Impact of a population based intervention to increase the adoption of multiple physical activity practices in centre based childcare services: a quasi experimental, effectiveness study

International Journal of Behavioral Nutrition and Physical Activity

Research

Andrew J Milat¹  Louise L Hardy²  Danielle Edenden³  Nicole Pond³  Maryann Falkiner³  Meghan Finch⁴  John Wiggers⁴  Luke Wolfenden⁴ 

[1] Evidence and Evaluation Branch, NSW Ministry of Health, Miller St, 2060, North Sydney, Australia;School of Public Health, Medical Foundation Building, The University of Sydney, 2006, Sydney, Australia;Physical Activity, Nutrition and Obesity Research Group, Medical Foundation Building, The University of Sydney, 2006, Sydney, Australia;Population Health, Hunter New England Health District, Booth Building, Longworth Avenue, 2287, Wallsend, Australia;Population Health, Hunter New England Health District, Booth Building, Longworth Avenue, 2287, Wallsend, Australia;School of Medicine and Public Health, University Drive, 2308, Callaghan, Australia;

关键词: Daycare centers;    Preschool;    Childcare;    Children;    Physical activity;    Policy;    Practice;   

DOI  :  10.1186/1479-5868-9-101

 received in 2011-10-20, accepted in 2012-08-15,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThere is considerable scope to improve the delivery of practices that increase the physical activity of children in centre based childcare services. Few studies have reported the effectiveness of interventions to address this, particularly at a population level. The primary aim of this study was to describe the impact of an intervention to increase the adoption of multiple policies and practices to promote physical activity in centre based childcare services.MethodsA quasi experimental study was conducted in centre based childcare services (n =228) in New South Wales (NSW), Australia and involved a three month intervention to increase the adoption of eight practices within childcare services that have been suggested to promote child physical activity. Intervention strategies to support the adoption of practices included staff training, resources, incentives, follow-up support and performance monitoring and feedback. Randomly selected childcare services in the remainder of NSW acted as a comparison group (n = 164) and did not receive the intervention but may have been exposed to a concurrent NSW government healthy eating and physical activity initiative. Self reported information on physical activity policies, fundamental movement skills sessions, structured physical activity opportunities, staff involvement in active play and provision of verbal prompts to encourage physical activity, small screen recreation opportunities, sedentary time, and staff trained in physical activity were collected by telephone survey with childcare service managers at baseline and 18 months later.ResultsCompared with the comparison area, the study found significantly greater increases in the prevalence of intervention services with a written physical activity policy, with policy referring to placing limits on small screen recreation, and with staff trained in physical activity. In addition, non-significant trends towards a greater increase in the proportion of intervention services conducting daily fundamental movement skill sessions, and such services having a physical activity policy supporting physical activity training for staff were also evident.ConclusionThe intervention was effective in improving a number of centre based childcare service policies and practices associated with promoting child physical activity. Adoption of a broader range of practices may require more intensive and prolonged intervention support.

【 授权许可】

CC BY   
© Finch et al.; licensee BioMed Central Ltd. 2012