ArticleChildren (Basel, Switzerland)2021
How to Change Young Children's Physical Activity and Sedentary Behavior: Mechanisms of Behavior Change in the INFANT Cluster Randomized Controlled Trial.
Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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Who cites it
5 citing papers in PubMed.
- Six-month intervention effect of a digital movement behavior intervention on parent- and child intermediary outcomes-results from the Let's Grow randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Health-behavior intervention increases sedentary breaks in children aged 0-5 years: evidence from the Melbourne Infant Feeding, Activity and Nutrition Trial.Frontiers in digital health · 2026Article
- Observational
- The Preschool Eating, Lifestyle, and Sleeping Attitudes Scale (PRELSA Scale): Construction and Pilot Testing of a Tool to Measure Factors Associated with Childhood Obesity.Healthcare (Basel, Switzerland) · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundUnderstanding the mechanisms (mediators) of behavior change is crucial to designing more effective interventions. However, this is rarely reported. This paper investigates the mechanisms that explain the lack of intervention effect on physical activity and the significant effect on television viewing time from an early childhood trial.
methodsSecondary analyses were undertaken of data from a cluster randomized controlled trial. The Melbourne Infant Feeding, Activity and Nutrition Trial (INFANT) was a 15-month group program promoting obesity-protective behaviors from the age of 4 months. Outcomes relevant to the current study were child physical activity (accelerometer), television viewing time (maternal report) and 12 potential mediator scales (maternal report). Linear regression models used the product of coefficients method with a joint significance test.
resultsComplete data were from 398 mother-child dyads. Despite weak evidence of an intervention effect on the mother's physical activity knowledge and optimism, there was no effect on children's physical activity, and no clear mechanisms were identified. An intervention effect was observed for the mothers' television knowledge (unstandardized regression coefficient for
conclusionsIn the very early childhood period, as mothers are commencing their parenting journey, improving their behavioral knowledge appears to be the biggest contributor to reducing child television viewing, constituting a relatively simple strategy that could be implemented across clinical and public health settings. In contrast, it remains unclear what mechanisms may increase physical activity levels in this age group.
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Registered trials
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