Development of physical activity policy and implementation strategies for early childhood education and care settings us
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RESEARCH
Open Access
Development of physical activity policy and implementation strategies for early childhood education and care settings using the Delphi process Hayley E. Christian1,2* , Donna Cross1, Michael Rosenberg3, Jasper Schipperijn4, Trevor Shilton2, Georgina Trapp1,2, Stewart G. Trost5, Andrea Nathan1, Clover Maitland3,6, Ashleigh Thornton3, Elizabeth J. Wenden1,2 and Phoebe George1
Abstract Background: The aim of this study was to gain consensus on an evidence informed physical activity policy template for early childhood education and care (ECEC) and determine best-practice dissemination and implementation strategies using the Delphi process. Methods: Three-round modified Delphi methodology. During round one an expert working group developed an evidence informed ECEC specific physical activity policy template. Rounds two and three involved national online surveys to seek insight from a group of experts on the draft physical activity policy template. Results: Ninety per cent of experts reported ECEC services are fully responsible for having a physical activity policy. There was consensus on the components of the policy and key physical activity and sedentary behaviour statements and recommendations. The most effective methods for disseminating a physical activity policy to ECEC providers included online (websites, social and electronic media), ECEC targeted launch events, direct mail outs and via professional associations. Twenty five key strategies related to management, supervisors and educators; the ECEC physical environment; communicating with families; and accreditation, monitoring and review, were identified as necessary for the successful implementation of physical activity policy in ECEC. Experts reached consensus on nine of these strategies indicating they were both easy to implement and likely to have a high level of influence. Key barriers and enablers to implementing ECEC-specific physical activity were also identified. (Continued on next page)
* Correspondence: [email protected] 1 Telethon Kids Institute, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia 2 School of Population and Global Health, University of Western Australia, Perth, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain p
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