A randomised controlled trial of an implementation strategy delivered at scale to increase outdoor free play opportunities in early childhood education and care (ECEC) services: a study protocol for the get outside get active (GOGA) trial.

Australia Child Health Child, Preschool Health Promotion / methods Humans New South Wales Obesity Randomized Controlled Trials as Topic
Early childhood education and care Free play Implementation trial Indoor-outdoor Outdoor play Physical activity Randomised controlled trial

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
29 03 2022
Historique:
received: 28 02 2022
accepted: 01 03 2022
entrez: 30 3 2022
pubmed: 31 3 2022
medline: 6 4 2022
Statut: epublish

Résumé

Increased outdoor play time in young children is associated with many health and developmental benefits. This study aims to evaluate the impact of a multi-strategy implementation strategy delivered at scale, to increase opportunities for outdoor free play in Early Childhood Education and Care (ECEC) services. The study will employ a parallel-group randomised controlled trial design. One hundred ECEC services in the Hunter New England region of New South Wales, Australia, will be recruited and randomised to receive either a 6-month implementation strategy or usual care. The trial will seek to increase the implementation of an indoor-outdoor routine (whereby children are allowed to move freely between indoor and outdoor spaces during periods of free play), to increase their opportunity to engage in outdoor free play. Development of the strategy was informed by the Behaviour Change Wheel to address determinants identified in the Theoretical Domains Framework. ECEC services allocated to the control group will receive 'usual' implementation support delivered as part of state-wide obesity prevention programs. The primary trial outcome is the mean minutes/day (calculated across 5 consecutive days) of outdoor free play opportunities provided in ECEC services measured at baseline, 6-months (primary end point) and 18-months post baseline. Analyses will be performed using an intention-to-treat approach with ECEC services as the unit of analysis, using a linear mixed effects regression model to assess between-group differences. A sensitivity analysis will be undertaken, adjusting for service characteristics that appear imbalanced between groups at baseline, and a subgroup analysis examining potential intervention effect among services with the lowest baseline outdoor free play opportunities. Identifying effective strategies to support the implementation of indoor-outdoor routines in the ECEC setting at scale is essential to improve child population health. Australian New Zealand Clinical Trials Registry ( ACTRN12621000987864 ). Prospectively registered 27th July 2021, ANZCTR - Registration.

Sections du résumé

BACKGROUND
Increased outdoor play time in young children is associated with many health and developmental benefits. This study aims to evaluate the impact of a multi-strategy implementation strategy delivered at scale, to increase opportunities for outdoor free play in Early Childhood Education and Care (ECEC) services.
METHODS
The study will employ a parallel-group randomised controlled trial design. One hundred ECEC services in the Hunter New England region of New South Wales, Australia, will be recruited and randomised to receive either a 6-month implementation strategy or usual care. The trial will seek to increase the implementation of an indoor-outdoor routine (whereby children are allowed to move freely between indoor and outdoor spaces during periods of free play), to increase their opportunity to engage in outdoor free play. Development of the strategy was informed by the Behaviour Change Wheel to address determinants identified in the Theoretical Domains Framework. ECEC services allocated to the control group will receive 'usual' implementation support delivered as part of state-wide obesity prevention programs. The primary trial outcome is the mean minutes/day (calculated across 5 consecutive days) of outdoor free play opportunities provided in ECEC services measured at baseline, 6-months (primary end point) and 18-months post baseline. Analyses will be performed using an intention-to-treat approach with ECEC services as the unit of analysis, using a linear mixed effects regression model to assess between-group differences. A sensitivity analysis will be undertaken, adjusting for service characteristics that appear imbalanced between groups at baseline, and a subgroup analysis examining potential intervention effect among services with the lowest baseline outdoor free play opportunities.
DISCUSSION
Identifying effective strategies to support the implementation of indoor-outdoor routines in the ECEC setting at scale is essential to improve child population health.
TRIAL REGISTRATION
Australian New Zealand Clinical Trials Registry ( ACTRN12621000987864 ). Prospectively registered 27th July 2021, ANZCTR - Registration.

Identifiants

DOI: 10.1186/s12889-022-12883-w PMID: 35351035 PMC: PMC8961494
pubmed: 35351035
doi: 10.1186/s12889-022-12883-w
pii: 10.1186/s12889-022-12883-w
pmc: PMC8961494
doi:

Banques de données

ANZCTR
['ACTRN12621000987864']

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

610

Informations de copyright

© 2022. The Author(s).

