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Painted Playgrounds Aim 1

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ClinicalTrials.gov Identifier: NCT03890913
Recruitment Status : Completed
First Posted : March 26, 2019
Last Update Posted : September 17, 2020
Sponsor:
Collaborator:
Blue Cross Blue Shield
Information provided by (Responsible Party):
Maura Kepper, Pennington Biomedical Research Center

Brief Summary:
Painted Playgrounds Aim 1: Observation will examine the physical environment of licensed childcare centers before and after painting stencil activities (hopscotch, foursquare, fun trails, etc.) on playgrounds. The stencils are a promising intervention to help decrease obesity and sedentary behaviors in preschool aged children because they are cost-effective and easily scalable. Observations will be held at follow-ups by video recording during recess and using a modified behavioral observation method, called SOPLAY. Surveys will be administered to childcare center directors to report further on their physical activity environment and how much they are interacting with the stencils.

Condition or disease
Childhood Obesity

Detailed Description:

Preschool is a critical period during which children develop fundamental motor skills, build confidence in their movement, and start a physical activity trajectory that follows through adolescence and beyond. Unfortunately, few sustainable interventions have succeeded in increasing preschool children's physical activity, and subsequently children are developing obesity at alarming rates. A simple, low-cost strategy is the addition of colorful markings (i.e. hopscotch, foursquare, fun trails) to existing playgrounds or open spaces. These "painted playgrounds" have been shown to be effective to increase physical activity in older school-aged children but remain understudied in preschool children. The proposed project will examine the physical activity environment of licensed childcare centers before and after the implementation of a promising (cost-effective, easily scalable) playground stenciling intervention.

The project aim will be achieved through a prospective observational epidemiological approach before and after a stenciling intervention is implemented. Among 4 childcare centers licensed in East Baton Rouge Parish (EBR), the investigators will first observe the playground environment to assess the equipment, space, ground material, etc. to provide a baseline measure of the physical activity environment prior to stenciling and ensure that intervention and control centers have similar playground environments. A modified behavioral observation method, the System for Observing Play and Leisure Activity in Youth (SOPLAY), will be used during recess to identify changes in physical activity after the stencils are added and which stencils are generating the biggest changes in physical activity. Surveys will be administered to center directors to further understand the physical activity environment (i.e. policies, additional PA support, etc.) in each center. This project will examine how a promising (cost-effective, easily scalable) playground stenciling intervention changes the physical activity landscape of childcare centers in order to provide evidence for the need for dissemination to numerous childcare centers across Louisiana. Ultimately, this pilot may launch an innovative strategy that has the potential to disrupt negative trends in obesity and sedentary behavior among Louisiana preschoolers.

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Study Type : Observational
Actual Enrollment : 4 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Painted Playgrounds: A Scalable Approach to Increasing Physical Activity and Motor Skills in Louisiana Preschool Aged Children. Aim 1: Observation
Actual Study Start Date : September 1, 2017
Actual Primary Completion Date : June 30, 2019
Actual Study Completion Date : June 30, 2019

Resource links provided by the National Library of Medicine


Group/Cohort
Observation
All childcare centers enrolled to Aim 1 will be observed. The physical activity environment will be examined before and after the implementation of playground stencils.



Primary Outcome Measures :
  1. Change in children's physical activity levels during recess [ Time Frame: Centers will be examined at baseline and 6-8 weeks after receiving the stencils. ]
    The investigators will observe and systematically document physical activity levels and the number of children participating in physical activity during recess before and after the implementation of a playground stenciling intervention. The observation will be performed using a modified version of the System for Observing Play and Leisure Activity in Youth (SOPLAY).


Secondary Outcome Measures :
  1. Childcare Center Physical Activity Environment [ Time Frame: Baseline ]
    Childcare center directors will complete a survey assessing the physical activity environment (e.g. policies for outdoor play and screen time, available equipment, teacher engagement in physical activity, etc.) of their childcare center.

  2. Satisfaction with Playground Stencils [ Time Frame: 6-8 weeks after receiving the playground stencils. ]
    Childcare center directors will complete a survey to measure their satisfaction and perceptions of teacher's satisfaction with the playground stencils.

  3. Childcare Center Resources for Physical Activity [ Time Frame: Baseline ]
    Project staff will evaluate the availability of resources (i.e. playground space, equipment, etc.) at each childcare center.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Four licensed DOE Class A or B childcare centers will be selected from a list of all DOE licensed childcare centers in East Baton Rouge Parish.
Criteria

Inclusion Criteria:

  • Licensed by DOE as a Class A or Class B childcare center
  • Current childcare enrollment of at least 20 children between the ages of 3-6 years
  • Has a playground/play area with adequate space for stenciling

Exclusion Criteria:

  • Childcare center and/or childcare center director are unwilling to participate

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03890913


Locations
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United States, Louisiana
Pennington Biomedical Research Center
Baton Rouge, Louisiana, United States, 70808
Sponsors and Collaborators
Pennington Biomedical Research Center
Blue Cross Blue Shield
Investigators
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Principal Investigator: Maura Kepper, PhD Pennington Biomedical
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Responsible Party: Maura Kepper, Principle Investigator, Pennington Biomedical Research Center
ClinicalTrials.gov Identifier: NCT03890913    
Other Study ID Numbers: 2017-034-PBRC
First Posted: March 26, 2019    Key Record Dates
Last Update Posted: September 17, 2020
Last Verified: September 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Pediatric Obesity
Obesity
Overnutrition
Nutrition Disorders
Overweight
Body Weight