Physical activity, screen time, and outdoor learning environment practices and policy implementation: a cross sectional study of Texas child care centers

Background Early care and education (ECE) centers are important for combating childhood obesity. Understanding policies and practices of ECE centers is necessary for promotion of healthy behaviors. The purpose of this study is to describe self-reported practices, outdoor environment aspects, and cen...

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Vydané v:	BMC public health Ročník 19; číslo 1; s. 274 - 11
Hlavní autori:	Byrd-Williams, Courtney E., Dooley, Erin E., Thi, Christina A., Browning, Cari, Hoelscher, Deanna M.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	London BioMed Central 07.03.2019 BioMed Central Ltd Springer Nature B.V BMC
Predmet:	Analysis Best practice Biostatistics Child Child care Child Day Care Centers - organization & administration Child health Child, Preschool Childhood Childhood obesity Children Children & youth Councils Cross-Sectional Studies Day care centers Disease prevention Early childhood education Educational environment Email Environment Environmental Health Epidemiology Exercise Female Guidelines and recommendations Head Start project Health aspects Health behavior Health care Health promotion health promotion and society Health services Healthy habits Humans Implementation Infant Infants Learning Learning environment Male Medicine Medicine & Public Health Nutrition research Obesity Outdoor education Pediatrics Physical activity Physical education Physical fitness Physical training Policy Policy implementation Polls & surveys Practice guidelines (Medicine) Preschool children Preschool education Program implementation Public Health Research Article Respondents School environment Screen Time Sedentary Software Statistics Storage Studies Surveys Texas Time Time use Toddlers Vaccine Web sites (World Wide Web) Websites Texas United States > US Pediatrics Environment Guidelines and recommendations Physical activity Public health
ISSN:	1471-2458, 1471-2458
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Shrnutí:	Background Early care and education (ECE) centers are important for combating childhood obesity. Understanding policies and practices of ECE centers is necessary for promotion of healthy behaviors. The purpose of this study is to describe self-reported practices, outdoor environment aspects, and center policies for physical activity and screen time in a statewide convenience sample of non-Head Start Texas ECE centers. Methods Licensed home and child care centers in Texas with email addresses publicly available on the Department of Family and Protective Services website ( N = 6568) were invited to participate in an online survey. Descriptive statistics of self-reported practices, policies, and outdoor learning environment are described. Results 827 surveys were collected (response rate = 12.6%). Exclusion criteria yielded a cross-sectional sample of 481 center-only respondents. > 80% of centers meet best practice recommendations for screen time practices for infants and toddlers, although written policies were low (M = 1.4 policies, SD = 1.65, range = 0–6). For physical activity, < 30% meet best practice recommendations with M = 3.9 policies (SD = 3.0, range = 0–10) policies reported. Outdoor learning environment indicators (M = 5.7 policies, SD = 2.5, range = 0–12) and adequate play settings, storage (< 40%), and greenery (< 20%) were reported. Conclusions This statewide convenience sample of non-Head Start Texas ECE centers shows numerous opportunities for improvement in practices and policies surrounding outdoor environments, physical activity, and screen time. With less than half of centers meeting the recommendations for physical activity and outdoor learning environments, dedicating resources to help centers enact and modify written policies and to implement programs to improve their outdoor learning environments could promote physical activity and reduce sedentary time of children.
Bibliografia:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1471-2458 1471-2458
DOI:	10.1186/s12889-019-6588-5