How important is young children's actual and perceived movement skill competence to their physical activity?

How important is young children's actual and perceived movement skill competence to their physical activity?

Accepted Manuscript Title: How important is young children’s actual and perceived movement skill competence to their physical activity? Author: Sarah ...

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Accepted Manuscript Title: How important is young children’s actual and perceived movement skill competence to their physical activity? Author: Sarah Slykerman Nicola D. Ridgers Christopher Stevenson Lisa M. Barnett PII: DOI: Reference:

S1440-2440(15)00137-1 http://dx.doi.org/doi:10.1016/j.jsams.2015.07.002 JSAMS 1204

To appear in:

Journal of Science and Medicine in Sport

Received date: Revised date: Accepted date:

8-9-2014 26-5-2015 2-7-2015

Please cite this article as: Slykerman S, Ridgers ND, Stevenson C, Barnett LM, How important is young children’s actual and perceived movement skill competence to their physical activity?, Journal of Science and Medicine in Sport (2015), http://dx.doi.org/10.1016/j.jsams.2015.07.002 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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How important is young children’s actual and perceived movement skill competence to their

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physical activity?

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Sarah Slykerman1§, Nicola D. Ridgers2, Christopher Stevenson1, Lisa M Barnett1

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Australia

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VIC 3125, Australia

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School of Health and Social Development, Deakin University, Burwood Hwy, Burwood, VIC 3125,

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Centre for Physical Activity and Nutrition Research, Deakin University, Burwood Hwy, Burwood,

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Corresponding author: Sarah Slykerman [email protected]

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Email addresses:

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SS: [email protected]

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NDR: [email protected]

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CS: [email protected]

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LMB: [email protected]

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Word count: 3,279

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Abstract word count: 252

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Tables: Three

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Figures: None

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26 Abstract Objectives: To determine the associations between young children's actual and perceived object

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control and locomotor skills and physical activity and whether associations differ by sex.

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Design: Cross sectional study.

Methods: A total of 135 children had actual skill (Test of Gross Motor Development-2), perceived

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skill (Pictorial Scale of Perceived Movement Skill Competence for Young Children), and moderateto vigorous-intensity physical activity (MVPA) (accelerometers) assessed. Independent t-tests

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assessed sex differences. A regression (with MVPA as the outcome) was performed with all predictor variables (i.e. Actual Object Control, Actual Locomotor, Perceived Object Control, and Perceived

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Locomotor). Model 2 also adjusted for age, sex, accelerometer wear time and whether the child was from an English speaking background. Interaction terms between the respective actual or perceived

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skill factor and sex were added to assess sex differences.

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Results: Analyses were conducted on 109 children (59 boys, 50 girls; mean age = 6.5 years, SD =

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1.0). Boys had higher actual and perceived object control skill and were more active by an average of 19 minutes per day. There were no sex differences in locomotor skills. There were no associations between skill factors and MVPA, except for girls, where locomotor skill was a significant predictor of MVPA (B = 3.66, p = 0.016).

Conclusions: Actual rather than perceived skill competence was more important to MVPA in this sample. Locomotor skill competence may be more important than object control skill competence for girls as they may engage in types of physical activity that do not require object control mastery. Keywords: Fundamental Movement Skill; Physical self-perception; Object Control Skill Locomotor Skill

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Introduction

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There is concern children are not participating in the recommended 60 minutes per day of moderate-

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to vigorous-intensity physical activity (MVPA) 1. Research has shown it is important to understand

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the correlates that may influence children’s physical activity participation 2 as without movement skill

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competence (e.g. the ability to throw, kick and jump proficiently) and a positive perception of such,

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children may be less likely to be physically active 3, 4. Stodden and colleagues 5 describe this process

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as a positive spiral of engagement in their conceptual model. Children’s physical activity participation

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influences their motor skill development 5, and in turn their movement competence influences their

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physical activity engagement. Perceived movement competence is described as a mediator in this

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model that also influences levels of physical activity 5. In young children (< 8 years) movement

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competence is developing and perceptions of competence tend to be inflated. As children age, their

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perceptions of their abilities better reflect their actual motor competence 5. Thus, the model purports

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that relationships between the constructs will increase in strength as children age.

