Evidence map›Paper›PMID 40068962›Full record

Trial reportPediatric obesity2025

Impact of the Play Active policy intervention on early childhood educator's sedentary behaviour-related practices, psychosocial influences and meeting policy recommendations: Results from a pragmatic cluster randomized trial.

Hayley Christian, Andrea Nathan, Emma Adams, Stewart G Trost, Jasper Schipperijn

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Pediatric obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Hayley ChristianThe Kids Research Institute Australia, The University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0001-8486-5746
Andrea NathanThe Kids Research Institute Australia, The University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-9360-7228
Emma AdamsThe Kids Research Institute Australia, The University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-6295-9714
Stewart G TrostSchool of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-9587-3944
Jasper SchipperijnDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-6558-7610

Funding

Australian Government Research Training Program Fees Offset and StipendAustralian Research Council CE200100025National Health and Medical Research Council APP1152086Stan and Jean Perron Top Up ScholarshipThe Kids Research Institute Australia-Ascend Senior Research FellowshipUWA and Graduate Women (WA) Research ScholarshipWellcome Trust 102549
6 · The paper itself

Abstract

backgroundHigh levels of sedentary behaviour are associated with poor child health outcomes such as obesity. Early childhood education and care (ECEC) services are a key intervention setting. Most ECEC policy-based interventions focus on children's nutrition and physical activity with few aimed at children's sedentary behaviour.

objectiveTo evaluate the effect of the Play Active ECEC policy intervention on educator adherence to sedentary behaviour policy recommendations, educator's practices and educator psychosocial influences related to children's sedentary behaviour.

methodsPragmatic cluster randomized trial in 81 ECEC services in Perth, Western Australia. Services implemented the Play Active policy over three months. Outcomes were educator-reported changes in adherence to sedentary behaviour policy recommendations, practices and psychosocial influences related to children's sedentary behaviour. Analysis involved descriptive statistics and generalized linear mixed-effects models.

resultsAdherence to sedentary behaviour policy recommendations and educator's practices and psychosocial influences related to children's sedentary behaviour was high at baseline and did not significantly change in response to the Play Active policy intervention.

conclusionsEducators appeared to adhere to best-practice guidelines for children's sedentary behaviour in ECEC. Clear evidence informed policy, standards and legislation to maintain children's low levels of sedentary behaviours in ECEC is warranted.

Indexed as

Child BehaviorHealth PromotionPediatric ObesityPlay and PlaythingsSedentary BehaviorChild, PreschoolExerciseFemaleGuideline AdherenceHumansMaleWestern Australiachildcareimplementationinterventionphysical activitypolicysedentary behaviour

Identifiers

PMID40068962
PMCPMC12056534

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Registered trials

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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.