Literature DB >> 35913904

Physical activity promoting teaching practices and children's physical activity within physical education lessons underpinned by motor learning theory (SAMPLE-PE).

Matteo Crotti1,2, James Rudd3, Simon Roberts1, Katie Fitton Davies1, Laura O'Callaghan1, Till Utesch4, Lawrence Foweather1.   

Abstract

PURPOSE: Movement competence is a key outcome for primary physical education (PE) curricula. As movement development in children emerges through physical activity (PA), it is important to determine the extent of PA promotion within movement competence focused teaching pedagogies. Therefore, this study aimed to assess children's moderate-to-vigorous PA (MVPA) and related teaching practices in primary PE within Linear pedagogy and Nonlinear pedagogy and to compare this to current practice within PE delivery in primary schools.
METHODS: Participants (n = 162, 53% females, 5-6y) were recruited from 9 primary schools within the SAMPLE-PE cluster randomised controlled trial. Schools were randomly-allocated to one of three conditions: Linear pedagogy, Nonlinear pedagogy, or control. Nonlinear and Linear pedagogy intervention schools received a PE curriculum delivered by trained deliverers over 15 weeks, while control schools followed usual practice. Children's MVPA was measured during 3 PE lessons (44 PE lessons in total) using an ActiGraph GT9X accelerometer worn on their non-dominant wrist. Differences between conditions for children's MVPA were analysed using multilevel model analysis. Negative binomial models were used to analyse teaching practices data.
RESULTS: No differences were found between Linear pedagogy, Nonlinear pedagogy and the control group for children's MVPA levels during PE. Linear and Nonlinear interventions generally included higher percentages of MVPA promoting teaching practices (e.g., Motor Content) and lower MVPA reducing teaching practices (e.g., Management), compared to the control group. Teaching practices observed in Linear and Nonlinear interventions were in line with the respective pedagogical principles.
CONCLUSIONS: Linear and Nonlinear pedagogical approaches in PE do not negatively impact MVPA compared to usual practice. Nevertheless, practitioners may need to refine these pedagogical approaches to improve MVPA alongside movement competence.

Entities:  

Mesh:

Year:  2022        PMID: 35913904      PMCID: PMC9342796          DOI: 10.1371/journal.pone.0272339

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.752


Introduction

Physical education (PE) should provide varied, meaningful and developmentally appropriate learning experiences for children to acquire the attributes needed to lead physically active lives [1-5]. Given the well-established health benefits of participation in moderate-to-vigorous physical activity (MVPA) for children [6-9], public health arguments have been made that PE lessons should be physically active and involve teaching physical, cognitive, social and emotional skills in and through movement [10]. This health-related rationale led to the development of a goal for students to spend at least 50% of the PE lesson time engaged in MVPA [11], a guideline which has subsequently been adopted by several PE organisations across the globe [4, 12, 13]. Despite this guideline, recent research shows that students only spend between 9.5% and 42.4% of PE time engaged in MVPA [14-17]. While it is important to acknowledge that the focus on MVPA should not come at the expense of other important and meaningful PE learning outcomes [18, 19], monitoring MVPA levels during PE lessons is important to maximise physical activity (PA) opportunities during PE [19, 20]. Children’s MVPA levels in PE can be affected by numerous factors, including the proportion of boys and girls in the class, lesson content (e.g., ball games, fitness, dance), and lesson location (e.g., outdoors, indoors) [14, 16, 21]. Teaching practices also play a central role in determining children’s MVPA during PE lessons, through teachers’ decisions on lesson content, time management (e.g., the amount of time spent explaining a task, or the amount of time before moving to a different task), and delivery (e.g., enthusiastic verbal promotion of PA engagement). Pedagogy, defined as interdependent elements of curriculum design, learning and teaching [22], is also important, with PE teachers possessing higher levels of pedagogic content knowledge (i.e., being able to deliver PE using different pedagogical approaches) and positive attitudes towards PA promotion generally being more effective in promoting PA during PE [21, 23–25]. However, there are concerns that primary PE deliverers (which often include generalist classroom teachers) do not have the required level of pedagogic content knowledge to support learning and foster student’s PA [26]. Nevertheless, few studies have examined the association between different pedagogical approaches in PE and student MVPA levels. Thus, to maximise PA opportunities during PE, examining the extent to which teaching practices support students’ MVPA under different pedagogical conditions is warranted. An important feature of meaningful PE experiences and a key objective for PE curricula in young children (5-to-7-years-old) is the development of foundational movement skills needed for a lifetime of diverse PA opportunities [1, 5, 18]. Developing a wide range of foundational movement skills (e.g., catching, jumping, swimming, cycling) supports children to engage in a wide range of PAs [27, 28]. However, movement skills do not develop by maturation alone, children need to be physically active within favourable conditions for movement skills to emerge and progress, such as through structured teaching and learning activities [29]. The more a child moves the greater the opportunity to develop and acquire competence in movement skills [30, 31], which should lead to enhanced engagement in PA [27, 30, 31]. Therefore, from a PE perspective, pedagogical approaches aimed at fostering movement competence should also seek to maximise opportunities for students to be physically active. Pedagogical models designed for movement development can be beneficial for teachers as they provide a task structure so students can achieve intended learning outcomes [32-35]. Linear and Nonlinear pedagogy are two pedagogical approaches underpinned by different theories of motor learning that can guide the design of PE lessons aiming to foster the development of movement competence. Linear pedagogy is based on the Information Processing learning theory [36] and, in this perspective, a learner is seen as a system that elaborates perceptual-motor inputs to produce movement outputs [29]. Furthermore, learners participate in a set of planned movement experiences of increasing difficulty to obtain specific learning outcomes [29]. A central aspect of Linear pedagogy is to prioritise learning in the psychomotor domain through the repetition of movement tasks as repetition leads to movement automatization and therefore to increased accuracy and decreased cognitive load while performing the practiced task [37, 38]. Therefore, a key role of the educator is to design activities and provide instructions that are appropriate for children’s proficiency level [37, 38]. Accordingly, Linear pedagogy is characterised by a teacher-centred approach to PE, where the teacher is the main source of instructional content and leads the performers through a series of pre-determined learning outcomes [29, 35]. In line with its theoretical foundation, Linear pedagogy includes the following characteristics: a) children should demonstrate mastery of the teacher-led movement patterns; b) movement skills should be broken down into simpler movements to facilitate movement proficiency; c) movement variability within a task is seen as detrimental for learning and therefore should be reduced [35, 38]. Interventions presenting Linear pedagogy characteristics were found to be effective at improving movement competence in children and adolescents [39-42]. Nonlinear pedagogy is based on ecological dynamics theoretical and philosophical foundations [43, 44]. From an ecological dynamics perspective learners are seen as complex neurobiological systems in mutual and reciprocal synergy with the environment that learn through perception and action coupling processes [34, 43, 44]. More specifically, perception and action coupling (or information-movement coupling) processes consist in the continuous creation of functional affordances (opportunities for action) within a cyclical process of perception and action leading to the emergence of goal-directed behaviours [45]. Based on this approach, learners are invited to explore different movement solutions within carefully designed learning environments. Proponents of this theory argue that it is the invitation for actions that leads to a continuous process of perceptual action coupling between the individual and the environment for intended movement solutions [34, 46]. Consequently, Nonlinear pedagogy is reported as a learner-centred PE approach where children are provided with high levels of autonomy and are invited to explore different movement solutions, while educators channel learning by modifying constraints [47]. Assumptions of Nonlinear pedagogy include the following: a) movement skills should be practiced in a situation that is representative of a game environment or performance condition, b) movement skills should emerge by the interaction between individual and environment in a movement perception action coupling: c) teachers modify individual, task and environmental constraints to channel movement skills learning; d) functional movement variability is encouraged; e) teachers should foster an external focus of attention [47, 48]. Recent studies showed that interventions following Nonlinear pedagogy principles can lead to improvement in movement competence within children and adolescents [49-51]. In summary, determining MVPA levels of children in PE and examining associated teaching practices can provide important information to assess adherence to guidelines associated with high quality PE. Movement competence is a key outcome for primary school PE and a feature of meaningful PE experiences for children. As movement development emerges through PA, our aim was to examine MVPA promotion within PE that use pedagogical approaches focused on movement competence. Our research could inform strategies to maximise meaningful opportunities to be physically active within PE lessons taught through these pedagogies. To date, no study has examined children’s MVPA and teaching practices during PE using Linear and Nonlinear pedagogical approaches. Furthermore, no study has evaluated whether Linear and Nonlinear pedagogy would be associated with higher levels of children’s MVPA and PA promoting teaching practices, compared to current PE. Therefore, this study aimed to assess children’s MVPA and teaching practices in primary PE within Linear pedagogy and Nonlinear pedagogy and to compare this to current practice within PE delivery in primary schools.

Materials and methods

Design

This study was approved by the University Liverpool John Moores Research Ethics Committee (Reference 17/SPS/031) and formed part of the process evaluation of the Skill Acquisition Methods fostering Physical Literacy in Early Primary Education (SAMPLE-PE) cluster randomised controlled trial (ClinicalTrials.gov identifier: NCT03551366), which is described in detail elsewhere [52]. Specifically, this study was designed to evaluate the implementation of the interventions and explore PA promoting teaching practices during PE lessons and participants’ responsiveness (that concerns the measurement of how far participants respond to, or are engaged by, an intervention [53]) in terms of children’s MVPA engagement, rather than to evaluate changes in these constructs from baseline to post-intervention. Briefly, SAMPLE-PE aimed to investigate the efficacy of PE curricula based upon different pedagogical principles and motor learning theories in promoting physical literacy amongst 5-6-year-old children. One hundred and nineteen primary schools situated in deprived areas of a large metropolitan city in North West England were invited to take part in the study. Head-teachers from 12 primary schools provided gatekeeper consent and written parental consent and child assent were obtained for 360 5–6-year-old children (55% girls) from year 1 classes to participate in the research. Children without informed consent continued to participate in the PE lessons as normal. Children who were not able take part in PE due to reasons such as medical conditions, profound learning disabilities or special educational needs were not eligible to take part in this study. Using a computer-generated procedure, schools were randomly allocated to one of three groups: i) Nonlinear pedagogy PE intervention (n = 3 schools); ii) Linear pedagogy PE intervention (n = 3 schools); or iii) control group (n = 6 schools). Following baseline assessments, intervention schools received a 15-week PE curriculum intervention delivered by trained coaches, while control schools followed usual practice (described in detail below). All groups were asked to provide the same dose of PE (i.e., 2 × 60 min weekly PE lessons, for 15 weeks). Outcome data were collected at baseline (T0), immediately post-intervention (T1), and 6 months after the intervention has finished (T2). The process evaluation methods have been published in the study protocol [52], and only relevant methods for the current study analyses are outlined below. For feasibility and time constraint reasons and in line with sample size calculations reported below, a convenience sample of 50% of the children who provided consent to participate in the SAMPLE-PE project within 9 schools (comprising 3 Nonlinear intervention schools, 3 Linear intervention schools and 3 randomly selected control schools) were recruited for this study.

