ArticleHealth education research2012
Physical activity in child-care centers: do teachers hold the key to the playground?
Article in Health education research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
61 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Physical Activity Levels of Early Childhood Educators: A Systematic Review and Meta-Analysis.Child: care, health and development · 2026Pooled it
- Policy, systems, and environmental interventions addressing physical activity in early childhood education settings: A systematic review.Preventive medicine · 2023Pooled it
- Measuring Early Childhood Educators' Physical Activity and Sedentary Behavior-Related Self-Efficacy: A Systematic Review of Tools.Health education & behavior : the official publication of the Society for Public Health Education · 2021Pooled it
- Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.The Cochrane database of systematic reviews · 2020Pooled it
- Barriers and facilitators to young children's physical activity and sedentary behaviour: a systematic review and synthesis of qualitative literature.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017Pooled it
- Determinants of Change in Physical Activity in Children 0-6 years of Age: A Systematic Review of Quantitative Literature.Sports medicine (Auckland, N.Z.) · 2017Pooled it
- Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.The Cochrane database of systematic reviews · 2016Pooled it
- Screen-viewing among preschoolers in childcare: a systematic review.BMC pediatrics · 2014Pooled it
- A socio-ecological approach to physical activity interventions in childcare: a systematic review.The international journal of behavioral nutrition and physical activity · 2014Pooled it
- Evaluating the Sustaining Play, Sustaining Health programme in Australian early childhood education and care services: a pilot randomized controlled trial.Health promotion international · 2025Trial
- Trial
- Implementation Adherence and Perspectives of the Childcare PhysicaL ActivitY (PLAY) Policy: A Process Evaluation.Health education & behavior : the official publication of the Society for Public Health Education · 2022Trial
- Trial
- Keys to healthy family child care homes: Results from a cluster randomized trial.Preventive medicine · 2020Trial
- The Effects of the PLAYTOD Program on Children's Physical Activity at Preschool Playgrounds in a Deprived Urban Area: A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Using a social marketing approach to develop Healthy Me, Healthy We: a nutrition and physical activity intervention in early care and education.Translational behavioral medicine · 2019Trial
- The keys to healthy family child care homes intervention: study design and rationale.Contemporary clinical trials · 2015Trial
- Relationship between childcare workers' physical literacy and support for promoting children's physical activity.Frontiers in public health · 2026Article
- Multistakeholder Perspectives on the Determinants of Family Fundamental Movement Skills Practice: A Qualitative Systematic Review.Children (Basel, Switzerland) · 2024Review
- Teachers' perception on physical activity promotion in kindergarten children in China: a qualitative study connecting social-ecological model.BMC public health · 2024Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Many (56%) US children aged 3-5 years are in center-based childcare and are not obtaining recommended levels of physical activity. In order to determine what child-care teachers/providers perceived as benefits and barriers to children's physical activity in child-care centers, we conducted nine focus groups and 13 one-on-one interviews with 49 child-care teachers/providers in Cincinnati, OH. Participants noted physical and socio-emotional benefits of physical activity particular to preschoolers (e.g. gross motor skill development, self-confidence after mastery of new skills and improved mood, attention and napping after exercise) but also noted several barriers including their own personal attitudes (e.g. low self-efficacy) and preferences to avoid the outdoors (e.g. don't like hot/cold weather, getting dirty, chaos of playground). Because individual teachers determine daily schedules and ultimately make the decision whether to take the children outdoors, they serve as gatekeepers to the playground. Participants discussed a spectrum of roles on the playground, from facilitator to chaperone to physical activity inhibitor. These findings suggest that children could have very different gross motor experiences even within the same facility (with presumably the same environment and policies), based on the beliefs, creativity and level of engagement of their teacher.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.