Feasibility of Increasing Childhood Outdoor Play and Decreasing Television Viewing Through a Family-Based Intervention in WIC, New York State, 2007-2008
By Davison K, Edmunds L, Wyker B, Young L, Sarfoh V, Sekhobo J
Introduction: Active Families is a program developed to increase outdoor play and decrease television viewing among preschool-aged children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Our objective was to assess its feasibility and efficacy.
Methods: We implemented Active Families in a large WIC clinic in New York State for 1 year. To this end, we incorporated into WIC nutrition counseling sessions a community resource guide with maps showing recreational venues. Outcome measures were children’s television viewing and time playing outdoors and parents’ behaviors (television viewing, physical activity), self-efficacy to influence children’s behaviors, and parenting practices specific to television viewing. We used a nonpaired pretest and posttest design to evaluate the intervention, drawing on comparison data from 3 matched WIC agencies.
Results: Compared with the children at baseline, the children at follow-up were more likely to watch television less than 2 hours per day and play outdoors for at least 60 minutes per day. Additionally, parents reported higher self-efficacy to limit children’s television viewing and were more likely to meet physical activity recommendations and watch television less than 2 hours per day.
Conclusion: Results suggest that it is feasible to foster increased outdoor play and reduced television viewing among WIC-enrolled children by incorporating a community resource guide into WIC nutrition counseling sessions. Future research should test the intervention with a stronger evaluation design in multiple settings, with more diverse WIC populations, and by using more objective outcome measures of child behaviors.
March 21, 2018
Davison K, Edmunds L, Wyker B, Young L, Sarfoh V, Sekhobo J (2011) Feasibility of Increasing Childhood Outdoor Play and Decreasing Television Viewing Through a Family-Based Intervention in WIC, New York State, 2007-2008. Preventing Chronic Disease: Vol. 8, Issue 3, p. A54. Available online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3103559/