Sample size and statistical power

Sample size and power calculations for the SAMPLE-PE cluster-randomised controlled trial are reported elsewhere [52]. For the purposes of this study, an a priory power calculation was undertaken using G*Power software to detect differences between 3 groups including a large effect size based on the review by Fairclough and Stratton [54], 90% power, alpha levels set at p < 0.05 and multiple covariates recommended a minimal sample size of 83 children. It was not possible to account for clustering factors (e.g. school) in the power calculation as the mixed model analysis reported in previous literature did not report ICCs associated with clustering factors. Previous studies that have assessed MVPA during PE included a sample size similar or higher than 83 children (e.g. up to 168 children) [55-60]. Therefore, in line with the power calculation and the sample sizes observed in previous research, and after accounting for potential dropout, we aimed to recruit 50% of the research participants, amounting to 157 children, which was considered adequate for the purpose of this study [52]. Due to the lack of previous research reporting effect sizes about SOFIT+ outcomes and feasibility factors such as time and resource constraints and school burden, we aimed to collect data about teaching practices in 3 lessons per class participating in the project.

Intervention

Intervention deliverers were recruited and trained to deliver Linear or Nonlinear pedagogy interventions [52]. Both Linear and Nonlinear pedagogy PE curricula were delivered over 2 lessons a week for 15 weeks leading to a total of 30 PE lessons per class divided into 3 content blocks of 10 lessons (each block lasting 5 weeks) focusing sequentially on dance, gymnastics and then ball skills, respectively. Teachers and sport coaches within control schools delivered PE as usual 2 lessons a week for 15 weeks.

Deliverer training and intervention delivery

Intervention deliverers were recruited from a University in the North-West of England with a longstanding reputation for delivering high quality BA (Hons) Physical Education and BSc (Hons) Sport Coaching undergraduate and postgraduate degree programmes. As a result, two sport coaches from the research team and three sport coaches who each possessed at least a level 2 coaching qualification, were recruited and agreed to participate in a series of training sessions, to support the delivery of the SAMPLE-PE interventions. Before commencing the training, each one of the coaches was observed by a member of the research team while delivering a PE lesson in a primary school not involved in the SAMPLE-PE project. The coaches were then assigned to either a Linear (n = 2) or Nonlinear (n = 3) curriculum training programme based on their observed pedagogical approaches. The training for each pedagogy was designed to incorporate both practical and theoretical elements and was delivered by members of the research team with expertise in these approaches. Each training session lasted approximately 180 minutes and was conducted over a period of five weeks. During the training programme the coaches had the opportunity to be observed leading a PE lesson with Year 2 children (6-7-years-old) within a primary school not participating in the SAMPLE-PE project. Following these lessons, the coaches received augmented feedback from members of the research team. They were also encouraged to reflect on their pedagogic practice and encouraged to develop strategies to improve their own self-analysis. Following the training period coaches received a pedagogical framework and a resource pack together with the material used during the sessions and recordings of the practical sessions. The PE lessons were planned considering equipment available or that could be made available in each one of the participating schools.

Linear pedagogy intervention delivery

Linear pedagogy PE lessons were designed following the principles of Information Processing theory, informed by concepts of direct instruction [35], and followed a task structure involving: 1) a teacher-led warm-up activity, 2) practicing movement skills within drills, 3) a performance or game activity to apply the movement skills learnt during the lesson 4) a cool down (S1 Table). The coaches were expected to plan learning tasks and provide clear verbal instructions and visual demonstrations to provide the children with a ‘picture’ of what proficient movement looked like. During early learning of a movement skill the coaches were encouraged to review previously learned material and to provide corrective feedback during each activity with particular attention to children reiterating mistakes. The coaches were trained to use Fitts and Poster’s cognitive stages (cognitive, associative, autonomous) [38] to evaluate children’s progression in movement skills proficiency and to change the difficulty of the tasks based on children’s skill level. Children were invited to perform and repeat movement skills as previously demonstrated by the educators and once the skill showed signs of automaticity were encouraged to practice independently in increasingly open environments. Gentile’s taxonomy principles together with the Challenge Point framework [61, 62] were used by the teachers to facilitate these progressions of skill practice into more open environments.

Nonlinear pedagogy intervention delivery

The Nonlinear pedagogy intervention was designed in line with an ecological dynamics framework [34]. For instance, each PE lesson started with children exploring the PE hall and different equipment within the environment (e.g., benches, mats, hoops, cones). The lesson continued with activities where teachers introduced variability by changing constraints and tasks designed to be representative of a real game, sport or performance. The children were invited to explore opportunities for action (affordances) and encouraged to create functional movement solutions (S2 Table). Educators were asked to use the Space, Task, Equipment, People (STEP) framework to identify and modify constraints within the lessons [63]. Furthermore, coaches were trained to use Newell’s stages of motor learning (coordination, control and skill) to monitor children’s progress in movement learning and to modify and individualise constraints based on the motor learning stages observed [64]. Demonstrations or corrective feedback were not used during activities, alternatively, coaches invited children to observe their peers in action, or prompted children to try to find different movement solutions (increasing exploration). Coaches were encouraged to use dialogue as a strategy to foster an external focus of attention in the child to infuse variability in the task and channel children learning (e.g., how can you make a pass that is easier to catch for your teammate? How many ways to move on the mat can you find?).

Measures and procedures

Child anthropometric and demographic data were collected at schools during baseline assessments (between January and February 2018), within a two-week period before the start of the intervention. Children’s PA levels (accelerometers), teaching practices related to PA (video observation) and pedagogical fidelity (video observation) were assessed during PE lessons as part of the SAMPLE-PE process evaluation between February and June 2018 [52]. Specifically, three PE lessons in each year 1 class (1 lesson every 5 weeks) were randomly selected for data collection. Each of the intervention groups and the control group included five Year 1 classes. Therefore, 45 lessons (15 per group) were scheduled to be evaluated. Schools were informed about the data collection schedule before the beginning of the trial.

Anthropometrics

Body mass was assessed to the nearest 0.1 kg using scales (model 760, Seca, Hamburg, Germany) while stature was assessed using stadiometers to the nearest 0.1 cm (The Leicester Height Measure, Child Growth Foundation, Leicester, United Kingdom) [65]. All anthropometric measurements were taken twice while a third measurement was taken in case the first two measurements differed by more than 1% and subsequently the mean between the measurements was taken. Body mass index (BMI) was calculated using stature and mass measurement and then it was converted to standardised BMI z-scores following international Obesity task force (IOTF) classification [66].

Demographics

Children’s demographic data (i.e., date of birth, sex, ethnicity, household postcode) were collected using questionnaires that parents filled and returned together with the consent form. Children’s neighbourhood deprivation rank and decile were calculated from household postcode using the English indices of deprivation [67].

Physical activity measurement

ActiGraph GT9X (ActiGraph, Pensacola, FL, USA) were used to assess PA in children during PE. Before the beginning of each lesson, ActiGraph GT9X accelerometers were fitted on each participant’s non-dominant wrist to assess their PA levels during the lesson. If one of the randomly selected children was absent another participant to the SAMPLE-PE project was randomly selected to wear an accelerometer. Accelerometers were set to record accelerations at 100Hz over 1 second epochs within a range of ±8 g on x, y and z axes. Raw acceleration data were downloaded from accelerometers in 1 s epochs and exported as .csv files using ActiLife software (ActiGraph, Pensacola, FL, USA). Raw data were then transformed into Euclidean Norm Minus One (ENMO) acceleration data using GGIR package [68] from R software Version 4.0.2 (www.r-project.org). Lastly, age appropriate cut-points by Crotti et al. (2020) were used to classify ENMO accelerations equal or higher than 189 mg into time spent in MVPA [69].

Teaching practices related with physical activity: SOFIT+

PE video-recordings were analysed by one researcher using the modified version of the System for Observing Fitness Instruction Time to measure teacher practices related with PA (SOFIT+) [70]. SOFIT+ is a valid and reliable observation tool designed to classify multiple teaching practices related with children’s PA during PE [70]. The teaching practices within the SOFIT+ are divided in 4 categories comprising Lesson Context, Activity Context, Teacher Behaviours and Activity Management and more information about the definition of each teaching practice can be found in S3 Table. Each SOFIT+ scan lasts 40 seconds divided in two 20 seconds phases each one comprising 10 seconds of observation and 10 seconds of recording [70]. During the phase 1 of SOFIT+, Lesson Context and Activity Context teaching practices are assessed while during phase 2 Teacher Behaviours and Activity Management are assessed [70].

Fidelity

Intervention fidelity in terms of Linear and Nonlinear pedagogy were independently assessed through the video analysis of recorded PE lessons using a checklist developed by the research team (S4 Table) [71]. The checklist comprised 9 items including 7 motor learning related items and 2 global items. Each item was rated using a 1 to 5 Likert sale where values of 1 and 2 corresponded to the observation being in line with Linear pedagogy while values of 4 and 5 corresponded to the observation being in line with Nonlinear pedagogy. Motor learning related items were assessed 4 times within each lesson (once for each quartile of the PE lessons) while global items were assessed only once per lesson observed. Two researchers that were not part of the research team and that were blinded to intervention allocation independently coded the fidelity of the PE lessons following training. The training consisted in 1) reading specific literature concerning Linear and Nonlinear pedagogy, 2) reading the fidelity checklist, 3) consulting the research team about doubts concerning the checklist, 4) independently coding 2 PE lessons, 5) consulting a pedagogy expert to check the coded lessons and clarify any doubts, 6) collaborating to assess 6 PE lessons, 7) independently assessing 6 lessons and then compare the results. The coders then assessed fidelity using the fidelity checklist within a total of 13 randomly selected PE lessons from Linear pedagogy (5 lessons), Nonlinear pedagogy (5 lessons) and control group (3 lessons).

Data analysis

All data analysis was carried out using R Software (Version 4.0.2, www.r-project.org) and RStudio Software (Version 1.3.1056, www.rstudio.com). Multilevel models were used to analyse PA outcomes to account for MVPA data (level 1) being nested within child (level 2), class and teacher (level 3). Multilevel models were fitted using “Lme4” package [72]. To assess the association between pedagogy and MVPA during PE, two models were designed with children’s MVPA during PE as the dependent variable: i) an unadjusted model including group (i.e., Linear pedagogy, Nonlinear pedagogy and control) as the independent variable with data nested by child (random intercept), and ii) a fully adjusted model including group (i.e., Linear pedagogy, Nonlinear pedagogy and control) as the independent variable and controlling for sex [14], age [14], lesson duration [16], lesson content (e.g., ball games) [14], lesson environment (i.e., indoor, outdoor) [21] with child id code, school and teacher included as nesting variables. During the modelling process, we decided to include variables that significantly increased the fit of the model and to exclude the nesting level of school class as it did not lead to an improved model fit or led to overfitted models. IOTF BMI z-score, ethnicity and deprivation decile variables were excluded from the fully adjusted multilevel analysis as they did not improve model fit and led to issues with listwise deletion of missing data and the loss of 21 participants and 50 corresponding valid MVPA observations within the multilevel models. The unadjusted and fully adjusted models were fitted using control group or Nonlinear pedagogy group as the ‘group’ reference category to evaluate whether Linear and Nonlinear interventions were associated with increased or decreased MVPA minutes or percentage of MVPA (MVPA%) compared to the control group and each other. Outliers were identified using absolute deviation around the median [73] and then removed from the dataset used for the final analysis. It was not possible to use multilevel models to analyse the PA teaching practices data as most teaching practices variables did not present a normal distribution of the residuals or led to overfitting problems within the multilevel models. PA teaching practices observations collected using SOFIT+ are count data (representing counts of events over a discrete time span) [74-76]. Therefore, Poisson and Negative Binomial were initially considered for data analysis. The dispersion of the data was assessed using Dean’s test [77]. Given that all the distributions of teaching practice data were over-dispersed, Negative binomials were used to evaluate differences in PA teaching practices between Linear pedagogy, Nonlinear pedagogy and control group within PE. In some cases (i.e., Partner Activity and Small Sided Activity), negative binomial models could not fit the data as an elevated proportion of zero counts were observed. In these cases, hurdle negative binomial models were employed to analyse teaching practices data [74–76, 78]. To account for differences in lesson duration an offset factor was included in Negative binomial and Hurdle Negative binomial models. The statistical model fit of count data models were assessed using McFadden’s pseudo R squared [79]. Due to the relatively small number of lessons observed within each group and for each PE deliverer, it was not possible to add covariates to the Negative binomial models as it was leading to overfitting (models failing to converge). The datasets and related metadata (statistical analysis codes used to analyse the data) are publicly available within an open access repository (link to the data and metadata: https://doi.org/10.24377/LJMU.d.00000102).

