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Implementing Appetite to Play at scale in British Columbia: Evaluation of a Capacity-Building Intervention to Promote Physical Activity in the Early Years

Author

Listed:
  • Kasra Hassani

    (Child Health BC, Provincial Health Services Authority, Vancouver, BC V6J 4YC, Canada
    Equal contribution.)

  • E. Jean Buckler

    (School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    Equal contribution.)

  • Jennifer McConnell-Nzunga

    (Child Health BC, Provincial Health Services Authority, Vancouver, BC V6J 4YC, Canada
    British Columbia Children’s Hospital Research Institute, 4480 Oak St., Vancouver, BC V6H 3N1, Canada)

  • Sana Fakih

    (Child Health BC, Provincial Health Services Authority, Vancouver, BC V6J 4YC, Canada)

  • Jennifer Scarr

    (Child Health BC, Provincial Health Services Authority, Vancouver, BC V6J 4YC, Canada)

  • Louise C. Mâsse

    (School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    British Columbia Children’s Hospital Research Institute, 4480 Oak St., Vancouver, BC V6H 3N1, Canada)

  • Patti-Jean Naylor

    (School of Exercise Science, Physical and Health Education, Faculty of Education, University of Victoria, Victoria, BC V8W 3P1, Canada)

Abstract

Childcare is a critical target for promoting children’s physical activity (PA) and physical literacy (PL). With emerging evidence about the efficacy of policy and capacity-building strategies, more information about how to bring these strategies to scale is needed. This paper describes implementation at scale of Appetite to Play (ATP), a capacity-building intervention for childcare providers, and examines the implementation and impact on early years providers’ capacity to address PA. The ATP implementation evaluation was a natural experiment that utilized a mixed methods concurrent parallel design framed within the Reach, Effectiveness, Adoption, Implementation, Maintenance framework (RE-AIM). Workshop and website tracking assessed reach and adoption. Surveys and interviews with workshop participants and stakeholders assessed satisfaction, implementation, and maintenance. Training reached 60% of British Columbia municipalities and 2700 early years providers. Significant changes in participants’ knowledge and confidence to promote PA and PL were achieved ( p > 0.01–0.001). Childcare level implementation facilitators as reported by early years providers included appropriate resources, planning, indoor space, and equipment, whereas weather and space were reported barriers. The stakeholder advisory group viewed the stakeholder network and Active Play policy as facilitators and adjustments to recent shifts in childcare funding and previous initiatives as barriers to implementation. ATP was scalable and impacted provider knowledge, confidence, and intentions. The impact on actual policies and practices, and children’s PA needs to be assessed along with sustainability.

Suggested Citation

  • Kasra Hassani & E. Jean Buckler & Jennifer McConnell-Nzunga & Sana Fakih & Jennifer Scarr & Louise C. Mâsse & Patti-Jean Naylor, 2020. "Implementing Appetite to Play at scale in British Columbia: Evaluation of a Capacity-Building Intervention to Promote Physical Activity in the Early Years," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:4:p:1132-:d:319018
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    References listed on IDEAS

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    2. repec:aph:ajpbhl:10.2105/ajph.2016.303521_4 is not listed on IDEAS
    3. Green, L.W., 2006. "Public health asks of systems science: To advance our evidence-based practice, can you help us get more practice-based evidence?," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 406-409.
    4. O'Neill, J.R. & Dowda, M. & Neelon, S.E.B. & Neelon, B. & Pate, R.R., 2017. "Effects of a new state policy on physical activity practices in child care centers in South Carolina," American Journal of Public Health, American Public Health Association, vol. 107(1), pages 144-146.
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    Cited by:

    1. Adriana Nielsen-Rodríguez & Ramón Romance & Juan Carlos Dobado-Castañeda, 2021. "Teaching Methodologies and School Organization in Early Childhood Education and Its Association with Physical Activity," IJERPH, MDPI, vol. 18(7), pages 1-25, April.
    2. Trine Top Klein-Wengel & Jonas Vestergaard Nielsen & Søren Smedegaard & Thomas Skovgaard, 2021. "The Role of Local Leaders in the Implementation of Adult-Initiated Motor Skill Development and Physical Activity in Preschool—A Case Study," IJERPH, MDPI, vol. 18(24), pages 1-18, December.
    3. Jonas Vestergaard Nielsen & Thomas Skovgaard & Trine Top Klein-Wengel & Jens Troelsen, 2022. "In It for the Long Haul: RE-AIM Evaluation of a Preschool Programme Implementing and Maintaining Adult-Initiated Motor Skill Development and Physical Activity across a Two-Year Period," IJERPH, MDPI, vol. 19(5), pages 1-14, February.

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