Grand designs for design policy:associations between apartment policy standards, perceptions of good design and mental wellbeing

Comprehensive apartment design policies have been legislated by Australian state governments to address concerns about poor design in residential buildings. These policies aim to improve apartment design and promote good health. This study examined whether: (1) residents living in apartments that implemented more minimum design requirements perceived better apartment design and amenity; and (2) increased implementation of minimum requirements and better perceptions of design were associated with positive mental wellbeing. Apartment complexes (n = 114, built 2006–2016) were sampled from Sydney, Perth, and Melbourne. Building plans and elevations were used to measure and score apartments for their implementation of 96 quantifiable policy-specific requirements and residents (n = 1072) completed a self-report survey on their apartment design and health. Multi-level linear regression models were used to account for clustered data. Residents in apartments with greater implementation of requirements for solar and daylight, indoor space, private open space, communal space and parking had more positive perceptions of their apartment in terms of natural light and winter thermal comfort, indoor space and layout, private open space, communal area quality, and parking, respectively (all p &lt; 0.05). Perceptions of natural ventilation, summer thermal comfort, indoor space, and communal area quality were independently associated with positive mental wellbeing (all p &lt; 0.05), but the objective implementation scores had no direct association. When implemented as intended, minimum requirements had a positive impact on perceptions of design, which were associated with mental wellbeing. The study underscores the importance of planning instruments and design review processes that increase industry uptake of minimum policy standards.</p

Capturing the geography of children’s active and sedentary behaviours at home: the HomeSPACE measurement tool

Children spend much of their time at home, indoors and sedentary. This study reports on the development, exploratory factor analysis, validity and reliability of the HomeSPACE Instrument. The instrument assesses features of the home physical environment that influence children’s sedentary behaviour and physical activity, and the family influences that create this environment. The space and equipment audit achieved good to excellent criterion validity and test-retest reliability for equipment, outdoor features and home design measures (Study 1, n = 36 parents). Family influence scales showed acceptable internal consistency and test-retest reliability (Study 2, n = 96 parents). Factor analysis highlighted fifteen scales to assess the importance, preferences and supportiveness of the home environment for activity. The HomeSPACE Instrument extends previous tools to provide a valid and reliable assessment of home influences on children’s sedentary behaviour and physical activity, that is adaptable for varying home physical environments

The Dynamic Family Home: a qualitative exploration of physical environmental influences on children&apos;s sedentary behaviour and physical activity within the home space

Abstract Background: Recent changes in home physical environments, such as decreasing outdoor space and increasing electronic media, may negatively affect health by facilitating sedentariness and reducing physical activity. As children spend much of their time at home they are particularly vulnerable. This study qualitatively explored family perceptions of physical environmental influences on sedentary behaviour and physical activity within the home space. Methods: Home based interviews were conducted with 28 families with children aged 9-13 years (total n = 74 individuals), living in Perth, Australia. Families were stratified by socioeconomic status and selected to provide variation in housing. Qualitative methods included a family interview, observation and home tour where families guided the researcher through their home, enabling discussion while in the physical home space. Audio recordings were transcribed verbatim and thematically analysed

Capturing the geography of children’s active and sedentary behaviours at home: the HomeSPACE measurement tool

<p>Children spend much of their time at home, indoors and sedentary. This study reports on the development, exploratory factor analysis, validity and reliability of the HomeSPACE Instrument. The instrument assesses features of the home physical environment that influence children’s sedentary behaviour and physical activity, and the family influences that create this environment. The space and equipment audit achieved good to excellent criterion validity and test-retest reliability for equipment, outdoor features and home design measures (Study 1, <i>n</i> = 36 parents). Family influence scales showed acceptable internal consistency and test-retest reliability (Study 2, <i>n</i> = 96 parents). Factor analysis highlighted fifteen scales to assess the importance, preferences and supportiveness of the home environment for activity. The HomeSPACE Instrument extends previous tools to provide a valid and reliable assessment of home influences on children’s sedentary behaviour and physical activity, that is adaptable for varying home physical environments.</p

Associations between the Home Physical Environment and Children’s Home-Based Physical Activity and Sitting

It is important to understand the correlates of children&rsquo;s physical activity (PA) and sitting at home, where children spend significant time. The home social environment has an important influence; however, much less is known about the home physical environment. Therefore, the study aimed to assess relationships between the physical environment and children&rsquo;s sitting and PA at home. In total, 235 child-parent dyads were included in the analyses. Children spent 67% of their time at home sitting. Linear regression analyses examined associations between physical home environmental factors obtained via an audit and children&rsquo;s (55% girl, 10.2 &plusmn; 0.7) objective PA and sitting at home. Following adjustment for socio-demographics and social environmental factors, an open plan living area (OPLA), musical instrument accessibility and availability, and perceived house size were negatively and positively associated, whereas media equipment accessibility and availability was positively and negatively associated with sitting and standing, respectively. Additionally, an OPLA was positively associated with total and moderate-to-vigorous PA. Furthermore, sitting breaks were positively associated with objective garden size and negatively associated with digital TV. The physical home environment may have an important influence on children&rsquo;s sitting, standing and PA at home; therefore, interventions that target this environment are needed

The influence of the early childhood education and care environment on young children’s physical activity: Development and reliability of the PLAYCE study environmental audit and educator survey

