Sydney Playground Project: A Cluster-Randomized Trial to Increase Physical Activity, Play, and Social Skills

被引:48
作者
Bundy, Anita [1 ]
Engelen, Lina [2 ]
Wyver, Shirley [3 ]
Tranter, Paul [4 ]
Ragen, Jo [5 ]
Bauman, Adrian [6 ]
Baur, Louise [7 ]
Schiller, Wendy [8 ]
Simpson, Judy M. [9 ]
Niehues, Anita N. [10 ]
Perry, Gabrielle [11 ]
Jessup, Glenda [11 ]
Naughton, Geraldine [12 ]
机构
[1] Colorado State Univ, Dept Occupat Therapy, 200 Occupat Therapy Bldg,1573 Campus Delivery, Ft Collins, CO 80523 USA
[2] Univ Sydney, Sch Publ Hlth, Charles Perkins Ctr, Camperdown, NSW 2006, Australia
[3] Macquarie Univ, Inst Early Childhood, N Ryde, NSW 2109, Australia
[4] Univ NSW, Sch Phys Environm & Math Sci, POB 7916, Canberra Bc, ACT 2610, Australia
[5] Univ Sydney, Fac Hlth Sci, Lidcombe, NSW 2141, Australia
[6] Sch Publ Hlth, Charles Perkins Ctr, Sch Publ Hlth, Publ Hlth, Camperdown, NSW 2006, Australia
[7] Univ Sydney, Sydney Med Sch, Sydney, NSW 2145, Australia
[8] Univ South Australia, deLissa Inst Early Childhood & Family Studies, GPO Box 2471, Adelaide, SA 5000, Australia
[9] Univ Sydney, Sydney Sch Publ Hlth, Edward Ford Bldg A27, Sydney, NSW 2006, Australia
[10] Lenoir Rhyne Univ, 313 McCrorie Bldg,625 7th Ave NE, Hickory, NC 28601 USA
[11] Fac Hlth Sci, Lidcombe, NSW 2141, Australia
[12] Australian Catholic Univ, Sch Exercise Sci, Locked Bag 4115, Fitzroy, Vic 3065, Australia
基金
澳大利亚研究理事会; 英国医学研究理事会;
关键词
outdoor play; physical activity; school playground; school recess; perceived competence; social acceptance; accelerometer; INTERNATIONAL SURVEY; OUTDOOR PLAY; CHILDREN; RECESS; HEALTH; SCHOOL; INTERVENTION; OBESITY; RISK;
D O I
10.1111/josh.12550
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
BACKGROUNDWe assessed the effectiveness of a simple intervention for increasing children's physical activity, play, perceived competence/social acceptance, and social skills. METHODSA cluster-randomized controlled trial was conducted, in which schools were the clusters. Twelve Sydney (Australia) primary schools were randomly allocated to intervention or control conditions, with 226 children (5-7 years old) selected randomly to participate. Data were collected at baseline and after 13 weeks. The intervention consisted of introducing recycled materials without an obvious play purpose into school playgrounds and a risk-reframing workshop for parents and teachers. RESULTSChildren from the intervention schools increased physical activity and reduced sedentary time while control schools decreased physical activity and increased sedentary time. The intervention yielded increases in total accelerometer counts ( = 9350 counts, 95% CI 3490-1522, p = .002), minutes of moderate/vigorous physical activity (MVPA) ( = 1.8 min, 95% CI 0.52-3.12, p = .006), and reductions in sedentary time ( = -2.1 min, 95% CI -3.77-(-0.51), p = .01). Although the changes in time spent in play and nonplay were not statistically different (p = .08) the effect size (d = .27) indicates clinical significance. CONCLUSIONSThis intervention was effective for increasing MVPA during recess and demonstrated capacity to improve play opportunities in school playgrounds.
引用
收藏
页码:751 / 759
页数:9
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