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Whilst the relationship between movement skill competence and physical activity is fairly well

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established 4, studies in young children (< 8 years) have shown varying associations between skill

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type (i.e. object control and locomotor) and between boys and girls 6. Hardy 7 and LeGear 8 found

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young girls (preschool and kindergarten age respectively) had better locomotor skills than boys,

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potentially due to the rhythm and balance required to perform these skills. However, this ability may

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not translate to physical activity, with a study in similar-aged children finding an inverse association

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between locomotor ability and physical activity in girls 9. In contrast, young boys have better object

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control skill than girls 7 and object control competence has been associated with physical activity in

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boys 9. Interestingly, two recent studies have recently reported that both object control and locomotor

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skills were associated with physical activity in young children 10,11, with one of these studies noting

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that sex did not influence the relationship between object control competence and physical activity 11.

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Given the mixed findings to date, it is clear that further research is needed to understand these

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relationships in young children.

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Few studies have focused on perceived competence in young children 3,12, 13. Young children tend to

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inflate their perception of their physical competence and therefore perceptions are not always accurate

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when matched with teacher’s perceptions of their fundamental movement skills 14,15. Nevertheless it is

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still important to investigate perceived competence in young children as it is a known determinant of

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physical activity in older children and adolescents 3. Existing studies tend to investigate more general

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perceptions of physical competence. One study in young obese children (aged 5-9 years) found

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perceived competence was not associated with physical activity 13. In contrast, Robinson and

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colleagues reported a moderate positive association between perceived competence and physical

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activity in younger children (mean age of 4 years) 12. Interestingly, Robinson also reported that

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children in this study exhibited low perceived physical competence scores in comparison to other

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similar populations. This is a concern as children with low self-perceptions may lose motivation and

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interest in movement related tasks, leading to lower levels of physical activity 12. This also reinforces

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the need to investigate perceived physical competence in this age group.

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Studies investigating perceived movement competence in young children have not aligned the

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assessment of actual skill with the assessment of perceived movement competence 8, 12. In other words,

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children complete assessments of actual skills that do not match the same skills they are asked to rate

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how good they are at. For instance, one commonly used instrument does not have an object control

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item for the preschool age group, and for the school age group, only one of the six items is an object

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control item 14. It is possible that children may have different perceptions of how good they are

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depending on the type of skill 16. Only one other study could be located that has explored skill type in

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terms of competence perceptions and their association with physical activity. Barnett and colleagues

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used the TGMD-2 to assess object control skills, but unlike other studies, assessed perceived

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competence in object control skills using the same pictorial instrument as the current study, which

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matches skill perceptions to the TGMD-2 skills 17. The purpose of the current study was therefore to

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determine if actual and perceived skills (in terms of object control and locomotor) are associated with

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young children’s MVPA and whether observed associations differed by sex.

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Method

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This cross-sectional study was approved by the University Human Ethics Advisory Group-Health.

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Convenience sampling was used to recruit from two primary schools in Victoria, Australia, with

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School Principals providing written consent for the schools to participate in June 2013. Children were

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eligible to participate if they were in the first three years of school (Prep-Grade 2; aged 5 to 8 years)

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and returned their parental consent form. Informed written parent/guardian consent was obtained for

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135 children (44% consent response rate; 135/308). Demographic information was parent-reported

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through a survey returned at the time of consent. Information reported included child date of birth,

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parent country of birth, whether English is the language spoken at home, and parents highest level of

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education. Data were collected in August 2013.

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The Test of Gross Motor Development-2 (TGMD-2) was used to evaluate children’s actual

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Fundamental Movement Skill (FMS) competence, in six object control skills (throw, catch, roll, kick,

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hit and bounce) and six locomotor skills (run, gallop, hop, leap, jump and slide) 18. Each skill has

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between three and five performance component indicators 18. If children successfully execute a

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component of the skill, they received a score of one, or a zero if not. Children completed two trials of

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each skill live in the field and the sum of each skill score was summed to obtain an overall object

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control skill (max out of 48) and locomotor skill score (max out of 48) 18. Inter-rater reliability was

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conducted for 21/63 paired rater combinations in this study, which equated to 252 skill tests. The

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overall ICC was 0.78 (95% confidence intervals 0.54 - 0.91) indicating good reliability between raters

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for the scores given.

