Cited by 105Physical Activity and HealthObesity, Physical Activity, DietChild Development and Education

The Sydney playground project: popping the bubblewrap – unleashing the power of play: a cluster randomized controlled trial of a primary school playground-based intervention aiming to increase children’s physical activity and social skills

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Bundy, Anita C, Naughton, Geraldine, Tranter, Paul, Wyver, Shirley, Baur, Louise, Schiller, Wendy, Bauman, Adrian, Engelen, Lina +6 more·2011·BMC Public Health

Abstract

BACKGROUND: In the Westernised world, numerous children are overweight and have problems with bullying and mental health. One of the underlying causes for all three is postulated to be a decrease in outdoor free play. The aim of the Sydney Playground Project is to demonstrate the effectiveness of two simple interventions aimed to increase children's physical activity and social skills. METHODS/DESIGN: This study protocol describes the design of a 3-year cluster randomised controlled trial (CRCT), in which schools are the clusters. The study consists of a 13-week intervention and 1 week each of pre-and post-testing. We are recruiting 12 schools (6 control; 6 intervention), with 18 randomly chosen participants aged 5 to 7 years in each school. The two intervention strategies are: (1) Child-based intervention: Unstructured materials with no obvious play value introduced to the playground; and (2) Adult-based intervention: Risk reframing sessions held with parents and teachers with the aim of exploring the benefits of allowing children to engage in activities with uncertain outcomes. The primary outcome of the study, physical activity as measured by accelerometer counts, is assessed at baseline and post-intervention. Additional assessments include social skills and interactions, self-concept, after school time use and anthropometric data. Qualitative data (i.e., transcriptions of audio recordings from the risk reframing sessions and of interviews with selected teacher and parent volunteers) are analysed to understand their perceptions of risk in play. The control schools have recess as usual. In addition to outcome evaluation, regular process evaluation sessions are held to monitor fidelity to the treatment. DISCUSSION: These simple interventions, which could be adopted in every primary school, have the potential of initiating a self-sustaining cycle of prevention for childhood obesity, bullying and mental ill health. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Registration Number ACTRN12611000089932.

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  1. Walsh P Fixed equipment: a time for change Australian Journal of Early Childhood 1993 18 23 29
  2. Bundy AC Luckett T Naughton GA Tranter PJ Wyver SR Ragen J Singleton E Spies G Playful Interaction: Occupational Therapy for All Children on the School Playground The American Journal of Occupational Therapy 2008 62 522 18826012

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Authors
Bundy, A. C., Naughton, G., Tranter, P., Wyver, S., Baur, L., Schiller, W., Bauman, A., Engelen, L., Ragen, J., Luckett, T., Niehues, A., Stewart, G., Jessup, G., & Brentnall, J.
Affiliations
  • The University of Sydney (AU)
  • Australian Catholic University (AU)
  • UNSW Canberra (AU)
  • Macquarie University (AU)
  • University of South Australia (AU)
Corresponding author
Bundy, Anita C
Venue
BMC Public Health
Published
2011-09-01
Volume
11
Issue
1
Pages
680-680
ISSN
1471-2458 (ISSN-L)
OpenAlex
W2161869905
Cited by
105
References
66
Citations by year
2026: 2 · 2025: 6 · 2024: 5 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 10 · 2019: 6 · 2018: 15 · 2017: 15 · 2016: 3 · 2015: 12 · 2014: 4 · 2013: 5 · 2012: 4
FWCI
2.84
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • UTS ePRESS (University of Technology Sydney) (submittedVersion)
  • OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion)
Funders
  • Medical Research Council
  • Australian Research Council (DP0877590)
  • National Health and Medical Research Council (570808)
  • National Medical Research Council
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Education › Child Development and Education
Keywords
free play, children's physical activity, social skills, childhood obesity prevention, bullying prevention, child mental health, elementary school students, self-concept
MeSH terms
Child, Child, Preschool, Female, Health Promotion, Humans, Male, Mental Health, New South Wales, Play and Playthings, Schools, Socialization, Exercise, Cluster Analysis, Overweight, Bullying

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