Results

Participants in the current study (n = 162; 53% girls) presented a mean age of 6.0 (Standard Deviation (SD) = 0.3) years, 49% were white British, and 84% of the children lived in areas ranked as within the most deprived tertile for deprivation in the England. IOTF BMI z-scores were calculated for the 146 children and, based on IOTF thresholds [66], 24% of children were overweight or obese (Table 1). Parents did not report neighbourhood deprivation for 1 child in the control group, while ethnicity information was not provided for 2 children in the Linear pedagogy group and 2 children in the Nonlinear pedagogy group. Due to time constraints, we were not able to measure the BMI of 3 children from the Linear pedagogy group, 4 children from the Nonlinear pedagogy group and 9 from the Control group.
Table 1

Participants’ descriptive data by group.

Linear pedagogyNonlinear pedagogyControl
(n = 55)(n = 65)(n = 42)
Mean (SD)MissingMean (SD)MissingMean (SD)Missing
or %dataor %dataor %data
Decimal Age (years) 6.0 (0.3)05.9 (0.3)05.9 (0.3)0
Girls 56%049%055%0
White British 62%256%224%0
Living within the 30% most deprived areas 93%071%095%1
IOTF SDS BMI 0.4 (1.2)30.5 (1.1)40.2 (1.1)9
IOTF SDS BMI classification
Thinness grade 3 0%0%0%
Thinness grade 2 4%2%0%
Thinness grade 1 2%3%6%
Healthy weight 67%75%67%
Overweight 25%8%21%
Obese 2%11%6%

IOTF SDS BMI: standardised BMI z-scores following international Obesity task force classification.

IOTF SDS BMI: standardised BMI z-scores following international Obesity task force classification. Each of the 15 participating classes were observed 3 times during PE. In total, 44 PE lessons were recorded as two classes within the control group did one PE lesson together. Audio was not recorded in one of the control PE lessons because of technical problems. 43 PE lessons were assessed using SOFIT+ and combined with children’s corresponding PA data for analyses. PA levels during PE were assessed in 42 (23 girls) children from the Control group, 65 (32 girls) children from the Nonlinear pedagogy group and 55 (31 girls) children from the Linear pedagogy group. Due to child absence from school, 114 (56 girls) children were assessed over 3 lessons, 32 (24 girls) children were assessed over 2 lessons, and 16 (6 girls) children were assessed over 1 lesson.

Pedagogic fidelity

Pedagogic Fidelity scores were reported in Table 2. Nonlinear pedagogy average intervention fidelity scores ranged from 3.95 (SD = 0.78) to 5 (SD = 0.00), Linear pedagogy intervention average fidelity scores were all lower than 1.77 (0.94), while control group average scores were comprised between 1.44 (SD = 0.97) and 2.50 (SD = 0.54) [71]. Fidelity scores of 1 and 2 on the Likert scale correspond to the observation being more in line with Linear pedagogy and scores of 4 and 5 correspond to the observation being in line with Nonlinear pedagogy. Therefore, the fidelity observations indicated that Linear and Nonlinear interventions were delivered in line with their respective pedagogical principles. The control group presented fidelity scores indicated closer alignment with Linear pedagogy principles.
Table 2

Pedagogical fidelity checklist results.

CategoryGlobal
Category Mean (SD)Global Mean (SD)
123456712
Nonlinear 5.00 (0.00)5.00 (0.00)4.90 (0.28)3.95 (0.78)4.05 (0.77)4.73 (0.41)4.58 (0.43)5.00(0.00)5.00 (0.00)
Linear 1.40 (0.64)1.48 (0.85)1.20 (0.41)1.77 (0.94)1.20 (0.41)1.63 (0.88)1.63 (0.75)1.40(0.74)1.33 (0.82)
Control 2.10 (0.83)2.15 (1.04)2.19 (0.88)1.44 (0.97)2.33 (0.87)2.21 (0.75)2.50 (0.54)2.00(1.08)1.92 (1.11)

SD: standard deviation

SD: standard deviation

Children’s moderate to vigorous physical activity during physical education lessons

The mean and standard deviation for MVPA minutes, MVPA% and number of children spending 50% of PE time in MVPA can be found in Table 3. On average, children in the different groups engaged in MVPA during PE lessons for between 9.1 and 11.9 minutes, with the proportion of lesson time spent in MVPA ranging from 29.1% and 38.4%. The percentage of children engaging in MVPA over at least 50% of PE time ranged from 5.3% to 14.4% (Fig 1).
Table 3

Physical activity outcomes derived from accelerometers and teaching practices assessed using SOFIT+.

Linear pedagogyNonlinear pedagogyControl
MeanSDMeanSDMeanSD
Physical activity during PE
MVPA (minutes)11.43.711.94.39.14.0
MVPA (%)35.110.138.410.929.111.4
Children spending ≥50% of PE time in MVPA (%)9.013.114.417.95.316.6
SOFIT+ Lesson Context
Management (%) -23.97.722.29.240.217.2
Knowledge (%) -25.512.614.99.922.58.3
Motor Content (%) +50.610.562.814.737.315.1
Fitness (%) +2.74.90.20.924.8
Skill Practice (%) +45.19.70.6217.222.6
Game Play (%) +2.74.321.234.818.112.7
Free Play (%) -000000
Discovery Practice (%) +0.10.440.827.800
SOFIT+ Activity Context
Individual Activity (%) +25.916.124.320.34.712.8
Partner Activity (%) +14.816.713.625.114.921.6
Small Sided Activity (%) +4.58.63.78.33.89.3
Large Sided Activity (%) -0015.932.92.25.5
Whole Class Activity (%) +5.46.25.310.611.712.6
Waiting Activity (%) -9.511.10.30.87.913.2
Elimination Activity (%) -00003.58.6
Girls Only Activity (%) -000000
Children Off Task (%) -6.87.16.66.222.7
SOFIT+ Teaching Behaviours
Supervises (%) +24.3816.611.920.715.1
Instructs Single Child (%) -17.711.331.714.727.112.9
Instructs Group (%) -6.46.724.717.87.77.8
Instructs Class (%) -4114.126.513.738.511.2
Promotes PA (%) +000.20.60.61.6
PA as Punishment (%) +000000
Withholding PA (%) -0.10.41.45.50.93.3
PA Engaged (%) +860034.4
Off Task (%) -2.62.80.50.932.6
SOFIT+ Activity Management
Signalling (%) -5.94.54.74.63.12.6
Retrieving equipment M* (%) -000000
Retrieving equipment O* (%) -1.32.10.30.71.72.6
Interruption Public (%) -3.82.44.73.75.65.6
Interruption Private (%) -1.51.864.54.64.2

SD: standard deviation; PE: physical education; M*: multiple points; O*: one point; +: the teaching practice was theorised to foster children’s moderate to vigorous physical activity; -: the teacher practice was theorised to reduce children’s moderate to vigorous physical activity.

Fig 1

Percentage of time spent in moderate to vigorous physical activity in physical education.

Fig 1 presents a violin density plots (shapes delimited by line) and dot plots concerning percentage of time spent in MVPA during PE; Each dot represents a single unadjusted MVPA measurement in one child during one lesson and dots were randomly scattered on the horizontal axis.

Percentage of time spent in moderate to vigorous physical activity in physical education.

Fig 1 presents a violin density plots (shapes delimited by line) and dot plots concerning percentage of time spent in MVPA during PE; Each dot represents a single unadjusted MVPA measurement in one child during one lesson and dots were randomly scattered on the horizontal axis. SD: standard deviation; PE: physical education; M*: multiple points; O*: one point; +: the teaching practice was theorised to foster children’s moderate to vigorous physical activity; -: the teacher practice was theorised to reduce children’s moderate to vigorous physical activity.

Associations between pedagogy and children’s physical activity

Results from the multilevel model analyses evaluating the associations between pedagogy group and children’s average time spent in MVPA minutes during PE are reported in Table 4, while results concerning MVPA% during PE can be found in Table 5. Both Linear and Nonlinear interventions were associated with significantly higher minutes in MVPA and MVPA% percentage compared to the control group within the unadjusted models. However, within the fully adjusted models, Linear and Nonlinear pedagogy were not associated with increased MVPA or MVPA% compared to control group. Furthermore, Linear and Nonlinear pedagogy were not associated with higher MVPA or MVPA% compared to each other both in the unadjusted and fully adjusted model.
Table 4

Association between pedagogy group and children’s minutes of moderate to vigorous physical activity during physical education.

Unadjusted modelFully adjusted model
PredictorsEstimateCIp-valueEstimateCIp-value
Group [Nonlinear vs Control]2.581.56 – 3.60<0.0011.54-2.45–5.530.450
Group [Linear vs Control]2.371.32 – 3.41<0.0010.73-3.58–5.040.740
Group [Linear vs Nonlinear]-0.21-1.15 – 0.720.652-0.81-3.18–1.560.503
Sex-1.12-1.74 – -0.50<0.001
Decimal Age1.03-0.06 – 2.130.068
Lesson Location2.450.54 – 4.350.012
Lesson content [Ball Games]2.491.42 – 3.57<0.001
Lesson content [Dance]1.18-1.45 – 3.820.379
Lesson content [Gymnastic]2.65-0.14 – 5.450.063
Lesson Duration0.260.21 – 0.32<0.001
σ212.754.86
τ00/ICC Participants1.761.83/0.14
τ00/ICC Schools1.04/0.08
τ00/ICC Teachers5.63/0.42
ICC random factors0.120.64
Participants162162
Schools9
Teachers9
PA Observations416416
Marginal R2 / Conditional R20.075 / 0.1870.371 / 0.771

σ: Intercept variance; τ: Random factor variance; ICC: intraclass correlation index; PA: physical activity.

