Rachel da Silva Serejo Cardoso, Rosimere Ferreira Santana, Tallita Mello Delphino, Marcos Antônio Gomes Brandão, Priscilla Alfradique de Souza, Camila Takáo Lopes
Concept analysis of "Insufficient health literacy" in older adults and refinement of a diagnosis proposal
International journal of nursing knowledge
afterschool programs asps potential provide children moderate vigorous physical activity mvpa availability types eg free play organized activities physical activity opportunities structure eg presence lines elimination games staff behaviors eg encouragement engaged influence childrens mvpa study explored factors 20 asps serving 1700 elementaryage children occurrence types structure physical activity opportunities staff behaviors collected via sospan system observing staff promotion physical activity nutrition total 4660 sospan scans completed across 63 complete program days 1733 physical activity opportunities physical activity opportunities observed 60 program days across 20 sites 73 opportunities classified free play asps scheduled average 663 minutes range 15150 minutes physical activity opportunities daily games played included basketball tag soccer football staff rarely engaged physical activity promotion behaviors structure organized games discouraged mvpa example staff verbally promoted physical activity 61 scans organized games likely involve lines elimination professional development training may enhance staffs physical activity promotion structure activity opportunities