Interventions in outside-school hours childcare settings for promoting physical activity amongst schoolchildren aged 4 to 12 years

Virgara, Rosa; Maher, Carol; Lewis, Lucy; Phillips, Anna; Wolfenden, Luke; Okely, Anthony D.; Beets, Michael W.; Richardson, Mandy; Baldock, Katherine L.

doi:10.1002/14651858.cd013380

Cited by 3 publications

(2 citation statements)

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“…Children choose, whether voluntarily or involuntarily, to participate in the heterogeneous landscape of community OST organized settings that feature a range of adult-led activities. These may include afterschool programs and extracurricular activities (e.g., clubs and youth sports), which often meet both before and after school, in the evening, and on weekends (32)(33)(34)(35). PA outside of school makes a substantial contribution (i.e., almost half) to a child's daily total PA (36); thus, OST school and community-based opportunities are prime settings for in uencing childhood behaviors, particularly given their high demand, reach, and contact time (37).…”

Section: Introductionmentioning

confidence: 99%

“…However, OST organized activities vary widely within local communities and across the U.S. and serve many different purposes (e.g., academic, youth development, enrichment, or childcare). Additionally, unlike the literature on youth sport, few studies have quantitatively examined the PA levels of children attending speci c organized activities, such as clubs and youth organizations (e.g., 4-H, Scouting, and STEM), where PA is not the primary purpose (33,(38)(39)(40). Further, even less is known about OST organized activity participation among rural children, although patterns of involvement in non-sport organized activities are beginning to emerge in the literature (41)(42)(43).…”

Section: Introductionmentioning

confidence: 99%

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The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

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et al. 2022

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Background Out-of-school time (OST) organized group youth activities (e.g., afterschool programs, clubs) can reduce health inequalities by increasing physical activity (PA). However, unlike youth sport, PA is not the primary focus of many organized activities. This study examined the association between rural children’s demographic factors and OST non-sport organized activity participation and the differences between these factors and PA. Methods During Spring 2019, children (n = 418 3rd − 6th graders, aged 8–12 years) enrolled in two rural Midwestern public schools in the United States completed the Youth Activity Profile (YAP) and supplemental National Survey of Children’s Health 2017–2018 survey questions assessing OST organized activity participation as part of the Wellscapes Project, a type 3 hybrid implementation-effectiveness community randomized trial. A subsample of 235 children (males, n = 117; females, n = 118) provided parental/guardian consent to pair YAP results with student enrollment records. Average OST moderate-to-vigorous PA (MVPA) per weekday and weekend days was estimated using an algorithm converting raw YAP scores into minutes of MVPA. Mixed models with community as a random effect examined main effects and interactions of grade, sex, and family income on OST non-sport organized activity participation and these factors and participation on MVPA. Results Most children (73.2%) participated in an OST non-sport organized activity. Males were less likely to participate in organized activities than females (OR = 0.38, 95% CI = 0.20–0.73, p = 0.004). Females and 6th graders reported lower OST MVPA on weekdays and weekends than comparison groups (p < 0.001). Males with lower family income accumulated significantly fewer minutes of MVPA on weekdays (meandiff = -4.7 ± 2.0 minutes) and weekends (meandiff = -8.9 ± 3.8 minutes) compared with males with higher family income (p < 0.05). Conclusions Many rural children participated in OST organized activities regardless of grade and family income. However, there were inequalities in organized activity participation and OST weekday and weekend MVPA by demographic factors, including grade, sex, and family income. Designing OST organized activity settings to include PA may aid in reducing PA inequalities and promoting health equity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

Seggern

Schenkelberg

Essay

et al. 2022

Preprint

View full text Add to dashboard Cite

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Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

Wolfenden

Barnes

Jones

et al. 2020

Cochrane Database of Systematic Reviews

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Development of Australian physical activity and screen time guidelines for outside school hours care: an international Delphi study

Virgara

Phillips

Lewis

et al. 2021

Int J Behav Nutr Phys Act

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Background Children’s activity patterns in the periods before and after school make a key contribution to achieving 24-h movement guidelines. There are currently no national-level guidelines informing physical activity and screen time practices in Outside School Hours Care (OSHC) programs anywhere in the world. This study aimed to work with industry, government and academic stakeholders to develop draft physical activity and screen time guidelines for use in Australian OSHC. Methods A 4-round online Delphi survey was conducted from May 2019 to January 2020. The Delphi participants included national and international experts and stakeholders from academia, education, government, health and the OSHC sectors. Round 1 consisted of open-ended questions exploring physical activity, screen time and sedentary behaviour in various periods of OSHC (before school, after school and vacation care). In rounds 2 and 3, participants rated the importance of items generated from the first round for inclusion in national guidelines using a Likert scale (1–9). Consensus was defined a priori as ≥80% of respondents rating an item as “critically important” (score 7–9). Between rounds 3 and 4, the guideline development panel used the consensus items, systematic review evidence, and followed the GRADE process, to draft the guidelines. In round 4, participants were invited to provide feedback on the draft guidelines and comment on barriers and enablers to implementation. Results Sixty-seven stakeholders agreed to participate, with response rates 61, 81, 54 and 72% for the four rounds respectively. Of the 123 items generated across the three rounds, 48 statements achieved consensus agreement as critically important for inclusion in the guidelines. These included offering a variety of physical activities (free play, playground and equipment) and restriction of screen time. The final round provided feedback on the draft guidelines. The wording of the guidelines was found to be appropriate and preliminary enablers and barriers to implementation were identified. Conclusions This world-first expert and stakeholder consultation has underpinned the development of the draft Australian guidelines for physical activity and screen time in OSHC. Ongoing work is needed to further refine the guidelines, determine current rates of compliance with the guidelines and implement the guidelines into practice.

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Interventions in outside-school hours childcare settings for promoting physical activity amongst schoolchildren aged 4 to 12 years

Cited by 3 publications

References 20 publications

The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

Development of Australian physical activity and screen time guidelines for outside school hours care: an international Delphi study

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