Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Effects of game-based physical education program on enjoyment in children and adolescents: a systematic review and meta-analysis

Authors: Weilong Mo, Jamalsafri Bin Saibon, Yaming LI, Jiequan Li, Yanwu He

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Objective

The objective of this study was to conduct a systematic review to summarize and assess the advancements lately made on the enjoyable impacts of game-based physical education interventions on children and adolescents. Additionally, it attempted to identify the effects and variables influencing the enjoyable outcomes of children and adolescents’ engagement in physical education games, through meta-analysis.

Methods

This study involves a comprehensive search of different databases like Web of Science, PubMed, Embase, EBSCOhost, Cochrane, and Scopus. Specific criteria are established for the selection process to make sure the relevant literature included. The quality assessment of the included researches is conducted based on the guidelines outlined in the Cochrane 5.1 handbook. Review Manager 5.3 software is employed to synthesis the effect sizes. Additionally, bias is assessed using funnel plots, and to identify potential sources of heterogeneity, subgroup analyses are performed.

Results

A total of 1907 academic papers, out of which 2 articles were identified via other data sources. The present study examined the impact of a pedagogical intervention involving physical education games on the enjoyment experienced by children and adolescents. The results indicated a significant positive effect (MD = 0.53, 95%CI:[0.27,0.79], P < 0.05) of this intervention on enjoyment. Subgroup analyses further revealed that both boys (MD = 0.31, 95%CI:[0.13,0.50], P < 0.05) and girls (MD = 0.28, 95%CI:[0.05,0.51], P < 0.05) experienced increased pleasure compared to traditional physical education. Additionally, children under 12 years of age (MD = 0.41, 95%CI:[0.17,0.64], P < 0.05) benefited from sessions lasting at least 30 minutes or more per session (MD = 0.40, 95%CI:[0.19,0.60], P < 0.05), occurring 1 to 3 times per week (MD = 0.28, 95%CI:[0.16,0.40], P < 0.05), and lasting for more than 3 weeks (MD = 0.81, 95%CI:[0.29,1.34], P < 0.05). These findings suggest that the implementation of physical education games can be an effective approach to teaching this subject.

Conclusions

1) Interventions using physical games have been shown to yield beneficial outcomes in terms of enhancing the enjoyment experienced by children and adolescents. 2) The effectiveness of treatments aimed at promoting enjoyment among children and adolescents is influenced by several aspects, including gender, age, duration and frequency of physical activity, as well as the specific cycle of activity used.
Literature
1.
Gao Z, Zhang T, Stodden D. Children’s physical activity levels and psychological correlates in interactive dance versus aerobic dance. J Sport Health Sci. 2013;2(3):146–51.CrossRef
2.
Sharif AF, Kasemy ZA, Alquraishi NA, Alshaikh KN, Alfaraj AH, Alibrahim EA, et al. Inserting an erroneous element in the answer key of grouped team readiness assurance test in team-based learning: a randomized controlled trial in clinical toxicology. Adv Med Educ Pract. 2022;13:865–82.CrossRefPubMedPubMedCentral
3.
Izadpanah S. The mediating role of academic passion in determining the relationship between academic self-regulation and goal orientation with academic burnout among English foreign language (EFL) learners. Front Psychol. 2022;13:1–12.
4.
5.
Trajkovik V, Malinovski T, Vasileva-Stojanovska T, Vasileva M. Traditional games in elementary school: relationships of student’s personality traits, motivation and experience with learning outcomes. PLoS One. 2018;13(8):e0202172.CrossRefPubMedPubMedCentral
6.
Yu J, Huang C, Han Z, He T, Li M. Investigating the influence of interaction on learning persistence in online settings: moderation or mediation of academic emotions? Int J Environ Res Public Health. 2020;17(7):2320.CrossRefPubMedPubMedCentral
7.
Yang J, Chen M. Construction of sports and health data resources and transformation of teachers’ orientation based on web database. J Healthc Eng. 2022;2022.
8.
Triaca LM, Frio GS, França MTA. A gender analysis of the impact of physical education on the mental health of brazilian schoolchildren. SSM-Popul Health. 2019;8:100419.CrossRefPubMedPubMedCentral
9.
Benka Wallén M, Franzén E, Nero H, Hagströmer M. Levels and patterns of physical activity and sedentary behavior in elderly people with mild to moderate Parkinson disease. Phys Ther. 2015;95(8):1135–41.CrossRefPubMed
10.
Fin G, Moreno-Murcia JA, León J, Baretta E, Nodari Júnior RJ. Teachers’ interpersonal style in physical education: exploring patterns of students’ self-determined motivation and enjoyment of physical activity in a longitudinal study. Front Psychol. 2019;9:2721.CrossRefPubMedPubMedCentral
11.
Lim Y, Han A, Lee M, Kim M. The effects of an online-offline hybrid exercise program on the lives of children with cerebral palsy using wheelchairs during the COVID-19 pandemic in Korea. Int J Environ Res Public Health. 2022;19(12).
12.
Simón-Piqueras JÁ, Cano-Noguera F, Zamorano-García D, Gil-Madrona P. Efecto de un programa de iniciación a la natación basado en juegos motores acuáticos sobre la autoestima corporal y socio afectiva en niñas y niños de 5 y 6 años de edad. Rev Electrón Interuniv Form Profr. 2023;26(3):75–88.
13.
Simon-Piqueras JA, Prieto-Ayuso A, Gomez-Moreno E, Martinez-Lopez M, Gil-Madrona P. Evaluation of a program of aquatic motor games in the improvement of motor competence in children from 4 to 5 years old. Children (Basel, Switzerland). 2022;9(8).
14.
Azlan AB, Ismail N, Fauzi NFM, Abd TR. Playing traditional games vs. free-play during physical education lesson to improve physical activity: a comparison study. Pedagogy Phys Cult Sports. 2021;25(3):178–87.CrossRef
15.
Liao CC, Hsu CH, Kuo KP, Luo YJ, Kao CC. Ability of the sport education model to promote healthy lifestyles in university students: a randomized controlled trial. Int J Environ Res Public Health. 2023;20(3).
16.
Vaghetti CAO, Monteiro-Junior RS, Finco MD, Reategui E, da Costa S, Botelho S. Exergames experience in physical education: a review. Phys Cult Sport Stud Res. 2018;78(1):23–32.CrossRef
17.
Baysden E, Mendoza N, Callender C, Deng Z, Thompson D. Teen reactions to a self-representational avatar: a qualitative exploration. J Sport Health Sci. 2022;11(2):157–63.CrossRefPubMed
18.
Segura-Robles A, Fuentes-Cabrera A, Parra-Gonzalez ME, Lopez-Belmonte J. Effects on personal factors through flipped learning and gamification as combined methodologies in secondary education. Front Psychol. 2020;11.
