| Literature DB >> 34283673 |
Michael P Grosz1, Julia M Lemp2, Beatrice Rammstedt3, Clemens M Lechner3.
Abstract
Education involving active engagement in the arts, herein called arts education, is often believed to foster the development of desirable personality traits and skills in children and adolescents. Yet the impact of arts education on personality development has rarely been systematically investigated. In the current article, we reviewed the literature on personality change through arts education. We identified 36 suitable experimental and quasi-experimental studies. Evidence from these studies tentatively suggests that arts-education programs can foster personality traits such as extraversion and conscientiousness but not self-esteem. In addition, the effects of arts education appeared to be stronger in early and middle childhood than in preadolescence and early adolescence. However, the evidence for the effectiveness of arts education was very limited among the few included true experiments. Furthermore, the reviewed studies were heterogenous and subject to content-related, methodological, and statistical limitations. Thus, the current evidence base is inconclusive as to the effects of arts education on personality development. By identifying potential effects of arts education and limitations of past research, our review serves as a call for more research and guidepost for future studies on arts education and personality change.Entities:
Keywords: arts education; arts interventions; personality change; personality development; self-esteem
Mesh:
Year: 2021 PMID: 34283673 PMCID: PMC8902031 DOI: 10.1177/1745691621991852
Source DB: PubMed Journal: Perspect Psychol Sci ISSN: 1745-6916
Fig. 1.Four potential paths from arts education to personality trait change.
Fig. 2.Inclusion and exclusion criteria.
Drama-Education Studies
| Study | Intervention | Duration (weeks) | Outcome (measure) | Assessment | Design |
| Effect (test) | Effect size | |
|---|---|---|---|---|---|---|---|---|---|
| Extraversion | |||||||||
|
| Drama | 24 | Work effectively in group | Self-report | Q-EXP | 12.5 | 155 | + | —
|
|
| Acting (vs. visual arts) | 43 | Emotional expressivity – positive (BEQ) | Self-report | Q-EXP | 8.5 | 68 | n.s. | |
|
| Improvisational Dramatics (incl. playwriting) | 20 | Self-expression | Self-report | Q-EXP | 10.5 | 158 | + | —
|
|
| Story-acting practice | 43 | Self-assertion | Teacher-rated | EXP | 3.5 | 60 | n.s. | |
|
| Drama lessons | 36 | Adaptive social functioning (BASC) | Parent-rated | Q-EXP | 6 | 132 | + | |
|
| Creative drama | 14 | Peer Cooperation (PIS) | Self-report | Q-EXP | 11.5 | 104 | n.s. | |
| Peer Conflict (PIS) | Self-report | Q-EXP | 11.5 | 104 | n.s. | ||||
| Creative drama | 15 | Peer Cooperation (PIS) | Self-report | Q-EXP | 12.5 | 44 | n.s. | ||
| Peer Conflict (PIS) | Self-report | Q-EXP | 12.5 | 44 | n.s. | ||||
| Creative drama | 15 | Peer Cooperation (PIS) | Self-report | Q-EXP | 12.5 | 75 | n.s. | ||
| Peer Conflict (PIS) | Self-report | Q-EXP | 12.5 | 75 | n.s. | ||||
| Emotional stability | |||||||||
|
| Creative drama | 18 | Problem behavior SSRS | Teacher-rated | EXP | 9 | 102 | n.s. | |
|
| Dramatic pretend play | 8 | Personal distress | Observer-rated | EXP | 4 | 51 | + | |
|
| Acting (vs. visual arts) | 43 | Emotional expressivity – negative (BEQ) | Self-report | Q-EXP | 8.5 | 68 | n.s. | |
|
| Performing arts | 156 | Internalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 217 | n.s. | —
|
| Enhanced drama | 20 | Reynolds Child Depression Scale | Self-report | EXP | 10.9 | 68 | n.s.
| ||
| Problem behavior (SSRS) | Parent-rated | EXP | 10.9 | 68 | n.s.