Table 5

Association between pedagogy group and children’s percentage of moderate to vigorous physical activity during physical education.

Unadjusted modelFully adjusted model
PredictorsEstimateCIp-valueEstimateCIp-value
Group [Nonlinear vs Control]8.685.82 – 11.55<0.0017.30-3.80–18.400.197
Group [Linear vs Control]6.173.23 – 9.10<0.0015.54-6.62–17.700.317
Group [Linear vs Nonlinear]-2.52-5.14 – 0.110.060-1.76-8.21–4.690.594
Sex-3.60-5.57 – -1.64<0.001
Decimal Age2.99-0.50–6.470.093
Lesson Location4.82-1.12–10.750.112
Lesson content [Ball Games]7.544.15 – 10.93<0.001
Lesson content [Dance]-0.358.58–7.890.934
Lesson content [Gymnastic]6.81-1.90–15.510.126
Lesson Duration-0.34-0.51 – -0.17<0.001
σ289.1548.39
τ00/ICC Participants18.0918.44/0.16
τ00/ICC Schools5.29/0.04
τ00/ICC Teachers43.87/0.38
ICC random factors0.170.58
Participants162162
Schools9
Teachers9
PA Observations416416
Marginal R2 / Conditional R20.100 / 0.2510.239 / 0.682

σ: Intercept variance; τ: Random factor variance; ICC: intraclass correlation index; PA: physical activity.

σ: Intercept variance; τ: Random factor variance; ICC: intraclass correlation index; PA: physical activity. σ: Intercept variance; τ: Random factor variance; ICC: intraclass correlation index; PA: physical activity. Within the fully adjusted models, sex was significantly and negatively associated with both MVPA minutes and MVPA%, meaning that girls were generally less active than boys during PE. Age was not significantly associated with MVPA minutes and MVPA%. PE lessons delivered outdoors were associated with higher MVPA minutes in children compared to lessons indoors. Ball games lesson content was found to be associated with higher MVPA minutes and MVPA% compared to locomotor activities (reference category). Lesson duration was significantly and positively associated with MVPA minutes and negatively associated with MVPA%.

Teaching practices associated with physical activity

The characteristics of PE lessons in terms of lesson content, lesson duration, lesson location, and teacher delivery are reported in Table 6. PE lessons lasted 32:07 mins on average (SD = 06:14 mins) and 14 out of 44 lessons took place outdoors. The observed PE lessons were delivered by 4 teachers and external sports coaches in the control group while 5 trained sports coaches delivered the observed PE lessons between interventions as reported in Table 6. Due to the restricted availability of deliverers during the intervention period, the two coaches recruited from the research team delivered both Nonlinear pedagogy and Linear pedagogy as they were trained in both pedagogical approaches (Table 6).
Table 6

Lesson characteristics.

Linear pedagogyNonlinear pedagogyControl
Lesson duration mean ± SD (minutes)34.2 ± 6.630.8± 6.831.2 ± 5.0
Lessons observed151513
Locomotor activities8
Gymnastic55
Dance55
Ball games555
Number of Physical education lesson by deliverer
Deliverer 13
Deliverer 23
Deliverer 36
Deliverer 41
Deliverer 53
Deliverer 67
Deliverer 741
Deliverer 824
Deliverer 99
The mean and standard deviation concerning teaching practices divided by group can be found in Table 3. Furthermore, Table 3 indicates whether the teacher practice was theorised to foster or to hinder children’s engagement in MVPA during PE [70, 80, 81]. SOFIT+ teaching practice variables comprising Free play, Girls Only activity, PA as Punishment and Retrieving equipment from multiple access points were never observed during the PE lessons (Table 3), while Withholding PA and Large Sided Activity teaching practices were only observed in 3 and 6 lessons, respectively. Therefore, a statistical analysis could not be completed for these variables. The results from the analysis of teaching practices can be found in Table 7. Regarding Lesson Context variables, Linear pedagogy included higher incidences of Motor Content and Skill Practice as well as lower incidences of Management and Game Play, compared to the control group. Nonlinear pedagogy group included higher incidences of Motor Content and Discovery Practice together with lower incidences of Knowledge, Management, Skill Practice, compared to the control group. Additionally, Linear pedagogy group involved higher incidences of Knowledge and Skill Practice and lower Motor Content, Game Play and Discovery Practice, compared to Nonlinear pedagogy group.
Table 7

Difference in teaching practices between the interventions and control group.

Linear vs ControlNonlinear vs ControlLinear vs Nonlinear
Teaching practiceIncidenceStd. Errorp-valueIncidenceStd. Errorp-valueIncidenceStd. Errorp-valueMcFadden
Lesson Content
Knowledge1.140.230.513 0.66 0.14 0.049 1.74 0.36 0.007 0.039
Management 0.59 0.08 <0.001 0.54 0.08 <0.001 1.080.160.6090.065
Motor Content 1.36 0.15 0.005 1.70 0.18 <0.001 0.80 0.08 0.020 0.114
Fitness1.351.370.7690.130.170.10410.0612.040.0540.037
Skill Practice 2.62 1.18 0.033 0.03 0.02 <0.001 76.29 49.79 <0.001 0.725
Game Play 0.15 0.10 0.006 1.180.780.806 0.13 0.09 0.002 0.042
Activity context
Individual Activity 5.81 3.02 0.001 5.43 2.83 0.001 1.070.510.8860.532
Partner Activity0.710.290.3990.750.310.4960.940.350.8770.020
Small Sided Activity0.680.310.4000.530.250.1841.290.530.5380.028
Whole Class Activity0.450.260.1620.460.260.1750.980.560.9690.012
Waiting Activity1.190.930.820 0.04 0.04 0.002 32.08 32.66 0.001 0.066
Children Off Task 3.74 1.91 0.010 3.48 1.78 0.015 1.080.460.8660.054
Teaching Practices
Supervises1.160.250.4830.790.180.2921.480.320.0680.029
Instructs Single Child 0.66 0.13 0.038 1.170.220.404 0.57 0.11 0.003 0.040
Instructs Group0.860.310.668 3.22 1.11 0.001 0.27 0.09 <0.001 0.080
Instructs Class1.060.160.694 0.68 0.11 0.015 1.56 0.24 0.003 0.032
PA Engaged 2.62 1.13 0.025 0.034
Off Task0.920.300.791 0.18 0.10 0.003 4.95 2.74 0.004 0.150
Activity Management
Signalling1.860.650.0771.470.530.2871.260.400.4570.015
Retrieving equipment O0.830.530.7670.170.160.0524.814.310.0800.076
Interruption Public0.700.230.2850.850.280.6140.820.280.563-0.010
Interruption Private 0.31 0.12 0.003 1.240.390.484 0.25 0.10 <0.001 0.076

Significant results (p-value<0.05) were highlighted using bold font; O: One access point

Significant results (p-value<0.05) were highlighted using bold font; O: One access point For Activity Context variables, Linear pedagogy included higher incidences of Individual Activity and Children Off Task as well as lower incidence of Elimination Activity, compared to the control group. Furthermore, Nonlinear pedagogy group involved higher incidences of Individual Activity and Children Off Task together with lower incidences of Waiting Activity and Elimination Activity, compared to the control group. Lastly, Linear pedagogy group involved an increased incidence of Waiting Activity compared to the Nonlinear pedagogy group. For Teaching Behaviours variables, Linear pedagogy included higher incidence of PA Engaged and lower incidence of Instructs Single Child, compared to the control group. Furthermore, Nonlinear pedagogy group involved higher incidence of Instructs Group, as well as lower incidences of Instructs Class, PA Engaged and Off Task, compared to the control group. Additionally, Linear pedagogy group involved increased Instructs Class, PA Engaged and Off Task together with lower Instructs Single Child and Instructs Group compared to Nonlinear pedagogy group. As regards Activity Management Variables, Linear pedagogy included lower incidence of Interruption Private compared to control group and Nonlinear pedagogy group while no other significant differences were found.

Discussion

This study aimed to evaluate and compare children’s MVPA, and teaching practices associated with MVPA, during primary school PE within different PE pedagogical approaches (Linear and Nonlinear) and current practice in PE. The results suggest that primary PE interventions focusing on movement competence guided by Linear pedagogy and Nonlinear pedagogy were not associated with different levels of children’s MVPA during PE when compared to current practice in PE. Other factors were associated with children’s MVPA time and MVPA% in PE including the sex of the participants (boys), lesson duration (longer), lesson location (outdoors), lesson content (ball skills, gymnastic, dance), while the teacher providing the lesson also explained a high proportion of MVPA variance. Furthermore, only a small proportion of children engaged in MVPA for at least 50% of PE time both in the intervention (Linear pedagogy: 9.0%, Nonlinear pedagogy: 14.4%) and control groups (5.3%). As for teaching practices during PE, higher incidences of PA promoting teaching practices (e.g., Motor Content, Skill Practice, Discovery Practice, Individual PA, PA Engaged) and lower incidences of PA decreasing teaching practices (e.g., Knowledge, Management, Instructs Class, Off Task) were found in PE lessons guided by Linear and Nonlinear pedagogical approaches. Lastly, both Linear and Nonlinear interventions were delivered with high fidelity to the respective Linear and Nonlinear pedagogical principles. The results obtained in this study extend knowledge about MVPA promotion in early primary PE under different pedagogies.

