Facilitators and barriers of children's participation in nutrition, physical activity, and obesity interventions: A systematic review

2021 ◽  
Author(s):  
Priscilla Clayton ◽  
Jeneene Connelly ◽  
Malik Ellington ◽  
Vicky Rojas ◽  
Yaisli Lorenzo ◽  
...  
2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 112-112
Author(s):  
Priscilla Clayton ◽  
Jeneene Connelly ◽  
Malik Ellington ◽  
Vicky Rojas ◽  
Yaisli Lorenzo ◽  
...  

Abstract Objectives To conduct a systematic review of facilitators and barriers for children's participation in nutrition, physical activity, and obesity interventions from the perspective of parents, children, and researchers. Methods Studies were identified from 5 databases and restricted to children 2–18 years and to English. Studies without results on facilitator and barriers of recruitment were excluded. Results 423 records were identified; 97 duplicates and 269 unrelated records were initially excluded; 60 records were reviewed for full-text and subsequently 26 were excluded, for a total of 34 included studies. The top four barriers reported by children and parents were time constraints, nature of the intervention, limited understanding of clinical trial information or complexity of consent/trial info, and cost, while for researchers reported barriers were lack of transportation/lack of or childcare and time constraints. The top four common facilitators reported by children and parents were benefit others (altruism) and themselves, compensation/incentives, nature of the intervention, and quality of life, while for researchers these were physician recommendations/referrals, benefits to others and themselves, simple and clear materials describing the study and the inclusion criteria, and compensation/incentives. Conclusions These barriers and facilitators should be addressed in future studies to assist in the successful recruitment of children into nutrition, physical activity, and obesity interventions. Funding Sources Funding was supported by the National Institute of Health (Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD), grant number 1R01HD098589-01.


2021 ◽  
pp. 104973152098484 ◽  
Author(s):  
Karmen Toros

This article explores child welfare workers’ experiences of children’s participation in decision making in the child protection system. The systematic review follows the principles of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and includes 12 peer-reviewed articles published in academic journals from 2009 to 2019. Findings indicate that children’s participation in decision making is generally limited or nonexistent. The age of the child is an important determining factor concerning whether the child is given the opportunity to participate in decision making. Potential harm for children that may result from participation is considered when deciding on whether to include a child in the decision-making process.


2018 ◽  
Vol 15 (10) ◽  
pp. 747-754 ◽  
Author(s):  
Rosalie Coolkens ◽  
Phillip Ward ◽  
Jan Seghers ◽  
Peter Iserbyt

Background: Recess strategies that increase children’s physical activity and contribute to the daily 60 minutes of moderate to vigorous physical activity (MVPA) are recommended. Methods: A cluster randomized trial was conducted to examine the effect of supervised versus organized recess on children’s participation, physical activity, play, and social behavior. In supervised recess, children were free to play, and physical education (PE) teachers ensured safety. In organized recess, PE teachers provided challenging tasks. Data were collected using systematic observation. Children (N = 281; 8–10 y) from 14 schools received a 6-day parkour unit in PE and three opportunities to participate in a 20-minute parkour recess. Schools were randomized over a supervised and organized parkour recess condition. Results: The majority of children participated in parkour recess (range = 56%–85%), with more boys participating in all 3 organized versus supervised recess sessions (57% vs 35%, P = .01). Boys spent more time in MVPA during organized recess (79% vs 71%, P = .02). Boys and girls spent more time in activity games during organized recess (59% vs 46%, P = .01; 59% vs 47%, P = .001). Conclusion: Organized recess attracted more children and made the largest contribution to daily MVPA.


2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Rubab G. Arim ◽  
Leanne C. Findlay ◽  
Dafna E. Kohen

The purpose of this study was to compare rates of participation for children (4–9 years of age) with neurodevelopmental disorders (NDDs) with and without externalizing behavior problems (EBPs) with children without disability and to examine mediators of the relation between disability and physical activity participation. Data for this study were drawn from Cycle 7 (2006-07) of the Canadian National Longitudinal Survey of Children and Youth (NLSCY). The frequency of children’s participation in organized sports or physical activities varied depending on the child’s health condition with children with NDDs and both NDDs and EBPs participating least in organized sports or physical activities followed by children with EBPs only. In contrast, there were no statistically significant differences by health group for children’s participation in unorganized sports or physical activities. These differences remained even after controlling for the effects of other child and family sociodemographic characteristics, except for children with EBPs only. These findings highlight the importance of considering children’s primary and other existing health conditions as well as family sociodemographic characteristics in order to better understand the factors that influence participation in organized physical activities for children with disabilities.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
L. J. Reece ◽  
C. McInerney ◽  
K. Blazek ◽  
B. C. Foley ◽  
L. Schmutz ◽  
...  

Abstract Background Participation in organised sport and physical activity contributes to health-enhancing levels of leisure time physical activity. In Australia, 58% of children aged 0–14 years participated at least once a week in October 2015 – December 2017. To overcome the frequently cited cost barrier, sports voucher incentives have been widely implemented across Australia. Method The financial value of jurisdictional vouchers and the National median financial value were used to calculate the proportion of total annual expenditure on children’s participation in sport supported by sports vouchers. Participation rates using AusPlay data were estimated by age, sex and socio-economic index (SEIFA) at state and national level for children aged 0–14 years. Results Five States and Territories implemented sports vouchers from 2011 to 2018, with a median value of AU$150. Nationally, median annual expenditure for children’s sport participation was AU$447 (IQR $194.2–936), with 27% reported expenditure supported by a sports voucher. The proportion of financial support from sports vouchers increased considerably with social disadvantage, rising to over 60% of total expenditure in the most disadvantaged populations. Conclusions Socio-economic status was associated with sports-related expenditure and sports participation amongst children. Sport vouchers should target children in the most disadvantaged areas to promote participation in organised sport and physical activity.


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