Evidence map›Paper›PMID 37441753›Full record

Trial reportPreventing chronic disease2023

Effect of Applying Best Practices for Physical Activity and Screen Time to Family Childcare Homes.

Qianxia Jiang, Patricia Markham Risica, Alison Tovar, Kristen Cooksey Stowers, Marlene B Schwartz, Caitlin Lombardi, Sofiya Alhassan, Kim M Gans

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Preventing chronic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06978270 (Healthy Start), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06978270 nacompletednot on this mapstarted 2025, after this paper: background citation

Healthy Start: An Innovative, Multi-level Intervention With Family Childcare Providers and Families to Improve the Dietary Behaviors of Pre-school Children

TypeinterventionalSponsorBrown UniversityRan2025 to 2026Enrolled11ConditionsChild Obesity, Nutrition, HealthyArmsHealthy Eating: Provider and Parent Components, Healthy Start: Reading Readiness Childcare Proiver and Parent Materials
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Qianxia JiangCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy, 610 E 22nd St, Kansas City, MO 64108 (qjiang@cmh.edu).
Patricia Markham RisicaDepartment of Behavioral and Social Health Sciences, School of Public Health, Brown University, Providence, Rhode Island.
Alison TovarDepartment of Behavioral and Social Health Sciences, School of Public Health, Brown University, Providence, Rhode Island.
Kristen Cooksey StowersDepartment of Allied Health Sciences, University of Connecticut, Storrs, Connecticut.
Marlene B SchwartzDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut.
Caitlin LombardiDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut.
Sofiya AlhassanDepartment of Kinesiology, University of Massachusetts Amherst, Amherst, Massachusetts.
Kim M GansDepartment of Behavioral and Social Health Sciences, School of Public Health, Brown University, Providence, Rhode Island.
Brown University · USUniversity of Connecticut · USCenter for Children · USUniversity of Massachusetts Amherst · US

Funding

Improving Nutrition and Physical Activity Environments In Home-Based Child CareR01HL123016 · NHLBI · BROWN UNIVERSITY · PI GANS, KIM M., RISICA, PATRICIA MARKHAM · 2014 to 2018
$4.2M
NHLBI NIH HHS R01 HL123016
6 · The paper itself

Abstract

introductionEarly childcare has been identified as an influential setting for children's physical activity. Our objective was to determine whether children aged 2 to 5 years had more accelerometer-measured minutes of physical activity when caregivers in their family childcare home (FCCH) adhered to best practices for physical activity and screen time.

methodsWe analyzed baseline 2-day observation data collected by using the Environment and Policy Assessment and Observation measure from a cluster-randomized trial. Multilevel linear regression models assessed the association between caregivers' meeting best practices for physical activity and screen time and children's time spent sedentary or in moderate-to-vigorous physical activity (MVPA).

resultsAll FCCH caregivers (N = 120) in our study were female, and 67.5% were Hispanic. Participating children (N = 349) were 52.1% female and 57.4% Hispanic. A higher score among caregivers for physical activity best practices was associated with more MVPA (B = 0.79; 95% CI, 0.02 to 1.56; P = .04) for children and less sedentary time (B = -2.07; 95% CI, -3.94 to -0.19; P = .04). A higher caregiver score for screen time best practices was associated with less sedentary time (B = -2.07; 95% CI, -3.94 to -0.19; P = .04) and more MVPA time (B = 0.65; 95% CI, 0.03 to .27; P = .04). Children in homes where caregivers offered them 60 minutes or more of outdoor play and participated in outdoor physical activity had more MVPA and less sedentary time. We found no association between various screen-time best practices and children's sedentary time. DISCUSSION: Children with caregivers who used more best practices for physical activity and screen time had higher activity levels and spent less time sedentary. These findings could help policy makers and people caring for young children modify existing policies and develop programs to help early childhood caregivers implement best practices to promote children's physical activity.

Indexed as

Child CareScreen TimeAccelerometryChild HealthChild, PreschoolExerciseFemaleHumansMaleSedentary Behavior

Identifiers

PMID37441753
PMCPMC10364836
OpenAlexW4383807078

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.