Increasing physical activity in physical education

As shown in Fig 1, the majority of children’s MVPA levels within both intervention and control groups did not reach the recommended MVPA engagement of 50% of the PE lesson duration [4, 12, 13]. This is in line with the vast majority of studies assessing MVPA in PE using accelerometers and observation tools, even when those PE lessons were led by PE specialists whose aim was to promote high MVPA during PE [21, 23–25]. This suggests that high quality PE targeting other learning outcomes such as movement competence does not necessarily lead to specific thresholds of MVPA engagement. Therefore, future studies should seek to identify additional ways to promote PA whilst providing rich movement competence learning experiences for children. This study was the first to evaluate the association between Linear pedagogy and Nonlinear pedagogy with children’s MVPA and to compare PA engagement in these pedagogies with current practice in PE in primary schools. The results from this study suggest that Linear pedagogy or Nonlinear pedagogy was not a significant predictor of MVPA engagement in PE. The lack of an association between participation in the motor learning pedagogy interventions and children’s MVPA in PE could be due to the intervention being designed to improve movement competence in children rather than MVPA [52]. Indeed, the vast majority of previous studies where higher levels of MVPA during PE were observed in the intervention group compared to the control condition included specific strategies to improve MVPA during PE (e.g., teacher training to deliver specific MVPA promoting PE content) and reported MVPA engagement during PE as being the primary outcome of the intervention [17, 25, 56–60, 82–84]. However, results from many of these previous studies should be interpreted with caution as, unlike the present study, they did not account for factors associated with MVPA in PE such as children’s sex, age and BMI, lesson content, lesson location and lesson duration [31, 59, 60, 82–84] and/or studies did not account for children being nested within schools, classes or teacher within their statistical analyses [59, 60]. Furthermore, of the studies assessing PA in PE, our study was the first reporting the pedagogical basis guiding the delivery of movement learning activities. As an example, the “Move it Groove it” and “PLUNGE” interventions reported both PA and movement skills development as aims of their PE interventions [55, 85]. However, despite describing strategies to improve MVPA in PE, neither of these two studies clarified the pedagogical basis guiding the delivery of movement learning activities [55, 85]. Therefore, we suggest that future research should further investigate how different pedagogies and PA promotion strategies might affect children’s PA during PE. Furthermore, we recommend that clear descriptions of pedagogies and PA promotion strategies should be reported in future PE interventions studies as this could help both practitioners and researchers understanding how to achieve and/or prioritise specific PE outcomes (e.g. children’s motor competence development or high MVPA engagement). Although presenting different research design and aims compared to our study, lessons can be learned from some of the aforementioned primary school PE interventions that targeted the improvement of MVPA and PA promoting teaching practices and measured changes in these outcomes from baseline to post-intervention [17, 58, 59]. Based on the findings from the Partnerships for Active Children in Elementary Schools (PACES) intervention study [17] we suggest that future Linear and Nonlinear pedagogy interventions aiming to improve children’s MVPA during PE could seek to increase Small Sided Activity as well as teacher Promotes PA time and reduce Children off task (i.e., time when one or more students are not engaged in the task proposed by the teacher). Furthermore, considering evidence from a follow-up to the PACES study by Weaver et al. (2018) [58] we advise that decreasing Knowledge time and increasing Motor Content time in future Linear and Nonlinear pedagogy interventions as well as decreasing Waiting Activity in future Linear pedagogy interventions could also be effective and feasible strategies to foster children’s MVPA in PE. Finally, the “SHARP” intervention [59] reported a significant increase in MVPA together with increased time in teaching practices such as Skill Practice and “in class PA promotion” within the intervention group compared to the control group. The increase in Skill Practice observed in the SHARP intervention could be associated with the SHARP principle concerning “high repetition of motor skills” that is also a key principle within the Linear pedagogical intervention delivered in this study suggesting that practicing movement skills can significantly contribute to MVPA in PE [59, 86]. Furthermore, the high percentages of verbal PA promotion within the SHARP (42.3%) intervention compared to that observed in this study (0–0.2%) confirms that future Linear and Nonlinear interventions could focus on improving verbal PA promotion during PE delivery as a strategy to improve children’s MVPA in PE [59].

Factors associated with children’s physical activity in physical education

The teacher delivering PE explained a high proportion of variance in the fully adjusted models examining children’s MVPA minutes (ICC = 0.42) and MVPA% (ICC = 0.37) [87] (Tables 4 and 5), suggesting that teachers are an important predictor of activity levels. More specifically, the high proportion of variance explained by the teachers in our models suggests that children doing PE with the same teacher reached similar levels of MVPA engagement during PA [87, 88]. In other words, some teachers were more effective in promoting MVPA in PE than others irrespective of them being in the intervention or in the control group. This could be due to the teacher’s expertise and their knowledge and experience about strategies to engage children in high levels of PA [21, 23–25]. In line with this, PE lessons within the control group were delivered by a class teacher, two coaches (sports coaches hired from external sport coaching organisations), and a PE specialist teacher. This potentially explains why the mean MVPA and MVPA% observed in the control group (9.1 min, 29.1%) was similar or higher than previous studies in which PE was provided by generalist class teacher and reported levels of MVPA during PE ranged from 3.5 min to 10.8 min and MVPA mean percentage ranged 9.5% to 29.7% [14, 15, 89]. Interestingly, the mean MVPA percentages observed in the Linear (35.1%), and Nonlinear (38.4%) intervention groups were similar to the proportion of children’s MVPA during PE observed in a study involving specialised PE teachers, with 36.7% of the lessons spent in MVPA [16]. This might be due to the intervention deliverers in the present study having experience in PE delivery in primary school children and to the intervention delivery not including generalist classroom teachers or it might be due to the content of the Linear and Nonlinear pedagogy interventions [21, 23–25]. Consistent with previous literature, it was found that MVPA during PE was associated with several factors with girls engaging in lower levels of MVPA and MVPA% compared with boys [14], longer PE lessons associated with higher minutes spent in MVPA but lower MVPA% [16], lesson content being associated with MVPA and MVPA% with ball games activities led to the highest MVPA and MVPA% engagement [14], and lastly, outdoor lessons being associated with higher levels of MVPA compared to indoor lessons when factoring teachers into the models [90]. In view of these results, researchers and practitioners should account for these factors when designing interventions to foster MVPA in PE. In particular, key aspects to consider should be: 1) finding strategies to engage girls in MVPA, for example, proposing activities that are meaningful and enjoyable for them [91]; 2) including relevant high intensity game activities with the PE lesson [14, 15]; 3) using outdoor spaces when the weather conditions allow as outdoor PE is associated with higher MVPA levels in children compared to indoor PE [21], and 4) finding strategies to maximise lesson duration (e.g. making sure that the lesson starts and ends as established by the school curriculum) [16].

Teaching practices in pedagogies underpinned by movement learning theories

The SOFIT+ data provided valuable information about the characteristics of Linear and Nonlinear pedagogy approaches in terms of teaching practices, which can be used to improve PE delivery to promote MVPA engagement in the future. As expected from a teacher-centred pedagogical approach, the Linear pedagogy intervention involved higher Skill Practice and less Game Play compared to the Nonlinear pedagogy and control groups, as well as higher Individual Activity compared to the control group [35, 38, 71]. Furthermore, Linear pedagogy intervention involved a higher proportion of Instructs Single Child compared with other groups, and a higher proportion of instructing the class compared to the Nonlinear group in line with teacher-centred PE approaches [92, 93]. When compared to the control group, the Linear pedagogy intervention involved a higher proportion of time spent in Motor Content and teacher PA engagement that are associated with increased MVPA levels during PE together with less time spent in Management activities and Elimination Activity that are associated with decreased MVPA. However, within previous literature Game Play was found to be associated with the highest MVPA engagement in PE compared to other type of Lesson Contexts and within this study Game Play was observed less frequently in Linear intervention compared to the control group [14, 70, 80]. Furthermore, a higher percentage of Children Off Task was observed in Linear pedagogy group compared to control group. Therefore, future interventions guided by Linear pedagogy should consider increasing the proportion of time children spend in Game Play and find strategies to decrease Children Off Task within PE lessons to improve MVPA engagement. As expected from a learner-centred pedagogical approach, the Nonlinear pedagogy intervention included a lower proportion of time in Knowledge and Instructs Class compared to other groups and it was practically the only intervention group where Discovery Practice was observed though Skill Practice was not [47, 48, 92, 93]. The lack of Skill Practice and the high proportion of Game Play is in line with the Nonlinear pedagogy principle of learning movement skills in a representative learning design [47, 48]. The Nonlinear intervention presented a higher proportion of MVPA promoting teaching practices (i.e. Motor Content) and a lower proportion of MVPA decreasing teaching practices (i.e. Knowledge, Management, Waiting Activity, Elimination Activity, Instructs Class and teacher being Off Task) compared to the control group. However, compared to the control group, the Nonlinear pedagogy intervention involved a higher proportion of Children Off Task (associated with decreased MVPA in PE) while teachers never engaged in PA with students, which is considered an MVPA promoting teaching practice. Therefore, future Nonlinear intervention should take in consideration aspects to decrease Children Off Task and for teachers to participate in PE as an active constraint to promote MVPA engagement. However, the lower levels of Children Off Task observed in the control group compared to both Linear and Nonlinear pedagogy could be due to teachers or coaches within the control group having a long relationship with the children leading to well established behavioral management strategies. Lastly, both Linear and Nonlinear intervention presented none or almost no verbal promotion of PA engagement. This is likely due to these approaches not being focused on increasing MVPA engagement suggesting that this aspect could be improved in future interventions. Nevertheless, taking all the above findings together, the results suggest that Linear and Nonlinear pedagogical interventions both improve time allocated to movement competence practice but would need to adopt more PA promoting teaching practices to increase children’s MVPA in PE [70, 80, 81].

Strengths and limitations

This study included several strengths comprising being the first study to analyse the association between Linear and Nonlinear pedagogy approaches in PE with children’s MVPA in PE, and the first study to use accelerometery to report MVPA during PE among 5–6 years old children. A further strength was the simultaneous assessment of children’s MVPA together with the observations of MVPA teaching practices by PE teachers within the same lessons. Another strength was that multilevel models accounting for different variables associated with children’s MVPA were compared and that the models accounted for the nested structure of the data (i.e., observations being nested in children and children being nested in schools), while teaching practices data were analysed with the most appropriate models for count data. However, this study also has some limitations such as MVPA only being assessed in 50% of the children in the PE class that agreed to take part in the research project due to feasibility constraints. In relation, only 3 of the 6 control schools participating in the SAMPLE-PE project were included in this study. Furthermore, due to the relatively small amount of teaching practices data collected per group and per PE deliverer, it was not possible to account for factors such as teacher and lesson content in the teaching practice analysis and some teaching practices variables were only observed a few times, making it impossible to run a statistical analysis. Lastly, one PE lesson was excluded because of technical problems in the video recording of the lesson.

Future directions

Future research could evaluate the implementation of movement learning pedagogical approaches in older children or adolescents to see if similar results are obtained compared to this study. Furthermore, future studies could include qualitative methods to examine children’s PA experiences during PE under different pedagogical approaches and how experiences in PE within movement learning pedagogical approaches could affect children and young people’s willingness to maintain high engagement in PE [94]. Future research assessing teaching practices associated with MVPA in PE should consider assessing a higher number of PE lessons per group and PE deliverers compared to this study with a particular attention to observe an adequate sample of PE lessons for each PE deliverer to collect teaching practices data allowing the design of complex statistical analysis models. Lastly, research could evaluate whether teacher professional training to deliver different pedagogies in PE as well as improving teaching practices associated with MVPA in PE might positively enhance their capacity and willingness to promote MVPA in PE sessions to improve movement competence.

Conclusions

The majority of children’s MVPA levels within both intervention and control groups did not reach the recommended MVPA engagement of 50% within PE in line with previous literature. Furthermore, compared to current practice in PE, interventions based on Linear and Nonlinear pedagogy were not associated with increased children’s MVPA, but they included a higher incidence of MVPA promoting teaching practices (e.g., Motor content, Skill Practice, Discovery Practice). Nevertheless, the findings suggest that utilising Linear and Nonlinear pedagogies in PE could potentially improve movement competences in young children without compromising children’s PA levels compared to general practice. Given that PE deliverers were the main predictor of MVPA in PE in this study, future interventions should focus on improving the pedagogic knowledge and skills of PE deliverers about increasing children’s MVPA. This paper provides valuable information about how teaching practices within different pedagogical approaches affect PA in PE and proposes teaching practices that should be targeted to improve MVPA in PE. These findings can be used to help practitioners and researchers who are interested in designing future PE or coaching interventions based on Linear or Nonlinear pedagogies and/or maximizing MVPA engagement in PE.

Linear pedagogy curriculum: Object control skills lesson.

(DOCX) Click here for additional data file.

Nonlinear pedagogy curriculum: Invasion games lesson.

(DOCX) Click here for additional data file.

Table reporting inter-rater reliability results and the definition of each teaching practice.

(DOCX) Click here for additional data file.

Pedagogical fidelity checklist.

