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Published on in Vol 15 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/89405, first published .
Two toddlers in rain gear explore a forest floor with leaves and small plants.

Effect of an Outdoor-Focused Licensed Child Care Program on Child, Caregiver, and Educator Outcomes, Inclusion, and Accessibility: Protocol for the Sending Preschoolers Outside (SPROUT) Prospective Cohort Study

Effect of an Outdoor-Focused Licensed Child Care Program on Child, Caregiver, and Educator Outcomes, Inclusion, and Accessibility: Protocol for the Sending Preschoolers Outside (SPROUT) Prospective Cohort Study

Maeghan James   1, 2 , PhD ;   Louise de Lannoy   3 , PhD ;   Kelly P Arbour-Nicitopoulos   4 , PhD ;   Alessia Capone   4 , MPK ;   Lisa Belton   5 , RECE ;   Kim Hiscott   5 , RECE ;   Lisa Lalonde   6 , RECE, MA ;   Tammy Potter   5 , RECE ;   Paula ter Huurne   3 , BA, RECE ;   Mark S Tremblay   2 , PhD

1 School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada

2 Health Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada

3 Outdoor Play Canada, Ottawa, Ontario, Canada

4 Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada

5 Andrew Fleck Children’s Services, Ottawa, Ontario, Canada

6 Public Safety & Community Studies, School of Wellness, Algonquin College, Ottawa, Ontario, Canada

Corresponding Author:

  • Maeghan James, PhD
  • School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa
  • 600 Peter Morand
  • Ottawa, Ontario K1G 5Z3
  • Canada
  • Phone: 1 (613) 737-7600
  • Email: mjames4@uottawa.ca