Clinical trial NCT03890913: Painted Playgrounds Aim 1
Official title: Painted Playgrounds: A Scalable Approach to Increasing Physical Activity and Motor Skills in Louisiana Preschool Aged Children. Aim 1: Observation
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Childhood Obesity
Lead sponsor: Pennington Biomedical Research Center
Sponsor class: OTHER
Collaborators: name: Blue Cross Blue Shield
First posted: 2019-03-26
Enrollment: 51
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Four licensed DOE Class A or B childcare centers will be selected from a list of all DOE licensed childcare centers in East Baton Rouge Parish.

Brief summary: Painted Playgrounds Aim 1: Observation will examine the physical environment of licensed childcare centers before and after painting stencil activities (hopscotch, foursquare, fun trails, etc.) on playgrounds. The stencils are a promising intervention to help decrease obesity and sedentary behaviors in preschool aged children because they are cost-effective and easily scalable. Observations will be held at follow-ups by video recording during recess and using a modified behavioral observation method, called SOPLAY. Surveys will be administered to childcare center directors to report further on their physical activity environment and how much they are interacting with the stencils.

Detailed description: Preschool is a critical period during which children develop fundamental motor skills, build confidence in their movement, and start a physical activity trajectory that follows through adolescence and beyond. Unfortunately, few sustainable interventions have succeeded in increasing preschool children's physical activity, and subsequently children are developing obesity at alarming rates. A simple, low-cost strategy is the addition of colorful markings (i.e. hopscotch, foursquare, fun trails) to existing playgrounds or open spaces. These "painted playgrounds" have been shown to be effective to increase physical activity in older school-aged children but remain understudied in preschool children. The proposed project will examine the physical activity environment of licensed childcare centers before and after the implementation of a promising (cost-effective, easily scalable) playground stenciling intervention.

The project aim will be achieved through a prospective observational epidemiological approach before and after a stenciling intervention is implemented. Among 4 childcare centers licensed in East Baton Rouge Parish (EBR), the investigators will first observe the playground environment to assess the equipment, space, ground material, etc. to provide a baseline measure of the physical activity environment prior to stenciling and ensure that intervention and control centers have similar playground environments. A modified behavioral observation method, the System for Observing Play and Leisure Activity in Youth (SOPLAY), will be used during recess to identify changes in physical activity after the stencils are added and which stencils are generating the biggest changes in physical activity. Surveys will be administered to center directors to further understand the physical activity environment (i.e. policies, additional PA support, etc.) in each center. This project will examine how a promising (cost-effective, easily scalable) playground stenciling intervention changes the physical activity landscape of childcare centers in order to provide evidence for the need for dissemination to numerous childcare centers across Louisiana. Ultimately, this pilot may launch an innovative strategy that has the potential to disrupt negative trends in obesity and sedentary behavior among Louisiana preschoolers.

Eligibility criteria: Inclusion Criteria:

* Licensed by DOE as a Class A or Class B childcare center
* Current childcare enrollment of at least 20 children between the ages of 3-6 years
* Has a playground/play area with adequate space for stenciling

Exclusion Criteria:

* Childcare center and/or childcare center director are unwilling to participate

Primary outcomes:
measure: Change in Children's Physical Activity Levels During Recess
timeFrame: Children will be examined at follow up (6-8 weeks after receiving the stencils)
Secondary outcomes:
measure: Childcare Center Physical Activity Environment
timeFrame: Baseline
measure: Satisfaction With Playground Stencils
timeFrame: 6-8 weeks after receiving the playground stencils.
measure: Childcare Center Resources for Physical Activity
timeFrame: Baseline
Other outcomes:
Locations:
city: Baton Rouge
country: United States
facility: Pennington Biomedical Research Center
state: Louisiana
Study officials:
affiliation: Pennington Biomedical
name: Amanda Staiano, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Webster EK, Kepper MM, Saha S, Beyl RA, Kracht CL, Romain JS, Staiano AE. Painted playgrounds for preschoolers' physical activity and fundamental motor skill improvement: a randomized controlled pilot trial of effectiveness. BMC Pediatr. 2023 Sep 9;23(1):455. doi: 10.1186/s12887-023-04260-2.