ArticlePhysical education and sport pedagogy2025
Parental engagement and implementation fidelity in a mHealth motor skills intervention for young children.
Article in Physical education and sport pedagogy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03901300 (PLAY), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
PLAY: An Intervention to Improve Motor Skills in Young Children
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can active play replace skill-oriented physical education in enhancing fundamental movement skills among preschool children? A systematic review and meta-analysis.BMC public health · 2025Pooled it
- Impact and Implementation of an Early Years Fundamental Motor Skills Intervention for Children 4-5 Years.Children (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Introduction: Mobile apps (i.e., mHealth) provide unprecedented opportunity for widespread dissemination of health behavior programs. However, for programs directed towards young children, parental engagement may explain differing results of mHealth programs. Within the context of an app-based fundamental motor skill (FMS) intervention that improved children's motor skills (PLAY), this paper examines parents' fidelity to the intervention and the extent to which fidelity was related to children's motor skill improvements. Methods: In the PLAY trial, 72 children aged 3-5 years were randomized for their parents to access a Motor Skills app or Free Play app for a 12-week intervention. The Motor Skills app contained lessons, videos, and activity breaks totaling 1 hour/week of directed FMS instruction by the parent to the child over a 12-week period. The Free Play app was similar in appearance and format but focused on unstructured physical activity. Children's FMS were evaluated with the Test of Gross Motor Development (TGMD-3) at baseline, 12-weeks, and 24-week follow-up. Implementation fidelity data included dosage completed (activity breaks completed), parental engagement (duration of video views), and quality of intervention delivery (feasibility and acceptability). Dosage and engagement were dichotomized within the Motor Skills condition into high vs. low. Linear mixed effects models were used to examine the association of dosage completed and parental engagement with changes in children's FMS both within and between conditions. The level of significance was set at 0.05 for all analyses. Results: Children completed 70% (8.4 of 12 hours) of the prescribed activity breaks based on parental report in the Motor Skills condition and 87% (10.4 of 12 hours) in the Free Play condition (not significantly different). Parental engagement based on video viewing duration for the Motor Skills condition was on average 8.0 ± 8.6 of the 9.8 available minutes and for the Free Play condition was 5.0 ± 5.5 of the available 18 minutes, with no significant difference between conditions. Parents rated high acceptability and usability for both apps. Children in the Motor Skills condition improved their FMS more than children in the Free Play condition regardless of whether they were classified as receiving high or low dosage or high or low parental engagement. Conclusion: Parents and children consistently engaged with a 12-week Motor Skills app intervention, and the salience of FMS improvements did not differ by the level of parent fidelity or engagement with the mHealth app. The intervention potency, parental engagement, and dosage completed were sufficient to produce the desired child motor skills improvements.
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