Thriving families: The feasibility and preliminary efficacy of a multi-component physical literacy program for children with neurodevelopmental, emotional, or behavioural problems

Children with neurodevelopmental, emotional, or behavioural challenges participate in lower levels of physical activity (PA) and subsequently have poorer physical and mental health outcomes. We sought to determine the feasibility and preliminary efficacy of a multi-component physical literacy program for children with neurodevelopmental, emotional, or behavioural challenges. Thirty children and 28 parents were recruited to participate in the 10-week single-group non-randomised feasibility trial. Thriving Families was designed to promote children's physical literacy through (a) providing programmed opportunities for PA, (b) incorporating parents, (c) supporting motivation and engagement, and (d) utilising behaviour change techniques. Program feasibility was determined using qualitative and quantitative feedback. Preliminary efficacy was determined through pre-and post-intervention assessments of children's physical literacy. Results indicate that the program is acceptable and was well received. Effect size estimates for parent knowledge (d = 0.78) and confidence (d = 0.57) were moderate to large; however, little change was observed for parents' motivation to support PA and children's perceptions of PA support. Moderate or large effects were observed for pre-to-post-program change on children's domains of physical competence. The Thriving Families program appears to be feasible and acceptable for community-based implementation and may provide benefits for physical and psychological outcomes.