Impact of a dissemination strategy on family day care educators’ intentions to adopt outdoor free play guidelines introduced in response to COVID-19: a randomized controlled trial

Health Education Research · 6 authors, 23 centres

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TL;DR

This randomized controlled trial tested if a video resource, compared to a text-based resource, improved family day care educators' intentions to adopt outdoor free play guidelines. The study found no statistically significant difference between the two groups in the primary outcome of intentions or any secondary outcomes.

Full summary

427 CHARS

A randomized controlled trial with 255 eligible family day care educators compared a video-based dissemination strategy (intervention) to a text-based resource (control) for outdoor free play guidelines. The primary outcome was educators' intentions to adopt the guidelines at 5-week follow-up. The authors suggest potential ceiling effects on intention scores and note the study was underpowered due to recruitment challenges.

STUDY TYPE

RCT

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10516333

Impact of a dissemination strategy on family day care educators’ intentions to adopt outdoor free play guidelines introduced in response to COVID-19: a randomized controlled trial

Health Education Research

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ABSTRACT

Abstract In 2021, guidelines for early childhood education and care were released recommending children are provided access to outdoor areas during all free play sessions to reduce the risk of coronavirus disease of 2019 transmission, aligning with the existing recommendations to increase children’s physical activity. There is a need to understand how to disseminate guidelines in this setting as dissemination is a prerequisite of adoption and implementation. This randomized controlled trial explored the impact of a video-based strategy to disseminate guidelines on family day care educators’ intentions to adopt outdoor free play guidelines. Educators ( N = 255) were randomized to receive a video (intervention) or text-based (usual care) resource via email describing recommendations. Educators were invited to participate in a post-intervention survey at 5-week follow-up assessing intentions to adopt guidelines. The secondary outcomes included knowledge, beliefs about capabilities, beliefs about consequences, social/professional role and identity, goals, implementation of guidelines, acceptability of resource and intervention reach. There was no statistically significant difference between groups in intentions to adopt guidelines [ß = 0.01 (95% confidence interval −0.50 to 0.52), P = 0.97], nor for any secondary outcomes. Further investigation is needed to identify effective dissemination strategies in the family day care setting to increase the adoption of public health guidelines.

CITATION EXPORT

M Lum, S L Yoong, L Wolfenden et al.. Impact of a dissemination strategy on family day care educators’ intentions to adopt outdoor free play guidelines introduced in response to COVID-19: a randomized controlled trial. Health Education Research. (2023). https://doi.org/10.1093/her/cyad014

AUTHORS

6 · 23 CENTRES

M Lum, S L Yoong, L Wolfenden, H Turon, K Reilly, A Grady

Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Global Centre for Preventive Nutrition and Health, Institute for Health Transformation, School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia