Improving physical self-perception and health-related fitness through gamification in physical education: A cluster randomized controlled trial
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Background: The global decline in adolescent physical activity necessitates pedagogical innovation to counter disengagement. Traditional norm-referenced physical education (PE) often alienates less skilled students, whereas gamification offers a promising criterion-referenced strategy to enhance motivation and learning.
Objectives: This study investigated the efficacy of a 12-week gamified didactic intervention on perceived physical self-concept, health-related fitness, and physical activity enjoyment among high school students.
Methods: A two-arm, parallel-group, cluster randomized controlled trial (Cluster-RCT) was conducted with 210 Italian adolescents (mean age 15.4 ± 0.9 years) nested within 10 intact classes (average cluster size = 21). Intact classes were randomised to an experimental group (gamified ‘MoveQuest’ module, k = 5) or a control group (traditional direct instruction, k = 5). Data were collected using the Revised Physical Self-Perception Profile (PSPP-R-IT), the ALPHA-FIT test battery, and the Physical Activity Enjoyment Scale (PACES). Following a per-protocol analytical approach, Linear mixed models (LMMs) were employed to analyse the data, accounting for the nested structure of the educational setting and handling cluster-level variance intraclass correlation coefficients (ICCs). Significance levels were interpreted considering the multiplicity of outcomes.
Results: Significant group × time interactions were observed, with the gamified group demonstrating superior improvements in sports competence (d = 0.65), physical self-worth (d = 0.58), and enjoyment (d = 0.82) compared to the control group. Physiologically, the experimental group showed significantly greater gains in cardiorespiratory fitness (V̇O₂ max) and agility, while body attractiveness remained stable in both groups.
Conclusions: Gamified didactics significantly enhance psychological engagement and specific motor performance parameters by prioritising individual progress over social comparison. This approach represents a valuable pedagogical tool for fostering physical literacy in secondary PE.Alfrey, L. (2024). An expansive learning approach to transforming traditional fitness testing in health and physical education: student voice, feelings and hopes. Curriculum Studies in Health and Physical Education, 15(1), 24–39. https://doi.org/10.1080/25742981.2023.2183477
Alfrey, L., & Young, L. (2025). Student voice, expansive learning and transformative agency: an examination of the transformation of fitness testing pedagogies in Health and Physical Education. Sport, Education and Society, 1–17. https://doi.org/10.1080/13573322.2025.2592832
Arufe-Giráldez, V., Sanmiguel-Rodríguez, A., Ramos-Álvarez, O., & Navarro-Patón, R. (2022). Gamification in Physical Education: A Systematic Review. Education Sciences, 12(8), 540. https://doi.org/10.3390/educsci12080540
Ashley, B. B., & Kawabata, M. (2023). Students’ perceptions of fitness testing in physical education across primary, secondary, and pre-university school levels: a motivational profiles perspective. Physical Education and Sport Pedagogy, 28(1), 76–93. https://doi.org/10.1080/17408989.2021.1953458
Barrientos Hernán, E. J., López-Pastor, V. M., Lorente-Catalán, E., & Kirk, D. (2023). Challenges with using formative and authentic assessment in physical education teaching from experienced teachers’ perspectives. Curriculum Studies in Health and Physical Education, 14(2), 109–126. https://doi.org/10.1080/25742981.2022.2060118
Blain, D. O., Standage, M., & Curran, T. (2022). Physical education in a post-COVID world: A blended-gamified approach. European Physical Education Review, 28(3), 757–776. https://doi.org/10.1177/1356336X221080372
Bourke, M., Wang, H. F. W., Wicks, H., Barnett, L. M., Cairney, J., & Fortnum, K. (2025). Children’s and adolescents’ actual motor competence, perceived physical competence and physical activity: A structural equation modelling meta-analysis. Sports Medicine, 55, 1923–1936. https://doi.org/10.1007/s40279-025-02233-2