| ||||
| Agreeableness | |||||||||
|
| Drama | 24 | Work with others when disagreeing
| Self-report | Q-EXP | 12.5 | 155 | n.s. | —
|
|
| Acting (vs. visual arts) | 43 | Theory of mind (Faux Pas Test) | Objective | Q-EXP | 8.5 | 68 | n.s. | |
| Index of Empathy for Children (IECA) | Self-report | Q-EXP | 8.5 | 68 |
| ||||
|
| Acting (vs. visual arts) | 43 | Basic Empathy Scale | Self-report | Q-EXP | 14.4 | 48 | n.s. | |
|
| Dramatic pretend play | 8 | Theory of mind | Objective | EXP | 4 | 51 | n.s. | —
|
| Comforting (observational ratings) | Observer-rated | EXP | 4 | 51 | n.s. | ||||
| Helping (observational ratings) | Observer-rated | EXP | 4 | 51 | n.s. | ||||
| Social interaction – negative (SIOS) | Observer-rated | EXP | 4 | 51 | n.s. | ||||
| Emotion matching (Index of Empathy) | Observer-rated | EXP | 4 | 51 | — | ||||
| Altruism (dictator) | Objective | EXP | 4 | 51 | n.s. | ||||
|
| Improvisational Dramatics (including playwriting) | 20 | Trust | Self-report | Q-EXP | 10.5 | 158 | n.s. | —
|
| Acceptance of others | Self-report | Q-EXP | 10.5 | 158 | + | —
| |||
|
| Story-acting practice | 43 | Disruption (Peer play Disruption; PIPPS) | Observer-rated | EXP | 3.5 | 112 | n.s.
| |
| Enhanced drama | 20 | Aggression Questionnaire | Self-report | EXP | 10.9 | 68 | n.s.
| ||
| Conscientiousness | |||||||||
|
| Performing arts | 156 | Working skills (i.e., persistence, concentration, and carefulness) | Teacher-rated | Q-EXP | 9.5 | 217 | + | —
|
|
| Story-acting practice | 43 | Self-inhibition (Kashiwagi teacher rating scale) | Teacher-rated | EXP | 3.5 | 60 | + | |
| Self-esteem | |||||||||
|
| Creative drama | 18 | Self-concept (SSCS) | Self-report | EXP | 9 | 91 | n.s. | |
|
| Improvisational Dramatics (including playwriting) | 20 | Self-acceptance | Self-report | Q-EXP | 10.5 | 158 | n.s. | —
|
| Enhanced drama | 22 | Self-esteem (CFSEI-3) | Self-report | Q-EXP | 12.7 | 111 | n.s. | ||
| Enhanced drama | 20 | Self-esteem (RSE) | Self-report | EXP | 10.9 | 68 | n.s.
| ||
| Blended | |||||||||
|
| Creative drama | 18 | Social skills (SSRS) | Teacher-rated | EXP | 9 | 102 | n.s. | |
|
| Dramatic pretend play | 8 | Social interaction – positive (SIOS) | Observer-rated | EXP | 4 | 51 | n.s. | |
|
| Performing arts | 156 | Adaptive behavior (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 217 | n.s. | —
|
| Externalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 217 | n.s. | —
| |||
|
| Story-acting practice | 43 | Interaction (Peer play cooperation; PIPPS) | Observer-rated | EXP | 3.5 | 112 | n.s. | |
| Enhanced drama | 20 | Social skills (SSRS) | Self-report | EXP | 10.9 | 68 | n.s.
| ||
| Parent-rated | EXP | 10.9 | 68 | n.s. | |||||
Note: Cohen’s d was calculated directly from the t statistic divided by the square root of the number of participants. Whenever the t statistic was not reported, we calculated the t value by dividing the pretest–posttest difference by the standard deviation of the pretest. For experimental studies, we additionally calculated Cohen’s d whenever possible (for details, see the Method section). + = positive effect. BASC = Behavioral Assessment System for Children; BEQ = Berkeley Expressivity Questionnaire; CFSEI-3 = Culture Free Self-Esteem Inventories Third Edition; EXP = experimental design (randomized controlled trial); IECA = Empathy Index for Children and Adolescents; PIPPS = Penn Interactive Peer Play Scale; PIS = Peer Interaction Scale; Q-EXP = quasi-experimental design; RSE = Rosenberg Self-Esteem Scale; SIOS = Social Interaction Observation System; SSCS = Student Self-Concept Scale; SSRS = Social Skills Rating System; TR-MPNI = Multidimensional Peer Nomination Inventory, Teacher Rating Form.
