Virgara Rosa, Phillips Anna, Lewis Lucy K, Richardson Mandy, Maher Carol A
Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia.
Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia.
BMC Public Health. 2022 Apr 7;22(1):680. doi: 10.1186/s12889-022-13135-7.
Outside school hours care (OSHC) is accessed by millions of children internationally. Recently, physical activity and screen time guidelines in OSHC were developed. This study described the current physical activity and screen time scheduling in Australian OSHC, obtained sector feedback on the guidelines and compared current- with best-practice.
A cross-sectional online survey was administered to n = 3551 Australian OSHC directors. Participants reported scheduling for physical activity and screen time opportunities in before- and after-school care. Feedback was sought on the new guidelines, including barriers and enablers for implementation. Scheduling data were used to evaluate whether services were currently meeting the new guidelines; that is if time allocated matched with time recommended.
Five hundred and sixty-six directors participated (response rate 16%). Physical activity and screen time practices varied widely (e.g., after-school physical activity opportunity ranged from 15 to 150 min, mean 74, SD 28; after-school screen time opportunity ranged from 15 to 195 min, mean 89, SD 43), with state (p = 0.002) and socioeconomic (based on postcode; p < 0.001) differences. Most participants (54-81%) agreed that the guideline's recommended physical activity and screen time durations were appropriate, however, only 40% of participants' OSHC services' programs actually met the guidelines.
Physical activity and screen time scheduling in OSHC is highly variable. Despite support for the guidelines, current scheduling practice in the majority of OSHC services surveyed do not meet best practice guidelines.
全球数百万儿童接受校外托管服务（OSHC）。最近，制定了校外托管服务中的身体活动和屏幕使用时间指南。本研究描述了澳大利亚校外托管服务中当前的身体活动和屏幕使用时间安排，获得了该行业对这些指南的反馈，并将当前做法与最佳实践进行了比较。
对3551名澳大利亚校外托管服务主管进行了一项横断面在线调查。参与者报告了在课后和课前托管中身体活动和屏幕使用时间的安排情况。征求了对新指南的反馈意见，包括实施的障碍和促进因素。使用安排数据来评估服务目前是否符合新指南；即分配的时间是否与推荐时间相匹配。
566名主管参与了调查（回复率为16%）。身体活动和屏幕使用时间的做法差异很大（例如，课后身体活动时间从15分钟到150分钟不等，平均74分钟，标准差28；课后屏幕使用时间从15分钟到195分钟不等，平均89分钟，标准差43），存在州（p = 0.002）和社会经济（基于邮政编码；p < 0.001）差异。大多数参与者（54 - 81%）认为指南推荐的身体活动和屏幕使用时间时长是合适的，然而，只有40%的参与者所在的校外托管服务项目实际符合指南。
校外托管服务中的身体活动和屏幕使用时间安排差异很大。尽管对指南表示支持，但在接受调查的大多数校外托管服务中，当前的安排做法不符合最佳实践指南。
