Fostering Holistic Development with a Designed Multisport Intervention in Physical Education: A Class-Randomized Cross-Over Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Intervention
2.3.1. Duration, Setting, Blinding and Fidelity
2.3.2. Content and Delivery at the Intersection of Four Theory-Based Approaches
2.4. Assessment Instruments and Procedures
2.4.1. Fundamental Motor Skill Competence
2.4.2. Sport-Specific Skill Competence
- Basketball and soccer dribbling. For basketball, the participant’s task was to dribble the ball with one hand among cones placed 3 m apart (basketball; [18]). The number of cones dribbled in 30 s was recorded. Task conditions and measurement for the soccer speed dribbling were analogous.
- Basketball and soccer short pass. For basketball, the participant’s task was to hit, with a two-hand chest-throw, three circles painted on the wall different heights from the ground [18]. The number of circles struck within 30 s was recorded. Soccer pass was assessed by means of a short pass task [18]. The participant’s task was to dribble the ball up to a line from which to pass it with a side foot shot into a hockey goal. Five attempts were scored according to passing accuracy and summed to obtain a total score.
2.4.3. Cognitive Executive Function
- Random Number Generation task. The RNG task is a test originally validated for adults [70] and proven feasible with children aged five years and older [71]. Children were tested individually. They were presented the RNG as a game involving numbers between 1 and 10 and were asked to jumble up the numbers as much as possible at random, as if they were rolling a dice in their heads. The random number generation was paced by 70 beats with an inter-beat interval of 1.5 s. The 70-number generation sequence was preceded by an identical familiarization trial. Both the omission of a number generation in correspondence to one tone and the production of numbers lower than 1 (0) or higher than 10 (11, 12 etc.) were considered errors and discarded. Eighteen different randomness indices were computed [70] and six of them were selected, which reflect the ability to inhibit mental counting routines (turning point index -TPI-, adjacency score -Adj-, and runs score -Runs-) and the ability to update information held in working memory (redundancy score -Red)-, coupon score -Coupon-, and mean repetition gap -MeanRG-) ([66] for an extensive description). Average indices of inhibition and working memory were computed. Since, however, high levels of TPI and MeanRG, but low values of Adj, Runs, Red and Coupon reflect a good ability to suppress the habitual tendency to count forward/backward and to update information held in working memory, before averaging, all indices were z-standardized and Adj, Runs, Red and Coupon were reversed before averaging.
- Game Performance Assessment Instrument for Invasion Games. The GPAI [67] was used as a real-world proxy indicator of hot executive functions in a social and emotionally laden team game context in PE. Among seven game components observable with the multidimensional GPAI system, we assessed two that reflect the capability to make appropriate decisions for action in ball possession (Decision Making) and off-the-ball (Support). In the present study, participants’ performance during a handball game was videotaped and evaluated by two independent researchers, blind to the group assignment, on a five-point Likert scale, with higher scores indicating better decision making for action based on the proportion of observed appropriate and inappropriate actions. Decision making in ball possession involved passing actions, in which the player had to decide between several options. Judgment criteria regarded the appropriateness of choice when passing, as passing to unguarded teammates to set up a scoring opportunity. Decision making for off-the-ball support involved performing actions without ball possession, in which the player had to decide between several options for supporting ongoing action development. Judgement criteria involved the effectiveness of off-the-ball movements to receive a pass from teammates, such as freeing oneself from the opponents and proceeding to the goal. Decision making and support were merged to obtain an overall estimate of strategic decision making with or without ball possession.
2.4.4. Socio-Emotional Life Skills: Prosocial and Antisocial Behaviors
2.4.5. Background Variables
2.5. Preliminary Analyses
2.5.1. Manipulation Checks
2.5.2. Design Effect
2.5.3. Baseline Differences
- Baseline differences as a function of group. Pre-test values for background variables (age, BMI, outdoor play, structured PA) and for variables to be entered into the main analysis (motor skill competence, basketball skills, soccer skills, decision making, inhibition, working memory and self- and peer-rated cooperation, empathy, quick-temperedness, and disruptiveness) were submitted to t-tests with group (enriched PE vs. control) as a factor. Results showed significant group differences only for self-rated cooperation skills (t(179) = 2.72, p = 0.013), with children assigned to the enriched PE scoring higher than those assigned to traditional PE.
- Baseline differences as a function of past PE experience and wash-out length. We tested whether a previous experience of enriched PE in 1st–3rd grades determined differences that were maintained at the actual intervention start in the 5th grade (Past Experience effect) and whether eventual differences depended on the length of the wash-out period (Past Experience × Wash-out). To this aim, pre-test values of all motor (motor competence, basketball and soccer skills), executive function (inhibition, working memory, decision making) and socio-emotional skills (self- and peer-rated cooperation, empathy, quick-temperedness and disruptiveness) were examined using linear mixed models. Fixed effects were computed for past experience (enriched vs. traditional PE) and wash-out duration (1 vs. 2 years) and their interaction. Random effects were computed to account for clustering of children in classes. Significant results were found for decision making only: a main effect for Past Experience (F(1,12) = 6.42, p = 0.026) showed an advantage for children with past enriched PE experience compared to their traditional PE counterparts regardless of washout length (2.56 ± 1.07 vs. 2.03 ± 0.95, Cohen’s d = 0.53).
2.6. Statistical Analysis
2.6.1. Primary and Secondary Hypotheses of Main and Moderated Intervention Effects
2.6.2. Exploratory Hypothesis of Interrelated and Mediated Effects
- Correlation between pre-post delta values. To verify if intervention effects in the different domains were associated, bivariate correlation analyses (Pearson’s r) were run among delta values (Δ = [post − pre]) computed, separately for the enriched and traditional PE group, for those variables that showed differential effects of the enriched and traditional PE in the primary analysis. In the case of significant results, correlation coefficients in the two groups were tested against each other to verify if there was a significant difference in correlation.
- Mediation analysis. In the case of enriched PE effects in both motor and non-motor domains, the mediating role played by changes in motor competence was tested. To this aim, regression analyses were performed on pre-post Δ values to assess the effects of: (1) the independent variable (X: PE intervention type) on the dependent variable (Y: pre-post Δ in non-motor domain); (2) the independent variable on the mediator (M: pre-post Δ in motor domain); (3) the independent variable (X) and the mediator (M) on the dependent variable (Y). Bootstrapping was applied to empirically estimate the sampling distribution of the indirect effect and generate a bootstrap confidence interval (95% CI). This CI was used as a hypothesis test to estimate if the size of the indirect effect of the mediator was different from zero [81].
3. Results
3.1. Sample Characteristics
3.2. Intervention Effects
3.2.1. Fundamental Motor Skill Competence
3.2.2. Sport-Specific Skill Competence
- Basketball. Only a main effect for Time emerged (F(1151) = 112.86, p < 0.001), with an overall performance increment from pre- to post-test in both groups (Table 1; Cohen’s d = 0.72).
- Soccer. Only a main effect for Time emerged (F(1151) = 5.88, p = 0.016), with an overall performance increment from pre- to post-test in both groups (Table 1; Cohen’s d = 0.14).
3.2.3. Cognitive Executive Function
- ‘Cool’ executive functions. Inhibition: only a main effect for Time emerged (F(1151) = 29.47, p < 0.001), with an overall performance increment from pre- to post-test in both groups (Table 1; Cohen’s d = 0.43). Working memory: no significant effects emerged.
