Working it OutA Project to Improve Physical Activity

in Preschool Children

Allison Mattila FNP-C

DNP Intensive Project

Frontier School of Midwifery

and Family Nursing

DNP-1

• Morbidity/Mortality• Health and Well Being• Community Partnership• Preventative Medicine

Research Question, Problem Statement & Hypothesis

Due to budget cuts in schools, increase

in sedentary lifestyle, and other multivariate reasons,

preschool exercise is decreasing.

Will an exercise program involving preschool children

and families result in positive motivation for change in

exercise habits in a rural Oregon community.

This project will improve parents’ perceptions of

physical activity in preschool children and families.

~Literature Review~Growing Epidemic~Need for Intervention~”Best” Intervention

PICO• Problem Statement

– Problem and Population

– Intervention

– Comparison of Intervention

– Outcome

Concerns of the People

– External Community of Interest• Community and Schools• State and Local Health Care Agencies• OHP, Meyer’s Memorial Trust, and

CareOregon– Internal Community of Interest

• Student Researcher and Advisory Committee• Coastal Family Health Center

SWOT

ANALYSIS

Budgeting for Success

• Budget– Ink, Copies, Pens, Salary– Paper, Snacks, Exercise Equipment

• Funding Opportunities– Pfiser Nurse Practitioner Healthcare Foundation– Purdue Community Innovations Grant Program

Work it Baby, Work it.

• Pretest/posttest

• Informal discussion with participants

• Survey One Month After Program

REFERENCES…

Bluford, D. A. A., Sherry, B., Scanlon, K.S. (2007). Interventions to prevent or treat obesity in preschool children: A review of evaluated programs. Obesity. 15 (6). Pg. 1356-1372.

Burdette, H.L., & Whitaker, R.C. (2005). A national study of neighborhood safety, outdoor play, television viewing, and obesity in preschool children. Pediatrics. 116 (1). Pg. 657-662.

Cardon, G.M., and De Bourdeaudhuij, I.M.M. (2008). Are preschool children active enough? Objectively measured physical activity levels. Journal of Physical Education, Recreation, and Dance. 79 (3). 326-332.

Carlson, S.A., Fulton, J. E., Lee, S.M., and Maynard, L.M. (2008). Physical education and academic achievement in elementary school: Data from the early childhood longitudinal study. 98 (4). Pg. 721-728.

Eastman, W. (1994). We huff and we puff: The parameters and the program of aerobics for children under 5. Paper presented to the Commonwealth and International Scientific Congress.

Ekeland, E., Heian, F., Hagan, K.B., Abbott, J., Nordheim, L. (2003, Sept 4). Exercise to improve self esteem in children and young people. Cochrane Database ofSystemic Reviews 2004, Issue 1. Art. No.: CD003683. DOI:10.1002/14651858.CD003683.pub2.

Fairweather, S.C., Reilly, J.J., Grant, S., Whittaker, A., Paton, J. Y. (1999). Using the computer science and applications activity monitor in preschool children. Pediatric Exercise Science. 11. Pg. 413-420.

Fitzgibbon, M.L., Stolley, M,R., Schiffer, L., Van Horn, L., KaufferChristoffel, K., & Dyer, A. (2006). Hip hip to health jr. for latino preschool children. Obesity. 14 (9). Pg. 1616-1625.

Klesges, R. C., Klesges, L.M., Eck, L. H., Shelton, M.L. (1995). A longitudinal analysis of accelerated weight gain in preschool children. Pediatrics. 95 (1). Pg. 126-130.

Pate, R.R., McIver, K.A., Dowda, M., Brown, W.H., & Addy, C. (2008). Directly observed physical activity in preschool children. Pediatrics. 78 (8). 438-444.

Pate, R.R., Pfeiffer, K.A., Trost, S.G., Ziegler, P., Dowda, M. (2004). Physical activity among children attending preschools. Pediatrics. 114 (1). 1258-1263.

Reilly, J.J., Coyle, J., Kelly, L., Burke, G., Grant, S., & Paton, J. An objective method for measurement of sedentary behavior in 3- to 4-year olds. 11 (10). 1155- 1158.

Schneider, H. & Lounsbery, M. (2008). Setting the stage for lifetime physical activity in early childhood. Journal of Physical Education, Recreation, and Dance. 79 (3). Pg. 326-332.

Spalding, C., Gottleib, N.H., & Jenson, J. (2008). Promoting physical activity in low-income preschool children. Journal of Physical Education, Recreation, and Dance. 79 (5). 42-46.

Thorton, M.L., Eng, G.D., Flynn, T.G., Kennell, J.H., Mcleod, R. N., Shaffer, T.E., Strong, W.B., Tower, J.C., Smith, N. J., Bell, J., & Burkett, L. (1976). Fitness in

the preschool child. Pediatrics. 58 (1). 88-89. Wolman, J., Skelly, E., Kolotournou, M., Lawson, M., and Sacher, P. (Jan 2008).

Tacking toddler obesity through a pilot community-based intervention. Community Practitioner. 81(1), 28-31