改善澳大利亚校外托管服务中的身体活动和屏幕使用时间：研究方案。

Improving physical activity and screen time in Australian Outside School Hours Care: Study protocol.

作者信息

Maher Carol, Christian Hayley, Nathan Nicole, Okely Anthony, Bogomolova Svetlana, Lewis Lucy K, Cliff Dylan P, Esterman Adrian, Milte Rachel, Rosenkranz Richard R, Curtis Rachel G, Brinsley Jacinta, Ferguson Ty, Virgara Rosa, Richardson Mandy, Brannelly Kylie, Stanley Rebecca, Schranz Natasha, Campbell Perry, Weaver R Glenn, Noetel Michael, Wolfenden Luke

机构信息

Alliance for Research in Exercise, Nutrition and Activity (ARENA); University of South Australia, Adelaide, SA, Australia.

Telethon Kids Institute, Perth, WA, Australia.

出版信息

Pediatr Res. 2024 Aug 23. doi: 10.1038/s41390-024-03464-1.

DOI:10.1038/s41390-024-03464-1

PMID:39179874

Abstract

BACKGROUND

Children's physical activity and screen time behaviours impact their physical health and well-being. In Australia, less than half of children meet daily physical activity recommendations and only one-third meet daily screen time recommendations. Nearly half a million Australian school children aged 5-12 attend Outside School Hours Care (OSHC) weekly, activities undertaken at OSHC play a key role in meeting these recommendations. Currently, physical activity and screen time practices in OSHC vary and lack policy guidance. The Activated OSHC program is a policy-based intervention that supports OSHC services to implement the physical activity and screen time guidelines.

METHODS

192 OSHC services across Australia will be recruited. 96 services will be randomly allocated to receive the Activated OSHC program. OSHC coordinators will complete online surveys examining physical activity and screen time scheduling, cost, acceptability, and feasibility. Primary outcome; changes in the proportion of intervention and control services meeting OSHC sector physical activity and screen time guidelines, and secondary outcomes; changes in children's physical activity and screen time behaviours; changes in staff behaviour will be assessed using mixed-effects regression models.

DISCUSSION

The aim of this study is to examine the impact of the Activated OSHC program on children's physical activity and screen time.

IMPACT

Recent Australian research in Outside School Hours Care (OSHC) has identified significant inconsistency in practices related to physical activity and screen time, compounded by an absence of explicit policy guidance. The Activated OSHC program is a policy-based intervention that supports OSHC services to implement the Australian OSHC physical activity and screen time guidelines. This study will assess the implementation and effectiveness of the Activated OSHC program in an effectiveness-implementation hybrid type 2 trial design. Implementation of outside school hours care sector physical activity and screen time guidelines may improve children's physical activity and screen time behaviours.

摘要

背景

儿童的身体活动和屏幕使用时间行为会影响他们的身体健康和幸福。在澳大利亚，不到一半的儿童达到每日身体活动建议量，只有三分之一的儿童达到每日屏幕使用时间建议量。近50万5至12岁的澳大利亚学童每周参加校外托管服务（OSHC），在OSHC开展的活动在满足这些建议方面起着关键作用。目前，OSHC中的身体活动和屏幕使用时间做法各不相同，且缺乏政策指导。“活跃OSHC”项目是一项基于政策的干预措施，支持OSHC服务机构实施身体活动和屏幕使用时间指南。

方法

将招募澳大利亚各地的192个OSHC服务机构。96个服务机构将被随机分配接受“活跃OSHC”项目。OSHC协调员将完成在线调查，调查身体活动和屏幕使用时间安排、成本、可接受性和可行性。主要结果；干预组和对照组服务机构达到OSHC部门身体活动和屏幕使用时间指南的比例变化，次要结果；儿童身体活动和屏幕使用时间行为的变化；工作人员行为的变化将使用混合效应回归模型进行评估。

讨论

本研究的目的是检验“活跃OSHC”项目对儿童身体活动和屏幕使用时间的影响。

影响

澳大利亚最近关于校外托管服务（OSHC）的研究发现，与身体活动和屏幕使用时间相关的做法存在显著不一致，且缺乏明确的政策指导，这使情况更加复杂。“活跃OSHC项目”是一项基于政策的干预措施，支持OSHC服务机构实施澳大利亚OSHC身体活动和屏幕使用时间指南。本研究将在有效性-实施混合型2期试验设计中评估“活跃OSHC”项目的实施情况和有效性。实施校外托管服务部门的身体活动和屏幕使用时间指南可能会改善儿童的身体活动和屏幕使用时间行为。