Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial

Abstract Background Physical activity participation among preschoolers in childcare settings are low, and interventions to increase physical activity levels have produced mixed results. The Physical Literacy in the Early Years (PLEY) project implemented a six-month childcare-based outdoor loose part...

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Main Authors: Hilary A. T. Caldwell, Rebecca A. Spencer, Nila Joshi, Karina Branje, Jane Cawley, Heather Hobson, Sara F. L. Kirk, Daniel Stevens, Michelle R. Stone
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16030-x
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author Hilary A. T. Caldwell
Rebecca A. Spencer
Nila Joshi
Karina Branje
Jane Cawley
Heather Hobson
Sara F. L. Kirk
Daniel Stevens
Michelle R. Stone
author_facet Hilary A. T. Caldwell
Rebecca A. Spencer
Nila Joshi
Karina Branje
Jane Cawley
Heather Hobson
Sara F. L. Kirk
Daniel Stevens
Michelle R. Stone
author_sort Hilary A. T. Caldwell
collection DOAJ
description Abstract Background Physical activity participation among preschoolers in childcare settings are low, and interventions to increase physical activity levels have produced mixed results. The Physical Literacy in the Early Years (PLEY) project implemented a six-month childcare-based outdoor loose parts play intervention in childcare centres in Nova Scotia, Canada. The purpose of this study was to examine the impact of the PLEY project on the development of domains of physical literacy (physical activity, physical competence, confidence and motivation, knowledge and understanding) in preschoolers attending childcare centres using mixed-methods. Methods Preschoolers (3–5 years) were recruited from 19 childcare centres in Nova Scotia and centres were randomized (parallel design) to the outdoor loose parts play intervention group (n = 11) or control (n = 8) group for 6 months. Participants, early childhood educators, and assessors were not blinded to group assignment. Quantitative and qualitative measures were used to comprehensively assess the impact of the PLEY project on all domains of physical literacy. At 3- and 6-months, early childhood educators participated in focus groups to assess how the intervention supported the development of 4 physical literacy domains: physical activity, physical competence, confidence and motivation, and knowledge and understanding. Physical activity and physical competence were also assessed with accelerometry and the Test of Gross Motor Development-3, respectively. Results Two hundred and nine preschoolers participated in the study (intervention group: n = 115; control group: n = 94). Accelerometer data showed that while baseline physical activity was similar between groups, children in the intervention group had higher physical activity at 3- (F(1,187) = 8.30, p = 0.004) and 6-months (F(1,187) = 9.90, p = 0.002) post-intervention. There was no intervention effect on physical competence scores. Thematic analysis of focus group data revealed that outdoor loose parts play contributed to development in all 4 physical literacy domains, including increased movement repertoires, social development, and enjoyment of physical activity. No adverse events or side effects of the intervention were reported. Conclusions Participation in the PLEY project was associated with increased development of various domains of physical literacy and perceived physical literacy among preschoolers, and outdoor loose parts play may be encouraged as an effective strategy to increase physical literacy in early learning settings. Trial registration Biomed Central (ISRCTN14058106), 20/10/2017.
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spelling doaj.art-1b649931bb0443da99979c60de0a6ed12023-06-18T11:27:09ZengBMCBMC Public Health1471-24582023-06-0123111310.1186/s12889-023-16030-xImpact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trialHilary A. T. Caldwell0Rebecca A. Spencer1Nila Joshi2Karina Branje3Jane Cawley4Heather Hobson5Sara F. L. Kirk6Daniel Stevens7Michelle R. Stone8Healthy Populations Institute, Dalhousie UniversitySchool of Health and Human Performance, Dalhousie UniversitySchool of Health and Human Performance, Dalhousie UniversitySchool of Health and Human Performance, Dalhousie UniversityHealthy Populations Institute, Dalhousie UniversityInterdisciplinary Studies, Dalhousie UniversityHealthy Populations Institute, Dalhousie UniversitySchool of Health and Human Performance, Dalhousie UniversityHealthy Populations Institute, Dalhousie UniversityAbstract Background Physical activity participation among preschoolers in childcare settings are low, and interventions to increase physical activity levels have produced mixed results. The Physical Literacy in the Early Years (PLEY) project implemented a six-month childcare-based outdoor loose parts play intervention in childcare centres in Nova Scotia, Canada. The purpose of this study was to examine the impact of the PLEY project on the development of domains of physical literacy (physical activity, physical competence, confidence and motivation, knowledge and understanding) in preschoolers attending childcare centres using mixed-methods. Methods Preschoolers (3–5 years) were recruited from 19 childcare centres in Nova Scotia and centres were randomized (parallel design) to the outdoor loose parts play intervention group (n = 11) or control (n = 8) group for 6 months. Participants, early childhood educators, and assessors were not blinded to group assignment. Quantitative and qualitative measures were used to comprehensively assess the impact of the PLEY project on all domains of physical literacy. At 3- and 6-months, early childhood educators participated in focus groups to assess how the intervention supported the development of 4 physical literacy domains: physical activity, physical competence, confidence and motivation, and knowledge and understanding. Physical activity and physical competence were also assessed with accelerometry and the Test of Gross Motor Development-3, respectively. Results Two hundred and nine preschoolers participated in the study (intervention group: n = 115; control group: n = 94). Accelerometer data showed that while baseline physical activity was similar between groups, children in the intervention group had higher physical activity at 3- (F(1,187) = 8.30, p = 0.004) and 6-months (F(1,187) = 9.90, p = 0.002) post-intervention. There was no intervention effect on physical competence scores. Thematic analysis of focus group data revealed that outdoor loose parts play contributed to development in all 4 physical literacy domains, including increased movement repertoires, social development, and enjoyment of physical activity. No adverse events or side effects of the intervention were reported. Conclusions Participation in the PLEY project was associated with increased development of various domains of physical literacy and perceived physical literacy among preschoolers, and outdoor loose parts play may be encouraged as an effective strategy to increase physical literacy in early learning settings. Trial registration Biomed Central (ISRCTN14058106), 20/10/2017.https://doi.org/10.1186/s12889-023-16030-xChildcarePhysical activityThematic analysisUnstructured playEarly childhood education
spellingShingle Hilary A. T. Caldwell
Rebecca A. Spencer
Nila Joshi
Karina Branje
Jane Cawley
Heather Hobson
Sara F. L. Kirk
Daniel Stevens
Michelle R. Stone
Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
BMC Public Health
Childcare
Physical activity
Thematic analysis
Unstructured play
Early childhood education
title Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
title_full Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
title_fullStr Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
title_full_unstemmed Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
title_short Impact of an outdoor loose parts play intervention on Nova Scotian preschoolers’ physical literacy: a mixed-methods randomized controlled trial
title_sort impact of an outdoor loose parts play intervention on nova scotian preschoolers physical literacy a mixed methods randomized controlled trial
topic Childcare
Physical activity
Thematic analysis
Unstructured play
Early childhood education
url https://doi.org/10.1186/s12889-023-16030-x
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