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Children’s perceived FMS were assessed using a modified version of the Pictorial Scale of Perceived

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Competence and Acceptance for Young Children 14 which assessed the same 12 skills assessed in the

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TGMD-2 16. Each child was shown an illustration of six object control and six locomotor skills, where

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a boy or girl completing that skill ‘competently’ or ‘not so competently’ was presented. All children

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were asked if they were like the child illustrating the task competently or the child illustrating the task

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performed not as competently. If the child selected the competent illustration, they were then asked if

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they were ‘really good’ at the skill or ‘pretty good’ at the skill 16. If the child selected the not so

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competent illustration, they were then asked if they were ‘not too good’ at the skill or ‘sort of good’ at

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the skill. Each item was scored on a one to four scale, with one indicating low competency to four

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being highly competent. This process was repeated for all 12 skills to give a maximum total score of

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24 for each the object control and locomotor skills 16. This instrument has good internal consistency

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for object control (Test 1:α = 0.63, Test 2:α = 0.72), and locomotor skills (Test 1:α = 0.64, Test 2:α =

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0.68) 16. This instrument has also been assessed for 7 day test re-test reliability with good results (0.78

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[95% CI 0.60-0.89]) for object control and locomotor skill perceptions (0.82 [95% CI 0.63-0.92]) 16.

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MVPA was objectively assessed for eight consecutive days using GT3X+ ActiGraph (Pensacola, FL)

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accelerometers. Data from the vertical plane were utilised in this study. To be included in the analyses,

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children needed to have worn the monitor for ≥8 hours a day for a minimum of 3 days 19. A 15s epoch

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length was used. Children were shown in small groups how to wear accelerometers, and the

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circumstances in which they could remove them (e.g. if engaged in water-based activities and when

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sleeping). Children were instructed to wear the monitor on the right hip, attached using an elasticated

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nylon belt. This monitor has been validated for use in this population and has acceptable reliability 20.

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Accelerometer data were initially downloaded using ActiLife Software (version 6.0) and checked for

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compliance. The accelerometer files were then processed using a customised macro in Microsoft Excel

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2010. Non-wear time was indicated by periods of 20 minutes of consecutive zeros 21. The

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accelerometer cut-points developed by Evenson and colleagues 22 were used to define moderate and

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vigorous intensity physical activity (2296-4011 cpm for moderate, and ≥4012 cpm for vigorous

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intensity physical activity) 22. These cut-points have been validated and have recently been found to

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provide acceptable classifications of moderate and vigorous physical activity in children 23. Time spent

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in moderate and vigorous intensity physical activity were summed to obtain time spent in MVPA.

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The mean and standard deviation was calculated for all variables. Differences between boys’ and girls’

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actual object control, actual locomotor, perceived object control, perceived locomotor and MVPA

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were assessed using independent t-tests. TGMD-2 raw scores were standardised according to the

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manual18 and used in the analyses. To examine associations between actual and perceived object

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control and locomotor skills and physical activity, regressions with MVPA as the outcome were

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initially performed with all predictor variables (i.e. Actual Object Control, Actual Locomotor,

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Perceived Object Control, and Perceived Locomotor) (Model 1). Model 2 also adjusted for age

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(months), sex, accelerometer wear time and English speaking background or not. Interaction terms

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between the respective actual or perceived skill factor and sex were added to assess sex differences in

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the predictor-MVPA association. For any significant or close to significant sex interaction terms (p <

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0.1) we reran the model separately by sex. Stata version 11 was used for all analyses and p<0.05 was

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the set significance value.

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Results

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Only the 109 children with complete data were included in the analysis. These children (59 boys, 50

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girls) aged between five and eight (M = 6.5 years, SD = 1.0) completed all assessments, or in the case

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of accelerometry, met inclusion criteria. A total of 28% of children spoke English at home and 44% of

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parents were not born in Australia. Three quarters of parents had a tertiary qualification (77%), 12%

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had completed high school, 8% had completed technical/trade school certificate or apprenticeships and

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3% had not finished high school.

