A Good Start Matters Intervention Study
- Conditions
- Physical InactivityMotor Activity
- Interventions
- Behavioral: Appetite to Play +
- Registration Number
- NCT05669378
- Lead Sponsor
- University of British Columbia
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 52
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Intervention group Appetite to Play + 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. Standard of care waitlist control Appetite to Play + 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.
- Primary Outcome Measures
Name Time Method Change in practices related to active play (AP) and fundamental movement skills (FMS) 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) 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.
- Secondary Outcome Measures
Name Time Method Characteristics of childcare settings Three time points -baseline and 3-month, and 6-month post intervention Assessment of organizational processes, structural support, and processing supporting implementation of Active Play policies as measured by the Early Years Survey and the Environment and Policy Assessment and Observation as a Self-Report tool (EPAO-SR), including actions to prioritize AP and changes in the environment to support AP and FMS.
Characteristics of providers Three time points -baseline and 3-month, and 6-month post intervention Assessment of staff and manager's knowledge and skills, self-efficacy, and commitment to changes facility practices to implement Active Play standards, as measured by the Early Years Survey and the EPAO-SR.
Trial Locations
- Locations (1)
BC Children's Hospital Research Institute
🇨🇦Vancouver, British Columbia, Canada