Physical Activity and Screen-Time Regulations in Childcare Centers - Aim 1 (Pause and Play)
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ClinicalTrials.gov Identifier: NCT02751788
Recruitment Status :
First Posted : April 26, 2016
Last Update Posted : September 25, 2018
Pennington Biomedical Research Center
National Institute on Minority Health and Health Disparities (NIMHD)
Information provided by (Responsible Party):
Amanda Staiano, Pennington Biomedical Research Center
The goal of this project is to examine the physical activity and screen-time environment of licensed childcare centers before and after the enactment of new state regulations.
Condition or disease
Pause and Play will take a prospective observational epidemiological approach before and after enactment of new regulations. 10 childcare centers licensed in East Baton Rouge Parish will be randomly selected and standardized behavioral observation scales will be used to objectively quantify the physical activity and screen-time environment of the centers and the children's behaviors both in and outside the center. These assessments will be collected twice during the 2-year grant period to capture potential changes after the policies are implemented.
Change in EPAO score and EPAO subscales. [ Time Frame: 1 year ]
The EPAO instrument will be used, which is a comprehensive, day-long observation that objectively defines the nutrition and physical activity environmental characteristics of child care centers. To address the specific aim, only the EPAO variables related to physical activity and screen-time will be included in the assessment. Means, standard deviations, and Pearson correlations will be calculated to describe the sample and examine relationships among the environment subscales at baseline and follow-up. Differences in center characteristics (i.e. racial distribution) will be tested using t-tests and chi-square tests. Repeated measures analysis of covariance (ANCOVAs) will be used to examine change in the EPAO score overall.
Secondary Outcome Measures :
Changes in practice-based survey items based on childcare director responses. [ Time Frame: 1 Year ]
A survey will be administered to the director of each childcare center to determine the following: awareness of the new policy; structured programs and/or field trips that allow children to be physically active (including number of times per day or week); if one or more community organizations support or provide physical activity programs at the center; whether or not the childcare center has policies regarding television viewing and computer use; amount of time allowed for free play; and amount of time spent outside.
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Layout table for eligibility information
Ages Eligible for Study:
3 Years to 4 Years (Child)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Ten licensed DOE Class A or B childcare centers will be randomly selected from a list of all DOE licensed childcare centers in East Baton Rouge Parish (EBR)
Licensed by DOE as a Class A or Class B childcare center
Located in East Baton Rouge Parish
Current childcare enrollment of at least 18 children between the ages of 3-4 years
Childcare center and/or childcare center director unwilling to participate