| Literature DB >> 35018635 |
Kayleigh Skene1, Christine M O'Farrelly1, Elizabeth M Byrne1, Natalie Kirby1, Eloise C Stevens1, Paul G Ramchandani1.
Abstract
This systematic review and meta-analysis considered evidence of guided play compared to direct instruction or free play to support children's learning and development. Interventions from 39 studies were reviewed (published 1977-2020); 17 were included in meta-analysis (Ntotal = 3893; Mchildage = 1-8 years; Mgirls 49.8%; Methnicity White 41%, African American/Black 28%, Hispanic 19%). Guided play had a greater positive effect than direct instruction on early maths skills (g = 0.24), shape knowledge (g = 0.63), and task switching (g = 0.40); and than free play on spatial vocabulary (g = 0.93). Differences were not identified for other key outcomes. Narrative synthesis highlighted heterogeneity in the conceptualization and implementation of guided play across studies.Entities:
Mesh:
Year: 2022 PMID: 35018635 PMCID: PMC9545698 DOI: 10.1111/cdev.13730
Source DB: PubMed Journal: Child Dev ISSN: 0009-3920
FIGURE 1PRISMA flowchart of search results and included and excluded studies. The initial search was conducted on October 17, 2019 based on the search terms in the protocol. A supplementary search of electronic databases was conducted on February 16, 2021 based on additional search terms suggested during peer review. Of the 1230 studies included for screening, 138 were identified in the additional search, six of which were ultimately included in the final review
Characteristics of included studies (N = 39)
| Author (year) | Study design | Child's age (years) | Child development | Intervention location | Adult present | Country | Income inequality | Total participants | Number of exposures | Main outcome(s) | Control type |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bierman (2015) | RE | 3–6 | Typical | Home | Parent | USA | Medium | 100–199 | 6–20 | Literacy and social skills | DI |
| Bleses (2020) | RE | 1–3 | Typical | ECC | Teacher | Denmark | Low | 200+ | 21+ | Language and maths | DI |
| Borriello (2018) | QE | 3–6 | Typical | Laboratory | Parent | USA | Medium | 0–49 | 1–5 | Maths/spatial language | FP |
| Bulunuz (2013) | QE | 3–6 | Typical | Classroom | Teacher | Turkey | Medium | 0–49 | 21+ | Science concepts | DI |
| Casey (2008) | QE | 3–6, 6–8 | Typical | Classroom | Teacher | USA | Medium | 100–199 | 6–20 | Maths‐spatial skills | DI |
| Cavanaugh (2017) | QE | 3–6 | Typical | Classroom | Teacher | USA | Medium | 0–49 | 6–20 | Literacy/language | DI |
| Christie (1983) | QE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 0–49 | 6–20 | Literacy—vocabulary, play, and creativity | DI |
| Cohrssen (2019) | QE | 3–6 | Typical | Classroom | Teacher | Australia | Medium | 50–99 | 21+ | Maths skills | DI |
| Conner (2013) | QE | 1–3 | Typical | ECC | Researcher | USA | Medium | 0–49 | 6–20 | Literacy/language | FP |
| Coplan et al. ( | RE | 3–6 | Typical | ECC | Researcher | Canada | Medium | 0–49 | 6–20 | Social skills | DI |
| Dejonckheere (2016) | RE | 3–6 | Typical | Classroom | Teacher | Belgium | Low | 50–99 | Unclear | Exploratory play | DI |
| Dempsey (2013) | RE | 1–3, 3–6 | Typical, additional needs | Home, ECC | Parent | USA | Medium | 0–49 | 21+ | Play (pretend and exploratory) | FP |
| Dickinson (2019) | RE | 3–6 | Typical | Classroom | Teacher | USA | Medium | 200+ | 21+ | Literacy—vocabulary | DI |
