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- W2807588890 abstract "Obesity related health behaviors [ORHBs; physical activity (PA), diet, and sleep] interventions targeting preschool-age children implemented within childcare centers have shown mixed results. The variability of these findings could be related to process evaluation measures, which are frequently not reported. PURPOSE: To describe the process evaluation (feasibility, acceptability, and fidelity) outcomes of a 12-week preschool intervention targeting ORHBs that was integrated into early education learning standards (state mandated policies) in preschoolers. METHODS: Two preschools (classrooms, n = 7) were randomized to either the 12-week Physical Activity, Diet and Sleep (PADS) intervention or control condition. The PADS program was led by research staff and teachers and included ORHB lessons and activities implemented on four days/week (three days of morning PA, three days of afternoon PA, one day of diet, and one day of sleep). PADS PA intervention intensity was assessed on one randomly selected weekday morning/week with accelerometers. Other process evaluation outcomes were assessed (daily, weekly, and at 12-weeks) using semi-structured questionnaires completed by research staff and teachers. RESULTS: Fifty, 33.3, 77.8, and 100.0% of observed lessons were implemented as planned for diet, sleep, morning PA, and afternoon PA, respectively. Only 44.7 ± 8.6% of the morning PA lessons were spent in moderate-to-vigorous intensity. Among all observed lessons at least 50% of the students participated and the majority of students seemed to enjoy the activities. Teacher encouragement was present in 62.5% (diet) - 72.2% (morning PA) of observed lessons. Greater than 90% of the lessons were perceived as effective and would be used in the future by teachers. CONCLUSIONS: This pilot data suggests that integrating ORHBs into education learning standards is feasible and acceptable by preschool teachers and students. PADS PA lessons had the highest levels of implementation, whereas modifications were recommended for some diet and sleep lessons. Implementation of all lessons may also improve with greater teacher encouragement." @default.
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- W2807588890 date "2018-05-01" @default.
- W2807588890 modified "2023-09-27" @default.
- W2807588890 title "Evaluation Of The Implementation Of An Academically-integrated Intervention Targeting Obesity-related Health Behaviors In Preschooler-age Children" @default.
- W2807588890 doi "https://doi.org/10.1249/01.mss.0000538278.62697.ff" @default.
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