(DOCX) Click here for additional data file. 5 Apr 2022
PONE-D-21-38034
Physical activity promoting teaching practices and children’s physical activity within physical education lessons underpinned by motor learning theory (SAMPLE-PE)
PLOS ONE Dear Dr. Foweather, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.
 
We had difficulty securing reviewers for this manuscript, hence the delay in getting to a first decision. In the interest of preventing any further delay, I reviewed the manuscript myself. I added my own comments, together with those from one reviewer, which I hope the authors would find useful.
 
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The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf  and https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf Additional Editor Comments (if provided): The study has potentially important contributions to the evidence related to physical education in relation to physical activity and motor competence of young children. There are areas in the manuscript that can be strengthened, which the authors might wish to consider: - In the introduction, it was not clear why the researchers expected any differences in accrued PA between linear, non-linear, and usual practice conditions. While there linear and non-linear pedagogy were adequately explained, the underlying rationale for the research question was not made clear. - Is there a sense of competition in PE for promoting motor competence vs. PA accrual? This was taken up in the discussion, but I believe this needs to be taken up earlier in the introduction. - There was discussion of related studies such as SHARP, PACES - however, there was no critical discussion of how the current findings contribute/expand the relevant evidence base. I believe there is room for the authors to develop a more critical and insightful discussion to place their findings in the context of the wider evidence base. - I wonder about the conclusion where the authors say that linear and non-linear pedagogy improves movement competence without compromising PA levels. I note that the discussion highlighted that all conditions were found to not meet recommended active time during PE. Would it be more accurate for the authors to acknowledge in the conclusion that all approaches failed to meet PA recommendations during PE instruction? - A relatively minor point - the use of italics quite liberally particularly in the discussion tends to make reading more difficult. Probably, consider whether this approach is truly necessary. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes ********** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes ********** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes ********** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes ********** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Overall, this was a very interesting and methodologically sound study. I only have a few comments for the authors to consider. - On line 271, it is stated that the children’s gender was measured – I assume this was actually biological sex, not gender, that was captured? The manuscript goes on to use the term sex throughout, so I would suggest revision to be consistent. - It would be helpful to readers if the specific accelerometer cut-points were identified/names (beyond a reference number) in the text so they don’t have to go searching in the reference list - Please include a description of the missing data – whether it was missing in different proportions between groups or if it was related to any relevant variables. - Can you provide an explanation or rationale for why baseline MVPA levels were not measured? - The difference in the results between the unadjusted and adjusted model may suggest the possibility of selection bias and unbalanced groups (in unmeasured variables, i.e. MVPA baseline levels) - Were there any samples size or power calculations conducted? - The results section seems to repeat a lot of what is reported in the tables – I suggest editing to be more succinct, less verbose. - I'm not sure I understand the purpose of this comparison between the current study and the PACES study for the outcome of % MVPA since they reported similar post-intervention data. Their results indicate that despite less time off task and more small-sided activities, %MVPA wasn't largely affected (beyond what you've reported in your results), so it may not be a mediating factor in the intervention effectiveness. - The next paragraph describing the Weaver 2018 study: "significant improvements" suggests a pre-post change which you did not measure so this doesn't seem exactly directly comparable. Did Weaver et al 2018 find a significant difference between groups? - In the section “Teaching practices in pedagogies underpinned by movement learning theories” there is a lot of repetition from the results – again, I would suggest revision to be more concise. - It seems contradictory to be suggesting the use of strategies employed in both/either linear and nonlinear pedagogies considering that neither led to increases in MVPA - It is not clear if lines 682-84 are referring to results from this study or if you are describing general patterns in the literature. ********** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? 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Please note that Supporting Information files do not need this step. 20 May 2022 Response to reviewers Reviewer 1 Comment 1 Reviewer #1: Overall, this was a very interesting and methodologically sound study. I only have a few comments for the authors to consider. Answer We would like to thank Reviewer 1 for the constructive and positive feedback. Our responses to specific comments are outlined below. Comment 2 - On line 271, it is stated that the children’s gender was measured – I assume this was actually biological sex, not gender, that was captured? The manuscript goes on to use the term sex throughout, so I would suggest revision to be consistent. Answer This comment was addressed in line 296 by substituting “gender” with “sex”. Comment 3 - It would be helpful to readers if the specific accelerometer cut-points were identified/names (beyond a reference number) in the text so they don’t have to go searching in the reference list Answer We modified the following sentence in lines 311-312: “Lastly, age-appropriate cut-points by Crotti et al. (2020) were used to classify ENMO accelerations equal or higher than 189 mg into time spent in MVPA (68)” Comment 4 - Please include a description of the missing data – whether it was missing in different proportions between groups or if it was related to any relevant variables. Answer We added the following sentence in lines 396-400: “Parents did not report neighbourhood deprivation for 1 child in the control group, while ethnicity information was not provided for 2 children in the Linear pedagogy group and 2 children in the Nonlinear pedagogy group. Due to time constraints, we were not able to measure the BMI of 3 children from the Linear pedagogy group, 4 children from the Nonlinear pedagogy group and 9 from the Control group.” Comment 5 - Can you provide an explanation or rationale for why baseline MVPA levels were not measured? Answer As stated in lines 155, 179 and 279, this study was part of the process evaluation of the SAMPLE-PE randomised controlled trial, which is described in detail in the study protocol paper by Rudd et al. (2020). As a process evaluation, the focus of measurement was on the intervention delivery and implementation, rather than examining changes in outcomes (which will be reported elsewhere – manuscript in preparation). The process evaluation was designed to evaluate participants’ responsiveness in terms of MVPA levels in PE and PA promoting teaching practices among teachers within the SAMPLE-PE project. Therefore, baseline MVPA levels in PE were not measured. The results of this process evaluation paper are important to understand whether children’s MVPA and teaching practices during PE might have played a role in affecting the primary and secondary outcomes of the SAMPLE-PE cluster-RCT, including “motor competence”, “habitual physical activity” and “cognition” in children. These outcomes were measured at baseline and post intervention. Nevertheless, we agree with the reviewer that this point could be clarified. Therefore, we have added the following sentence in lines 158-161: “Specifically, this study was designed to evaluate the implementation of the interventions and explore PA promoting teaching practices during PE lessons and participants’ responsiveness in terms of children’s MVPA levels, rather than to evaluate changes in these constructs from baseline to post-intervention.” Thus, increasing MVPA levels in PE was not a primary or secondary outcome in the SAMPLE-PE project. While the current study design is unable to determine the impact and effectiveness of Linear and NonLinear Pedagogy at increasing MVPA levels in PE and increasing PA promoting teaching practices, as reported in lines 144-145, no studies to date have examined and compared MVPA and teaching practices in Linear Pedagogy and Nonlinear Pedagogy approaches. Therefore, assessing the MVPA and teaching practices in PE would be a step forward to better understanding and identifying intervention strategies that motor competence focused approaches (such as Linear and Nonlinear pedagogy) could incorporate to better promote PA and optimise children’s MVPA engagement. Comment 6 - The difference in the results between the unadjusted and adjusted model may suggest the possibility of selection bias and unbalanced groups (in unmeasured variables, i.e. MVPA baseline levels) Answer Within this study the participating schools were randomly allocated to a group to prevent selection bias; therefore, any group differences in participant characteristics would purely be by chance. Furthermore, we suggest that the results of the fully adjusted and unadjusted models were different as the unadjusted models did not include important predictors of MVPA in children during PE. The fully adjusted models presented a significantly increased fit compared to the unadjusted models that is in line with the increased R squared and ICCs reported in the fully adjusted models compared to the unadjusted models. The fully adjusted models therefore better explain the variance in the physical activity levels of the children during PE. Therefore, the reasons why the variable “group” was not a significant predictor of MVPA within the fully adjusted models would be that other factors better predict MVPA levels in children compared to the “groups” variable (i.e., either Linear pedagogy, Nonlinear pedagogy or Control group). Examples of variables that better explained MVPA variance compared to “groups” would be “Lesson content”, “Lesson location” and “Lesson duration” while also the “teachers” variables explained a large chunk of variance within the models as reported in lines 651-655. To clarify that the fully adjusted models presented a better fit compared to the unadjusted model we modified the sentence in lines 359-361 as follows: “During the modelling process, we decided to include variables that significantly increased the fit of the model and to exclude the nesting level of school class as it did not lead to an improved model fit or led to overfitted models.” The group differences observed in the unadjusted analyses can be explained by the reverse of the above explanation – the lack of consideration for those factors such as lesson content, location or duration, as well as the group characteristics (which occurred by chance), likely account for significant differences, rather than the pedagogy per se. Comment 7 - Were there any samples size or power calculations conducted? Answer The SAMPLE-PE project randomised controlled trial was powered as reported in the protocol paper by Rudd et al. (2020) to assess movement competence in 3 groups over 3 time points leading to the recruitment of 360 children in 12 schools. A smaller sample was identified as being adequate for the purpose of the present process evaluation study by utilising a sub-sample of 50% of the children who provided consent to participate in the SAMPLE-PE project within 9 schools. However, we agree with the reviewer that further information about sample size and power should be provided. Therefore, we added the following text at lines 181-182: “For feasibility and time constraint reasons and in line with sample size calculations reported below,” And in lines 187- 202: “Sample Size and Statistical Power Sample size and power calculations for the SAMPLE-PE cluster-randomised controlled trial are reported elsewhere (52). For the purposes of this study, an a priory power calculation was undertaken using G*Power software to detect differences between 3 groups including a large effect size based on the review by Fairclough et al. (53), 90% power, alpha levels set at p < 0.05 and multiple covariates recommended a minimal sample size of 83 children. It was not possible to account for clustering factors (e.g. school) in the power calculation as the mixed model analysis reported in previous literature did not report ICCs associated with clustering factors. Previous studies that have assessed MVPA during PE included a sample size similar or higher than 83 children (e.g. up to 168 children) (54–59). Therefore, in line with the power calculation and the sample sizes observed in previous research, and after accounting for potential dropout, we aimed to recruit 50% of the research participants, amounting to 157 children, which was considered adequate for the purpose of this study (52). Due to the lack of previous research reporting effect sizes about SOFIT+ outcomes and feasibility factors such as time and resource constraints and school burden, we aimed to collect data about teaching practices in 3 lessons per class participating in the project.” Comment 8 - The results section seems to repeat a lot of what is reported in the tables – I suggest editing to be more succinct, less verbose. Answer We agree with the reviewer’s comment, therefore, we decided to remove the text on lines 490-504 in the original submission that described the percentages shown in Table 3. We deleted this text for the following reasons: • The reader can easily observe information about the frequency of teaching practices (%) in Table 3. • The text we deleted reported the teaching practices that were observed more frequently compared to others in each group. However, the text we deleted was a repetition of what we reported in the results section when describing the outcomes of the teaching practices statistical data analysis shown in Table 7. We believe that the text between lines 546-570 should be kept in the manuscript as this text is key for the reader to understand and navigate Table 7, which might be perceived as data heavy by some readers, especially those who are not familiar with the statistical analysis we used (Negative Binomials). Comment 9 - I'm not sure I understand the purpose of this comparison between the current study and the PACES study for the outcome of % MVPA since they reported similar post-intervention data. Their results indicate that despite less time off task and more small-sided activities, %MVPA wasn't largely affected (beyond what you've reported in your results), so it may not be a mediating factor in the intervention effectiveness. Answer We understand the reviewer’s point that the post intervention percentage of MVPA reported in the PACES study were similar to the results reported in our study. However, it must be recognised that the PACES study intervention led to a significant increase in MVPA during PE that was higher than 10% in both males and females. Given that specific PA promoting teaching practices might have played a key role in the effectiveness of the intervention (i.e. significant increase of small sided games and verbal promotion of PA as well as decreased children off-task) and given that Linear and Nonlinear pedagogy interventions presented lower percentages of small-sided activities and verbal PA promotion as well as higher percentages of children being off task compared to the ones reported in the PACES study, we believe it is likely that improvements in these variables could lead in increased MVPA within future Linear and Nonlinear pedagogy interventions. Comment 10 - The next paragraph describing the Weaver 2018 study: "significant improvements" suggests a pre-post change which you did not measure so this doesn't seem exactly directly comparable. Did Weaver et al 2018 find a significant difference between groups? Answer We discussed the studies by Weaver et al. (i.e. PACES study and Weaver et al (2018)) as well as the SHARP study as they report MVPA during PE using accelerometers and assessed teaching practices using SOFIT+ or SOFIT, in line with the methods used in our study. We believe that the interpretation of our data compared to the results found in these studies can lead to interesting suggestions about how pedagogical interventions could be improved to promote MVPA in the future. However, we understand the reviewer’s concerns suggesting that the aforementioned studies utilised different design (pre-post) and aims (assessing improvement in PA) compared to our study. Therefore, to address this comment, we clarified the reasons for discussing the studies by Weaver and colleagues as well as the SHARP study within the “Increasing physical activity in physical education” discussion section. Furthermore, following the Reviewer’s comment we have condensed the subsequent paragraphs that gave an overview of the PACES, Weaver et al. and SHARP intervention findings and recommendations into a single paragraph in the revised manuscript, see lines 626-647: “Although presenting different research design and aims compared to our study, lessons can be learned from some of the aforementioned primary school PE interventions that targeted the improvement of MVPA and PA promoting teaching practices and measured changes in these outcomes from baseline to post-intervention (17,57,58). Based on the findings from the Partnerships for Active Children in Elementary Schools (PACES) intervention study (17) we suggest that future Linear and Nonlinear pedagogy interventions aiming to improve children’s MVPA during PE could seek to increase Small Sided Activity as well as teacher Promotes PA time and reduce Children off task (i.e., time when one or more students are not engaged in the task proposed by the teacher). Furthermore, considering evidence from a follow-up to the PACES study by Weaver et al. (2018) (57) we advise that decreasing Knowledge time and increasing Motor Content time in future Linear and Nonlinear pedagogy interventions as well as decreasing Waiting Activity in future Linear pedagogy interventions could also be effective and feasible strategies to foster children’s MVPA in PE. Finally, the “SHARP” intervention (58) reported a significant increase in MVPA together with increased time in teaching practices such as Skill Practice and “in class PA promotion” within the intervention group compared to the control group. The increase in Skill Practice observed in the SHARP intervention could be associated with the SHARP principle concerning “high repetition of motor skills” that is also a key principle within the Linear pedagogical intervention delivered in this study suggesting that practicing movement skills can significantly contribute to MVPA in PE (58,85). Furthermore, the high percentages of verbal PA promotion within the SHARP (42.3%) intervention compared to that observed in this study (0-0.2%) confirms that future Linear and Nonlinear interventions could focus on improving verbal PA promotion during PE delivery as a strategy to improve children’s MVPA in PE (58).” Comment 11 - In the section “Teaching practices in pedagogies underpinned by movement learning theories” there is a lot of repetition from the results – again, I would suggest revision to be more concise. Answer We understand the point of the reviewer about trying to avoid repetition as much as possible. However, the 2 paragraphs