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tablets). Child-level PA had been measured using accelerometry. For Aim 1, combined designs assessed ECE center changes and son or daughter PA with adjustment for demographic traits (fixed effects), standard EPAO score (random impacts), and clustering for center. For Aim 2, paired t-tests evaluated ECE center environment differences between baseline and follow-up. RESULTS Nine ECE centers took part and 49 preschoolers offered total steps at both time things. For Aim 1, increases in the EPAO revised-
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