19.
Gil-Arias A, Harvey S, García-Herreros F, González-Víllora S, Práxedes A, Moreno A. Effect of a hybrid teaching games for understanding/sport education unit on elementary students’ self-determined motivation in physical education. Eur Phys Educ Rev. 2020;27(2):366–83.CrossRef
20.
Kolovelonis A, Goudas M. The effects of cognitively challenging physical activity games versus health-related fitness activities on Students’ executive functions and situational interest in physical education: a group-randomized controlled trial. Eur J Investig Health Psychol Educ. 2023;13(5):796–809.PubMedPubMedCentral
21.
Lopez-Lemus I, Del Villar F, Rodriguez-Gutierrez A, Gonzalez-Silva J, Moreno A. Could the hybridization of the SE/TGfU pedagogical models be an alternative for learning sports and promoting health? School context study. Children-Basel. 2023;10(5).
22.
Fernandez-Rio J, Zumajo-Flores M, Flores-Aguilar G. Motivation, basic psychological needs and intention to be physically active after a gamified intervention Programme. Eur Phys Educ Rev. 2022;28(2):432–45.CrossRef
23.
Batez M, Petrusic T, Bogataj S, Trajkovic N. Effects of teaching program based on teaching games for understanding model on volleyball skills and enjoyment in secondary school students. Sustainability. 2021;13(2).
24.
Jones RJA, Marshall S, Peters DM. Can we play a game now? The intrinsic benefits of TGfU. Eur J Phys Health Educ. 2010;4(2):57–63.
25.
Navarro-Paton R, Basanta-Camino S, Gomez CA. Cooperative games: incidence in motivation, basic psychological needs and enjoyment in primary school. Sportis-Sci Tech J School Sport Phys Educ Psychomotricity. 2017;3(3):589–604.
26.
Zetou E, Koronas V, Athanailidis I, Koussis P. Learning tennis skill through game play and stay in elementary pupils. J Hum Sport Exerc. 2012;7(2):560–72.CrossRef
27.
Quintas A, Bustamante JC. Effects of gamified didactic with exergames on the psychological variables associated with promoting physical exercise: results of a natural experiment run in primary schools. Phys Educ Sport Pedagog. 2023;28(5):467–81.CrossRef
28.
Engels ES, Freund PA. Effects of cooperative games on enjoyment in physical education-how to increase positive experiences in students? PLoS One. 2020;15(12):1–14.CrossRef
29.
Garcia-Castejon G, Camerino O, Castaner M, Manzano-Sanchez D, Jimenez-Parra JF, Valero-Valenzuela A. Implementation of a hybrid educational program between the model of personal and social responsibility (TPSR) and the teaching games for understanding (TGfU) in physical education and its effects on health: an approach based on mixed methods. Children (Basel, Switzerland). 2021;8(7):1–22.
30.
Paton RN, Ferreiro MC, Nemina RE. Effect of a didactic unit based on competitive games in the motivation, basic psychological needs and enjoyment in primary education students. Sportis-Sci Tech J School Sport Phys Educ Psychomotricity. 2018;4(1):111–25.
31.
Higgins JPT, Thomas J, Chandler J, Cumpston M, li TJ, Page MJ, Welch VA. Cochrane Handbook for Systematic Reviews of Interventions. 2nd ed. Cochrane Collaboration; 2019. p. 13–655.
32.
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.CrossRefPubMedPubMedCentral
33.
Fu Y, Burns RD, Constantino N, Zhang P. Differences in step counts, motor competence, and enjoyment between an exergaming group and a non-exergaming group. Games Health J. 2018;7(5):335–40.CrossRefPubMed
34.
35.
Bates LC, Zieff G, Stanford K, Moore JB, Kerr ZY, Hanson ED, et al. COVID-19 impact on behaviors across the 24-hour day in children and adolescents: physical activity, sedentary behavior, and sleep. Children (Basel, Switzerland). 2020;7(9):138.PubMed
36.
Gray S, Lorenzino L, Garcia BE. Not academic enough? Enjoyment of physical education and the arts and school engagement in early and middle adolescence. Retos. 2018;35:301–9.
37.
Diggins AD, Hearn LE, Lechner SC, Annane D, Antoni MH, Whitehead NE. Physical activity in black breast cancer survivors: implications for quality of life and mood at baseline and 6-month follow-up. Psycho-Oncology. 2017;26(6):822–8.CrossRefPubMed
38.