Brian, A., Getchell, N., True, L., De Meester, A., & Stodden, D. F. (2020). Reconceptualizing and Operationalizing Seefeldt’s Proficiency Barrier: Applications and Future Directions. Sports medicine (Auckland, N.Z.), 50(11), 1889–1900. https://doi.org/10.1007/s40279-020-01332-6
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
Burton, A. M., Cowburn, I., Thompson, F., Eisenmann, J. C., Nicholson, B., & Till, K. (2023). Associations between motor competence and physical activity, physical fitness and psychosocial characteristics in adolescents: A systematic review and meta-analysis. Sports Medicine, 53, 2191–2256. https://doi.org/10.1007/s40279-023-01886-1
Camacho-Sánchez, R., Manzano-León, A., Rodríguez-Ferrer, J. M., Serna, J., & Lavega-Burgués, P. (2023). Game-Based Learning and Gamification in Physical Education: A Systematic Review. Education Sciences, 13(2), 183. https://doi.org/10.3390/educsci13020183
Campbell, M. K., Piaggio, G., Elbourne, D. R., Altman, D. G., & CONSORT Group (2012). Consort 2010 statement: extension to cluster randomised trials. BMJ (Clinical research ed.), 345, e5661. https://doi.org/10.1136/bmj.e5661
Carl, J., Barratt, J., Wanner, P., Töpfer, C., Cairney, J., & Pfeifer, K. (2022). The Effectiveness of Physical Literacy Interventions: A Systematic Review with Meta-Analysis. Sports medicine (Auckland, N.Z.), 52(12), 2965–2999. https://doi.org/10.1007/s40279-022-01738-4
Carraro, A., Young, M. C., & Robazza, C. (2008). A contribution to the validation of the Physical Activity Enjoyment Scale in an Italian sample. Social Behavior and Personality: An International Journal, 36(7), 911–918. https://doi.org/10.2224/sbp.2008.36.7.911
Cereda, F. (2023a). A modern pedagogical approach in the subject of physical education. Physical Education and Sport: Studies and Research, 2(2), 126–141. https://doi.org/10.56003/pessr.v2i2.265
Cereda, F. (2023b). Methods and models in the context of physical activity and physical education: Strength, weakness and gaps. Journal of Physical Education and Sport, 23(5), 1064–1075. https://doi.org/10.7752/jpes.2023.05133
Cereda, F. (2025). The body under control: Unpacking students’ affective experiences and the power dynamics of wearable technologies in physical education. Curriculum Studies in Health and Physical Education. https://doi.org/10.1080/25742981.2025.2566164
Cereda, F. (2026). Physical literacy development through interdisciplinary approaches in educational contexts: A critical review of theory, research, and practice. Ricerche di Pedagogia e Didattica. Journal of Theories and Research in Education. Advance online publication. https://doi.org/10.6092/issn.1970-2221/21536
Edwards, L. C., Bryant, A. S., Keegan, R. J., Morgan, K., & Jones, A. M. (2017). Definitions, Foundations and Associations of Physical Literacy: A Systematic Review. Sports medicine (Auckland, N.Z.), 47(1), 113–126. https://doi.org/10.1007/s40279-016-0560-7
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
Fernández-Bustos, J. G., Cuesta-Valera, P., Zamorano-García, D., & Simón-Piqueras, J. Á. (2024). Health-based physical education in an elementary school: effects on physical self-concept, motivation, fitness and physical activity. Physical Education and Sport Pedagogy, 1–15. https://doi.org/10.1080/17408989.2024.2342826
Fox, K. R., & Corbin, C. B. (1989). The physical self-perception profile: Development and preliminary validation. Journal of Sport and Exercise Psychology, 11(4), 408–430. https://doi.org/10.1123/jsep.11.4.408
Grauduszus, M., Koch, L., Wessely, S., & Joisten, C. (2024). School-based promotion of physical literacy: A scoping review. Frontiers in Public Health, 12, 1322075. https://doi.org/10.3389/fpubh.2024.1322075
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 16 million participants. The Lancet. Child & adolescent health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
Hamari, J., Koivisto, J., & Sarsa, H. (2014). Does gamification work? A literature review of empirical studies on gamification. In Proceedings of the 47th Hawaii International Conference on System Sciences (pp. 3025–3034). IEEE. https://doi.org/10.1109/HICSS.2014.377
Harte, N. P. A., Alfrey, L., Spray, C., & Cale, L. (2024). The if, why and how of fitness testing in secondary school physical education in the United Kingdom. European Physical Education Review, 30(3), 475-492. https://doi.org/10.1177/1356336X231219937
Harter, S. (1999). The construction of the self: A developmental perspective. Guilford Press.
