ArticleBMC public health2019
Physical activity, screen time, and outdoor learning environment practices and policy implementation: a cross sectional study of Texas child care centers.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- The impact of early childhood education and care-based interventions on child physical activity, anthropometrics, fundamental movement skills, cognitive functioning, and social-emotional wellbeing: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Obesity prevention practices in early care and education settings: an adaptive implementation trial.Implementation science : IS · 2022Trial
- Are Preschool-Aged Children Meeting Physical Activity Guidelines? A Systematic Review Covering 43,000 Participants Worldwide.Healthcare (Basel, Switzerland) · 2026Review
- Results From a Four-State Pilot Study of the Childcare Survey of Activity and Wellness (C-SAW), 2021.Health promotion practice · 2025Article
- 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
- Implementation of healthy eating and physical activity practices in Australian early childhood education and care services: A cross-sectional study.Preventive medicine reports · 2023Article
- Article
- 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
- Preschool environment and preschool teacher's physical activity and their association with children's activity levels at preschool.PloS one · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEarly care and education (ECE) centers are important for combating childhood obesity. Understanding policies and practices of ECE centers is necessary for promotion of healthy behaviors. The purpose of this study is to describe self-reported practices, outdoor environment aspects, and center policies for physical activity and screen time in a statewide convenience sample of non-Head Start Texas ECE centers.
methodsLicensed home and child care centers in Texas with email addresses publicly available on the Department of Family and Protective Services website (N = 6568) were invited to participate in an online survey. Descriptive statistics of self-reported practices, policies, and outdoor learning environment are described.
results827 surveys were collected (response rate = 12.6%). Exclusion criteria yielded a cross-sectional sample of 481 center-only respondents. > 80% of centers meet best practice recommendations for screen time practices for infants and toddlers, although written policies were low (M = 1.4 policies, SD = 1.65, range = 0-6). For physical activity, < 30% meet best practice recommendations with M = 3.9 policies (SD = 3.0, range = 0-10) policies reported. Outdoor learning environment indicators (M = 5.7 policies, SD = 2.5, range = 0-12) and adequate play settings, storage (< 40%), and greenery (< 20%) were reported.
conclusionsThis statewide convenience sample of non-Head Start Texas ECE centers shows numerous opportunities for improvement in practices and policies surrounding outdoor environments, physical activity, and screen time. With less than half of centers meeting the recommendations for physical activity and outdoor learning environments, dedicating resources to help centers enact and modify written policies and to implement programs to improve their outdoor learning environments could promote physical activity and reduce sedentary time of children.
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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.