Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia.
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
Health Educ Res. 2023 Sep 20;38(5):458-468. doi: 10.1093/her/cyad014.
In 2021, guidelines for early childhood education and care were released recommending children are provided access to outdoor areas during all free play sessions to reduce the risk of coronavirus disease of 2019 transmission, aligning with the existing recommendations to increase children's physical activity. There is a need to understand how to disseminate guidelines in this setting as dissemination is a prerequisite of adoption and implementation. This randomized controlled trial explored the impact of a video-based strategy to disseminate guidelines on family day care educators' intentions to adopt outdoor free play guidelines. Educators (N = 255) were randomized to receive a video (intervention) or text-based (usual care) resource via email describing recommendations. Educators were invited to participate in a post-intervention survey at 5-week follow-up assessing intentions to adopt guidelines. The secondary outcomes included knowledge, beliefs about capabilities, beliefs about consequences, social/professional role and identity, goals, implementation of guidelines, acceptability of resource and intervention reach. There was no statistically significant difference between groups in intentions to adopt guidelines [ß = 0.01 (95% confidence interval -0.50 to 0.52), P = 0.97], nor for any secondary outcomes. Further investigation is needed to identify effective dissemination strategies in the family day care setting to increase the adoption of public health guidelines.
2021 年，发布了儿童早期教育和护理指南，建议在所有自由游戏期间为儿童提供进入户外区域的机会，以降低 2019 年冠状病毒病传播的风险，这与增加儿童身体活动的现有建议相一致。需要了解如何在这种环境中传播指南，因为传播是采用和实施的前提。这项随机对照试验探讨了基于视频的策略对传播指南对家庭日托教育者采用户外自由游戏指南的意图的影响。教育者（N=255）被随机分配通过电子邮件接收视频（干预）或基于文本的（常规护理）资源，描述建议。教育者被邀请在 5 周的随访中参加干预后调查，评估采用指南的意图。次要结果包括知识、对能力的信念、对后果的信念、社会/专业角色和身份、目标、指南的实施、资源和干预的可接受性。组间在采用指南的意图方面没有统计学上的显著差异[β=0.01（95%置信区间-0.50 至 0.52），P=0.97]，也没有任何次要结果。需要进一步调查，以确定家庭日托环境中有效的传播策略，以增加对公共卫生指南的采用。
