Child Health BC, 4088 Cambie St #305, Vancouver, BC V5Z 2X8, Canada.
School of Exercise Science, Physical and Health Education, University of Victoria, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.
Int J Environ Res Public Health. 2020 Feb 7;17(3):1064. doi: 10.3390/ijerph17031064.
Physical activity (PA) is critical to early childhood health and development, and childcare is a key setting for establishing physically active play. In British Columbia (BC), a provincial standard for active play in childcare was enacted, identified here as the Active Play (AP) standard. Pragmatic constraints limit real-world data collection for evaluating policy impact. We explored whether information about policies, practices, and the environment varied when it was collected from managers or staff. Surveys were distributed to BC childcare centers before AP standard enactment to ascertain current PA and fundamental movement skill policies and practices. The full sample ( = 1037 from 625 facilities) and a subsample of paired managers and staff ( = 261 centers) were used to explore agreement across managers and staff in reported prevalence and relationships among indicators. The policy prevalence and relationships for active play and outdoor play variables were relatively similar for manager and staff data, although the matched data had modest agreement and less than optimal intraclass correlations. The prevalence of manager-reported PA policies ranged from 47% for screen-time limits to 77% for fundamental movement skill activities. The manager and staff data highlighted indoor and outdoor space as a primary factor in AP standard adherence. With reliance on sampling staff unfeasible, it appears that the manager data may adequately describe the policies and practices of childcare providers with some notable issues.
身体活动(PA)对儿童早期的健康和发展至关重要,而儿童保育是建立积极玩耍的关键环境。在不列颠哥伦比亚省(BC),颁布了一项针对儿童保育中积极玩耍的省级标准,在这里称为积极玩耍(AP)标准。实际限制限制了用于评估政策影响的真实世界数据收集。我们探讨了当从管理人员或工作人员那里收集有关政策、实践和环境的信息时,这些信息是否会有所不同。在 AP 标准颁布之前,向 BC 儿童保育中心分发了调查,以确定当前的 PA 和基本运动技能政策和实践。使用全样本(= 625 个设施中的 1037 个)和配对的管理人员和工作人员的样本(= 261 个中心)来探索报告的流行率以及指标之间的关系在管理人员和工作人员之间的一致性。尽管匹配数据的一致性和内部相关性都不理想,但积极玩耍和户外游戏变量的政策流行率和关系对于管理人员和工作人员的数据相对相似。管理人员报告的 PA 政策的流行率从屏幕时间限制的 47%到基本运动技能活动的 77%不等。管理人员和工作人员的数据突出了室内和室外空间是遵守 AP 标准的主要因素。由于依赖于抽样工作人员不可行,因此管理人员数据似乎可以充分描述儿童保育提供者的政策和实践,其中存在一些值得注意的问题。