Activity, Motor, Child Development
Conditions
Keywords
Questionnaires, Semi-structured Interviews
Brief summary
Our Early Movers longitudinal study found that adherence to the Canadian 24-Hour Movement Guidelines in infancy is low across demographic groups, impacting overall development. Early Movers is a parent-focused intervention designed to increase dissemination and activation of the 24-Hour Movement Behaviour Guidelines for the Early Years. It adapts an established Australian intervention called INFANT. An important first step is conducting a pilot study.
Detailed description
Our goal is to examine the feasibility and acceptability of the Early Movers intervention, a scalable, theory-based, parent-focused intervention designed to increase dissemination and activation of the 24-Hour Movement Behaviour Guidelines for the Early Years. Primary Objectives: 1. Explore the feasibility of the Early Movers intervention protocol, including recruitment, retention, data collection, and procedures. Specifically, we will examine: 1. the willingness of first-time parents to enroll and remain in the study, 2. data collection completion rates, and 3. the integrity of the protocol components to all work together and run smoothly. 2. Explore the acceptability of the intervention by parents and public health staff.
Interventions
BEHAVIORALEarly Movers
The intervention includes: 1) an educational resource (i.e., hard-copy handout) developed for this study on the 24-Hour Movement Guidelines provided to parents at 2-month immunization appointments by public health nurses, who will answer any questions, followed by a discussion with research staff. 2) Follow-up support via access to a digital app with evidence-based information and support through an online toolkit, an anonymous forum, as well as weekly text messages that include tips and supportive messaging related to the guidelines.
Sponsors
Canadian Institutes of Health Research (CIHR)
Alberta Health services
University of Alberta
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Masking description
Participants: While the families will not be told explicitly if they have been assigned to the intervention or control group, they may be able to determine their group based on the information regarding movement behaviours they receive/do not receive during their 2 month immunization appointment. Research Coordinator: The research coordinator will be aware of the group allocations as they will be in charge of coordinating random assignment and have to schedule other measures based on their specific allocation.
Intervention model description
All participants will be randomly assigned to group 1 (intervention) or group 2 (control), in a computer generated 1:1 sequence.
Eligibility
Sex/Gender
ALL
Age
2 Months to 2 Months
Healthy volunteers
Yes
Inclusion criteria
-First time parents of infants who are aged 2 months 0 days through 2 months 30 days at baseline.
Exclusion criteria
* Parents who do not confidently speak or read English * Infants who are regularly cared for by an adult other then their parent/guardian for a number of hours per week (e.g. full time child care) * Infants born preterm (gestational age \<37 weeks) * Infants born underweight (\<2500 g) * Infants with a medical condition or health complication since birth that could impact their movement behaviours and/or development
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Public health staff acceptability (interviews) | At recruitment completion, approximately 6 months from the start of recruitment | Brief semi-structured interviews with public health staff |
| Feasibility (data collection) | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) | Completion rates of movement behaviour and development measures assessed in the questionnaire |
| Parent acceptability (interviews) | 4-month follow-up (Infant age: 6 months) | Brief semi-structured interviews with parents from the intervention group only |
| Parent acceptability (questionnaire) | 4-month follow-up (Infant age: 6 months) | Intervention usefulness, satisfaction (content and delivery), and novelty assessed via a parental questionnaire in the intervention group only. This scale includes 4 items with values of 1-5; higher values mean more acceptability |
| Parent acceptability (app usage) | Between baseline (Infant age: 2 months) and 4-month follow-up (Infant age: 6 months) | App usage will be tracked in the intervention group only |
| Feasibility (recruitment) | At recruitment completion, approximately 6 months from the start of recruitment | How many appointments the research coordinator attends, how many families the research coordinator speaks to, how many families are eligible, and how many families enroll in the trial. |
| Feasibility (retention) | At data collection completion, approximately 10 months from the start of recruitment | How many participants drop out |
| Feasibility (procedures; field observations) | Throughout the 6 months of recruitment | Field observations recorded by the research coordinator while at public health centres |
| Feasibility (procedures, interviews) | At recruitment completion, approximately 6 months from the start of recruitment | Brief semi-structured interviews with public health staff |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sedentary behaviour | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) | Screen time, back time, reading time, restrained time in a stroller, car seat, etc. measured in a parental questionnaire |
| Sleep | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) | Sleep measured in a parental questionnaire |
| Development | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) | Development will be measured with the Ages and Stages Questionnaire (ASQ-3) |
| Physical activity | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) | Tummy time measured in a parental questionnaire |
Countries
Canada
Outcome results
None listed