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Int. J. Environ. Res. Public Health 2014, 11(3), 2407-2426; doi:10.3390/ijerph110302407

Do Children’s Health Resources Differ According to Preschool Physical Activity Programmes and Parental Behaviour? A Mixed Methods Study

1
Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover 30625, Germany
2
Institute of Education for Special Needs, Leibniz Universität Hannover, Hannover 30159, Germany
3
Faculty of Educational Science, Bielefeld University, Bielefeld 33501, Germany
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 24 November 2013 / Revised: 20 January 2014 / Accepted: 13 February 2014 / Published: 26 February 2014
(This article belongs to the Special Issue Health Behavior and Public Health)
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Abstract

Preschool can have positive effects on the development of a healthy lifestyle. The present study analysed to what extent different conditions, structures and behavioural models in preschool and family—children’s central social microsystems—can lead to differences in children’s health resources. Using a cross-sectional mixed methods approach, contrast analyses of “preschools with systematic physical activity programmes” versus “preschools without physical activity programmes” were conducted to assess the extent to which children’s physical activity, quality of life and social behaviour differ between preschools with systematic and preschools without physical activity programmes. Differences in children’s physical activity according to parental behaviour were likewise assessed. Data on child-related outcomes and parent-related factors were collected via parent questionnaires and child interviews. A qualitative focused ethnographic study was performed to obtain deeper insight into the quantitative survey data. Two hundred and twenty seven (227) children were interviewed at 21 preschools with systematic physical activity programmes, and 190 at 25 preschools without physical activity programmes. There was no significant difference in children’s physical activity levels between the two preschool types (p = 0.709). However, the qualitative data showed differences in the design and quality of programmes to promote children’s physical activity. Data triangulation revealed a strong influence of parental behaviour. The triangulation of methods provided comprehensive insight into the nature and extent of physical activity programmes in preschools and made it possible to capture the associations between systematic physical activity promotion and children’s health resources in a differential manner.
Keywords: physical activity; social behaviour; quality of life; preschool; children; mixed methods design physical activity; social behaviour; quality of life; preschool; children; mixed methods design
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Sterdt, E.; Pape, N.; Kramer, S.; Liersch, S.; Urban, M.; Werning, R.; Walter, U. Do Children’s Health Resources Differ According to Preschool Physical Activity Programmes and Parental Behaviour? A Mixed Methods Study. Int. J. Environ. Res. Public Health 2014, 11, 2407-2426.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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