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Feasibility and Potential Efficacy of Movement-Active-Physical-Play (M.A.P.P) Physical Activity Program in New Zealand’s Early Childhood Education Centres: A Pilot Cluster-randomised Controlled Trial

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Journal Article

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Elsevier

Abstract

Objective: To determine feasibility and potential efficacy of the M.A.P.P physical activity program in early childhood education (ECE) centres. Method: Four ECE centres were randomised to intervention (n=2) or control (n=2). Participants included 46 children (3.9 ± 0.5 years, M = 22, F = 24), 8 female leaders, and 20 female teachers. The 10-week online M.A.P.P. intervention aimed to improve physical activity (PA) levels and the quality of movement environments. Potential efficacy was assessed using accelerometry; feasibility was explored via observations and interviews. Results: Programme adherence was high (80%). Teachers, leaders and children reported M.A.P.P as enjoyable. No significant intervention effects were found for sedentary behaviour (β = 1.14, 95% confidence interval (CI): [-7.00, 9.27], p=0.244), light PA (β = 11.5, 95% CI: [-0.97, 23.9], p=0.367), moderate PA (β = -10.8, 95% CI: [-22.1, 0.49], p=0.685), vigorous PA (β = -1.98, 95% CI: [-6.48, 2.51], p=0.458), moderate-to-vigorous intensity PA (β = -13.5, 95% CI: [-27.1, 0.125], p=0.849). Conclusions: M.A.P.P. is feasible in ECE centres but its effects on PA require further investigation. Implications for public health: Supporting ECE teachers to promote PA may provide public health benefits in early childhood.

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Australian and New Zealand Journal of Public Health, ISSN: 1326-0200 (Print); 1753-6405 (Online), Elsevier, 49(6), 100286-100286. doi: 10.1016/j.anzjph.2025.100286

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© 2025 The Authors. Published by Elsevier B.V. on behalf of Public Health Association of Australia. This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.