Perceived barriers and facilitators of childcare providers physical activity: A mixed-methods study

Background: Childcare providers ' work demands have been associated with high rates of stress and health conditions. Physical activity (PA) may help to alleviate some of these issues, yet few studies have explored this topic. The purpose of the study was to assess childcare providers ' PA levels and to explore their perceived barriers and facilitators to PA. Methods: This was a mixed-methods concurrent triangulation study with childcare providers (n = 27) from both family childcare homes and childcare centres from urban (n = 14) and rural (n = 13) areas. Accelerometers and the Global Physical Activity Questionnaire (GPAQ) measured the amount of PA (leisure, transport-related, occupational), and a semi-structured interview explored barriers and facilitators to PA. Descriptive statistics were calculated for PA data. Qualitative data were analysed using thematic content analysis. Results: For accelerometer data, on average per day, childcare providers accumulated 199.5 +/- 62.5 minutes of light activity, 125.9 +/- 68.1 minutes of moderate to vigorous PA (MVPA) and 666.3 +/- 23.7 minutes of sedentary time. For GPAQ data, childcare providers reported 114.5 +/- 48.4 minutes/day of MVPA and 295.6 +/- 141.4 minutes/day of sedentary time. Common barriers included time constraints and health issues, while common facilitators included knowledge of PA health benefits and family/peer support. Conclusion: The study suggests an estimated 92% of childcare providers met the US national PA guidelines of 150 minutes of MVPA per week. However, they exhibited prolonged periods of sedentary behaviour (similar to 11 hours). Programmes and interventions could address barriers to PA such as providing short movement breaks to decrease sedentary time and improve childcare providers ' health.