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Table 1 reports children’s actual and perceived object control, locomotor competence and MVPA and

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the observed sex differences for these variables. Boys had significantly higher actual and perceived

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object control skill and MVPA compared to girls. There were no significant sex differences in

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children’s actual or perceived locomotor skills.

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INSERT TABLE 1.

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Model 1 (the unadjusted model) found that none of the skill variables were significant predictors of

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MVPA. Similarly, in Model 2 (after adjusting for age, sex, English speaking background and monitor

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wear time), none of the skill variables were significant predictors of MVPA (Table 2). However the

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interaction term for locomotor skill (standardised) was significant (p = 0.029). The adjusted model was

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rerun separately by sex and showed that for girls, locomotor skill was a significant predictor of MVPA

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(B = 3.66, p = 0.016). For boys, there was no association between actual locomotor skill and MVPA

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(B = -1.74, p = 0.245). See Table 3.

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INSERT TABLE 2 and TABLE 3.

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Discussion

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The purpose of this study was to explore the relationship between children’s actual skill competence

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and MVPA, and children’s perceived skill competence and MVPA, and to determine if any observed

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associations differed by sex. This study only observed one significant association, which was for

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actual locomotor competence and MVPA in girls. This finding can be interpreted as a 1.21 increase in

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physical activity minutes with each successful locomotor skill component, indicating that a girl with

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one more correct component on each of the six skills would engage in seven more minutes of activity

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per day.

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The current study contrasts previous research in young children that have found locomotor skill to be

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associated with physical activity for both boys and girls. Williams and colleagues 25 found children in

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the highest tertile of locomotor skill performance spent significantly more time in MVPA, whilst

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Robinson and colleagues 26 found actual locomotor competence was moderately associated with

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pedometer steps. Similarly, Iiovnen et al. and Foweather et al. also found locomotor skills were

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associated with physical activity in young children 10,11. It is not clear why we found this relationship

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only for girls, not boys. Locomotor skill competence may be more important than object control skill

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competence for girls of this age as they may be engaging in types of physical activity (e.g. dance,

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gymnastics) that do not require object control mastery. This is reinforced by Hardy 7 and LeGear 8

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who found young girls had better locomotor skills than boys. Cliff and colleagues 9, using the TGMD-

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2 and using accelerometers, also found no association between locomotor skill and physical activity

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for boys (although it was approaching significance). An association was found between locomotor

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skill and MVPA for girls, but it was an inverse association 9. The study by Cliff and colleagues

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stratified by sex in a small sample (<50), which might have produced this unusual result for girls. In

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another paper Cliff suggests that children may have to sustain a higher movement skill competency

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level for some time before this translates into MVPA 28. It is apparent that the relationship between

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locomotor skill type and physical activity behaviour is not clear in this age group and further research

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is warranted.

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This study did not find an association between actual object control skill and MVPA. One study in

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very similar aged Australian children using the same instruments and the same physical activity cut-

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points also found object control skill was not associated with MVPA 17. Similarly, one study in

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younger children (3 and 4 years) found no relationship between object control and MVPA when sex

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and other potential confounders were adjusted for 25. Another study with very active 8 year old

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children (mean of 93 minutes MVPA) also found that object control skill was not associated was

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physical activity 27. In our study, object control skill initially approached significance with MVPA in

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the unadjusted model (p = 0.056). Similarly, the previous Australian study found object control skill

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approached significance with physical activity17, so it may mean that this relationship is only just

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emerging in this age group. Yet, other studies, all in pre-schoolers 9, 10, 11, 24, have reported a positive

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association between object control skill ability and MVPA, which suggests this relationship can

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emerge at a young age in certain samples. Whilst one of these studies used the TGMD-2 24, the other

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studies all used different instruments to assess motor skill 9, 10, 11, which makes comparisons difficult. It

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is apparent that the relationship between skill type and physical activity behaviour is not clear and is

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influenced by age, sex and instrumentation differences. As Stodden and colleagues 5 advocate, the role

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that movement skill plays in MVPA might not be straightforward, relationships may change by age.

