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Paediatric OT Spotlight: Ellie Hosking

As a Paediatric Occupational Therapist (OT) with over a decade of experience, Ellie Hosking has dedicated her career to supporting children (and their families) to enable independence in daily activities.

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When Children Lead the Way: Empowering Young Co-Researchers to Shape Outdoor Play 

Active outdoor play is essential to children’s physical health, emotional well-being, and social development. Yet, many children growing up in underserved neighborhoods have limited opportunities to play outside due to a range of socio-economic barriers.

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Active Healthy Kids – Global Alliance

The Active Healthy Kids Global Alliance is a not-for-profit organization established in 2014, following the success of the first Global Summit on the Physical Activity of Children in Toronto. It brings together …
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Designing heat-resilient schoolyards to support active outdoor play


Designing heat-resilient schoolyards to support active outdoor play

School recess plays a crucial role in promoting physical activity, contributing up to 44% of children’s physical activity during school days. Yet with rising global temperatures, extreme heat poses a growing barrier to outdoor activity in schoolyards.

Shade—whether from trees or structures—may help offset thermal discomfort, but its role in sustaining physical activity levels under hot conditions is an understudied topic.

To better understand these dynamics, Lanza and colleagues (2022) examined how ambient temperature and shade availability affect children’s moderate to vigorous physical activity (MVPA) in schoolyards.

The study, conducted at three elementary schools in Austin, Texas, examined MVPA and locations of 213 children aged 8-10. Accelerometers and GPS monitors were used during recess in the fall of 2019, with temperatures ranging from 11 °C to 35 °C (53-96 °F).

Findings from this study are especially relevant for school administrators, public health officials, and urban planners aiming to create heat-resilient environments that promote children’s health and well-being in a warming climate.

 

"Although climate-controlled indoor spaces can offer relief from heat, prioritising shaded outdoor play areas preserves children's vital access to nature and its crucial health benefits.

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How do we create more child-friendly neighborhoods?


How do we create more child-friendly neighborhoods?

A child-friendly neighborhood supports the fundamental needs of children’s daily lives and promotes their physical, emotional, and social development.

However, parents’ perception of a neighborhood as child-friendly can influence where they choose to live and how comfortable they feel letting their children play outside or move around on their own. These choices affect children’s physical activity, which directly impacts their health and well-being.

To understand these choices, researcher Xiaoli Gong set out in her PhD project to develop a new instrument that measures how parents in the Netherlands perceive a neighborhood’s child-friendliness.

She also explored how these perceptions influence parents’ housing choices and children’s physical activity.

This brief summarizes key findings from Gong’s publications from 2024 and 2025, offering valuable insights for urban planners, designers, researchers, and professionals focused on child-friendly environments.

The findings can inform the planning of interventions to create more child-friendly neighborhoods that promote children’s physical activity and health.

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Playing it safe: The relationship between parent attitudes to risk and injury, and children’s adventurous play and physical activity

Authors: Alethea Jerebine, Mohammadreza Mohebbi, Natalie Lander, Emma L.J. Eyre, Michael J. Duncan, Lisa M. Barnett

boy standing outdoor

Parental Preference for Park Attributes Related to Children’s Use of Parks in Low-Income, Racial/Ethnic Diverse Neighborhoods

Authors: S Scott Ogletree, Jing Huei Huang, Claudia Alberico, Oriol Marquet, Myron F Floyd, J Aaron Hipp

boy in blue denim vest and helmet riding red bicycle

Playground Location and Patterns of Use

Authors: Deborah R. Young, Thomas L. McKenzie, Sarah Eng, Meghan Talarowski, Bing Han, Stephanie Williamson, Emily Galfond, Deborah A. Cohen

brown wooden playground surrounded by green trees during daytime

Playground Design and Physical Activity

Authors: Deborah A. Cohen, Meghan R. Talarowski, Bing Han, Stephanie L. Williamson, Emily C. Galfond, Deborah R. Young, Sarah Eng, Thomas L. McKenzie

Children at montessori school playing with bubbles during break

How they play. How to prep children with motor difficulties to cope in the playground

Authors: Sally A. Hannah, Leanne M. Johnston, John Cairney & Michael Gard

toddler pouring sand in brown wooden fence

Beyond green: Unveiling the impact of urban park quality and greenery on children’s physical activity

Authors: Ming Gao, Xinting Cheng, Yu Bao, and Xudan Zhou

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SOOPEN: design and assessment of a tailored systematic observation tool to evaluate outdoor play behavior among schoolchildren groups

Authors: López-Toribio, M.; Hidalgo, L.; Litt, J.S.; Daher, C.; Nieuwenhuijsen, M.; Márquez, S.; Berrón, A.; Franch, B.; García, B.; Ubalde-López, M.

children at the playground during day

Using Accelerometer Fragmentation Metrics to Compare Temporality of Preschoolers’ Indoor and Outdoor Free Play

Authors: Kimberly A. Clevenger, Katherine L. McKee, and Karin A. Pfeiffer

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Parental perspectives on barriers and facilitators of early adolescent outdoor play: A qualitative study

Authors: Lindsay J Cox, Ashley Cox, and Helen Morley

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Why we need playgrounds closer to home


Why we need playgrounds closer to home

Playgrounds offer numerous health benefits, serving as spaces for physical activity, social interaction, stress relief, and motor skill development. However, not all communities have equal access, and distance from home can significantly impact how often families visit and use them.

To explore this, Young and colleagues (2023) surveyed 1350 adults at 60 public playgrounds across 10 U.S. cities during the summer of 2021. Their study examined whether distance to the playground from their home was associated with visit frequency, length of stay, and mode of transportation.

By understanding these patterns, city planners and public health officials can design more accessible and better-connected public play spaces to encourage outdoor physical activity and improve community well-being.

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Residential neighborhood and cementery in banska bystrica, slova

The variability and correlates of outdoor play in preschool-aged children

Authors: Cody Davenport, Nicholas Kuzik, Richard Larouche & Valerie Carson

girl in pink and white polka dot long sleeve shirt riding swing during daytime

Educational space, play, motor activities in the kindergarten: systematic review and graphic design of the exterior

Authors: Manuela Valentini, Denise Diamantini, Chiara Toni, Ario Federici

girl in pink dress sitting on brown sand during daytime

The Effects of Supervision and Activity Status on Physical Activity Participation with Activity Zoned Playgrounds in Elementary-Aged Children

Authors: Barnas, Jillian L.; Emerson, Travis; Ball, Stephen D. 3

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Using the Theory of Affordances to Understand Environment–Play Transactions: Environmental Taxonomy of Outdoor Play Space Features—A Scoping Review

Authors: Thomas Morgenthaler, Helen Lynch, Janet Loebach, Duncan Pentland, Christina Schulze

Grout school playground, bright sun

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