Iannaccone, A., Cudicio, A., Falese, L., Federico, B., Crotti, M., Lovecchio, N., Digennaro, S., & Agosti, V. (2025). Validation of the Italian Translation and Cultural Adaptation of the Canadian Assessment of Physical Literacy-2 (CAPL-2) Questionnaire for Children. Children, 12(10), 1290. https://doi.org/10.3390/children12101290
Kirk, D. (2013). Educational value and models-based practice in physical education. Educational Philosophy and Theory, 45(9), 973-986. https://doi.org/10.1080/00131857.2013.785352
Léger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of sports sciences, 6(2), 93–101. https://doi.org/10.1080/02640418808729800
Li, W., & Xiang, P. (2023). A pilot study of development and validation of treatment fidelity checklist for intervention research in K-12 school physical education. International Journal of Physical Activity and Health, 2(3), Article 3. https://doi.org/10.18122/ijpah.020303.boisestate
Li, W., Chen, Y. J., Xiang, P., Xie, X., & Li, Y. (2017). Unit of analysis: Impact of Silverman and Solmon’s article on field-based intervention research in physical education in the USA. Journal of Teaching in Physical Education, 36(2), 131–141. https://doi.org/10.1123/jtpe.2016-0169
Marín-Rubio, K., Lorente-Catalán, E., & Rubio-Campillo, X. (2024). ‘Get a butt like a rock’: cultivating adolescents’ critical consciousness of physical self-concept through a physical education intervention. Physical Education and Sport Pedagogy, 1–21. https://doi.org/10.1080/17408989.2024.2425346
Mirwald, R. L., Baxter-Jones, A. D., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine and science in sports and exercise, 34(4), 689–694. https://doi.org/10.1097/00005768-200204000-00020
Mo, W., Saibon, J. B., Li, Y., Li, J., & He, Y. (2024). Effects of game-based physical education program on enjoyment in children and adolescents: a systematic review and meta-analysis. BMC public health, 24(1), 517. https://doi.org/10.1186/s12889-024-18043-6
Nicolosi, S., Ortega Ruiz, R., Sgrò, F., Lipoma, M., & Benítez Sillero, J. D. (2024). Psychometric validation of the Revised Physical Self-Perception Profile: An Italian context study. Behavioral Sciences, 14(12), 1229. https://doi.org/10.3390/bs14121229
Ortega, F. B., Ruiz, J. R., Castillo, M. J., & Sjöström, M. (2008). Physical fitness in childhood and adolescence: a powerful marker of health. International journal of obesity (2005), 32(1), 1–11. https://doi.org/10.1038/sj.ijo.0803774
Piotrowski, T., Makaruk, H., Tekień, E., Feleszko, W., Kołodziej, M., Albrecht, K., Grela, K., Makuch, R., Werner, B., & Gąsior, J. S. (2025). Fundamental movement/motor skills as an important component of physical literacy and bridge to physical activity: A scoping review. Children, 12(10), 1406. https://doi.org/10.3390/children12101406
Quatman-Yates, C. C., Quatman, C. E., Meszaros, A. J., Paterno, M. V., & Hewett, T. E. (2012). A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness?. British journal of sports medicine, 46(9), 649–655. https://doi.org/10.1136/bjsm.2010.079616
Robinson, L. E., Stodden, D. F., Barnett, L. M., Lopes, V. P., Logan, S. W., Rodrigues, L. P., & D’Hondt, E. (2015). Motor Competence and its Effect on Positive Developmental Trajectories of Health. Sports medicine (Auckland, N.Z.), 45(9), 1273–1284. https://doi.org/10.1007/s40279-015-0351-6
Rosenstiel, S., Volk, C., Schmid, J., Wagner, W., Demetriou, Y., Höner, O., Thiel, A., Trautwein, U., & Sudeck, G. (2022). Promotion of physical activity-related health competence in physical education: A person-oriented approach for evaluating the GEKOS intervention within a cluster randomized controlled trial. European Physical Education Review, 28(1), 279–299. https://doi.org/10.1177/1356336X211037432
Rosenstiel, S., Volk, C., Schmid, J., Wagner, W., Demetriou, Y., Höner, O., Thiel, A., Trautwein, U., & Sudeck, G. (2022). Promotion of physical activity-related health competence in physical education: A person-oriented approach for evaluating the GEKOS intervention within a cluster randomized controlled trial. European Physical Education Review, 28(1), 279–299. https://doi.org/10.1177/1356336X211037432
