OBJECTIVES:In order to improve healthy behaviours among rural children in their early years, a physical activity and healthy eating intervention (Healthy Start -Départ Santé) was implemented in rural childcare centres throughout Saskatchewan. The objective of the current study was to evaluate the impact of a multimodal physical activity and healthy eating intervention on educators' provision of opportunities for children to improve their physical activity levels, fundamental movement skills and healthy eating behaviours.
SETTINGS:Six childcare centres (three Francophone and three Anglophone) located in five different rural and semi-rural communities in Saskatchewan participated in this intervention.
PARTICIPANTS:A total of 69 children with a mean age of 4 years 9 months, and 19 female early childhood educators.
INTERVENTION:Guided by an ecological framework, we implemented a population health controlled intervention, using a wait list control design (48 weeks delayed intervention), and evaluated its impact in rural childcare centres. Mixed methods were employed to determine the effectiveness of the intervention.OUTCOMES: Overall, educators felt that the intervention supported the provision of physical activity and healthy eating opportunities for children. Increases in children's physical activity levels were reported following the intervention.
CONCLUSION:The lessons learned in this study can be used to improve the Healthy Start -Départ Santé intervention so that its implementation can be effectively expanded to childcare centres within and outside Saskatchewan, in turn, supporting the healthy development of early years (0-5) children in the province and beyond.KEY WORDS: Child development; health promotion; early intervention; rural health La traduction du résumé se trouve à la fin de l'article.Can J Public Health 2016;107(3):e312-e318 doi: 10.17269/CJPH.107.5279 C urrent research indicates that Canadian early years children (0-5 years) spend a large portion of their day engaging in sedentary behaviour. Moreover, children are not meeting the recommended food guide servings for fruits, vegetables and milk products.1-3 Combined, these behaviours have been associated with an increased risk of becoming overweight (i.e., body mass index above 25). Children who are overweight before school entry often continue on this unhealthy trajectory and have a significant risk of becoming obese during their youth and adult years. In Canada, over 50% of children aged 6 months to 5 years attend out-of-home care.5 These settings include licensed childcare centres, licensed day homes and unlicensed day homes. Licensed childcare centres must meet provincially legislated guidelines. In addition, educators working in these centres must hold an Early Learning and Childcare Diploma. Childcare environments can provide a platform for exploring children's behaviours and thus have been identified as the ideal setting for delivering interventions that provide opportunities to introduce lessons, activities and programming aimed at p...