ArticleMaternal and child health journal2017
Physical Activity Practices, Policies and Environments in Washington State Child Care Settings: Results of a Statewide Survey.
Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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.
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Who cites it
15 citing papers in PubMed.
- Results from the PROmoting Early Childhood Outside cluster randomized trial evaluating an outdoor play intervention in early childhood education centres.Scientific reports · 2025Trial
- Assessing the implementation of healthy eating and physical activity policies and practices in Early Childhood Education and Care in New South Wales, Australia: A cross-sectional study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Identifying Challenges and Solutions to Early Childhood Education and the Perceived Importance of Outdoor Time: A Mixed Methods Approach in a Socioeconomically Diverse Population.International journal of environmental research and public health · 2023Article
- Movement behavior policies in the early childhood education and care setting: An international scoping review.Frontiers in public health · 2023Article
- Efficacy of an Enhanced Implementation Strategy to Increase Parent Engagement with a Health Promotion Program in Childcare.International journal of environmental research and public health · 2021Article
- Research Design, Protocol, and Participant Characteristics of COLEAFS: A Cluster Randomized Controlled Trial of a Childcare Garden Intervention.International journal of environmental research and public health · 2021Article
- The Influence of the Early Childhood Education and Care Environment on Young Children's Physical Activity: Development and Reliability of the PLAYCE Study Environmental Audit and Educator Survey.International journal of environmental research and public health · 2020Article
- Examining physical activity policies to practice implementation: Results from the Texas Early Childhood Physical Activity Survey in non-Head Start childcare centers.Preventive medicine reports · 2020Article
- The relationship of gross motor and physical activity environments in child care settings with early learning outcomes.Early child development and care · 2020Article
- The impact of basic vs. enhanced Go NAPSACC on child care centers' healthy eating and physical activity practices: protocol for a type 3 hybrid effectiveness-implementation cluster-randomized trial.Implementation science : IS · 2019Article
- Exploring the Feasibility and Effectiveness of a Childcare PhysicaL ActivitY (PLAY) Policy: Rationale and Protocol for a Pilot, Cluster-Randomized Controlled Trial.International journal of environmental research and public health · 2019Article
- Physical activity, screen time, and outdoor learning environment practices and policy implementation: a cross sectional study of Texas child care centers.BMC public health · 2019Article
- Best Practices and Barriers to Obesity Prevention in Head Start: Differences Between Director and Teacher Perceptions.Preventing chronic disease · 2017Article
- Factors associated with time provided to children for physical activity in family child care: a cross-sectional study.SpringerPlus · 2016Article
- Examining Nutrition and Physical Activity Policies and Practices in Maryland's Child Care Centers.Childhood obesity (Print)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Objectives Child care is an important setting for the promotion of physical activity (PA) in early childhood. The purpose of this study was to examine the associations between specific PA environments and recommended practices in child care settings as well as the degree to which child care settings met recommended standards for total PA time. Methods In 2013, all programs licensed to care for children ages 2-5 in WA state were surveyed about their PA related practices. Logistic regression was used to determine odds of meeting best-practice standards for outdoor time and PA. Results The response rate was 45.8 % from centers (692/1511) and 32.1 % from homes (1281/3991). Few programs reported meeting best-practice standards for the amount of time children spend being physically active (centers: 12.1 %, homes: 20.1 %) and outdoor time (centers: 21.8 %, homes: 21.7 %). Programs where children go outside regardless of weather and those reporting more adult-led PA had higher odds of meeting best-practice standards for both PA and outdoor time. Meeting best-practice standards for outdoor time was the strongest predictor of meeting best-practice standards for total PA time [centers: OR 15.9 (9.3-27.2), homes: OR 5.2 (3.8-7.1)]. Conclusions for Practice There is considerable room for improvement in licensed child care settings in WA to meet best-practice standards for young children's outdoor and PA time. Initiatives that create policies and environments encouraging outdoor play and adult-led PA in child care have the potential to increase physical activity in substantial numbers of young children.
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