IA Trial Radar | ||
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L'essai clinique NCT05669378 pour Inactivité physique, Activité motrice est en recrutement. Consultez la vue en carte du Radar des Essais Cliniques et les outils de découverte par IA pour tous les détails, ou posez vos questions ici. | ||
A Good Start Matters Intervention Study
A Good Start Matters: Do Supportive Childcare Centre Environments, Policies and Practices Enhance Physical Activity?
- H18-01434
| Groupe de participants/Bras | Intervention/Traitement |
|---|---|
ExpérimentalIntervention group The experimental group will receive the Appetite to Play + intervention which is a capacity-building intervention that support childcare providers in implementing the best practices for active play. It includes a 3 e-learning online modules and then the are supported with weekly . bi-weekly emails. | Appetite to Play + In 2017 the province of BC enacted a provincial standard for physical activity, formally titled the Director of Licensing Standard of Practice - Active Play (Active Play Standards) that licensed childcare centers are required to adhere to. Along with this, a provincial capacity-building intervention (Appetite to Play) was released to provide training and education to early years providers working in the province and support the implementation of the Active Play Standards. The intervention, Appetite to Play +, will provide advanced training to early year educators on the Appetite to Play activities and resources. The intervention will include workshops and training on physical literacy, fundamental movement skills, and creating a supportive environment to sustain Active Play practices. As part of the intervention, managers will also be provided with resources to aid them with the integration of Active Play into their curriculums and schedules. |
AutreStandard of care waitlist control The standard of care waitlist control group will receive the intervention at 3-months post-randomization. The standard of care group has access to the Appetite to Play materials which are available to everyone. The site includes resources that childcare providers can use. | Appetite to Play + In 2017 the province of BC enacted a provincial standard for physical activity, formally titled the Director of Licensing Standard of Practice - Active Play (Active Play Standards) that licensed childcare centers are required to adhere to. Along with this, a provincial capacity-building intervention (Appetite to Play) was released to provide training and education to early years providers working in the province and support the implementation of the Active Play Standards. The intervention, Appetite to Play +, will provide advanced training to early year educators on the Appetite to Play activities and resources. The intervention will include workshops and training on physical literacy, fundamental movement skills, and creating a supportive environment to sustain Active Play practices. As part of the intervention, managers will also be provided with resources to aid them with the integration of Active Play into their curriculums and schedules. |
| Critères d'évaluation | Description de critères | Période |
|---|---|---|
Change in practices related to active play (AP) and fundamental movement skills (FMS) | Change in AP and FMS practices will examine child engagement in AP and FMS activities at the facility (e.g., time spent in AP, FMS, and outdoor activities, adherence to best practices). Assessment through observed practices using the Environment and Policy Assessment and Observation (EPAO) tool, and through self-reported practices based on questions developed by the Early Years Survey and the EPAO as a Self-Report instrument (EPAO-SR). | Two time points -baseline and 3-month post intervention |
Fundamental movement skills (child outcomes) | Children's FMS will be assessed with the validated Test of Gross Motor Development (TGMD-3 a norm-referenced tool for assessing 13 gross motor skills). The measure takes 15-20 min per child to administer and provides standardized and percentile composite scores for the locomotor, object control, and gross motor quotient (GMQ) composites. | Two time points -baseline and 3-month post intervention |
| Critères d'évaluation | Description de critères | Période |
|---|---|---|
Characteristics of childcare settings | Assessment of organizational processes, structural support, and processing supporting implementation of Active Play policies as measured by the Early Years Survey and the Environment and Policy Assessment and Observation as a Self-Report tool (EPAO-SR), including actions to prioritize AP and changes in the environment to support AP and FMS. | Three time points -baseline and 3-month, and 6-month post intervention |
Characteristics of providers | Assessment of staff and manager's knowledge and skills, self-efficacy, and commitment to changes facility practices to implement Active Play standards, as measured by the Early Years Survey and the EPAO-SR. | Three time points -baseline and 3-month, and 6-month post intervention |
- Located in the Metro Vancouver region
- Provides care to at least 10 children older than 2 1/2 years and younger than 6 years
- Childcare program that is longer than 4 hours each day
Inclusion for child outcomes / measurement
- children must attend a childcare that has volunteered to participate in the study
- Child must be older than 2 1/2 years and younger than 6 years of age
Inclusion Criteria for managers and staff childcare centers:
- Managers at licensed BC childcare facilities, working full time (at least 3 full days per week) in a facility for children aged 2½ to 6 years, defined as an Executive Director, supervisor, or program manager. Aged 19 years or older.
OR
- Childcare staff at licensed BC childcare facilities, working full time (at least 3 full days per week), defined as Early Childhood Educator, instructor, or staff that cares for 2½ to 6-year-old children. Aged 19 years or older.
- Located outside Metro Vancouver region
- Facilities caring only for children under 2 1/2 years old or older than 6 years
- Family or in-home multi-age childcare
Exclusion Criteria for managers and staff childcare centers:
- Do not care or supervise 2 ½ to 6 years old children
- Work less than 3 full days per week
- Administrative assistant/office manager
- Younger than 19 years of age
British Columbia