跳至主要内容
临床试验/NCT06488508
NCT06488508进行中(未招募)不适用

Move-play-explore in Early Childhood Education

Western Norway University of Applied Sciences2 个研究点 分布在 1 个国家目标入组 500 人开始时间: 2024年8月19日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
500
试验地点
2
主要终点
Movement competence and creativity

研究概览

简要总结

Evidence is lacking about scalable, effective and sustainable interventions to increase whole-child development in young children. Targeting worrisome trends in physical inactivity and schoolification negatively affecting young children, we will conduct a large cluster randomized controlled trial investigating the effects of professional development of kindergarten staff on kindergarten pedagogical practices regarding movement, play and exploration and child health and development over 18 months. The aim is to recruit 50 kindergartens and 500 children aged 4 years in one county in the western part of Norway to allow for detecting small to moderate effect sizes and ensuring a heterogeneous sample of kindergartens for the study of implementation. Children's physical, mental and socio-emotional development, as well as intervention implementation, will be investigated. The intervention will be developed with strong user involvement from kindergartens and relevant stakeholders to facilitate the development of sustainable solutions.

详细描述

There are growing concerns about low physical activity levels among young children and schoolification of the kindergartens sector. As 97% of 3-5-year-olds in Norway attend kindergarten, the kindergarten is a unique arena for intervention, laying the foundation for equitable development of health, learning and life opportunities. Yet, evidence of scalable, effective and sustainable interventions to increase physical activity and whole-child development among young children is lacking.

In MoveEarly, we will develop and test a pedagogical intervention focusing movement, play and exploration to counteract trends of increased physical inactivity and instructional teaching practices. For such an intervention to be sustainable, kindergarten staff must lead the implementation of the pedagogical innovation. Thus, we will develop theory on move-play-explore as core elements of a child-responsive pedagogy, investigate how this pedagogy affect child developmental outcomes, develop knowledge on how professional development/continuing education can be co-created among researchers and kindergartens staff, and how such an intervention can be effectively implemented in the kindergarten sector.

Two main research questions will be tested using both quantitative and qualitative methods, applied to both the child and organizational levels:

  1. How does the MoveEarly intervention impact children's movement competence, creativity, physical activity, physical fitness, playfulness, explorative behaviour, socio-emotional health, well-being, self-regulation, and early academic learning?
  2. How does the MoveEarly intervention interact with different kindergarten contexts to produce various individual and organizational outcomes?

These research questions will be investigated using a cluster RCT with randomization at the kindergarten level, including short- (7-month) and long-term (18-month) follow-ups. The intervention development will include strong involvement from kindergarten owners and staff to provide broad support, buy-in and ownership from kindergarten staff and owners. Thus, we aim to combine a large-scale experimental study with tailored, continuous improvement effort in this sector by taking each kindergarten's contextual factors into account. In this model, to make adaptations within each kindergarten is not considered a lack of fidelity; rather it is a desired process of institutionalization overcoming a common criticism of clinical trials as it increases the value for later scaling and dissemination to the real-world setting. In this way, the aim is to create sustainable solutions for improved child development that can be disseminated in the long-term. Thus, the intervention's development, implementation, and evaluation are framed within a "realist RCT" approach. The intervention model is further framed within a socioecological model, placing the kindergarten as an influential factor for children's health and development.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
4 Years 至 4 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Enrolled in a participating kindergarten
  • Born in 2020

排除标准

  • 未提供

结局指标

主要结局

Movement competence and creativity

时间窗: Change to 7 months

The Test of Movement Competence and Creativity, consists of 3 standardized, multi-item movement challenges children will solve as successful or not. Measured as scores.

次要结局

  • Body mass(Change to 18 months)
  • Supine timed up and go(Change to 18 months)
  • Behavioural self-regulation(Change to 18 months)
  • Vocabulary(Change to 18 months)
  • Physical activity and sedentary time(Change to 7 months)
  • Standing long-jump(Change to 18 months)
  • Grip strength(Change to 18 months)
  • Body mass index(Change to 18 months)
  • Children's social-emotional health(Change to 18 months)
  • Numeracy(Change to 18 months)
  • Playfulness, explorative behaviour and wellbeing(Change to 18 months)

研究者

发起方
Western Norway University of Applied Sciences
申办方类型
Other
责任方
Principal Investigator
主要研究者

Eivind Aadland

Professor, PhD

Western Norway University of Applied Sciences

研究点 (2)

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