N refers to the sample sizes of the experimental and control groups combined. bEffect size d was not available and it could not be calculated from the results reported in the study. cThe reported two-way (Group × Time) mixed-model ANOVA included not only a music group and a control group but also a drama group. dMeasured with a self-developed scale with multiple items. eThere was no effect overall. Yet there was a significant Year × Condition interaction effect. The intervention was conducted in two randomized blocks (different years). For Year 1, the difference in peer play disruption between the experimental and control groups was in a desirable direction and was statistically significant.
Mixed-Arts-Education Studies
| Study | Intervention | Duration (in weeks) | Outcome (measure) | Assessment | Design |
| Effect (test) | Effect size | |
|---|---|---|---|---|---|---|---|---|---|
| Extraversion | |||||||||
|
| Skills development program (incl. arts and theater) | 26 | Leadership (CPS) | Self-report | Q-EXP | 23 | 322 | n.s. | —
|
| Emotional stability | |||||||||
| Theater, visual, and media arts | 39 | Emotional problems | Self-report | Q-EXP | 12 | 366 | + | —
| |
| Agreeableness | |||||||||
|
| Music, dance, and drama | 26 | Prosocial behavior (Weir and Duveen scale) | Teacher-rated | Q-EXP | 8.5 | 32 | + | —
|
| Theater, visual, and media arts | 39 | Prosocial behavior | Self-report | Q-EXP | 12 | 366 | n.s. | —
| |
| Conduct problems | Self-report | Q-EXP | 12 | 366 | n.s. | —
| |||
| Conscientiousness | |||||||||
|
| Skills development program (incl. arts and theater) | 26 | Order and self-organization (CPS) | Self-report | Q-EXP | 23 | 322 | n.s. | —
|
| Consistency of interest (Grit) | Self-report | Q-EXP | 23 | 322 | — | —
| |||
| Perseverance of effort (Grit) | Self-report | Q-EXP | 23 | 322 | n.s. | —
| |||
| Ambition (Grit) | Self-report | Q-EXP | 23 | 322 | n.s. | —
| |||
| Self-esteem | |||||||||
|
| Intensive skills development program (including arts and theater) | 26 | Self-esteem (CPS) | Self-report | Q-EXP | 23 | 322 | n.s. | —
|
|
| Visual art, drama, music, and dance | 43 | Self-efficacy (NGSE) | Self-report | Q-EXP | 16 | 40 | n.s.
| —
|
| Theater, visual, and media arts | 39 | Self-esteem | Self-report | Q-EXP | 12 | 366 | n.s. | —
| |
| Blended | |||||||||
|
| Visual art, drama, music, and dance | 43 | Social Skills (SSRS-C) | Self-report | Q-EXP | 16 | 40 |
| —
|
Note: We were not able to calculate Cohen’s d for any of the studies. For experimental studies, we calculated Cohen’s d whenever possible (for details, see the Method section). + = positive effect; CPS = Social and Personal Competencies; EXP = experimental design (randomized controlled trial); NGSE = New General Self-Efficacy Scale; Q-EXP = quasi-experimental design.
N refers to the sample sizes of the experimental and control groups combined. bEffect size d was not available and it could not be calculated from the results reported in the study. cRuokonen (2018) did not compute a sum score. Instead, the analysis was conducted for each self-efficacy item separately. They reported a significant effect for only one of the eight items.
Fig. 3.Weighted average effect size d for effect of arts education on personality change in various designs, age groups, forms of arts education, and personality domains. The shades of gray indicate the number of participants that the weighted average effect sizes were based upon (darker shades = larger samples). k = number of samples; Blended = measures that assessed more than one personality domain.