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There was no association found in this study between perceived skill competence (object control or

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locomotor) and physical activity. Only one other study could be located that has explored skill type in

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terms of competence perceptions and their association with physical activity. Barnett and colleagues 17

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also used the TGMD-2, but unlike other studies, assessed perceived competence using the same

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pictorial instrument as the current study, which matches skill perceptions to the TGMD-2 skills.

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Similar to the current study, they found perceived object control competence was not associated with

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MVPA, after adjusting for sex and age. Also similar to the current study, that study found sex

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differences in perceived object control skill (with boys higher) which indicates children do have some

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ability to rate themselves as these differences were also present in the actual skill data. Nevertheless

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children generally had high perceptions of their ability and this lack of variability may have reduced

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the ability to detect an association with MVPA. No other study could be located that has specifically

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explored perceived locomotor competence as a predictor of MVPA.

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Other studies in young children which have used more general perception assessments have shown

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associations between young children’s perceived physical competence and physical activity 8, 12,

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suggesting that perceptions could potentially have an influence on actual physical activity behaviour.

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Although, another study in a similar age group did not find perceived physical competence to be

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associated with pedometer steps 26. The fact that some studies have found associations in young

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children suggests that developing general perceptions of physical competence which are broader than

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just FMS competence (but may need to include FMS competence), is important because previous

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evidence indicates that this predicts PA 3.

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There is a limit on the generalizability of this study as it is a cross-sectional design with a relatively

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small convenience sample. The strengths of the study include the matching of perceived movement

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skills to a commonly used assessment of actual movement skill ability enabling the field to be

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progressed by understanding the contribution of specific types of skill perceptions to physical activity,

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and the use of GTX3+ accelerometers to objectively assess the sporadic nature of children’s physical

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activity. However, hip-mounted accelerometers cannot capture some object control skills (such as

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striking a ball or catching) since the motion and movement required to complete those skills are in the

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arms and upper body. Consequently, accelerometers may register a lack of movement or, at the most,

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light physical activity. This has potential implications on levels of MVPA recorded.

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Conclusion

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Actual rather than perceived skill competence was more important to MVPA in this sample. This

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reinforces the conceptual model posited by Stodden et al. that actual competence precedes perceived

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competence as a predictor of PA 5. Although, this study found that only locomotor competence was

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weakly associated with MVPA, and only for girls. Adequately mastering these skills during childhood

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is important as many sporting activities require locomotor based competence. Therefore, childhood is

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a prime age at which to encourage skill development through community-based and school-based

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physical activity interventions as a strategy to promote long-term activity. The recent Morgan and

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colleagues’ systematic review on the effectiveness of skill interventions found a large effect for both

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gross motor skill and locomotor skill which provides support for such interventions 29. This study

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found no associations found between perceived skill competence (object control or locomotor) and

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MVPA. Developing general perceptions of physical competence is important because previous

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evidence indicates that this predicts MVPA, especially in older children 3 where competence

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perceptions become more in line with actual ability. Therefore, perceived physical competence should

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still be considered during the development of physical education programs within this age group in

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order to promote confidence and enjoyment of activities undertaken. Although some experimental

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research has been unable to demonstrate causal associations between FMS, perceived physical

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competence and objectively measured physical activity in children 28, further evidence is needed to

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understand causal associations between these correlates and physical activity across different age

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groups.

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Practical Implications

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 Encourage school and community based FMS interventions in order to improve FMS in boys

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and girls.

 Further research evidence is needed before recommending that perceived movement skill competence be targeted to promote MVPA in children.

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 While children's skill perceptions were not associated with physical activity, activities which

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build skill and promote positive self-perception are warranted as these relationships are

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purported to strengthen as children age.

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 Acknowledgements

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Acknowledgements provided in cover letter as not anonymous.

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children's motor skill proficiency. J Sci Med Sport. 2013; 16(4): 332-6.

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movement skill interventions in youth: A systematic review and meta-analysis. Pediatrics. 2013; 132:

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e1361.

