Physical Activity and Screen-Time Regulations in Childcare Centers - Aim 1

NCT02751788 | Completed Results

• 1 other identifier: PBRC 2015-044
• Study Type: observational
• Target: 112
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Childhood Obesity

Keywords

childcare center regulations; physical activity; sedentary behavior; screen-time behavior

Outcome Measures

Primary Outcomes (1)

• Change in Environment and Policy Assessment and Observation (EPAO) Score and EPAO Subscales.

  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. Higher scores indicate higher compliance with best practices.

  1 year

Secondary Outcomes (1)

• Changes in Practice-based Survey Items Based on Childcare Director Responses.

  1 Year

Eligibility Criteria

• Age: 3 Years - 4 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

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)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• Pennington Biomedical Research Center: lead
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

Pennington Biomedical Research Center

Baton Rouge, Louisiana, 70808, United States

Location

Related Publications (8)

• Kracht CL, Webster EK, Staiano AE. A natural experiment of state-level physical activity and screen-time policy changes early childhood education (ECE) centers and child physical activity. BMC Public Health. 2020 Mar 24;20(1):387. doi: 10.1186/s12889-020-08533-8.

  PMID: 32209069 RESULT

• Staiano AE, Webster EK, Allen AT, Jarrell AR, Martin CK. Screen-Time Policies and Practices in Early Care and Education Centers in Relationship to Child Physical Activity. Child Obes. 2018 Aug/Sep;14(6):341-348. doi: 10.1089/chi.2018.0078.

  PMID: 30199286 RESULT

• Staiano AE, Allen AT, Fowler W, Gustat J, Kepper MM, Lewis L, Martin CK, Romain JS, Webster EK. State Licensing Regulations on Screen Time in Childcare Centers: An Impetus for Participatory Action Research. Prog Community Health Partnersh. 2018;12(1S):101-109. doi: 10.1353/cpr.2018.0025.

  PMID: 29755053 RESULT

• Joseph ED, Kracht CL, St Romain J, Allen AT, Barbaree C, Martin CK, Staiano AE. Young Children's Screen Time and Physical Activity: Perspectives of Parents and Early Care and Education Center Providers. Glob Pediatr Health. 2019 Jul 24;6:2333794X19865856. doi: 10.1177/2333794X19865856. eCollection 2019.

  PMID: 31384633 RESULT

• Webster EK, Martin CK, Staiano AE. Fundamental motor skills, screen-time, and physical activity in preschoolers. J Sport Health Sci. 2019 Mar;8(2):114-121. doi: 10.1016/j.jshs.2018.11.006. Epub 2018 Nov 24.

  PMID: 30997257 RESULT

• Martins, C., Webster, E. K., Bandeira, P. F. R., & Staiano, A. E. (2022). Identifying Fundamental Motor Skills Building Blocks in Preschool Children From Brazil and the United States: A Network Analysis. Journal of Motor Learning and Development, 10(1), 96-115. Retrieved Mar 27, 2024, from https://doi.org/10.1123/jmld.2021-0022

  RESULT

• Kracht CL, Webster EK, Staiano AE. Relationship between the 24-Hour Movement Guidelines and fundamental motor skills in preschoolers. J Sci Med Sport. 2020 Dec;23(12):1185-1190. doi: 10.1016/j.jsams.2020.06.021. Epub 2020 Jul 5.

  PMID: 32653249 RESULT

• Kracht CL, Webster EK, Staiano AE. Sociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines. J Phys Act Health. 2019 Oct 1;16(10):908-915. doi: 10.1123/jpah.2019-0018. Epub 2019 Sep 6.

  PMID: 31491748 RESULT

MeSH Terms

Conditions

Pediatric Obesity; Motor Activity; Sedentary Behavior

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Limitations and Caveats

The timing of some assessments occurred into 2017 due to delays, there's a chance ECE centers changed their policy after the regulations were first released thus the baseline data collection was not a true baseline. However, this study did utilize handbooks for policy scoring \& baseline policies were dated for the 2016-2017 school year. Another limitation is that ECE centers were aware of the day of observation, there's a potential the center made changes to present as a healthier environment.

Results Point of Contact

• Title: Dr. Amanda Staiano
• Organization: LSU's Pennington Biomedical Research Center

amanda.staiano@pbrc.edu

225.763.2500

Study Officials

• Amanda E Staiano, PhD

  PBRC Assistant Professor

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PBRC Assistant Professor

Study Record Dates

• First Submitted: April 19, 2016
• First Posted: April 26, 2016
• Study Start: April 1, 2016
• Primary Completion: June 1, 2018
• Study Completion: June 1, 2018
• Last Updated: March 29, 2024
• Results First Posted: September 7, 2023

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)