- ‘Hot’ executive functions. There were a main effect for Time (F(1151) = 51.96, p < 0.001) and significant two-way (Actual Group × Time, F(1151) = 21.55, p < 0.001) and three-way (Past Experience × Actual Group × Time, F(3,30) = 6.77, p = 0.001) interactions, with ICC = 0.23. Post hoc comparisons were performed for the highest-level interaction to identify how any differential pre-post change in the two actual PE groups was influenced by past PE experience. Children who had a past experience of enriched PE showed a pre-to-post increment in their decision-making score regardless of their actual assignment to the enriched PE (t(44) = −4.24, p < 0.001, Cohen’s d = 0.05) or traditional PE (t(43) = −4.33, p < 0.001, Cohen’s d = 0.07), reaching a non-significantly different scoring at post-test (Figure 4a). In contrast, children who had no past experience of enriched PE showed a pre-to-post gain only if they participated in the actual program of enriched PE (t(45)= −7.15, p < 0.001, Cohen’s d = 0.12) but no gain if they had neither a past, nor an actual experience of enriched PE (p < 0.305). This differential result led to a different scoring of the two groups at post-test (t(90) = −4.95, p < 0.001, Cohen’s d = 0.10) (Figure 4b).
3.2.4. Prosocial and Antisocial Behavior
- Prosocial behavior. For self-rated cooperation, there was no significant effect. For self-rated empathy, there was only a main effect for Time (F(1151) = 5.08, p = 0.026), with an overall score increment from pre- to post-test in both groups (Table 1; Cohen’s d = 0.15). For peer-rated cooperation and empathy, there was a significant Actual Group × Time interaction (cooperation: F(1151) = 7.73, p = 0.006; empathy: F(1151) = 6.72, p = 0.010), with ICC = 0.15 and 0.08, respectively. For peer-rated cooperation, also a three-way interaction (Past Experience × Actual Group × Time, F(3,36) = 5.53, p = 0.003) emerged. However, post hoc analysis did not show differential simple effects for the Actual Group × Time interaction as a function of Past Experience. Post hoc analysis of the two-way interactions showed a significant pre-to-post increase in peer-rated cooperation in the enriched PE group (t(90) = −3.21, p = 0.002, Cohen’s d = 0.26) but a non-significant decrement in the traditional PE group (p = 0.166), leading to a large, though marginally significant (for adjusted p < 0.016) group difference at post-test (t(179) = 2.38, p = 0.018, Cohen’s d = 0.62) (Figure 5). Instead, peer-rated empathy showed no significant pre-to-post increase in the enriched PE group (p = 0.177) but a decrement in the traditional PE group (t(89) = −2.95, p = 0.004, Cohen’s d = 0.33), leading to a significant group difference at post-test (t(179) = 2.92, p = 0.004, Cohen’s d = 0.43) (Figure 6).
- Antisocial behavior. There was only a main effect for Time for self-rated quick-temperedness (F(1151) = 4.83, p = 0.029) and disruptiveness (F(1151) = 7.43, p = 0.007), with an overall score decrement from pre- to post-test in both groups (Table 1; Cohen’s d = 0.19, and 0.23, respectively). For peer-rated quick-temperedness and disruptiveness, no significant effects emerged.
