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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Alberta Health services | OTHER |
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Our Early Movers longitudinal study found that adherence to the Canadian 24-Hour Movement Guidelines in infancy is low across demographic groups, impacting overall development. Early Movers is a parent-focused intervention designed to increase dissemination and activation of the 24-Hour Movement Behaviour Guidelines for the Early Years. It adapts an established Australian intervention called INFANT. An important first step is conducting a pilot study.
Our goal is to examine the feasibility and acceptability of the Early Movers intervention, a scalable, theory-based, parent-focused intervention designed to increase dissemination and activation of the 24-Hour Movement Behaviour Guidelines for the Early Years.
Primary Objectives:
Explore the feasibility of the Early Movers intervention protocol, including recruitment, retention, data collection, and procedures. Specifically, we will examine:
Explore the acceptability of the intervention by parents and public health staff.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early Movers Intervention | Experimental | Participants will receive an educational resource (i.e., hard copy hand-out), access to a digital app with an online toolkit and weekly text messages that includes tips and supportive messaging. |
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| Control | No Intervention | Participant will receive standard care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early Movers | Behavioral | The intervention includes: 1) an educational resource (i.e., hard-copy handout) developed for this study on the 24-Hour Movement Guidelines provided to parents at 2-month immunization appointments by public health nurses, who will answer any questions, followed by a discussion with research staff. 2) Follow-up support via access to a digital app with evidence-based information and support through an online toolkit, an anonymous forum, as well as weekly text messages that include tips and supportive messaging related to the guidelines. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility (recruitment) | How many appointments the research coordinator attends, how many families the research coordinator speaks to, how many families are eligible, and how many families enroll in the trial. | At recruitment completion, approximately 6 months from the start of recruitment |
| Feasibility (retention) | How many participants drop out | At data collection completion, approximately 10 months from the start of recruitment |
| Feasibility (procedures; field observations) | Field observations recorded by the research coordinator while at public health centres | Throughout the 6 months of recruitment |
| Feasibility (procedures, interviews) | Brief semi-structured interviews with public health staff | At recruitment completion, approximately 6 months from the start of recruitment |
| Feasibility (procedures, interviews) | Brief semi-structured interviews with parents from the intervention group only | 4-month follow-up (Infant age: 6 months) |
| Feasibility (data collection) | Completion rates of movement behaviour and development measures assessed in the questionnaire | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) |
| Parent acceptability (interviews) |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity | Tummy time measured in a parental questionnaire | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) |
| Sedentary behaviour |
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Inclusion Criteria:
-First time parents of infants who are aged 2 months 0 days through 2 months 30 days at baseline.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Valerie Carson, PhD | University of Alberta | Principal Investigator |
| Sam Liu, PhD | University of Victoria | Principal Investigator |
| Kylie Hesketh, PhD | Deakin University | Principal Investigator |
| Guy Faulkner, PhD | University of British Columbia | Principal Investigator |
| Lesley Pritchard, PhD | University of Alberta | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alberta | Edmonton | Alberta | T6G 2R3 | Canada |
Due to ethical reasons, individual participant data (IPD) will not be publicly available. De-identified data may be available to other researchers upon reasonable request.
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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All participants will be randomly assigned to group 1 (intervention) or group 2 (control), in a computer generated 1:1 sequence.
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Participants: While the families will not be told explicitly if they have been assigned to the intervention or control group, they may be able to determine their group based on the information regarding movement behaviours they receive/do not receive during their 2 month immunization appointment.
Research Coordinator: The research coordinator will be aware of the group allocations as they will be in charge of coordinating random assignment and have to schedule other measures based on their specific allocation.
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Brief semi-structured interviews with parents from the intervention group only
| 4-month follow-up (Infant age: 6 months) |
| Parent acceptability (questionnaire) | Intervention usefulness, satisfaction (content and delivery), and novelty assessed via a parental questionnaire in the intervention group only. This scale includes 4 items with values of 1-5; higher values mean more acceptability | 4-month follow-up (Infant age: 6 months) |
| Parent acceptability (app usage) | App usage will be tracked in the intervention group only | Between baseline (Infant age: 2 months) and 4-month follow-up (Infant age: 6 months) |
| Public health staff acceptability (interviews) | Brief semi-structured interviews with public health staff | At recruitment completion, approximately 6 months from the start of recruitment |
Screen time, back time, reading time, restrained time in a stroller, car seat, etc. measured in a parental questionnaire
| Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) |
| Sleep | Sleep measured in a parental questionnaire | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) |
| Development | Development will be measured with the Ages and Stages Questionnaire (ASQ-3) | Baseline (Infant age: 2 months), 2-month follow-up (Infant age: 4 months), 4-month follow (Infant age: 6 months) |