None listed
Conditions
Brief summary
Changing the scheduling of existing programs in childcare centres may represent an effective strategy which is suitable to ‘scale-up’ for population-wide implementation. Unstructured outdoor free play (as opposed to structured, staff-guided play) has been consistently associated with greater child physical activity. The study hypothesise when compared to children attending control services, where outdoor play is scheduled within a single continuous period, children attending intervention services will spend an additional 10 minutes in moderate-to-vigorous physical activity per day at childcare. An increase of 10 minutes of moderate-to-vigorous physical activity in preschool-aged children has been found to have clinically important effects on fat mass and peak bone mass.
Interventions
Specifically, within a six hour day (9am-3pm) the intervention will divide their usual total time of out-door play for children across three periods of at least 15 minutes' duration. The total daily duration of outdoor play will remain unchanged. There will be no prescribed timing for the scheduling of the outdoor play. Activities will remain unchanged. The duration of the intervention period will be between approximately 3 months. Services will be supported by a childhood physical activity consultant with experience working with childcare services to implement the intervention. Adherence will be monitored by the external consultant who will ensure the intervention is delivered as per protocol (unless inclement weather, special events or offsite activities)
Sponsors
Study design
Eligibility
Inclusion criteria
Child care services (long day care and preschools) For a service to be eligible it will be within the Hunter geographic region of NSW Australia and have a minimum total number of children enrolled aged 3-6 years of at least 25. Children For children within the service to be eligible to participate they will be aged 3-6 years, have parental consent and attend care during any of the days of designated data collection
Exclusion criteria
Child care services (long day care and preschools) Services serving special needs populations will be excluded from participating in the trial given the specialist care required for such children and the likelihood of a differential effect in this population group. Services with more than one outdoor play periods within the core hours of 9am to 3pm will be deemed ineligible. Children Children at the service with special needs will be excluded from participating in the trial.