Evidence map›Paper›PMID 41671265›Full record

ArticlePloS one2026

Examining outdoor play associations in Canadian early learning and child care centres: Cross-sectional insights from the Measuring Early Childhood Outside survey.

Rachel Ramsden, Barry Forer, Hebah Hussaina, Christina Han, Caroline Bouchard, Jeff Crane, Megan McPhee, Michal Perlman, Mariana Brussoni

Abstract read
In one paragraph

Article in PloS one, 2026. 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. 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.

Rachel RamsdenSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0003-0741-3951
Barry ForerSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Hebah HussainaSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Christina HanBritish Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.
Caroline BouchardFaculté des sciences de l'éducation, Université Laval, Québec, Québec, Canada.
Jeff CraneFaculty of Education, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Megan McPheeEarly Childhood Development Association of PEI, Charlottetown, Prince Edward Island, Canada.
Michal PerlmanDepartment of Human Development and Applied Psychology, University of Toronto, Ontario, Canada.
Mariana BrussoniSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0002-1495-816X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canada lacks national data on the current provision of outdoor play (OP) in Early Learning and Child Care (ELCC) programs. In this study, we report results of the Measuring Early Childhood Outside (MECO) national survey to fill this gap and examine the factors that are associated with children's OP and risky play in ELCC programs. Respondents included ELCC centres providing full-day licensed group care (birth to school entry) in Canada. Primary outcomes measured were OP frequency, OP duration and risky play occurrence. Hierarchical multiple regressions were used to examine relationships and interaction effects between the primary outcomes and 14 variables encompassing centre, staff, physical environment and OP provision characteristics, for infant/toddler-aged and preschool-aged programs separately. A total of 1,187 ELCC centres responded to the MECO survey (9.8% response rate), of which 67.2% were non-profit providers. Most centres went outdoors every day, regardless of the season, though they spent less time outdoors in the winter than in the summer. Risky play was limited, with play at heights being the most common, and use of fire the least common. Variables that emerged as positively associated with most outcomes across programs related to training of centre directors and educators, giving children the autonomy to make decisions about going outdoors, providing all-weather gear, including diverse affordances (loose parts, gardening elements, fixed equipment), having outdoor spaces larger than required by licensing requirements, and the use of off-site spaces. Information about the current state of OP in ELCC centres is important at a time of considerable expansion in the sector, helping inform evidence-based policy development to enhance OP opportunities across Canada.

Indexed as

Child CareChild Day Care CentersLearningPlay and PlaythingsCanadaChild, PreschoolCross-Sectional StudiesHumansInfantSurveys and Questionnaires

Identifiers

PMID41671265
PMCPMC12893580

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.