Evidence map›Paper›PMID 38395776›Full record

ArticleBMC primary care2024

Project nature: promoting outdoor physical activity in children via primary care.

Georgia M Griffin, Carolina Nieto, Kirsten Senturia, Marshall Brown, Kimberly Garrett, Elizabeth Nguyen, Danette Glassy, Emily Kroshus, Pooja Tandon

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Health Funding for Parks and Greenspace: An Innovative Community Investment Strategy.Inquiry : a journal of medical care organization, provision and financing
    Article
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

9 authors at 3 institutions in 1 country.

Georgia M GriffinDepartment of Pediatrics, University of Washington, 4800 Sandpoint Way NE, Seattle, WA, 98105, USA. georgia.griffin@seattlechildrens.org.
Carolina NietoSeattle Children's Research Institute, 1920 Terry Ave, Seattle, WA, 98101, USA.
Kirsten SenturiaUniversity of Washington School of Public Health, 3980 15th Ave NE, Seattle, WA, 98195, USA.
Marshall BrownSeattle Children's Research Institute, 1920 Terry Ave, Seattle, WA, 98101, USA.
Kimberly GarrettSeattle Children's Research Institute, 1920 Terry Ave, Seattle, WA, 98101, USA.
Elizabeth NguyenDepartment of Primary Care & Rural Medicine, Texas A&M School of Medicine, 2900 E 29th Street, Suite 100, Bryan, TX, 77802, USA.
Danette GlassyBestStart Washington, PO Box 318, Mercer Island, WA, 98040, USA.
Emily KroshusDepartment of Pediatrics, University of Washington, 4800 Sandpoint Way NE, Seattle, WA, 98105, USA.
Pooja TandonDepartment of Pediatrics, University of Washington, 4800 Sandpoint Way NE, Seattle, WA, 98105, USA.
Seattle Children's Hospital · USUniversity of Washington · USTexas A&M Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamilies face a range of barriers in supporting their children's active play in nature including family circumstances, environmental constraints, and behavioral factors. Evidence-based strategies to address these barriers are needed. We aimed to develop and pilot test a primary care-based family-centered behavioral intervention to promote active outdoor play in 4-10 year-old children.

methodsProject Nature, a provider-delivered intervention that provides informational resources and an age-appropriate toy for nature play, was initially developed for children ages 0-3. With stakeholder input, we adapted existing materials for 4-10 year-olds and conducted usability testing at an urban clinic serving families from diverse backgrounds. Subsequently, we conducted a mix-methods pilot study to evaluate intervention feasibility and acceptability. Parents of 4-10 year-olds completed pre- and post-surveys (n = 22), and a purposive subset (n = 10) completed qualitative interviews. Post-intervention, pediatric providers (n = 4) were interviewed about their implementation experiences.

resultsThe majority (82%) of parents liked the information provided and the remaining (18%) were neutral. Qualitatively, parents reported that: the toy provided a tangible element to help children and parents be active, they did not use the website, and they wished the intervention emphasized strategies for physical activity during cold and wet seasons. Providers felt the materials facilitated discussion about behavior change with families. There were no statistically significant changes in PA and outdoor time pre- and post-intervention.

conclusionsProject Nature was welcomed by providers and families and may be a practical intervention to promote outdoor active play during well-child visits. Providing an age-appropriate nature toy seemed to be a critical component of the intervention, and may be worth the additional cost, time and storage space required by clinics. Building from these results, Project Nature should be revised to better support active outdoor play during suboptimal weather and evaluated to test its efficacy in a fully-powered trial.

Indexed as

ExerciseParentsBehavior TherapyChildChild, PreschoolHumansPilot ProjectsPrimary Health CareHealth equityNature contactOutdoor playPhysical activityPrimary careWell-child care

Identifiers

PMID38395776
PMCPMC10885514
OpenAlexW4392105945

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.