Barnett L, Hinkley T, Okely AD, et al. Child, family and environmental correlates of

ip t

Williams HG, Pfeiffer KA, O'Neill JR, et al. Motor skill performance and physical activity in

us

cr

Robinson LE, Wadsworth DD, Peoples CM. Correlates of School-Day Physical Activity in

an

Barnett LM, Zask A, Rose L et al. Three year follow-up of an early childhood intervention:

M

Cliff D, Okely A, Morgan P et al. Movement Skills and Physical Activity in Obese Children:

te

d

Morgan PJ, Barnett LM, Cliff DP, Okely AD, Scott HA, Cohen KE, et al. Fundamental

Ac ce p

333

Trost SG, Loprinzi PD, Moore R, et al. Comparison of accelerometer cut points for predicting

17 Page 16 of 19

333

Table 1: Children’s actual and perceived object control, locomotor competence and MVPA mins/day,

334

and sex differences

Range

Boys

Girls

Sex differencesb

(n =109)

(n = 59)

(n = 50)

p-value

ip t

Variables

Total

Mean (SD) Mean (SD) Mean (SD) 9 - 45

29.5 (8.1)

32.1 (8.3)

Actual locomotor (raw score)

16 - 44

31.2 (5.6)

30.4 (5.4)

Perceived object control

13 - 24

20.0 (3.1)

20.8 (2.6)

19.0 (3.4)

p = 0.002

Perceived locomotor

10 - 24

20.6 (2.8)

20.4 (2.5)

20.8 (3.1)

p = 0.526

MVPA (mins/day)a

28 - 127

67.4 (21.2)

57.0 (17.7)

p < 0.001

336

(b) Independent t-tests examined sex differences

p = 0.134

d te Ac ce p

337

32.0 (5.8)

us

an

(a) Assessed by accelerometry

76.1 (20.0)

p < 0.001

M

335

26.4 (6.7)

cr

Actual object control (raw score)

18 Page 17 of 19

Table 2: Regression of MVPA (mins/day) including all predictors: non-adjusted and adjusted Models Predictors

Standard

Lower

Upper

error

95%

of B 1.80

Lower

Upper

95%

error

95%

95%

CI

CI

of B

CI

0.93

-0.05

3.64

0.056 1.35

1.31

0.71

-0.11

2.72

0.070

0.01

1.06

-2.12

2.10

p

B

0.85

control

Ac ce p

(Std) Perceived

locomotor

3.03

0.113

0.07

0.68

-1.41

1.27

0.914

0.991 0.49

1.01

-1.51

2.50

0.625

0.53

0.70

-1.92

0.87

0.455

te

locomotor

d

control Actual

-0.33

M

object

an

(Std) Perceived

CI

us

object

p

ip t

Standard

B

Actual

Adjusted model1

Non-adjusted model

cr

337

0.94

0.75

-2.43

0.55

0.213

338

1

339

monitor wear time statistically significant at the 5% level

340

Std = Standardised Score

Age, Sex, English speaking, monitor wear time. Sex was statistically significant at the 1% level and

341 342 343

19 Page 18 of 19

Table 3: Regression of MVPA (mins/day) for Boys and Girls including all predictors and adjusted Predictors

Boys

Actual

Standard

Lower

Upper

Standard

Lower

Upper

error

95%

95%

error

95%

95%

of B

CI

CI

of B

CI

CI

1.82

1.11

-0.41

4.05

0.108

1.35

-2.77

2.68

0.972

0.29

1.09

-1.91

2.48

0.794

1.74

1.48

-4.70

1.23

1.52

1.09

p

B

0.05

us

object control

an

(Std) Perceived

0.71

0.85

-2.43

1.01

0.409

0.245 3.66

1.46

0.72

6.61

0.016*

0.92

-1.21

2.50

0.488

control

(Std)

-3.70

0.66

0.168 0.64

Ac ce p

Perceived

te

d

locomotor

M

object

Actual

p

ip t

B

Girls

cr

343

locomotor 344

Both models adjusted for age, English speaking and monitor wear time

345

Monitor wear time was significant for boys at the 5% level

346

Std = Standardised Score

347 348

20 Page 19 of 19