{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T16:23:48Z","timestamp":1775665428315,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recess\u2010based interventions promote physical activity, socioemotional development, and positive school climates and may also influence attendance, but remain understudied. We examined the association between exposure to recess\u2010based interventions through the nonprofit Playworks and chronic absenteeism in low\u2010income California elementary schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observational study including 4361 Title I schools from 2022 to 2023 and 2023 to 2024, with 384 Playworks\u2010exposed schools (85 high\u2010dose program exposure, 299 low\u2010dose program exposure). Adjusted regression models estimated differences in the proportion of chronically absent students, overall and by student race and ethnicity, between Playworks\u2010exposed and nonexposed schools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Playworks\u2010exposed schools had a 0.6% (95% CI, \u22121.1 to \u22120.1) lower proportion of chronic absenteeism than nonexposed schools, with notable differences among Hispanic students (\u22121.95%; 95% CI, \u22123.7 to \u22120.5). Schools with high\u2010dose Playworks demonstrated statistically significantly lower chronic absenteeism than nonexposed schools (24.6% vs. 26.4%; 95% CI, \u22122.7 to \u22120.7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Recess\u2010based programs like Playworks may support school attendance, with potential to address disparities for students most impacted by chronic absenteeism. Districts might consider incorporating recess programs into multi\u2010tiered attendance strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Playworks exposure, especially at high doses, is associated with lower chronic absenteeism in low\u2010income elementary schools, especially among Hispanic students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70138","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T23:43:30Z","timestamp":1773791010000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between School\u2010Based Recess Interventions and Student Chronic Absenteeism in Low\u2010Income California Schools"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7303-8102","authenticated-orcid":false,"given":"Natalia A.","family":"Msami","sequence":"first","affiliation":[{"name":"School of Public Health University of California  Berkeley California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennette","family":"Claassen","sequence":"additional","affiliation":[{"name":"Playworks Nonprofit  Oakland California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Pulvera","sequence":"additional","affiliation":[{"name":"Division of Agriculture and Natural Resources Nutrition Policy Institute, University of California  Oakland California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4396-0576","authenticated-orcid":false,"given":"Michael A.","family":"Gottfried","sequence":"additional","affiliation":[{"name":"School of Education University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0214-5003","authenticated-orcid":false,"given":"Hannah R.","family":"Thompson","sequence":"additional","affiliation":[{"name":"School of Public Health University of California  Berkeley California USA"},{"name":"Division of Agriculture and Natural Resources Nutrition Policy Institute, University of California  Oakland California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"U.S. Department of Education \u201cChronic Absenteeism \u201daccessed September 19 2025 http:\/\/www.ed.gov\/teaching\u2010and\u2010administration\/supporting\u2010students\/chronic\u2010absenteeism."},{"key":"e_1_2_13_3_1","unstructured":"Attendance Works \u201cContinued High Levels of Chronic Absence With Some Improvements Require Action 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