Assessing care providers' perceptions and beliefs about physical activity in infants and toddlers: Baseline findings from the Baby NAP SACC study

Kathryn R. Hesketh, Esther M F Van Sluijs, Rachel E. Blaine, Elsie M. Taveras, Matthew W. Gillman, Sara Neelon

Research output: Contribution to journalArticle

Abstract

Background: As children now spend increasing amounts of time in out-of-home care, care providers play an important role in promoting positive health behaviors. Little is currently known about providers' perceptions and beliefs about physical activity, particularly for very young children. This study describes providers' perceptions and beliefs about infants' and toddlers' physical activity, and assesses their knowledge of physical activity guidelines, to establish if and where providers may need support to promote physical activity in child care settings. Methods: We analyzed baseline data from a pilot randomized-controlled trial conducted in 32 child care centers in Massachusetts, USA. Providers completed physical activity-related questionnaires from which we compared twenty perception and belief questions for infant and toddler care providers. Results: 203 care providers (96% female, mean ± SD age: 32.7 ± 11.2 years) from 29 centers completed questionnaires. A large proportion of providers (n = 114 (61.9%)) believed that infants should be active for 45 minutes or less each day, and only 56 providers (29.7%) perceived toddlers to require more than 90 minutes of activity per day. 97% of providers perceived it was their job to ensure children engaged in a healthy amount of physical activity and most (94.1%) perceived physical activity to be important to own their health, despite 13.3% finding it hard to find the energy to be physically active. Conclusions: This study is the first to assess the physical activity perceptions and attitudes of providers caring for infants and toddlers. Though all providers believed toddlers should engage in more physical activity than infants, most providers believed that young children require only a short amount of physical activity each day, below recommended guidelines. How provider perceptions influence children's physical activity behavior requires investigation.

Original languageEnglish (US)
Article number100
JournalBMC Public Health
Volume15
Issue number1
DOIs
StatePublished - Feb 4 2015
Externally publishedYes

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Exercise
Child Care
Guidelines
Infant Care
Health Behavior
Home Care Services
Randomized Controlled Trials
Health

Keywords

  • Baby NAPSACC
  • Child care
  • Infants
  • Physical activity
  • Toddlers

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Assessing care providers' perceptions and beliefs about physical activity in infants and toddlers : Baseline findings from the Baby NAP SACC study. / Hesketh, Kathryn R.; Van Sluijs, Esther M F; Blaine, Rachel E.; Taveras, Elsie M.; Gillman, Matthew W.; Neelon, Sara.

In: BMC Public Health, Vol. 15, No. 1, 100, 04.02.2015.

Research output: Contribution to journalArticle

Hesketh, Kathryn R. ; Van Sluijs, Esther M F ; Blaine, Rachel E. ; Taveras, Elsie M. ; Gillman, Matthew W. ; Neelon, Sara. / Assessing care providers' perceptions and beliefs about physical activity in infants and toddlers : Baseline findings from the Baby NAP SACC study. In: BMC Public Health. 2015 ; Vol. 15, No. 1.
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abstract = "Background: As children now spend increasing amounts of time in out-of-home care, care providers play an important role in promoting positive health behaviors. Little is currently known about providers' perceptions and beliefs about physical activity, particularly for very young children. This study describes providers' perceptions and beliefs about infants' and toddlers' physical activity, and assesses their knowledge of physical activity guidelines, to establish if and where providers may need support to promote physical activity in child care settings. Methods: We analyzed baseline data from a pilot randomized-controlled trial conducted in 32 child care centers in Massachusetts, USA. Providers completed physical activity-related questionnaires from which we compared twenty perception and belief questions for infant and toddler care providers. Results: 203 care providers (96{\%} female, mean ± SD age: 32.7 ± 11.2 years) from 29 centers completed questionnaires. A large proportion of providers (n = 114 (61.9{\%})) believed that infants should be active for 45 minutes or less each day, and only 56 providers (29.7{\%}) perceived toddlers to require more than 90 minutes of activity per day. 97{\%} of providers perceived it was their job to ensure children engaged in a healthy amount of physical activity and most (94.1{\%}) perceived physical activity to be important to own their health, despite 13.3{\%} finding it hard to find the energy to be physically active. Conclusions: This study is the first to assess the physical activity perceptions and attitudes of providers caring for infants and toddlers. Though all providers believed toddlers should engage in more physical activity than infants, most providers believed that young children require only a short amount of physical activity each day, below recommended guidelines. How provider perceptions influence children's physical activity behavior requires investigation.",
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AB - Background: As children now spend increasing amounts of time in out-of-home care, care providers play an important role in promoting positive health behaviors. Little is currently known about providers' perceptions and beliefs about physical activity, particularly for very young children. This study describes providers' perceptions and beliefs about infants' and toddlers' physical activity, and assesses their knowledge of physical activity guidelines, to establish if and where providers may need support to promote physical activity in child care settings. Methods: We analyzed baseline data from a pilot randomized-controlled trial conducted in 32 child care centers in Massachusetts, USA. Providers completed physical activity-related questionnaires from which we compared twenty perception and belief questions for infant and toddler care providers. Results: 203 care providers (96% female, mean ± SD age: 32.7 ± 11.2 years) from 29 centers completed questionnaires. A large proportion of providers (n = 114 (61.9%)) believed that infants should be active for 45 minutes or less each day, and only 56 providers (29.7%) perceived toddlers to require more than 90 minutes of activity per day. 97% of providers perceived it was their job to ensure children engaged in a healthy amount of physical activity and most (94.1%) perceived physical activity to be important to own their health, despite 13.3% finding it hard to find the energy to be physically active. Conclusions: This study is the first to assess the physical activity perceptions and attitudes of providers caring for infants and toddlers. Though all providers believed toddlers should engage in more physical activity than infants, most providers believed that young children require only a short amount of physical activity each day, below recommended guidelines. How provider perceptions influence children's physical activity behavior requires investigation.

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