PLAYshop Randomized Controlled Trial: Efficacy and Implementation of a Virtually Delivered Parent-Focused Physical Literacy Intervention for Early Childhood

PLAYshop随机对照试验:一项以家长为中心的虚拟幼儿体能素养干预措施的有效性和实施情况

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Abstract

Purpose Examine the efficacy of a virtually delivered, parent-focused physical literacy (PL) intervention for early childhood called PLAYshop and examine the level of and factors that influenced implementation. Methods A randomized controlled trial was conducted with 122 preschool-aged children (3-5 years) and their parents from western Canada. PLAYshop included a virtual workshop, educational and material resources, and follow-up support via an app with four booster lessons (1, 3, 5, 7 weeks post-workshop). Primary and secondary efficacy outcomes were measured at baseline and 2-month follow-up. Tertiary efficacy outcomes were also measured post-workshop (intervention group)/1-week post baseline questionnaire (control group). Tertiary implementation outcomes were measured via parental questionnaire and explored via parent and workshop leader interviews. Repeated measures Analysis of Covariance/Analysis of Variance and Generalized Estimating Equations were conducted. Results Intervention efficacy was not observed for children's PL (fundamental movement skills, motivation, enjoyment, confidence; primary outcome) or physical activity (PA; secondary outcome). Increases in other secondary and tertiary outcomes were observed in the intervention group, compared to the control group, including parent-child co-participation in PA (partial η(2) = 0.062), parental PA modeling (partial η(2) = 0.049) as well as parental capability (partial η(2) = 0.039), opportunity (partial η(2) = 0.089), and motivation (partial η(2) = 0.026-0.045) to support children's PL development. High usefulness (87%) and satisfaction (96%) were reported by parents. Several themes were identified supporting the implementation of the intervention. Booster lesson completion was low (17%-30%). Conclusion Efficacy was observed for some parent but not child outcomes. Implementation was highly feasible at the delivery level but parent engagement in boosters had challenges. Trail Registration: NCT05255250 (Version 1: February 24, 2022; Version 3: December 7, 2022).

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