| Eason (2020) | RE | 3–6 | Typical | Laboratory | Parent | USA | Medium | 50–99 | 1–5 | Maths vocabulary | DI, FP |
| Ferrara et al. ( | RE | 3–6 | Typical | Unclear | Parent | USA | Medium | 0–49 | 1–5 | Maths—spatial language | FP |
| Fisher (2011a) | RE | 3–6 | Typical | Laboratory | Researcher | USA | Medium | 0–49 | 1–5 | Maths—shape knowledge | DI |
| Fisher (2011b) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 0–49 | 1–5 | Maths—shape knowledge | DI, FP |
| Fisher (2013) | QE | 3–6 | Typical | Classroom, Laboratory | Researcher | USA | Medium | 50–99 | 1–5 | Maths—shape knowledge | DI, FP |
| Gmitrova (2013) | RE | 3–6 | Typical | Classroom | Teacher | Slovak Republic | Low | 200+ | 1–5 | Play | FP |
| Goldstein (2018) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 50–99 | 21+ | Emotional control | DI |
| Golomb (1977) | QE | 3–6 | Typical | Unclear | Researcher | USA | Medium | 0–49 | 1–5 | Conservation judgment | DI |
| Han et al. ( | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 0–49 | 21+ | Literacy—vocabulary | DI |
| Jemutai (2019) | QE | 3–6, 6–8 | Typical | Classroom | Teacher | South Africa, Kenya | High, Medium | 50–99 | 21+ | Visuospatial abilities | DI |
| Kalkusch (2020) | RE | 3–6 | Typical | ECC | Researcher | Switzerland | Medium | 50–99 | 6–20 | Pretend play | FP |
| Lau (2005) | QE | 3–6 | Typical, additional needs | Classroom | Teacher | USA | Medium | 0–49 | 21+ | Social interactions | FP |
| Li (2016) | RE | 3–6 | Typical | Classroom | Unclear | China | Medium | 0–49 | 6–20 | Social skills | DI |
| Morris (2018) | RE | 3–6 | Typical | Classroom | Teacher | Australia | Medium | 200+ | 6–20 | Knowledge of wellbeing/sustainability | DI |
| O’Connor (2011) | QE | 3–6, 6–8 | Additional needs | Classroom | Therapist | Australia | Medium | 0–49 | 21+ | Play, language and social skills | DI |
| Palma (2014) | RE | 3–6 | Typical | Classroom | Teacher | Portugal | Medium | 50–99 | 21+ | Gross motor skills | DI, FP |
| Pearson (2008) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 0–49 | 1–5 | Problem solving and emotions | FP |
| Pellegrini (1980) | QE | 3–6 | Typical | ECC | Researcher | USA | Medium | 0–49 | 1–5 | Language‐associative fluency | DI, FP |
| Sawyer (2019) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 50–99 | 21+ | Drawing development | DI |
| Schmitt (2018) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 50–99 | 6–20 | Maths and executive function | DI |
| Sinha (2012) | QE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 50–99 | 1–5 | Self‐regulation | DI, FP |
| Smith (1978) | QE | 3–6 | Typical | Private residence | Unclear | UK | Medium | 0–49 | 6–20 | Play and social participation | DI |
| Smith (1981) | QE | 3–6 | Typical | ECC | Researcher | UK | Medium | 50–99 | 21+ | Social participation, cognitive ability (literacy/language, maths, visuospatial) and play | DI |
| Thibodeau (2016) | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 50–99 | 21+ | Executive function | DI |
| Toub et al. ( | RE | 3–6 | Typical | Classroom | Researcher | USA | Medium | 200+ | 6–20 | Literacy—vocabulary | DI, FP |
| van schijndel (2010) | QE | 1–3 | Typical | ECC | Teacher | Netherlands | Low | 0–49 | 6–20 | Exploratory play | FP |
Abbreviations: DI, direct instruction/treatment as usual; ECC, Early childhood care and education setting; FP, free play; QE, quasi‐experimental design; RE, randomized experimental design.
Outside member, e.g., tutor, group leader, but trained by research team.
Single exposure to intervention.
