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Improvements in Physical Activity Opportunities: Results From a Community-Based Family Child Care Intervention
- Source :
- American journal of preventive medicine. 54(5 Suppl 2)
- Publication Year :
- 2017
-
Abstract
- Introduction Reaching preschool-aged children to establish healthy lifestyle habits, including physical activity, is an important component of obesity prevention efforts. However, few studies have examined family child care homes where nearly 1 million children receive care. Study design A pre- and post-intervention evaluation without a control group was conducted to evaluate what changes occurred in family child care homes that participated in the Healthy Eating and Active Living project, a multicomponent obesity prevention initiative, focused on community-driven policy and environmental change in neighborhoods within Kaiser Permanente service areas. Setting/participants From 2012 to 2014, a total of 17 family child care homes in Northern California participated in the intervention. Intervention A physical activity workshop for child care staff and technical assistance to develop a policy to promote physical activity and other healthy behaviors. Main outcome measures Pre and post observations, questionnaires, and physical activity logs were completed to assess change in physical activity resources available in the family child care homes, the amount of child screen time offered, type and amount of physical activity offered to children, and implementation of physical activity best practices. Results Between baseline and follow-up, providers significantly increased both the number of structured, adult-led activities (2.6 vs 3.2 activities per day) and the number of structured, adult-led minutes of activity in which children participated (49 vs 83 minutes per day). Providers also improved screen time practices and made improvements to the physical activity environment. Conclusions In this study, a community-based organization designed and implemented multicomponent strategies tailored for participating family child care homes. The successful implementation of the intervention likely contributed to implementation of practices that increased opportunities for physical activity for the young children attending these family child care homes. Supplement information This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health.
- Subjects :
- medicine.medical_specialty
Family child care
Epidemiology
Best practice
Physical activity
Health Promotion
California
03 medical and health sciences
Screen time
0302 clinical medicine
Active living
Intervention (counseling)
medicine
Humans
030212 general & internal medicine
Healthy Lifestyle
Exercise
030505 public health
Health Policy
Public Health, Environmental and Occupational Health
Child Day Care Centers
Family medicine
Child, Preschool
Thriving
Community health
0305 other medical science
Psychology
Program Evaluation
Subjects
Details
- ISSN :
- 18732607
- Volume :
- 54
- Issue :
- 5 Suppl 2
- Database :
- OpenAIRE
- Journal :
- American journal of preventive medicine
- Accession number :
- edsair.doi.dedup.....f81c7069dfda00e8394a931585796c19