focusing on Linear pedagogy (lines 690-706) and Nonlinear Pedagogy (lines 707-725) within the section “Teaching practices in pedagogies underpinned by movement learning theories” have been written with a specific structure and with the purpose to compare our findings with previous theories and literature: • Each of the 2 paragraphs start with two sentences reporting that the teaching practices used in our interventions are in line with the principles of either teacher-centred (for Linear pedagogy) or learner-centred (for Linear pedagogy) principles. • The second part of each paragraph highlights that the teaching practices observed in either Linear or Nonlinear pedagogy interventions are in line with the pedagogical approaches being focused on movement competence promotion. • The last part of the paragraphs focuses on what could be improved in terms of teaching practices to promote higher engagement in MVPA in future interventions. However, in order to make this structure clearer we modified two sentences in the text as reported below. Line 690: “As expected from a teacher-centred pedagogical approach, the Linear pedagogy intervention” Line 707: “As expected from a learner-centred pedagogical approach, the Nonlinear pedagogy”. Comment 12 - It seems contradictory to be suggesting the use of strategies employed in both/either linear and nonlinear pedagogies considering that neither led to increases in MVPA Answer We agree with the reviewer that suggesting Linear and Nonlinear pedagogy would guarantee to improve MVPA during PE would be a wrong conclusion based on our results. In fact, in our conclusion, we did not make a statement about Linear and Nonlinear pedagogy guaranteeing higher MVPA in PE but we reported the following: “The majority of children’s MVPA levels within both intervention and control groups did not reach the recommended MVPA engagement of 50% within PE in line with previous literature. Furthermore, compared to current practice in PE, interventions based on Linear and Nonlinear pedagogy were not associated with increased children’s MVPA, but they included a higher incidence of MVPA promoting teaching practices (e.g., Motor content, Skill Practice, Discovery Practice). Nevertheless, the findings suggest that utilising Linear and Nonlinear pedagogies in PE could potentially improve movement competences in young children without compromising children’s PA levels compared to general practice. Given that PE deliverers were the main predictor of MVPA in PE in this study, future interventions should focus on improving the pedagogic knowledge and skills of PE deliverers about increasing children’s MVPA. This paper provides valuable information about how teaching practices within different pedagogical approaches affect PA in PE and proposes teaching practices that should be targeted to improve MVPA in PE. These findings can be used to help practitioners and researchers who are interested in designing future PE or coaching interventions based on Linear or Nonlinear pedagogies and/or maximizing MVPA engagement in PE.” Comment 13 - It is not clear if lines 682-84 are referring to results from this study or if you are describing general patterns in the literature. Answer We agree with the reviewer that the sentence is not clear. In the sentence we initially referred to previous literature and in the second part of the sentence we referred to the results of this study. Therefore, we modified the sentence in lines 700-703 as follows to clarify: “However, within previous literature Game Play was found to be associated with the highest MVPA engagement in PE compared to other type of Lesson Contexts and within this study Game Play was observed less frequently in Linear intervention compared to the control group (14,69,79).” Additional Editor Comments (if provided): Comment 1 The study has potentially important contributions to the evidence related to physical education in relation to physical activity and motor competence of young children. There are areas in the manuscript that can be strengthened, which the authors might wish to consider: Answer We would like to thank the editor for the constructive and positive feedback. Our responses to specific comments are outlined below. We also inform the editor that during the correction process we revised any inconsistency in the use of capital letters throughout the article. Comment 2 - In the introduction, it was not clear why the researchers expected any differences in accrued PA between linear, non-linear, and usual practice conditions. While there linear and non-linear pedagogy were adequately explained, the underlying rationale for the research question was not made clear. Answer We understand the editor’s concern. We believe that we indicated the reasons why pedagogies focused on movement competence development could be expected to foster high levels of PA engagement as outlined below: Firstly, we raised the concern that current general practice in PE is often led by generalist teachers who might not have the skills to foster specific learning outcomes as well as PA engagement in PE, as reported in Lines 75-77: “However, there are concerns that primary PE deliverers (which often include generalist classroom teachers) do not have the required level of pedagogic content knowledge to support learning and foster student’s PA (26).” Subsequently, we suggested that there is lack of research about how different pedagogical approaches affect PA in PE in Lines 77-80: “Nevertheless, few studies have examined the association between different pedagogical approaches in PE and student MVPA levels. Thus, to maximise PA opportunities during PE, examining the extent to which teaching practices support students’ MVPA under different pedagogical conditions is warranted.” Then we argued that for the development of movement skills it is necessary for children to engage in PA, so potentially pedagogies that maximize movement competence learning would be maximizing PA engagement as well, as stated in Lines 85-92: “However, movement skills do not develop by maturation alone, children need to be physically active within favourable conditions for movement skills to emerge and progress, such as through structured teaching and learning activities (29). The more a child moves the greater the opportunity to develop and acquire competence in movement skills (30,31), which should lead to enhanced engagement in PA (27,30,31). Therefore, from a PE perspective, pedagogical approaches aimed at fostering movement competence should also seek to maximise opportunities for students to be physically active.” Next, we talked about pedagogical approaches and how they differ in terms of their approaches to movement development as we clarified before that movement development and PA are strongly intertwined. Lines 95-97: “Linear and Nonlinear pedagogy are two pedagogical approaches underpinned by different theories of motor learning that can guide the design of PE lessons aiming to foster the development of movement competence.” Lastly, in the final part of the discussion, we again remind the reader that movement development emerges through PA engagement to remind the reader why pedagogical approaches focused on movement competence could foster high levels of PA in PE and that we would compare these approaches to current PE practice. However, we understand the reviewer’s point about clarifying the rationale behind this study therefore modified lines 145-147 as follows: “Furthermore, no study evaluated whether Linear and Nonlinear pedagogy would be associated with higher children’s MVPA and PA promoting teaching practices compared to current PE.” Comment 3 - Is there a sense of competition in PE for promoting motor competence vs. PA accrual? This was taken up in the discussion, but I believe this needs to be taken up earlier in the introduction. Answer We believe we talked about the relation between PA accrual and movement competence development in different parts of the introduction section: For example, in lines 61-63 we reported: “While it is important to acknowledge that the focus on MVPA should not come at the expense of other important and meaningful PE learning outcomes (18,19)” And later in lines 81-83 we reported that one of the important learning outcomes in PE is movement competence development: “An important feature of meaningful PE experiences and a key objective for PE curricula in young children (5-to-7-years-old) is the development of foundational movement skills needed for a lifetime of diverse PA opportunities (1,5,18).” Therefore, we believe that within the introduction section we clarified to the reader that PA accrual should not come to the expenses of motor competence learning. Conversely, we explained that “children need to be physically active within favourable conditions for movement skills to emerge and progress, such as through structured teaching and learning activities (29).” In lines 86-88. Comment 4 - There was discussion of related studies such as SHARP, PACES - however, there was no critical discussion of how the current findings contribute/expand the relevant evidence base. I believe there is room for the authors to develop a more critical and insightful discussion to place their findings in the context of the wider evidence base. Answer Firstly, it is important to highlight that this is the first study to examine MVPA levels in PE under movement competence pedagogical approaches, and the first to examine PA promoting teaching practices within Linear and Nonlinear pedagogies. Therefore, the current findings make a novel and original contribution to the literature. In addition, we believe that we offered extensive explanation in the discussion about how our findings compared to previous literature and could extend previous research findings as explained below: Within the section, “Increasing physical activity in physical education”, in lines 593-615, we explained how our MVPA findings can be compared to findings from extensive literature about MVPA in PE. Additionally, in the section titled “Factors associated with children’s physical activity in physical education” within lines 651-683 we compared and critically discussed our findings in comparison with several findings from previous literature. Within the section “Teaching practices in pedagogies underpinned by movement learning theories”, we critically discussed how our findings could inform future PE interventions, PA promotion in PE and teaching practices in PE. Lastly, within the “Strengths and limitations” section in lines 731-739 we further clarified how our study extended findings from previous literature. However, following the reviewer’s suggestion, to further improve the discussion section we decided to include the following paragraph in the section “Increasing physical activity in physical education” (see lines 615-625) suggesting how our findings would expand relevant evidence about PE interventions focusing on improving both motor competence and PA during PE in children: “Furthermore, of the studies assessing PA in PE, our study was the first reporting the pedagogical basis guiding the delivery of movement learning activities. As an example, the “Move it Groove it” and “PLUNGE” interventions reported both PA and movement skills development as aims of their PE interventions (54,84). However, despite describing strategies to improve MVPA in PE, neither of these two studies clarified the pedagogical basis guiding the delivery of movement learning activities (54,84). Therefore, we suggest that future research should further investigate how different pedagogies and PA promotion strategies might affect children’s PA during PE. Furthermore, we recommend that clear descriptions of pedagogies and PA promotion strategies should be reported in future PE interventions studies as this could help both practitioners and researchers understanding how to achieve and/or prioritise specific PE outcomes (e.g. children’s motor competence development or high MVPA engagement).” Comment 5 - I wonder about the conclusion where the authors say that linear and non-linear pedagogy improves movement competence without compromising PA levels. I note that the discussion highlighted that all conditions were found to not meet recommended active time during PE. Would it be more accurate for the authors to acknowledge in the conclusion that all approaches failed to meet PA recommendations during PE instruction? Answer We agree. Therefore, we modified lines 765-772 as follows: “The majority of children’s MVPA levels within both intervention and control groups did not reach the recommended MVPA engagement of 50% within PE in line with previous literature. Furthermore, compared to current practice in PE, interventions based on Linear and Nonlinear pedagogy were not associated with increased children’s MVPA, but they included a higher incidence of MVPA promoting teaching practices (e.g., Motor content, Skill Practice, Discovery Practice). Nevertheless, the findings suggest that utilising Linear and Nonlinear pedagogies in PE could potentially improve movement competences in young children without compromising children’s PA levels compared to current practice.” Comment 6 - A relatively minor point - the use of italics quite liberally particularly in the discussion tends to make reading more difficult. Probably, consider whether this approach is truly necessary. Answer Within the initial draft of the article, we did not use “Italics” to highlight teaching practices and as a consequence we found it difficult to distinguish when the article was talking about SOFIT+ teaching practices versus when the article was talking about other general PE related aspects. Therefore, we suggest that using the “Italics” font will help readers navigate the article more easily. Submitted filename: Response to reviewers.docx Click here for additional data file. 5 Jul 2022
PONE-D-21-38034R1
Physical activity promoting teaching practices and children’s physical activity within physical education lessons underpinned by motor learning theory (SAMPLE-PE)
PLOS ONE Dear Dr. Foweather, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.
The revision generally responded positively to the comments raised in the previous review. However, the reviewer noted that there are still a couple of minor points that can be addressed prior to publication. The authors might consider these minor issues.
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Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes ********** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes ********** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes ********** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: Yes ********** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: Thank you for addressing all of my previous concerns and comments. I believe the manuscript is much improved and nearly ready for publication. I have a two remaining issues, I'd like to see resolved prior to endorsing publication. - Regarding your response to comment 5, I think part of the confusion stems from the use of the word, ‘responsiveness’ which generally implies a change. By measuring PA levels once, you really can’t measure responsiveness since we don’t know if these PA levels are responding to the intervention or if they are similar to baseline levels - My confusion regarding your statement about your results suggesting that linear pedagogy could help achieve increased MVPA in PE was specific to your sentence on line 699 -700. Perhaps just make it clearer that although it was not demonstrated in this study, increases in time spent in motor content and teacher PA engagement may over time lead to increases in MVPA. It remains confusing why the text appears to be concluding that either pedagogy may lead to increased MVPA when your results do not support this. ********** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy. Reviewer #1: No ********** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.
7 Jul 2022 Reviewer 1 Comment 1 Thank you for addressing all of my previous concerns and comments. I believe the manuscript is much improved and nearly ready for publication. I have a two remaining issues, I'd like to see resolved prior to endorsing publication. Answer We would like to thank Reviewer 1 for the constructive and positive feedback. Our responses to specific comments are outlined below. Comment 2 - Regarding your response to comment 5, I think part of the confusion stems from the use of the word, ‘responsiveness’ which generally implies a change. By measuring PA levels once, you really can’t measure responsiveness since we don’t know if these PA levels are responding to the intervention or if they are similar to baseline levels Answer To clarify the meaning of the word “responsiveness” we modified the sentence in lines 158-162 by adding the definition of responsiveness in brackets together with a relevant citation: “Specifically, this study was designed to evaluate the implementation of the interventions and explore PA promoting teaching practices during PE lessons and participants’ responsiveness (that concerns the measurement of how far participants respond to, or are engaged by, an intervention (53)) in terms of children’s MVPA engagement, rather than to evaluate changes in these constructs from baseline to post-intervention.” As suggested in the sentence in lines 158-162, the assessment of responsiveness in our paper falls under the definition: how far participants are engaged by an intervention. The article we cited was: Carroll C, Patterson M, Wood S, Booth A, Rick J, Balain S. A conceptual framework for implementation fidelity. Implement Sci. 2007 Comment 3 - My confusion regarding your statement about your results suggesting that linear pedagogy could help achieve increased MVPA in PE was specific to your sentence on line 699 -700. Perhaps just make it clearer that although it was not demonstrated in this study, increases in time spent in motor content and teacher PA engagement may over time lead to increases in MVPA. It remains confusing why the text appears to be concluding that either pedagogy may lead to increased MVPA when your results do not support this. Answer To address any confusion in the interpretation of our findings we deleted the sentences that were in lines 699-700 and in lines 715-717 in our previous submission and we added the following sentence at the end of the “Teaching practices in pedagogies underpinned by movement learning theories” section in lines 726-729: “Nevertheless, taking all the above findings together, the results suggest that Linear and Nonlinear pedagogical interventions both improve time allocated to movement competence practice but would need to adopt more PA promoting teaching practices to increase children’s MVPA in PE (70,80,81).” We also deleted the words “Skill Practice and” in line 694 as “Skill Practice” was mentioned already in the previous sentence. Submitted filename: Response to reviewers.docx Click here for additional data file. 19 Jul 2022 Physical activity promoting teaching practices and children’s physical activity within physical education lessons underpinned by motor learning theory (SAMPLE-PE) PONE-D-21-38034R2 Dear Dr. Foweather, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Catherine M. Capio Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: 21 Jul 2022 PONE-D-21-38034R2 Physical activity promoting teaching practices and children’s physical activity within physical education lessons underpinned by motor learning theory (SAMPLE-PE) Dear Dr. Foweather: I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department. If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org. If we can help with anything else, please email us at plosone@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Catherine M. Capio Academic Editor PLOS ONE
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1.  Promoting physical activity in children and youth: a leadership role for schools: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Physical Activity Committee) in collaboration with the Councils on Cardiovascular Disease in the Young and Cardiovascular Nursing.

