Conclusions These guidelines represent a sensible evolution of public health guidelines whereby optimal health is framed within the balance of movement behaviours across the whole day , while respecting preferences of end-users .
Background The Canadian Society for Exercise Physiology convened representatives of national organizations , research experts , method ologists , stakeholders , and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for the Early Years ( 0–4 years ) : An Integration of Physical Activity , Sedentary Behaviour , and Sleep .
These novel guidelines for children of the early years embrace the natural and intuitive integration of movement behaviours across the whole day ( 24-h period ) .
Development of the AGREE II, part 2: assessment of validity of items and tools to support application
Background : We established a program of research to improve the development , reporting and evaluation of practice guidelines . We assessed the construct validity of the items and user ’s manual in the β version of the AGREE II . Methods : We design ed guideline excerpts reflecting high- and low- quality guideline content for 21 of the 23 items in the tool . We design ed two study packages so that one low- quality and one high- quality version of each item were r and omly assigned to each package . We r and omly assigned 30 participants to one of the two packages . Participants review ed and rated the guideline content according to the instructions of the user ’s manual and completed a survey assessing the manual . Results : In all cases , content design ed to be of high quality was rated higher than low- quality content ; in 18 of 21 cases , the differences were significant ( p < 0.05 ) . The manual was rated by participants as appropriate , easy to use , and helpful in differentiating guidelines of varying quality , with all scores above the mid-point of the seven-point scale . Considerable feedback was offered on how the items and manual of the β-AGREE II could be improved . Interpretation : The validity of the items was established and the user ’s manual was rated as highly useful by users . We used these results and those of our study presented in part 1 to modify the items and user ’s manual . We recommend AGREE II ( available at www.agreetrust.org ) as the revised st and ard for guideline development , reporting and evaluation
Conclusions These guidelines represent a sensible evolution of public health guidelines whereby optimal health is framed within the balance of movement behaviours across the whole day , while respecting preferences of end-users .
Background The Canadian Society for Exercise Physiology convened representatives of national organizations , research experts , method ologists , stakeholders , and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for the Early Years ( 0–4 years ) : An Integration of Physical Activity , Sedentary Behaviour , and Sleep .
These novel guidelines for children of the early years embrace the natural and intuitive integration of movement behaviours across the whole day ( 24-h period ) .