Evidence map›Paper›PMID 42386292›Full record

ArticleBMJ open2026

Physical Literacy through Active plaY and environmental affordances in outdoor kindergarten settings: a multidimensional approach to Unveiling Potential (PLAY UP) - study protocol for a cluster-randomised trial.

Gabriela Almeida, Bruno Gonçalves, Carlos Luz, Luís Galhardas, Helen Bilton, José Marmeleira

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07355179 (PLAY UP), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07355179 naenrolling by invitationnot on this map

PLAY UP: An Intervention Program to Foster Physical Literacy Through Active Play and Environmental Affordances

TypeinterventionalSponsorUniversity of ÉvoraRan2026 to 2027Enrolled200ConditionsChildren With Typical NeurodevelopmentArmsPLAY UP
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gabriela AlmeidaDepartment of Sport and Health, University of Évora, School of Health and Human Development, Evora, Portugal gsna@uevora.pt.ORCID http://orcid.org/0000-0002-6716-2114
Bruno GonçalvesDepartment of Sport and Health, University of Évora, School of Health and Human Development, Evora, Portugal.
Carlos LuzEscola Superior de Educação de Lisboa, Ci&DEI, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Luís GalhardasDepartment of Sport and Health, University of Évora, School of Health and Human Development, Evora, Portugal.
Helen BiltonInstitute of Education, University of Reading, Reading, UK.
José MarmeleiraDepartment of Sport and Health, University of Évora, School of Health and Human Development, Evora, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOutdoor active play is essential for children's health, well-being and holistic development. However, there is a lack of high-quality evidence on effective sustainable and scalable interventions that leverage outdoor play and environmental affordances to promote physical literacy, including motor competence, physical activity, engagement and motivation for movement in early childhood. In particular, limited research has examined how outdoor kindergarten environments can be intentionally used and optimised to support diverse forms of active play through social and other potential affordances, nor how educators can be supported to facilitate such processes. The PLAY UP project aims to address this gap by investigating how a co-created, affordance-based intervention, developed in collaboration with children and supported by educator training, can enhance preschool children's engagement in active play and multidimensional development in outdoor kindergarten settings. METHODS AND ANALYSIS: This study describes the protocol of a cluster-randomised trial to be conducted in Portugal, involving three kindergartens and up to 215 preschool children, their educators and parents. The protocol includes an initial pilot phase (approximately 75 children from one kindergarten) to assess feasibility, acceptability and implementation procedures, followed by a main study phase with intervention and wait-list control clusters. The intervention comprises 15 sessions delivered in outdoor kindergarten settings. PLAY UP adopts a multidimensional and multimethod approach combining quantitative and qualitative methods. Outcomes related to physical literacy, including physical activity, motor competence, engagement, enjoyment and motivation for movement, are assessed using questionnaires, standardised tasks, accelerometry, Global Positioning System-based positioning technologies and systematic observations, complemented by interviews. Data will be analysed using cluster-aware statistical models and integrative mixed-methods approaches. ETHICS AND DISSEMINATION: This study has been approved by the Ethics Committee of the University of Évora (Ref. #24101). Written informed consent was obtained from parents or legal guardians, and all data will be handled confidentially in accordance with ethical and data protection standards. Study findings will be disseminated through open-access peer-reviewed publications, scientific conferences and knowledge-transfer activities targeting education professionals and relevant stakeholders. TRIAL REGISTRATION NUMBER: NCT07355179.

Indexed as

ExercisePlay and PlaythingsChild, PreschoolHumansPortugalRandomized Controlled Trials as TopicResearch DesignSchoolschild educationhealthinterventionphysical fitness

Identifiers

PMID42386292
PMCPMC13358333

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.