Gitimoghaddam M, Vanderloo LM, Hung R, Ryce A, McKellin W, Miller A, et al. Impacts of participation in community-based physical activity programs on cognitive functions of children and youth with neurodevelopmental disabilities: a scoping review. Brain Sci. 2021;11(2):195.CrossRefPubMedPubMedCentral
39.
Azevedo Da Silva M, Singh-Manoux A, Brunner EJ, Kaffashian S, Shipley MJ, Kivimaki M, et al. Bidirectional association between physical activity and symptoms of anxiety and depression: the Whitehall II study. Eur J Epidemiol. 2012;27(7):537–46.CrossRefPubMedPubMedCentral
40.
Staiano AE, Marker AM, Beyl RA, Hsia DS, Katzmarzyk PT, Newton RL. A randomized controlled trial of dance exergaming for exercise training in overweight and obese adolescent girls. Pediatr Obes. 2017;12(2):120–8.CrossRefPubMed
41.
Joseph RP, Ainsworth BE, Mathis L, Hooker SP, Keller C. Utility of social cognitive theory in intervention Design for Promoting Physical Activity among African-American women: a qualitative study. Am J Health Behav. 2017;41(5):518–33.CrossRefPubMedPubMedCentral
42.
Bigman G, Rajesh V, Koehly LM, Strong LL, Oluyomi AO, Strom SS, et al. Family cohesion and moderate-to-vigorous physical activity among Mexican origin adolescents: a longitudinal perspective. J Phys Act Health. 2015;12(7):1023–30.CrossRefPubMedPubMedCentral
43.
Gao Z, Zhang P, Podlog LW. Examining elementary school children’s level of enjoyment of traditional tag games vs. interactive dance games. Psychol Health Med. 2014;19(5):605–13.CrossRefPubMed
44.
Buys R, Claes J, Walsh D, Cornelis N, Moran K, Budts W, et al. Cardiac patients show high interest in technology enabled cardiovascular rehabilitation. BMC Med Inform Decis Mak. 2016;16:95.CrossRefPubMedPubMedCentral
45.
Velez CM, Garcia Garcia HI. Medicion de la calidad de vida en ninos. Iatreia. 2012;25(3):240–9.CrossRef
46.
Pesce C, Masci I, Marchetti R, Vazou S, Saakslahti A, Tomporowski PD. Deliberate play and preparation jointly benefit motor and cognitive development: mediated and moderated effects. Front Psychol. 2016;7:349.CrossRefPubMedPubMedCentral
47.
Bremer E, Martin Ginis KA, Bassett-Gunter RL, Arbour-Nicitopoulos KP. Factors associated with participation in physical activity among Canadian school-aged children with autism Spectrum disorder: an application of the international classification of functioning, disability and health. Int J Environ Res Public Health. 2020;17(16):5925.CrossRefPubMedPubMedCentral
48.
Lupien SJ, McEwen BS, Gunnar MR, Heim C. Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nat Rev Neurosci. 2009;10(6):434–45.CrossRefPubMed
49.
Mangerud WL, Bjerkeset O, Lydersen S, Indredavik MS. Physical activity in adolescents with psychiatric disorders and in the general population. Child Adolesc Psychiatry Ment Health. 2014;8(1):2.CrossRefPubMedPubMedCentral
50.
Gil-Madrona P, Pascual-Francés L, Jordá-Espi A, Mujica-Johnson F, Fernández-Revelles AB. Affectivity and motor interaction in popular motor games at school. Apunts Educ Fís Deportes. 2020;139:42–8.CrossRef
51.
Liu H, Liang J, Wang K, Zhang T, Liu S, Luo J. Mood status response to physical activity and its influence on performance: are Chronotype and exercise timing affect? Int J Environ Res Public Health. 2023;20(4):2822.CrossRefPubMedPubMedCentral
52.
Motaghinejad O, Motaghinejad M, Motevalian M, Rahimi-Sharbaf F, Beiranvand T. The effect of maternal forced exercise on offspring pain perception, motor activity and anxiety disorder: the role of 5-HT2 and D2 receptors and CREB gene expression. J Exerc Rehabil. 2017;13(5):514–25.CrossRefPubMedPubMedCentral
53.
Lott SA, Burghardt PR, Burghardt KJ, Bly MJ, Grove TB, Ellingrod VL. The influence of metabolic syndrome, physical activity and genotype on catechol-O-methyl transferase promoter-region methylation in schizophrenia. Pharmacogenomics J. 2013;13(3):264–71.CrossRefPubMed
54.
Kashikar-Zuck S, Myer G, Ting TV. Can behavioral treatments be enhanced by integrative neuromuscular training in the treatment of juvenile fibromyalgia? Pain Manag. 2012;2(1):9–12.CrossRefPubMed
55.
Tobin S, Bisson N, Grondin S. An ecological approach to prospective and retrospective timing of long durations: a study involving gamers. PLoS One. 2010;5(2):e9271.ADSCrossRefPubMedPubMedCentral
56.
Taylor RW, Farmer VL, Cameron SL, Meredith-Jones K, Williams SM, Mann JI. School playgrounds and physical activity policies as predictors of school and home time activity. Int J Behav Nutr Phys Act. 2011;8:38.CrossRefPubMedPubMedCentral
