Szpunar Monika, Bruijns Brianne A, Vanderloo Leigh M, Shelley Jacob, Burke Shauna M, Tucker Patricia
Health and Rehabilitation Sciences Program, Faculty of Health Sciences, University of Western Ontario, London, ON N6A 3K7 Canada.
School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, ON N6A 3K7 Canada.
Early Child Educ J. 2023 Mar 27:1-20. doi: 10.1007/s10643-023-01473-z.
This study aimed to obtain consensus on physical activity (PA) and sedentary behaviour (SB) policy items for use in Canadian childcare settings. Purposeful sampling of Canadian experts in PA/SB ( = 19) and Early Childhood Education (ECE; = 20) was used to form two distinct (i.e., PA/SB and ECE) panels for a 3-round Delphi study. In round 1, the PA/SB experts suggested their top 10 items for a Canadian childcare PA/SB policy. Policy items were then pooled to generate a list of 24 unique items. In round 2, experts in both panels rated the importance of the 24 policy items using a 7-point Likert scale (i.e., 1 = to 7 = ). The ECE panel was also asked to report on the feasibility of the policy items using a 4-point Likert scale (i.e., 1 = to 4 = ). Policy items that received an interquartile deviation (IQD) score of ≤ 1 (indicating consensus) and a median score of ≥ 6 (indicating importance) in both panels were considered shared priorities. In round 3, members of both panels re-rated the importance of the policy items that did not achieve consensus among their respective panel in round 2 and were asked to order items based on importance. Descriptive statistics were used to assess feasibility of policy items, and differences in panel ratings were quantified using Mann Whitney U tests. Consensus was achieved for 23 policy items in the PA/SB panel and 17 items in the ECE panel. Overall, 15 shared priorities were identified (e.g., provide 120 min of outdoor time per day, sedentary behaviour should not be used as a punishment), and six policy items exhibited a statistical difference in ratings across panels. Members of the ECE panel indicated that the policy item, "" ( = 1.78; = 0.65) was lowest in terms of feasibility, and the policy item, "" (M = 3.89; SD = 0.32) was the most feasible for daily implementation. Findings from this study can inform the development of an expert-generated and feasibility-informed institutional PA/SB policy for use in Canadian childcare settings.
The online version contains supplementary material available at 10.1007/s10643-023-01473-z.
本研究旨在就加拿大儿童保育机构中身体活动（PA）和久坐行为（SB）的政策项目达成共识。通过对加拿大PA/SB领域专家（n = 19）和幼儿教育（ECE；n = 20）进行目的抽样，组成两个不同的小组（即PA/SB小组和ECE小组）进行三轮德尔菲研究。在第一轮中，PA/SB专家提出了他们认为加拿大儿童保育PA/SB政策最重要的10项内容。然后将政策项目汇总，生成一份包含24项独特内容的清单。在第二轮中，两个小组的专家使用7点李克特量表（即1 = 至7 = ）对这24项政策项目的重要性进行评分。ECE小组还被要求使用4点李克特量表（即1 = 至4 = ）报告政策项目的可行性。在两个小组中，四分位距（IQD）得分≤1（表示达成共识）且中位数得分≥6（表示重要性）的政策项目被视为共同优先事项。在第三轮中，两个小组的成员对在第二轮中各自小组未达成共识的政策项目的重要性进行重新评分，并被要求根据重要性对项目进行排序。使用描述性统计来评估政策项目的可行性，并使用曼-惠特尼U检验对小组评分差异进行量化。PA/SB小组就23项政策项目达成了共识，ECE小组就17项达成了共识。总体而言，确定了15个共同优先事项（例如，每天提供120分钟户外时间，久坐行为不应作为惩罚手段），6项政策项目在各小组的评分上存在统计学差异。ECE小组的成员表示，政策项目“”（M = 1.78；SD = 0.65）在可行性方面最低，而政策项目“”（M = 3.89；SD = 0.32）在日常实施方面最可行。本研究的结果可为制定一份由专家生成且基于可行性的机构PA/SB政策提供参考，该政策可用于加拿大儿童保育机构。
在线版本包含可在10.1007/s10643-023-01473-z获取的补充材料。
