Improving National and International Surveillance of Movement Behaviours in Childhood and Adolescence: An International Modified Delphi Study

Improving National and International Surveillance of Movement Behaviours in Childhood and Adolescence: An International Modified Delphi Study · SciRah

^aDepartment of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland. john.j.reilly@strath.ac.uk
^bDepartment of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland
^cSchool of Education, University of Wollongong, Wollongong, Australia
^dSchool of Sport and Physical Activity, Sheffield Hallam University, Sheffield, UK
^eDepartment of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco, Chile
^fDepartment of Nursing, Faculty of Health Science, Ariel University, Ariel, Israel
^gInstitute of Education, University of Strathclyde, Glasgow, Scotland
^hHealth and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain
ⁱInstituto Superior de Educación Física, Universidad de La República, Rivera, Uruguay
^jDepartment of Sports and Computer Science, Universidad Pablo de Olavide, Seville, Spain
^kPDU EFISAL, Centro Universitario Regional Noreste, Universidad de La República, Montevideo, Uruguay
^lDepartment of Sports Science, College of Human Kinetics, University of the Philippines Diliman, Quezon, Philippines
^mResearch Laboratory (LR23JS01) «Sport Performance, Health and Society», Higher Institute of Sport and Physical Education of Ksar Saîd, University of Manouba, Tunis, Tunisia
ⁿDepartment of Sport Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
^oFaculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
^pFaculty of Health Sciences, SAMRC Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa
^qNational Centre for Energy Sciences and Nuclear Techniques, Kenitra, Morocco
^rAmerican University of Beirut, Beirut, Lebanon
^sFaculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
^tInstitute of Physical Activity and Nutrition, Deakin University, Burwood, Australia
^uBiomedical Research Foundation, Dhaka, Bangladesh
^vIndependent University, Dhaka, Bangladesh
^wDepartment of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
^xDepartment of Physical Activity and Healthy Lifestyles, National Institute of Public Health, Cuernavaca, México
^yVadu Rural Health Program, KEM Hospital Research Centre, Pune, India
^zChildren's Hospital of Eastern Ontario Research Institute, Ottawa, ON, K1H 5B2, Canada
^aaFaculty of Health Sciences, University of Lethbridge, Lethbridge, Canada
^abSchool of Kinesiology and Health Studies, Queen's University, Kingston, Canada
^acEfsharibari- National Program for Active and Healthy Living, Ministry of Health, Haifa, Israel
^adSchool of Public Health, University of Haifa, Haifa, Israel
^aeSchool of Physical Education, Shanghai University of Sport, Shanghai, China
^afDepartment of Biosciences and Nutrition, Karolinska Institutet, Solna, Sweden
^agCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates
^ahOne Health Research Group, Universidad de Las Américas, Quito, Ecuador
✉Corresponding author

Abstract

BACKGROUND: The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. OBJECTIVE: To identify how to improve surveillance of movement behaviours, from the perspective of experts. METHODS: This Delphi Study involved 62 experts from the SUNRISE International Study of Movement Behaviours in the Early Years and Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: (1) funding, (2) capacity building, (3) methods, and (4) other issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a five-point Likert scale from 'extremely' to 'not at all' important. Consensus was defined as > 70% rating of 'extremely' or 'very' important. RESULTS: We received 62 responses to round 1 of the survey and 59 to round 2. There was consensus for most items. The two highest rated round 2 items in each category were the following; for funding (1) it was greater funding for surveillance and public funding of surveillance; for capacity building (2) it was increased human capacity for surveillance (e.g. knowledge, skills) and regional or global partnerships to support national surveillance; for methods (3) it was standard protocols for surveillance measures and improved measurement method for screen time; and for other issues (4) it was greater awareness of physical activity guidelines and strategies from WHO and greater awareness of the importance of surveillance for NCD prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26) or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. CONCLUSIONS: This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

Improving National and International Surveillance of Movement Behaviours in Childhood and Adolescence: An International Modified Delphi Study

Abstract

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Discussion