Increasing physical activity among young children from disadvantaged communities: study protocol of a group randomised controlled effectiveness trial

BMC Public Health

Study Protocol

Anthony D. Okely¹  Rachel A. Jones¹  Dylan P. Cliff¹  Ngiare Brown¹  Paul Chandler¹  Rebecca M. Stanley¹  Steven J. Howard¹  Penny Cross¹  Simon Eckermann¹  Fay Gowers¹  Marijka Batterham¹  Jo Salmon²  Trina Hinkley²  Stewart G. Trost³  Karen J. Mickle⁴  Donna Berthelsen⁵  John J. Reilly⁶  Xanne Janssen⁶ 

[1] Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Northfields Ave, 2522, Wollongong, New South Wales, Australia;Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia;Institute of Health and Biomedical Innovation at Queensland Centre for Children’s Health Research, School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Australia;Institute of Sport, Exercise and Active Living, College of Sport and Exercise Science, Victoria University, Melbourne, Australia;School of Early Childhood, Queensland University of Technology, Brisbane, Australia;School of Psychological Science and Health, University of Strathclyde, Glasgow, Scotland, UK;

关键词: Preschool;    Early years;    Physical activity;    Motor skill;    Professional development;    Cluster randomised controlled trial;   

DOI  :  10.1186/s12889-016-3743-0

 received in 2016-09-18, accepted in 2016-10-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundParticipation in regular physical activity (PA) during the early years helps children achieve healthy body weight and can substantially improve motor development, bone health, psychosocial health and cognitive development. Despite common assumptions that young children are naturally active, evidence shows that they are insufficiently active for health and developmental benefits. Exploring strategies to increase physical activity in young children is a public health and research priority.MethodsJump Start is a multi-component, multi-setting PA and gross motor skill intervention for young children aged 3–5 years in disadvantaged areas of New South Wales, Australia. The intervention will be evaluated using a two-arm, parallel group, randomised cluster trial. The Jump Start protocol was based on Social Cognitive Theory and includes five components: a structured gross motor skill lesson (Jump In); unstructured outdoor PA and gross motor skill time (Jump Out); energy breaks (Jump Up); activities connecting movement to learning experiences (Jump Through); and a home-based family component to promote PA and gross motor skill (Jump Home). Early childhood education and care centres will be demographically matched and randomised to Jump Start (intervention) or usual practice (comparison) group. The intervention group receive Jump Start professional development, program resources, monthly newsletters and ongoing intervention support. Outcomes include change in total PA (accelerometers) within centre hours, gross motor skill development (Test of Gross Motor Development-2), weight status (body mass index), bone strength (Sunlight MiniOmni Ultrasound Bone Sonometer), self-regulation (Heads-Toes-Knees-Shoulders, executive function tasks, and proxy-report Temperament and Approaches to learning scales), and educator and parent self-efficacy. Extensive quantitative and qualitative process evaluation and a cost-effectiveness evaluation will be conducted.DiscussionThe Jump Start intervention is a unique program to address low levels of PA and gross motor skill proficiency, and support healthy lifestyle behaviours among young children in disadvantaged communities. If shown to be efficacious, the Jump Start approach can be expected to have implications for early childhood education and care policies and practices, and ultimately a positive effect on the health and development across the life course.Trial registrationAustralian and New Zealand Clinical Trials Registry No: ACTRN12614000597695, first received: June 5, 2014.

【 授权许可】

CC BY   
© The Author(s). 2016