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A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children

AIM: Time outdoors and contact with nature are positively associated with a broad range of children’s health outcomes. Pediatricians are uniquely positioned to promote active play in nature (APN) but may face challenges to do so during well child visits. The objective of this study was to understand...

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Autores principales: Tandon, Pooja S., Hafferty, Kiana, Kroshus, Emily, Angulo, Antionette, Burton, Monique, Peyton, Michael, Senturia, Kirsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373115/
https://www.ncbi.nlm.nih.gov/pubmed/35942948
http://dx.doi.org/10.1177/21501319221114842
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author Tandon, Pooja S.
Hafferty, Kiana
Kroshus, Emily
Angulo, Antionette
Burton, Monique
Peyton, Michael
Senturia, Kirsten
author_facet Tandon, Pooja S.
Hafferty, Kiana
Kroshus, Emily
Angulo, Antionette
Burton, Monique
Peyton, Michael
Senturia, Kirsten
author_sort Tandon, Pooja S.
collection PubMed
description AIM: Time outdoors and contact with nature are positively associated with a broad range of children’s health outcomes. Pediatricians are uniquely positioned to promote active play in nature (APN) but may face challenges to do so during well child visits. The objective of this study was to understand barriers to children’s APN, before and during the COVID-19 pandemic, and how health care providers could promote APN. METHODS: Focus groups were conducted with 14 pediatric providers and interviews with 14 parents (7 in English, 7 in Spanish) of children ages 3 to 10 on public insurance. Dedoose was used for coding and content analysis. We contextualized this work within the WHO’s Commission on Social Determinants of Health conceptual framework. RESULTS: Parents mentioned a range of material circumstances (time, finances, family circumstances, access to safe outdoor play spaces and age-appropriate activities) and behavioral/psychosocial factors (previous experiences in nature, safety, and weather concerns), many of which were exacerbated by the pandemic, that serve as barriers to children’s APN. Providers said they were motivated to talk to families about children’s APN but mentioned barriers to this conversation such as time, other pressing priorities for the visit, and lack of resources to give families. CONCLUSIONS: Many pre-pandemic barriers to APN were exacerbated by the COVID-19 pandemic. Well-child visits may be an effective setting to discuss the benefits of APN during and beyond the pandemic, and there is a need for contextually appropriate resources for pediatric providers and families.
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spelling pubmed-93731152022-08-13 A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children Tandon, Pooja S. Hafferty, Kiana Kroshus, Emily Angulo, Antionette Burton, Monique Peyton, Michael Senturia, Kirsten J Prim Care Community Health Original Research AIM: Time outdoors and contact with nature are positively associated with a broad range of children’s health outcomes. Pediatricians are uniquely positioned to promote active play in nature (APN) but may face challenges to do so during well child visits. The objective of this study was to understand barriers to children’s APN, before and during the COVID-19 pandemic, and how health care providers could promote APN. METHODS: Focus groups were conducted with 14 pediatric providers and interviews with 14 parents (7 in English, 7 in Spanish) of children ages 3 to 10 on public insurance. Dedoose was used for coding and content analysis. We contextualized this work within the WHO’s Commission on Social Determinants of Health conceptual framework. RESULTS: Parents mentioned a range of material circumstances (time, finances, family circumstances, access to safe outdoor play spaces and age-appropriate activities) and behavioral/psychosocial factors (previous experiences in nature, safety, and weather concerns), many of which were exacerbated by the pandemic, that serve as barriers to children’s APN. Providers said they were motivated to talk to families about children’s APN but mentioned barriers to this conversation such as time, other pressing priorities for the visit, and lack of resources to give families. CONCLUSIONS: Many pre-pandemic barriers to APN were exacerbated by the COVID-19 pandemic. Well-child visits may be an effective setting to discuss the benefits of APN during and beyond the pandemic, and there is a need for contextually appropriate resources for pediatric providers and families. SAGE Publications 2022-08-09 /pmc/articles/PMC9373115/ /pubmed/35942948 http://dx.doi.org/10.1177/21501319221114842 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Tandon, Pooja S.
Hafferty, Kiana
Kroshus, Emily
Angulo, Antionette
Burton, Monique
Peyton, Michael
Senturia, Kirsten
A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title_full A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title_fullStr A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title_full_unstemmed A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title_short A Framework for Pediatric Health Care Providers to Promote Active Play in Nature for Children
title_sort framework for pediatric health care providers to promote active play in nature for children
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373115/
https://www.ncbi.nlm.nih.gov/pubmed/35942948
http://dx.doi.org/10.1177/21501319221114842
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