Authors:  Russell R Pate; Michael G Davis; Thomas N Robinson; Elaine J Stone; Thomas L McKenzie; Judith C Young
Journal:  Circulation       Date:  2006-08-14       Impact factor: 29.690

2.  Educating Students for a Lifetime of Physical Activity: Enhancing Mindfulness, Motivation, and Meaning.

Authors:  Catherine D Ennis
Journal:  Res Q Exerc Sport       Date:  2017-07-25       Impact factor: 2.500

Review 3.  Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth.

Authors:  Veronica Joan Poitras; Casey Ellen Gray; Michael M Borghese; Valerie Carson; Jean-Philippe Chaput; Ian Janssen; Peter T Katzmarzyk; Russell R Pate; Sarah Connor Gorber; Michelle E Kho; Margaret Sampson; Mark S Tremblay
Journal:  Appl Physiol Nutr Metab       Date:  2016-06       Impact factor: 2.665

4.  Can we skill and activate children through primary school physical education lessons? "Move it Groove it"--a collaborative health promotion intervention.

Authors:  E van Beurden; L M Barnett; A Zask; U C Dietrich; L O Brooks; J Beard
Journal:  Prev Med       Date:  2003-04       Impact factor: 4.018

Review 5.  Physical Activity, Fitness, Cognitive Function, and Academic Achievement in Children: A Systematic Review.

Authors:  Joseph E Donnelly; Charles H Hillman; Darla Castelli; Jennifer L Etnier; Sarah Lee; Phillip Tomporowski; Kate Lambourne; Amanda N Szabo-Reed
Journal:  Med Sci Sports Exerc       Date:  2016-06       Impact factor: 5.411

6.  Motor learning in children: feedback effects on skill acquisition.

Authors:  Katherine J Sullivan; Shailesh S Kantak; Patricia A Burtner
Journal:  Phys Ther       Date:  2008-03-13

Review 7.  Physical Activity for Cognitive and Mental Health in Youth: A Systematic Review of Mechanisms.

Authors:  David Lubans; Justin Richards; Charles Hillman; Guy Faulkner; Mark Beauchamp; Michael Nilsson; Paul Kelly; Jordan Smith; Lauren Raine; Stuart Biddle
Journal:  Pediatrics       Date:  2016-08-19       Impact factor: 7.124

8.  Skill Acquisition Methods Fostering Physical Literacy in Early-Physical Education (SAMPLE-PE): Rationale and Study Protocol for a Cluster Randomized Controlled Trial in 5-6-Year-Old Children From Deprived Areas of North West England.

Authors:  James R Rudd; Matteo Crotti; Katie Fitton-Davies; Laura O'Callaghan; Farid Bardid; Till Utesch; Simon Roberts; Lynne M Boddy; Colum J Cronin; Zoe Knowles; Jonathan Foulkes; Paula M Watson; Caterina Pesce; Chris Button; David Revalds Lubans; Tim Buszard; Barbara Walsh; Lawrence Foweather
Journal:  Front Psychol       Date:  2020-06-17

9.  Effect of Linear and Nonlinear Pedagogy Physical Education Interventions on Children's Physical Activity: A Cluster Randomized Controlled Trial (SAMPLE-PE).

Authors:  Matteo Crotti; James R Rudd; Simon Roberts; Lynne M Boddy; Katie Fitton Davies; Laura O'Callaghan; Till Utesch; Lawrence Foweather
Journal:  Children (Basel)       Date:  2021-01-15

10.  Increasing physical activity levels in primary school physical education: The SHARP Principles Model.

Authors:  Emma Powell; Lorayne A Woodfield; Alan M Nevill
Journal:  Prev Med Rep       Date:  2015-11-22
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