Motor Activity Clinical Trial
Official title:
Examining a Childcare Policy to Promote Physical Activity Among Young Children
This study examines the effectiveness and appropriateness of a written physical activity policy implemented in licensed centre-based childcare on the physical activity levels of toddlers (1-2) and preschoolers (3-5 years). Half of the childcare centres will adopt the physical activity policy while the other half will continue with their typical daily programming and care. It is hypothesized that children enrolled in childcare centres that adopt the policy will display increased levels of physical activity during, and after participating in the policy intervention compared to children enrolled in centres that do not adopt the policy.
A pilot, cluster single-blind randomized controlled trial (RCT) will be conducted.
Approximately 8 licensed childcare centres will be randomly selected from an online listing
of centres in London, Canada. Since it is necessary to implement the policy at the
centre-level to groups of children, the childcare centres (i.e., the clusters) rather than
the individual participants, will be randomly allocated to either implement the physical
activity policy (experimental; n = 4), or maintain their daily programming (control; n = 4)
for the 8-week intervention period.
In both groups, toddlers' and preschoolers' physical activity will be objectively measured
using motion sensors (ActiGraph wGT3X-BT accelerometers) worn on an elastic waistband for 5
consecutive days, during childcare hours, before the policy is implemented (baseline; week 0;
September 2018), mid-intervention (week 4; October 2018), one week after the intervention
period ends (post-intervention; week 9; November/December 2018), and 6-months
post-intervention (May-June 2019).
The aim of the study is to examine the impact of a childcare physical activity policy on the
objectively measured physical activity levels (light physical activity, LPA;
moderate-to-vigorous physical activity, MVPA), and combined total physical activity (TPA),
and sedentary time of young children in childcare centres compared to children from centres
that maintain their usual standard of care.
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