Music-Education Studies
| Study | Intervention | Duration (weeks) | Outcome (measure) | Assessment | Design |
| Effect (test) | Effect size | |
|---|---|---|---|---|---|---|---|---|---|
| Extraversion | |||||||||
|
| Active parent-infant music classes | 36 | Smiling and laughter | Parent-rated | EXP | 0.5 | 34 | + | —
|
|
| Music lessons | 36 | Adaptive social functioning (BASC) | Parent-rated | Q-EXP | 6 | 132 | n.s. | —
|
| Emotional stability | |||||||||
|
| Active parent-infant music classes | 36 | Distress to limitations | Parent-rated | EXP | 0.5 | 34 | + | —
|
| Distress to novel situations | Parent-rated | EXP | 0.5 | 34 | + | —
| |||
|
| Music activities | 156 | Internalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 177 | n.s. | —
|
| Enhanced music lessons | 20 | Reynolds Child Depression Scale | Self-report | EXP | 10.9 | 69 | n.s.
| ||
|
| School-band program | 130 | Optimism (IPIP) | Self-report | Q-EXP | 13.5 | 31 | n.s. | —
|
| Prevention focus (GRFM) | Self-report | Q-EXP | 13.5 | 31 | n.s. | —
| |||
| Enhanced music lessons | 104 | Problem behavior (SSRS) | Teacher-rated | Q-EXP | 6 | 97 | n.s. | —
| |
| Enhanced music lessons | 104 | Problem behavior (SSRS) | Teacher-rated | Q-EXP | 9 | 67 | n.s. | —
| |
| Enhanced music lessons | 20 | Problem behavior (SSRS) | Parent-rated | EXP | 10.9 | 69 | n.s. | ||
| Agreeableness | |||||||||
|
| Music-based empathy education program | 12 | Feshbach and Roe Empathy Slide Test | Objective | Q-EXP | 6 | 27 | + | |
| Prosociability (Weir and Duveen scale) | Teacher-rated | Q-EXP | 6 | 30 | + | —
| |||
|
| Musical group interaction | 31 (13 or 39) | Empathy (Matched faces) | Objective | EXP | 9.5 | 52 | n.s. | |
| Empathy (IECA) | Objective | EXP | 9.5 | 52 | n.s. | ||||
| Enhanced music lessons | 20 | Aggression Questionnaire | Self-report | EXP | 10.9 | 69 | n.s.
| ||
|
| Group music lessons | 40 | Prosocial behavior (modified version of SBQ) | Self-report | Q-EXP | 8.7 | 84 | +/n.s.
| —
|
| Sympathy (CSS) | Self-report | Q-EXP | 8.7 | 84 | +/n.s.
| —
| |||
| Openness | |||||||||
|
| School-readiness music program | 28 | Approach to Learning (KRS) | Teacher-rated | Q-EXP | 4 | 102 | + | |
| Conscientiousness | |||||||||
|
| Performing arts | 156 | Working skills (i.e., persistence, concentration, and carefulness) | Teacher-rated | Q-EXP | 9.5 | 177 | + | —
|
|
| School-readiness music program | 28 | School Routines and Work Habits (KRS) | Teacher-rated | Q-EXP | 4 | 102 | n.s. | —
|
| Self-esteem | |||||||||
|
| Piano lessons | 156 | Self-esteem (CSEI) | Self-report | Q-EXP | 9 | 80 | n.s. | —
|
|
| Group-based instrumental music training | 4 | Self-esteem (CFSEI-3) | Self-report | Q-EXP | 12.6 | 44 | n.s. | —
|
| Computer-assisted keyboard program | 35 | Self-concept (Piers-Harris) | Self-report | Q-EXP | 10 | 97 | n.s. | ||
| Computer-assisted keyboard program | 15 | Self-concept (Piers-Harris) | Self-report | Q-EXP | 9.5 | 141 | n.s. | ||
| Enhanced music lessons | 22 | Self-esteem (CFSEI-3) | Self-report | Q-EXP | 12.7 | 111 | n.s. | ||
| Enhanced music lessons | 20 | Self-esteem (RSE) | Self-report | EXP | 10.9 | 69 | n.s.
| ||
| Enhanced music lessons | 104 | Self-esteem (CFSEI-3) | Self-report | Q-EXP | 6 | 68 | n.s.