3.3. Correlation and Mediation Effects
3.3.1. Correlation between Pre-Post Delta Values
3.3.2. Mediation of Gains in Non-Motor Domains by Gains in Motor Competence
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Enriched PE | Traditional PE |
---|---|---|
n | 91 | 90 |
Gender (n females/n males) | 45/46 | 45/45 |
Age (years ± SD)—Baseline | 10.73 (±0.32) | 10.72 (±0.31) |
Immigrant background (%) (East-European, North-African, Hispanic) | 18% | 13% |
Body Mass Index (BMI) | 17.76 (±2.48) | 18.09 (±3.14) |
Lean (%) | 81% | 80% |
Overweight (%) | 19% | 20% |
Spontaneous outdoor play (score)—Baseline | 36.60 (±12.78) | 36.22 (±13.13) |
Structured sports training (min/week)—Baseline | 183 (±189) | 204 (±208) |
Motor skill competence (execution time) #* | ||
Pre | 48.79 (±14.26) | 45.43 (±12.67) |
Post | 41.52 (±12.16) | 50.77 (±15.48) |
Sport skills: Basketball (std avg correct pass & dribbling) * | ||
Pre | −0.21 (±0.75) | −0.27 (±0.65) |
Post | 0.22 (±0.85) | 0.26 (±0.92) |
Sport skills: Soccer (std avg correct pass & dribbling) * | ||
Pre | −0.05 (±0.82) | −0.08 (±0.82) |
Post | 0.13 (±0.85) | −0.01 (±0.87) |
Cool executive function: Inhibition (std score) * | ||
Pre | −0.13 (±0.76) | −0.20 (±0.99) |
Post | 0.08 (±0.72) | 0.25 (±0.61) |
Cool executive function: Working memory (std score) | ||
Pre | −0.02 (±0.73) | −0.01 (±0.79) |
Post | 0.03 (±0.68) | −0.03 (±0.67) |
Hot executive function: Decision making (score) *; #*; #*§ | ||
Pre | 2.35 (±1.10) | 2.23 (±0.98) |
Post | 3.28 (±1.17) | 2.48 (±1.05) |
Prosocial behavior: Cooperation (self-rating) | ||
Pre # | 4.00 (±0.80) | 3.66 (±1.00) |
Post | 4.07 (±0.69) | 3.76 (±0.82) |
Prosocial behavior: Cooperation (peer-rating) #* | ||
Pre | 3.56 (±0.66) | 3.43 (±0.60) |
Post | 3.73 (±0.64) | 3.35 (±0.57) |
Prosocial behavior: Empathy (self-rating) * | ||
Pre | 3.28 (±0.89) | 3.08 (±0.89) |
Post | 3.38 (±0.85) | 3.25 (±0.84) |
Prosocial behavior: Empathy (peer-rating) #* | ||
Pre | 2.90 (±0.65) | 2.86 (±0.54) |
Post | 2.96 (±0.74) | 2.67 (±0.59) |
Antisocial behavior: Quick-temperedness (self-rating) * | ||
Pre | 2.11 (±0.85) | 2.14 (±0.76) |
Post | 2.00 (±0.85) | 1.94 (±0.65) |
Antisocial behavior: Quick-temperedness (peer-rating) | ||
Pre | 2.16 (±0.75) | 2.16 (±0.86) |
Post | 2.10 (±0.83) | 2.07 (±0.79) |
Antisocial behavior: Disruptiveness (self-rating) * | ||
Pre | 1.66 (±0.64) | 1.75 (±0.69) |
Post | 1.57 (±0.56) | 1.56 (±0.51) |
Antisocial behavior: Disruptiveness (peer-rating) | ||
Pre | 1.91 (±0.67) | 1.85 (±0.73) |
Post | 1.84 (±0.73) | 1.88 (±0.74) |
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Condello, G.; Mazzoli, E.; Masci, I.; De Fano, A.; Ben-Soussan, T.D.; Marchetti, R.; Pesce, C. Fostering Holistic Development with a Designed Multisport Intervention in Physical Education: A Class-Randomized Cross-Over Trial. Int. J. Environ. Res. Public Health 2021, 18, 9871. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189871
Condello G, Mazzoli E, Masci I, De Fano A, Ben-Soussan TD, Marchetti R, Pesce C. Fostering Holistic Development with a Designed Multisport Intervention in Physical Education: A Class-Randomized Cross-Over Trial. International Journal of Environmental Research and Public Health. 2021; 18(18):9871. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189871
Chicago/Turabian StyleCondello, Giancarlo, Emiliano Mazzoli, Ilaria Masci, Antonio De Fano, Tal Dotan Ben-Soussan, Rosalba Marchetti, and Caterina Pesce. 2021. "Fostering Holistic Development with a Designed Multisport Intervention in Physical Education: A Class-Randomized Cross-Over Trial" International Journal of Environmental Research and Public Health 18, no. 18: 9871. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189871