(1) Background: Participation in physical activity is crucial for the healthy growth and development of young children. More robust measurement of environmental influences on children’s physical activity in early childhood education and care (ECEC) settings may help resolve inconsistencies in the literature. This study evaluated the reliability of an environmental audit and educator practice survey for assessing ECEC physical, policy, and social environments related to young children’s physical activity. (2) Methods: A convenience sample of 20 ECEC centres participated in this PLAYCE (Play Spaces and Environments for Children’s Physical Activity) sub-study. Trained auditors conducted audits and educators completed surveys, two weeks apart. Test-retest reliability of the survey (n = 32), inter-rater (n = 20 pairs) and intra-rater reliability (n = 38) of the audit was assessed using intra-class correlation coefficients (ICCs), Kappa statistics and percent agreement. (3) Results: Intra-rater and inter-rater reliability ICCs for outdoor equipment, spaces and features were good to excellent (ICC = 0.70–0.94), while ratings for indoor equipment, media and spaces varied from fair to excellent (ICC = 0.46–0.78). The majority of items were rated by Kappa as moderate or above for intra-rater, inter-rater and survey test-retest reliability. (4) Conclusions: The PLAYCE Study instruments provide reliable measures of ECEC physical activity environments which can help to better understand influences on young children’s physical activity.</p

Influence of the day care, home and neighbourhood environment on young children's physical activity and health: protocol for the PLAYCE observational study

INTRODUCTION The early years are a critical period in a child's health and development, yet most preschool children fail to meet physical activity guidelines. Outside of the home and neighbourhood, children spend a large proportion of time within early childhood education and care (ECEC) services such as long day care. Research is required to determine how the design of day care outdoor (and indoor) spaces provides opportunities or constraints for physical activity. A significant evidence gap surrounds what objectively measured attributes of the home and neighbourhood environment influence preschoolers' physical activity. The PLAY Spaces &amp; Environments for Children's Physical Activity (PLAYCE) study will empirically investigate the relative and cumulative influence of the day care, home and neighbourhood environment on preschoolers' physical activity. METHODS AND ANALYSIS The PLAYCE study is a cross-sectional observational study (April 2015 to April 2018) of 2400 children aged 2-5 years attending long day care in metropolitan Perth, Western Australia. Accelerometers will measure physical activity with indoor physical activity measured using radio frequency identification. Global positioning systems will be used to determine outdoor location of physical activity around the home and neighbourhood for a subsample (n=310). The day care environment will be objectively measured using a validated audit tool. Other potential individual, social and physical environmental influences on preschoolers' physical activity will be collected by geographic information systems measures, parent and day care educator surveys. ETHICS AND DISSEMINATION Ethical approval has been granted by The University of Western Australia Human Ethics Research Committee, approval number RA/4/1/7417. Findings will be published in international peer-reviewed journals and presented at international conferences. Key findings will be disseminated to stakeholders, collaborators, policymakers and practitioners working in the ECEC sector. Day care centre directors and parents will be given a summary report of the key findings

Shade coverage, ultraviolet radiation and children's physical activity in early childhood education and care

Objective: To investigate the association between shade coverage in early childhood education and care (ECEC) centres and pre-school children’s physical activity, outdoor time and ultraviolet radiation (UVR) exposure. Methods: A total of 48 ECEC centres (678 children) in the Western Australian Play Spaces and Environments for Children’s Physical Activity (PLAYCE) study took part. Physical activity at ECEC was measured using 7-day accelerometry. UVR exposure was measured using polysulphone film attached to children’s shoulders. Educators reported time spent outdoors. The Shade Factor and remote sensing imagery captured shade coverage. Results: Centre vegetation but not Shade Factor was significantly negatively associated with children’s UVR exposure (p < 0.001). Higher levels of vegetation were associated with increased time outdoors, but higher levels of the Shade Factor were associated with decreased time outdoors (all p < 0.001). Neither shade measure was significantly associated with physical activity. Outdoor time moderated the relationships between shade measures, physical activity and UVR exposure. Conclusions: The provision of shade, particularly through natural forms such as tree canopy, is an important sun protection strategy and enabler of outdoor time in children attending ECEC

Play Active physical activity policy intervention and implementation support in early childhood education and care: results from a pragmatic cluster randomised trial

Abstract Background Policy interventions to increase physical activity in early childhood education and care (ECEC) services are effective in increasing physical activity among young children. However, a large proportion of ECEC services do not have nor implement a physical activity policy. Play Active is an evidence-informed physical activity policy intervention with implementation support strategies to enable ECEC services to successfully implement their policy. This study examined the effectiveness, implementation, and process outcomes of Play Active. Methods A pragmatic cluster randomised trial in 81 ECEC services in Perth, Western Australia was conducted in 2021. Services implemented their physical activity policy over a minimum of three months. The effectiveness outcomes were changes in educator practices related to daily time provided for total physical activity and energetic play. Implementation outcomes included changes in director- and educator-reported uptake of policy practices and director-reported uptake of high impact and low effort policy practices. Process evaluation outcomes included awareness, fidelity, reach, and acceptability of the intervention and implementation strategies. Analysis involved descriptive statistics and generalised linear mixed effects models. Results There was a significant increase in the uptake of director-reported policy practices (p = 0.034), but no change in the uptake of the subset of high impact and low effort policy practices. Intervention group educators reported high awareness of the Play Active policy recommendations (90%). Play Active acceptability was high among educators (83%) and directors (78%). Fidelity and reach were high for most implementation support strategies (> 75%). There were no significant changes in the amount of physical activity or energetic play educators provided to children or in the proportion of educators providing the policy recommended ≥ 180 min of physical activity/day or ≥ 30 min of energetic play/day for intervention compared to wait-listed comparison services. Conclusions Play Active resulted in significantly higher uptake of physical activity practices. However, there was no change in the amount of physical activity provided to children, which may be explained by the relatively short policy implementation period. Importantly, Play Active had high awareness, fidelity, reach, and acceptability. Future research should investigate the effectiveness of Play Active over longer implementation periods and its scalability potential. Trial registration Australian New Zealand Clinical Trials Registry (reference number 12620001206910, registered 13/11/2020, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378304&isReview=true )