to Play provides training and support to childcare providers in enhancing physical activity, physical literacy, and healthy eating environments in their facilities. To encourage the sustained use of ATP and aid childcare facilities in maintaining their adherence to the Active Play Standard, we have developed an intervention called, Appetite to Play +, targeted at facility managers and staff. The intervention builds upon ATP and is considered advanced training for childhood educators. The intervention involves the implementation of support strategies focused on integrating Active Play and fundamental movement skills into scheduling, curriculum planning, and creating a supportive environment for Active Play and healthy eating in childcare facilities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Partial masking as the outcome assessors will not deliver intervention.
入排标准
- 年龄范围
- 30 Months 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for childcare center:
- •Located in the Metro Vancouver region
- •Provides care to at least 10 children older than 2 1/2 years and younger than 6 years
- •Childcare program that is longer than 4 hours each day
- •Inclusion for child outcomes / measurement
- •children must attend a childcare that has volunteered to participate in the study
- •Child must be older than 2 1/2 years and younger than 6 years of age
- •Inclusion Criteria for managers and staff childcare centers:
- •- Managers at licensed BC childcare facilities, working full time (at least 3 full days per week) in a facility for children aged 2½ to 6 years, defined as an Executive Director, supervisor, or program manager. Aged 19 years or older.
- •- Childcare staff at licensed BC childcare facilities, working full time (at least 3 full days per week), defined as Early Childhood Educator, instructor, or staff that cares for 2½ to 6-year-old children. Aged 19 years or older.
排除标准
- •for childcare center:
- •Located outside Metro Vancouver region
- •Facilities caring only for children under 2 1/2 years old or older than 6 years
- •Family or in-home multi-age childcare
- •Exclusion Criteria for managers and staff childcare centers:
- •Do not care or supervise 2 ½ to 6 years old children
- •Work less than 3 full days per week
- •Administrative assistant/office manager
- •Younger than 19 years of age
研究组 & 干预措施
Intervention group
The experimental group will receive the Appetite to Play + intervention which is a capacity-building intervention that support childcare providers in implementing the best practices for active play. It includes a 3 e-learning online modules and then the are supported with weekly . bi-weekly emails.
干预措施: Appetite to Play + (Behavioral)
Standard of care waitlist control
The standard of care waitlist control group will receive the intervention at 3-months post-randomization. The standard of care group has access to the Appetite to Play materials which are available to everyone. The site includes resources that childcare providers can use.
干预措施: Appetite to Play + (Behavioral)
结局指标
主要结局
Change in practices related to active play (AP) and fundamental movement skills (FMS)
时间窗: Two time points -baseline and 3-month post intervention
Change in AP and FMS practices will examine child engagement in AP and FMS activities at the facility (e.g., time spent in AP, FMS, and outdoor activities, adherence to best practices). Assessment through observed practices using the Environment and Policy Assessment and Observation (EPAO) tool, and through self-reported practices based on questions developed by the Early Years Survey and the EPAO as a Self-Report instrument (EPAO-SR).
Fundamental movement skills (child outcomes)
时间窗: Two time points -baseline and 3-month post intervention
Children's FMS will be assessed with the validated Test of Gross Motor Development (TGMD-3 a norm-referenced tool for assessing 13 gross motor skills). The measure takes 15-20 min per child to administer and provides standardized and percentile composite scores for the locomotor, object control, and gross motor quotient (GMQ) composites.
次要结局
- Characteristics of childcare settings(Three time points -baseline and 3-month, and 6-month post intervention)
- Characteristics of providers(Three time points -baseline and 3-month, and 6-month post intervention)
研究者
Louise Masse
Professor and Investigator
University of British Columbia