{
  "abstract": "Background Opportunities to engage in risky play and movement are critical for children’s development, physical and mental health. Parental attitudes, including fears and negative perceptions, are key modifiable barriers that directly impact these opportunities. The aim of this scoping review is to systematically identify and map the socioecological factors affecting UK parents that act as barriers or facilitators to children’s risky play to inform public health policy.Methods Six electronic databases (including MEDLINE, PsycINFO, ERIC, Child Development and Adolescent Studies, British Education Index, and Web of Science) were searched for peer-reviewed primary studies reporting factors influencing parents of children under 12 years. Barriers and facilitators were coded using the Socio-Ecological Model (SEM). The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal, and stakeholders’ perspectives were incorporated via the UK Children’s Play Policy Forum.Results In total, 37 articles reporting 34 unique studies were included in the review. Qualitative designs were predominant (n=21), followed by mixed-methods (n=8) and quantitative studies (n=5). Factors were identified across all SEM levels, but Social Fears (e.g., stranger danger, traffic risk) were the most frequently reported barrier, contributing to low perceived safety. Time and energy constraints (Individual level) and the decline of Community Cohesion (Social level) were also major barriers. In contrast, Parental knowledge of developmental benefits (Individual level) and Family Co-participation (Interpersonal level) were strong facilitators. Notably, the influence of socioeconomic deprivation was mixed and inconsistent, suggesting complex social patterning of types of play. Ethnic minority groups were severely underrepresented.Conclusion Interventions focused solely on individual parental attitudes are insufficient. Policy must address the deeply entrenched social and built environment fears to meaningfully increase risky play opportunities for children. The inconsistent findings on socioeconomic status highlight a critical research gap regarding play-related health inequalities in the UK.",
  "authors": [
    {
      "affiliations": [
        "MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK"
      ],
      "name": "Karen Ma"
    },
    {
      "affiliations": [
        "MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK"
      ],
      "name": "Esther van Sluijs"
    },
    {
      "affiliations": [
        "Department of Public Health and Sports Science, Exeter Medical School, University of Exeter, Exeter, UK"
      ],
      "name": "Helen Dodd"
    },
    {
      "affiliations": [
        "MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK"
      ],
      "name": "Andrea Smith"
    }
  ],
  "title": "P10-3 Scoping review of parental factors shaping opportunities for children’s risky play in the UK",
  "uid": "675eed23-6668-5b7a-96a8-27bf5774095e"
}