| ||
| Enhanced music lessons | 104 | Global Self esteem (SCFSEI) | Self-report | Q-EXP | 9 | 99 | +/−
| —
| |
|
| School-band program | 130 | Self-esteem (RSE) | Self-report | Q-EXP | 13.5 | 31 | n.s. | —
|
|
| School-band program | 39 | Self-concept (Piers-Harris) | Self-report | Q-EXP | 10 | 76 | n.s. | —
|
| Blended | |||||||||
|
| Group-based instrumental music training | 4 | Anger expression (STAXI) | Self-report | Q-EXP | 12.6 | 44 | n.s. | —
|
|
| Music activities | 156 | Adaptive behavior (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 177 | + | —
|
| Externalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 177 | n.s. | —
| |||
|
| Enhanced music lessons | 104 | Self-concept (TSCS) | Self-report | Q-EXP | 8 | 81 | n.s. | |
| Enhanced music lessons | 20 | Social skills (SSRS) | Self-report | EXP | 10.9 | 69 | n.s.
| ||
| Parent-rated | EXP | 10.9 | 69 | n.s. | |||||
| Enhanced music lessons | 104 | Social skills (SSRS) | Teacher-rated | Q-EXP | 6 | 97 | n.s. | —
| |
| Enhanced music lessons | 104 | Social skills (SSRS) | Teacher-rated | Q-EXP | 9 | 67 | n.s. | —
| |
|
| School-readiness music program | 28 | Social skills (PKBS-2) | Teacher-rated | Q-EXP | 4 | 102 | + | |
| Parent-rated | Q-EXP | 4 | 102 | n.s. | —
| ||||
|
| School-band program | 130 | Promotion focus (GRFM) | Self-report | Q-EXP | 13.5 | 31 | + | —
|
Note: Cohen’s d was calculated directly from the t statistic divided by the square root of the number of participants. Whenever the t statistic was not reported, we calculated the t value by dividing the pretest–posttest difference by the standard deviation of the pretest. For experimental studies, we additionally calculated Cohen’s d whenever possible (for details, see the Method section). + = positive effect; BASC = Behavioral Assessment System for Children; CFSEI-3 = Culture Free Self-Esteem Inventories Third Edition; CSEI = Coopersmith Self-Esteem Inventories; CSS = Child-Report Sympathy Scale; EXP = experimental design (randomized controlled trial); GRFM = General Regulatory Focus Measure; IECA = Empathy Index for Children and Adolescents; IPIP = International Personality Item Pool; KRS = Kindergarten Readiness Survey; PKBS-2 = Preschool and Kindergarten Behavioral Scale; Q-EXP = quasi-experimental design; RSE = Rosenberg Self-Esteem Scale; SBQ = Social Behavior Questionnaire; STAXI = State Trait Anger Expression Inventory; TEC = Test of emotion comprehension; TSCS = Fitts Tennessee Self Concept; TR-MPNI = Multidimensional Peer Nomination Inventory, Teacher Form.
N refers to the sample sizes of the experimental and control groups combined. bEffect size d was not available and it could not be calculated from the results reported in the study. cThe reported two-way (Group × Time) mixed-model ANOVA included not only a music group and a control group but also a drama group. dA significant three-way interaction was reported: Group × Time × Level of Performance (low or high). It is unclear whether the two-way interaction (Group × Time) was also significant. eThere was no significant effect over the entire 2-year time period. There were significant Group × Time effects in the first year but not in the second year. fThere was a significant Time × Group interaction in an ANOVA with three measurement times. In the first year, self-esteem decrease was stronger in the control group than in the music group. In the second year, self-esteem increased more in the control group than in the music group.
