Preschoolers Learning and Active in PlaY

Study Overview
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Brief Summary
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The overall aim of this proposal is to develop and test early childhood education setting-based physical activity (PA) interventions that are innovative by using wearable technology to facilitate monitoring, feedback and motivation for physical activity across multiple levels (child, parent, educator). We posit that our intervention strategies will promote behavior changes in parents and educators, leading to greater awareness and communication about physical activity, more active play opportunities, and ultimately more physical activity for preschoolers. In the R21, we will test the acceptability, feasibility and initial efficacy of three 6 month early childhood education setting- based, multi-level interventions to promote preschoolers' PA using wearable technology and additional behavior change techniques to engage educators and parents. The results of this study will inform a larger intervention trial.

Official Title
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Preschoolers Learning and Active in PlaY

Conditions
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Physical Activity

Intervention / Treatment
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* Behavioral: PLAY
* Behavioral: PLAY Parents
* Behavioral: PLAY Teachers


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: attends preschool in a child care center participating in this study no physical/health restrictions on participating in physical activities Exclusion Criteria: unable to participate in all physical activities

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 5 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PLAY<br>Preschoolers & their teachers will get activity trackers and the child care program/providers will get some basic information on the use of the trackers and how to integrate their use in the curriculum. A PLAY Champion will be identified to help support PLAY related activities. | Behavioral: PLAY<br>* Activity trackers + curriculum information<br>|
| Experimental: PLAY Parents<br>Everything in Arm 1 plus one parent per child will receive an activity tracker and will get reports to help with physical activity goal setting for the family. | Behavioral: PLAY<br>* Activity trackers + curriculum information<br>Behavioral: PLAY Parents<br>* Enhanced parental engagement<br>|
| Experimental: PLAY Teachers<br>Everything in Arm 1 plus an enhanced focus on teacher wellness, specifically with regard to active lifestyles for them. | Behavioral: PLAY<br>* Activity trackers + curriculum information<br>Behavioral: PLAY Teachers<br>* Enhanced teacher engagement with active living initiates for the teachers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-intervention physical activity (children) | accelerometer measured | Month 6 compared to baseline | 
| Post-intervention physical activity (children) | accelerometer measured | Month 1 compared to baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Active play opportunities at child care | Using an observation tool, a trained research assistant will note opportunities for active play (including teacher led, child-initiated, outdoor and indoor) | Month 6 compared to baseline |