The Early Movers Clinician's Guide: Co-Designing a Resource for the 24-Hour Movement Guidelines in Paediatric Occupational Therapy.

Only 20 people took part and they were recruited by word of mouth and through professional networks, so this is what this group thought, not what all paediatric OTs or families would say. Most participants were white women and they came from 6 of Canada's 13 provinces and territories, so other perspectives, including those of junior clinicians, may be missing. Feedback came from group workshops, where people may have said what they thought others wanted to hear; the authors offered anonymous written feedback between workshops to reduce this. No child outcomes were measured. The study reports what OTs and caregivers thought of a draft resource, not whether using it changes children's movement, sleep or screen time. The same authors designed the resource and analysed the workshop transcripts, although a second coder who had not been involved in the project helped check the coding. The draft was tested in practice by six OTs, each with one client, so the hands-on testing is very limited.

The authors declare no conflicts of interest. Funding came from several non-commercial sources: doctoral and postdoctoral awards from the Canadian Institutes of Health Research and Ontario Graduate Scholarship, plus the Children's Health Research Institute and Mitacs. Western University and the North American Society for Paediatric Exercise Medicine paid for participant compensation and knowledge translation. The Public Health Agency of Canada funded translation of the guide into French, and the Canadian Disability Participation Project funded accessibility services.

Do not read the positive feedback as evidence that this guide changes children's movement, sleep or screen time. The study collected what OTs and caregivers thought of a draft resource across five workshops, no child outcomes were measured, and only six OTs tried it in practice with one client each.