Meta‐analytic results
| Outcome category | Outcome | Comparison group |
|
| Effect size |
|
| 95% CI |
|
|
|---|---|---|---|---|---|---|---|---|---|---|
| Literacy | Early literacy skills | Direct instruction | 233 | 2 | 0.28 | 0.26 | .27 | (−0.22, 0.79) | 0.08 | 57.06 |
| Expressive vocabulary | Direct instruction | 628 | 4 | 0.21 | 0.13 | .09 | (−0.04, 0.46) | 0.03 | 54.87 | |
| Receptive vocabulary | Direct instruction | 1564 | 5 | −0.06 | 0.05 | .25 | (−0.16, 0.04) | 0 | 0.00 | |
| Numeracy | Early maths skills | Direct instruction | 1165 | 2 | 0.24 | 0.06 | <.001 | (0.12, 0.35) | 0 | 0.00 |
| Spatial/maths vocabulary | Direct instruction | 1214 | 3 | −0.17 | 0.47 | .72 | (−1.09, 0.75) | 0.61 | 93.30 | |
| Shape knowledge | Direct instruction | 111 | 3 | 0.63 | 0.24 | .007 | (0.17, 1.09) | 0.04 | 24.21 | |
| Spatial/maths vocabulary | Free play | 137 | 3 | 0.93 | 0.42 | .03 | (0.10, 1.75) | 0.43 | 80.70 | |
| Executive function | Behavior regulation | Direct instruction | 1413 | 4 | −0.03 | 0.05 | .58 | (−0.13, 0.08) | 0 | 0.00 |
| Inhibitory control | Direct instruction | 145 | 3 | −0.06 | 0.17 | .71 | (−0.39, 0.27) | 0 | 0.00 | |
| Task switching | Direct instruction | 132 | 2 | 0.40 | 0.18 | .02 | (0.05, 0.74) | 0 | 0.00 | |
| Socioemotional | Prosocial behavior | Direct instruction | 38 | 2 | 1.25 | 1.41 | .38 | (−1.51, 4.01) | 3.61 | 90.70 |
| Social competence | Direct instruction | 214 | 2 | 0.06 | 0.14 | .68 | (−0.21, 0.33) | 0 | 0.00 |
k signifies the number of effect sizes drawn from the equivalent number of studies. n signifies the total number of participants included.
p < .05.
p < .01.
Moderator analysis results
| Moderator | Category |
| Effect size |
|
| 95% CI |
|
|
|---|---|---|---|---|---|---|---|---|
| Intervention exposures | 1–5 | 7 | 0.19 | 0.30 | .52 | (−0.39, 0.77) | 0.47 | 78.80 |
| 6–20 | 11 | 0.32 | 0.14 | .02 | (0.04, 0.60) | 0.11 | 55.95 | |
| 21+ | 11 | 0.06 | 0.10 | .53 | (−0.14, 0.26) | 0.04 | 45.80 | |
| Adult involved | Parent | 5 | 0.24 | 0.44 | .58 | (−0.62, 1.10) | 0.80 | 90.53 |
| Teacher | 9 | 0.19 | 0.11 | .10 | (−0.04, 0.41) | 0.05 | 55.11 | |
| Researcher | 14 | 0.24 | 0.12 | .04 | (0.01, 0.47) | 0.07 | 40.94 | |
|
| 0–50 | 15 | 0.41 | 0.16 | .01 | (0.09, 0.73) | 0.22 | 59.42 |
| Over 50 | 15 | 0.08 | 0.12 | .47 | (−0.14, 0.31) | 0.13 | 77.30 | |
| Type of comparator | Free play | 12 | 0.68 | 0.23 | .003 | (0.23, 1.12) | 0.44 | 79.61 |
| Direct instruction | 21 | 0.13 | 0.11 | .26 | (−0.10, 0.35) | 0.17 | 77.48 | |
| Study design | Randomized controlled trial | 19 | 0.22 | 0.12 | .07 | (−0.02, 0.46) | 0.18 | 79.96 |
| Quasi | 11 | 0.13 | 0.15 | .39 | (−0.16, 0.41) | 0.10 | 41.55 |
k signifies the number of effect sizes drawn from the equivalent number of studies.
p < .05.
p < .01.
FIGURE 2Quadrant illustrating the conceptualization and implementation of guided play studies