Implementing Appetite to Play at scale in British Columbia: Evaluation of a Capacity-Building Intervention to Promote Physical Activity in the Early Years

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dc.contributor.authorHassani, Kasra
dc.contributor.authorBuckler, E. Jean
dc.contributor.authorMcConnell-Nzunga, Jennifer
dc.contributor.authorFakih, Sana
dc.contributor.authorScarr, Jennifer
dc.contributor.authorMâsse, Louise C.
dc.contributor.authorNaylor, Patti-Jean
dc.date.accessioned2020-02-28T20:44:30Z
dc.date.available2020-02-28T20:44:30Z
dc.date.copyright2020en_US
dc.date.issued2020
dc.description.abstractChildcare is a critical target for promoting children’s physical activity (PA) and physical literacy (PL). With emerging evidence about the efficacy of policy and capacity-building strategies, more information about how to bring these strategies to scale is needed. This paper describes implementation at scale of Appetite to Play (ATP), a capacity-building intervention for childcare providers, and examines the implementation and impact on early years providers’ capacity to address PA. The ATP implementation evaluation was a natural experiment that utilized a mixed methods concurrent parallel design framed within the Reach, Effectiveness, Adoption, Implementation, Maintenance framework (RE-AIM). Workshop and website tracking assessed reach and adoption. Surveys and interviews with workshop participants and stakeholders assessed satisfaction, implementation, and maintenance. Training reached 60% of British Columbia municipalities and 2700 early years providers. Significant changes in participants’ knowledge and confidence to promote PA and PL were achieved (p >0.01–0.001). Childcare level implementation facilitators as reported by early years providers included appropriate resources, planning, indoor space, and equipment, whereas weather and space were reported barriers. The stakeholder advisory group viewed the stakeholder network and Active Play policy as facilitators and adjustments to recent shifts in childcare funding and previous initiatives as barriers to implementation. ATP was scalable and impacted provider knowledge, confidence, and intentions. The impact on actual policies and practices, and children’s PA needs to be assessed along with sustainability.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe Appetite to Play initiative was developed and implemented under the leadership of Child Health BC in collaboration with public health, early years and education stakeholders and with key partners, YMCA of Greater Vancouver, Childhood Obesity Foundation, and Sport for Life Society. It is now also delivered in partnership with the BC Recreation and Parks Association (BCRPA). The initiative supports Healthy Families BC, the government’s health promotion strategy that focuses on leadership and health improvement for British Columbian families and their communities. The initiative was funded through BC’s Physical Activity Strategy, Active People Active Places, which is designed to guide and stimulate coordinated policies, practices and programs in physical activity that will improve the health and well‐being of British Columbians, and the communities in which they live, learn, work, and play. The strategy was funded by the BC Ministry of Health in partnership with the BC Alliance for Healthy Living. The Appetite to Play funding included support for the evaluation. The evaluation was further supported by grants from the Social Sciences and Humanities Research Council Grant 435‐2017‐1140, Sport Canada Research Initiative and by a Canadian Institutes of Health Research Impact Fellowship (JMN, Post‐doctoral recipient). LMC receives salary support from the BC Children’s Hospital Research Institute.en_US
dc.identifier.citationHassani, K., Buckler, E.J., McConnell-Nzunga, J., Fakih, S., Scarr, J., Mâsse, L.C. & Naylor, P. (2020). Implementing Appetite to Play at scale in British Columbia: Evaluation of a Capacity‐Building Intervention to Promote Physical Activity in the Early Years. International Journal of Environmental Research and Public Health, 17(4), 1132. https://doi.org/10.3390/ijerph17041132en_US
dc.identifier.urihttps://doi.org/10.3390/ijerph17041132
dc.identifier.urihttp://hdl.handle.net/1828/11594
dc.language.isoenen_US
dc.publisherInternational Journal of Environmental Research and Public Healthen_US
dc.subjectpublic health intervention
dc.subjectscale-up
dc.subjectearly years
dc.subjectphysical activity
dc.subjecthealthy eating
dc.subject.departmentSchool of Exercise Science, Physical and Health Education
dc.titleImplementing Appetite to Play at scale in British Columbia: Evaluation of a Capacity-Building Intervention to Promote Physical Activity in the Early Yearsen_US
dc.typeArticleen_US

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