57.
Li L, Ouyang F, He J, Qiu D, Luo D, Xiao S. Associations of socioeconomic status and healthy lifestyle with incidence of dyslipidemia: a prospective Chinese governmental employee cohort study. Front Public Health. 2022;10:878126.CrossRefPubMedPubMedCentral
58.
Gil-Arias A, Diloy-Pena S, Sevil-Serrano J, Garcia-Gonzalez L, Abos A. A hybrid TGfU/SE volleyball teaching unit for enhancing motivation in physical education: a mixed-method approach. Int J Environ Res Public Health. 2021;18(1).
59.
Zhang ZT, Du XM, Ma XJ, Zong Y, Chen JK, Yu CL, et al. Activation of the NLRP3 inflammasome in lipopolysaccharide-induced mouse fatigue and its relevance to chronic fatigue syndrome. J Neuroinflammation. 2016;13(1):71.CrossRefPubMedPubMedCentral
60.
Yang M, Tao L, Zhao CC, Wang ZL, Yu ZJ, Zhou W, et al. Antifatigue effect of Panax Notoginseng leaves fermented with microorganisms: in-vitro and in-vivo evaluation. Front Nutr. 2022;9:824525.CrossRefPubMedPubMedCentral
61.
Ingrassia PL, Mormando G, Giudici E, Strada F, Carfagna F, Lamberti F, et al. Augmented reality learning environment for basic life support and defibrillation training: usability study. J Med Internet Res. 2020;22(5):e14910.CrossRefPubMedPubMedCentral
62.
Taylor AK, Loades M, Brigden AL, Collin SM, Crawley E. It’s personal to me’: a qualitative study of depression in young people with CFS/ME. Clin Child Psychol Psychiatry. 2017;22(2):326–40.CrossRefPubMed
63.
Mascarenhas LPG, de Lima VA, Rebesco DB, Franca SN, Cordeiro GR, Mota J, et al. Acute changes in glucose induced by continuous or intermittent exercise in children and adolescents with type 1 diabetes. Arch Endocrinol Metab. 2022;66(2):176–81.PubMedPubMedCentral
64.
Liao Y, Basen-Engquist KM, Urbauer DL, Bevers TB, Hawk E, Schembre SMJCE, Biomarkers, et al. Using continuous glucose monitoring to motivate physical activity in overweight and obese adults: a pilot study. Cancer Epidemiol Biomarkers Prev. 2020;29(4):761–8.CrossRefPubMedPubMedCentral
65.
Mullan B, Olivier C, Thogersen-Ntoumani C. Mind the gap: habit and self-determined motivation predict health behaviours in middle-aged and older adults. Br J Health Psychol. 2021;26(4):1095–113.CrossRefPubMedPubMedCentral
66.
Chae H, Park J. The effects of Routinization on radical and incremental creativity: the mediating role of mental workloads. Int J Environ Res Public Health. 2023;20(4):3160.CrossRefPubMedPubMedCentral
67.
Simons M, de Vet E, Chinapaw MJ, de Boer M, Seidell JC, Brug J. Personal, social, and game-related correlates of active and non-active gaming among dutch gaming adolescents: survey-based multivariable, multilevel logistic regression analyses. JMIR Serious Games. 2014;2(1):e4.CrossRefPubMedPubMedCentral
68.
Zeng N, Gao X, Liu Y, Lee JE, Gao Z. Reliability of using motion sensors to measure Children’s physical activity levels in exergaming. J Clin Med. 2018;7(5):100.CrossRefPubMedPubMedCentral
Metadata
Title
Effects of game-based physical education program on enjoyment in children and adolescents: a systematic review and meta-analysis
Authors
Weilong Mo
Jamalsafri Bin Saibon
Yaming LI
Jiequan Li
Yanwu He
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18043-6

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue

Research

Characteristics of children readmitted with severe pneumonia in Kenyan hospitals

Research

A qualitative study on diverse experiences of medication safety among foreign-born persons living in Sweden

Research

Migration process of Venezuelan women to Brazil: living conditions and use of health services in Manaus and Boa Vista, 2018–2021

Research

Public health framing of firearm violence on local television news in Philadelphia, PA, USA: a quantitative content analysis

Research

Maternal smoking, consumption of alcohol, and caffeinated beverages during pregnancy and the risk of childhood brain tumors: a meta-analysis of observational studies

Study Protocol

Increasing the uptake of Intermittent Preventive Treatment of malaria in pregnancy using Sulfadoxine-Pyrimethamine (IPTp-SP) through seasonal malaria chemoprevention channel delivery: protocol of a multicenter cluster randomized implementation trial in Mali and Burkina Faso