Dance-Education Studies
| Study | Intervention | Duration(weeks) | Outcome (measure) | Assessment | Design |
| Effect (test) | Effect size | |
|---|---|---|---|---|---|---|---|---|---|
| Emotional Stability | |||||||||
| Lobo et al. (2006) | Creative dance program | 8 | Internalizing behavior problems (SCBE) | Parent-rated | EXP | 4 | 38 | +
| |
| Teacher-rated | EXP | 4 | 38 | +
| |||||
| Agreeableness | |||||||||
| Lobo et al. (2006) | Creative dance program | 8 | Externalizing behavior problems (SCBE) | Parent-rated | EXP | 4 | 38 | +
| |
| Teacher-rated | EXP | 4 | 38 | +
| |||||
|
| Educational dance | 12 | Peer Relations (SSBS-2) | Teacher-rated | Q-EXP | 10.5 | 83 | + | |
| Interpersonal Negotiation (REL-Q) | Self-report | Q-EXP | 10.5 | 90 | n.s. | ||||
| Conscientiousness | |||||||||
|
| Educational dance | 12 | Self-management (SSBS-2) | Teacher-rated | Q-EXP | 10.5 | 90 | + | |
| Academic behavior (SSBS-2) | Teacher-rated | Q-EXP | 10.5 | 90 | n.s. | ||||
| Self-esteem | |||||||||
|
| Dance classes | 30 | Global self-worth (SPPC) | Teacher-rated | Q-EXP | 10.5 | 69 | n.s. | |
| Blended | |||||||||
|
| Educational dance | 12 | Managing and regulating Emotion scale (ESCQ) | Self-report | Q-EXP | 10.5 | 83 | n.s. | |
Note: Cohen’s d was calculated directly from the t statistic divided by the square root of the number of participants. Whenever the t statistic was not reported, we calculated the t value by dividing the pretest–posttest difference by the standard deviation of the pretest. For experimental studies, we additionally calculated Cohen’s d whenever possible (for details, see the Method section). + = positive effect; ESCQ = Emotional Skills and Competence Questionnaire; EXP = experimental design (randomized controlled trial); Q-EXP = quasi-experimental design; REL-Q = Relationship Questionnaire; SCBE = Social Competence Behavior Evaluation: Preschool Edition; SSBS-2 = School Social Behavior Scales; SPPC = Self-Perception Profile for Children.
N refers to the sample sizes of the experimental and control groups combined. bIn Lobo & Winsler (2006), each outcome was rated by parents and teachers, and they reported the means and standard deviation for teacher and parent ratings for each condition and measurement time separately. Yet for the statistical test, it seems that they aggregated the teacher and parent ratings. Thus, we report for each outcome two effect sizes but only one significance test.
Visual-Arts-and-Crafts Education Studies
| Study | Intervention | Duration (weeks) | Outcome (measure) | Assessment | Design |
| Effect (test) | Effect size | |
|---|---|---|---|---|---|---|---|---|---|
| Extraversion | |||||||||
|
| Visual arts (vs. acting) | 43 | Emotional expressivity – positive (BEQ) | Self-report | Q-EXP | 8.5 | 68 | n.s. | |
| Emotional stability | |||||||||
|
| Visual arts (vs. acting) | 43 | Emotional expressivity – negative (BEQ) | Self-report | Q-EXP | 8.5 | 68 | n.s. | |
|
| Arts and crafts activities | 156 | Teacher-rated Internalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 166 | + | —
|
| Agreeableness | |||||||||
|
| Visual arts (vs. acting) | 43 | Theory of mind (Faux Pas Test) | Objective | Q-EXP | 8.5 | 68 | n.s. | |
| Index of Empathy for Children (IECA) | Self-report | Q-EXP | 8.5 | 68 | — | ||||
|
| Arts and crafts activities | 156 | Adaptive behavior (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 166 | + | —
|
| Externalizing problems (TR-MPNI) | Teacher-rated | Q-EXP | 9.5 | 166 | n.s. | —
| |||
| Conscientiousness | |||||||||
|
| Arts and crafts activities | 156 | Working skills (i.e., persistence, concentration, and carefulness) | Teacher-rated | Q-EXP | 9.5 | 166 | + | —
|
| Self-esteem | |||||||||
|
| Visual arts instruction | 20-30 | General self-concept (self-developed) | Self-report | Q-EXP | 9 | 179 | n.s. | —
|
| Additional art classes | 22 | Self-esteem (CFSEI-3) | Self-report | Q-EXP | 12.7 | 111 | n.s. | ||
Note: Cohen’s d was calculated directly from the t statistic divided by the square root of the number of participants. Whenever the t statistic was not reported, we calculated the t value by dividing the pretest–posttest difference by the standard deviation of the pretest. + = positive effect; CFSEI-3 = Culture Free Self-Esteem Inventories Third Edition; EXP = experimental design (randomized controlled trial); Q-EXP = quasi-experimental design; TR-MPNI = Multidimensional Peer Nomination Inventory, Teacher Rating Form
N refers to the sample sizes of the experimental and control groups combined. bEffect size d was not available and it could not be calculated from the results reported in the study.