Références

J Phys Act Health. 2019 Oct 16;16(12):1175-1186
pubmed: 31624222
Am J Prev Med. 2009 Jul;37(1):35-40
pubmed: 19423269
Int J Environ Res Public Health. 2015 Jun 08;12(6):6455-74
pubmed: 26062039
Pilot Feasibility Stud. 2020 Oct 29;6(1):163
pubmed: 33292720
Int J Behav Nutr Phys Act. 2019 Nov 7;16(1):102
pubmed: 31699095
Infant Behav Dev. 2018 Feb;50:88-97
pubmed: 29223777
Am J Community Psychol. 2008 Jun;41(3-4):327-50
pubmed: 18322790
Implement Sci. 2017 Jun 21;12(1):77
pubmed: 28637486
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Health Promot J Austr. 2020 Apr;31(2):207-215
pubmed: 31206852
Cochrane Database Syst Rev. 2007 Oct 17;(4):CD000409
pubmed: 17943742
BMC Public Health. 2017 Aug 1;18(1):68
pubmed: 28764785
Pilot Feasibility Stud. 2020 Oct 31;6(1):167
pubmed: 33292770
BMC Public Health. 2011 Dec 15;11:934
pubmed: 22168312
Stat Med. 2011 Feb 20;30(4):377-99
pubmed: 21225900
Implement Sci. 2016 Jul 25;11(1):105
pubmed: 27457651
Med Sci Sports Exerc. 2010 Jun;42(6):1072-8
pubmed: 19997029
Health Promot J Austr. 2020 Apr;31(2):199-206
pubmed: 31397006
Implement Sci. 2017 Aug 29;12(1):108
pubmed: 28851459
BMJ Open. 2017 Feb 7;7(2):e014423
pubmed: 28174226
Int J Environ Res Public Health. 2015 Jun 08;12(6):6423-54
pubmed: 26062038
Public Health Nutr. 2015 Jun;18(9):1610-9
pubmed: 24477181
Transl Behav Med. 2021 Jul 29;11(7):1365-1410
pubmed: 34080618
J Phys Act Health. 2015 Aug;12(8):1102-11
pubmed: 25347913
Implement Sci. 2021 Apr 7;16(1):36
pubmed: 33827716
Pediatrics. 2015 Jun;135(6):e1425-31
pubmed: 25986016
Int J Behav Nutr Phys Act. 2017 Sep 7;14(1):120
pubmed: 28882152
Int J Behav Nutr Phys Act. 2018 Apr 4;15(1):34
pubmed: 29615061
Int J Behav Nutr Phys Act. 2015 Sep 26;12:124
pubmed: 26410387
Public Health Res Pract. 2020 Jun 30;30(2):
pubmed: 32601656
BMJ. 2001 Feb 10;322(7282):313-4
pubmed: 11159642
BMJ. 2017 Mar 6;356:i6795
pubmed: 28264797
J Gen Intern Med. 2014 Nov;29(11):1534-41
pubmed: 24965281
Annu Rev Public Health. 2018 Apr 1;39:55-76
pubmed: 29328872
Implement Sci. 2011 Apr 23;6:42
pubmed: 21513547
Am J Prev Med. 2008 Oct;35(4):352-6
pubmed: 18701236
Int J Environ Res Public Health. 2021 Jan 19;18(2):
pubmed: 33478165
Health Promot Int. 2013 Sep;28(3):285-98
pubmed: 22241853
Prev Sci. 2019 Nov;20(8):1147-1168
pubmed: 31444621
Cochrane Database Syst Rev. 2020 Feb 10;2:CD011779
pubmed: 32036618
Implement Sci. 2012 Apr 24;7:37
pubmed: 22530986
Int J Environ Res Public Health. 2019 Nov 04;16(21):
pubmed: 31689905
Implement Sci. 2015 Feb 12;10:21
pubmed: 25889199
Int J Environ Res Public Health. 2015 Jun 08;12(6):6475-505
pubmed: 26062040
Cochrane Database Syst Rev. 2012 Jun 13;(6):CD000259
pubmed: 22696318
BMC Public Health. 2017 Nov 20;17(Suppl 5):874
pubmed: 29219102
Cochrane Database Syst Rev. 2020 Jul 31;8:CD004398
pubmed: 32748975
Health Res Policy Syst. 2020 Jan 3;18(1):1
pubmed: 31900230
Prev Chronic Dis. 2007 Jul;4(3):A67
pubmed: 17572971
Implement Sci. 2020 Oct 1;15(1):87
pubmed: 32998750
Health Educ Behav. 2021 Feb;48(1):42-53
pubmed: 33190548
Prev Med. 2018 Mar;108:74-85
pubmed: 29305869
J Spec Pediatr Nurs. 2017 Jul;22(3):
pubmed: 28407367
Implement Sci. 2019 Sep 18;14(1):90
pubmed: 31533841

Auteurs

Sze Lin Yoong (SL)

School of Health Sciences, Department of Nursing and Allied Health, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia. syoong@swin.edu.au.
School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. syoong@swin.edu.au.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia. syoong@swin.edu.au.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia. syoong@swin.edu.au.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. syoong@swin.edu.au.

Nicole Pearson (N)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Kathryn Reilly (K)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Luke Wolfenden (L)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Jannah Jones (J)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Nicole Nathan (N)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Anthony Okely (A)

Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, 2522, Australia.
School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, 2522, Australia.
Illawarra Health and Medicine Research Institute, Wollongong, NSW, 2522, Australia.

Patti-Jean Naylor (PJ)

School of Exercise Science, Physical and Health Education, University of Victoria, Mackinnon 120, PO Box 1700, STN CSC, Victoria, BC, V8W 2Y2, Canada.

Jacklyn Jackson (J)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Luke Giles (L)

Hunter New England Population Health, Wallsend, NSW, 2287, Australia.

Noor Imad (N)

School of Health Sciences, Department of Nursing and Allied Health, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.

Karen Gillham (K)

Hunter New England Population Health, Wallsend, NSW, 2287, Australia.

John Wiggers (J)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Penny Reeves (P)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.

Kate Highfield (K)

Early Childhood Australia, Canberra, ACT, Australia.

Melanie Lum (M)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

Alice Grady (A)

School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter New England Population Health, Wallsend, NSW, 2287, Australia.
Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
Priority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › A randomised controlled trial of an...
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé de l'enfant › A randomised controlled trial of an...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Enfant d'âge préscolaire › A randomised controlled trial of an...
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questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Nouvelle-Galles du Sud › A randomised controlled trial of an...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › A randomised controlled trial of an...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études cliniques comme sujet › Essais cliniques comme sujet › Essais cliniques contrôlés comme sujet › Essais contrôlés randomisés comme sujet › A randomised controlled trial of an...