Ruiz, J. R., Castro-Piñero, J., España-Romero, V., Artero, E. G., Ortega, F. B., Cuenca, M. M., Jiménez-Pavón, D., Chillón, P., Girela-Rejón, M. J., Mora, J., Gutiérrez, Á., Suni, J., Sjöström, M., & Castillo, M. J. (2011). Field-based fitness assessment in young people: The ALPHA health-related fitness test battery for children and adolescents. British Journal of Sports Medicine, 45(6), 518–524. https://doi.org/10.1136/bjsm.2010.075341
Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, 61, 101860. https://doi.org/10.1016/j.cedpsych.2020.101860
Sal-de-Rellán, A., Hernández-Suárez, Á., & Hernaiz-Sánchez, A. (2025). Gamification and motivation in adolescents. Systematic review from Physical Education. Frontiers in psychology, 16, 1575104. https://doi.org/10.3389/fpsyg.2025.1575104
Salmon, J., Arundell, L., Cerin, E., Ridgers, N. D., Hesketh, K. D., Daly, R. M., ... & Crawford, D. (2023). Transform-Us! cluster RCT: 18-month and 30-month effects on children's physical activity, sedentary time and cardiometabolic risk markers. British Journal of Sports Medicine, 57(5), 311–319. https://doi.org/10.1136/bjsports-2022-105825
Salway, R., Jago, R., de Vocht, F., House, D., Porter, A., Walker, R., Kipping, R., Owen, C. G., Hudda, M. T., Northstone, K., van Sluijs, E., & International Children’s Accelerometry Database (ICAD) Collaborators (2024). School-level intra-cluster correlation coefficients and autocorrelations for children's accelerometer-measured physical activity in England by age and gender. BMC medical research methodology, 24(1), 179. https://doi.org/10.1186/s12874-024-02290-7
Saraiva Flôres, F., Paschoal Soares, D., Willig, R. M., Reyes, A. C., & Silva, A. F. (2024). Mastering movement: A Cross-sectional investigation of motor competence in children and adolescents engaged in sports. PloS one, 19(5), e0304524. https://doi.org/10.1371/journal.pone.0304524
Seefeldt, V. (1980). Developmental motor patterns: Implications for elementary school physical education. Psychology of Motor Behavior and Sport, 36, 314-323.
Silverman, S., & Solmon, M. A. (1998). The unit of analysis in field research: Issues and approaches to design and data analysis. Journal of Teaching in Physical Education, 17(3), 270–284. https://doi.org/10.1123/jtpe.17.3.270
Slingerland, M., Weeldenburg, G., & Borghouts, L. (2024). Formative assessment in physical education: Teachers' experiences when designing and implementing formative assessment activities. European Physical Education Review, 30(4), 620–637. https://doi.org/10.1177/1356336X241237398
Sotos-Martínez, V. J., Tortosa-Martínez, J., Baena-Morales, S., & Ferriz-Valero, A. (2024). It's game time: Improving basic psychological needs and promoting positive behaviours through gamification in physical education. European Physical Education Review, 30(3), 435–457. https://doi.org/10.1177/1356336X231217404
Stodden, D. F., Goodway, J. D., Langendorfer, S. J., Roberton, M. A., Rudisill, M. E., Garcia, C., & Garcia, L. E. (2008). A Developmental Perspective on the Role of Motor Skill Competence in Physical Activity: An Emergent Relationship. Quest, 60(2), 290–306. https://doi.org/10.1080/00336297.2008.10483582
Wang, B., & Chen, S. (2022). Physical education curriculum interventions: A review of research patterns and intervention efficacy. Quest, 74(2), 205–220. https://doi.org/10.1080/00336297.2022.2032774
Wang, M., Xu, J., Zhou, X., Li, X., & Zheng, Y. (2025). Effectiveness of Gamification Interventions to Improve Physical Activity and Sedentary Behavior in Children and Adolescents: Systematic Review and Meta-Analysis. JMIR serious games, 13, e68151. https://doi.org/10.2196/68151
Welk, G., Janz, K., Laurson, K., Mahar, M., Zhu, W., & Pavlovic, A. (2022). Development of Criterion-Referenced Standards for Musculoskeletal Fitness in Youth: Considerations and Approaches by the FitnessGram Scientific Advisory Board. Measurement in Physical Education and Exercise Science, 26(4), 276–288. https://doi.org/10.1080/1091367X.2021.2014331
Whitehead, M. (Ed.). (2010). Physical literacy: Throughout the lifecourse. Routledge. https://doi.org/10.4324/9780203881903
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization.
Yang, A., Hamilton, X. D., Wang, Y., Smolianov, P., Castro-Piñero, J., Guan, J., Dolmatova, T., Zhang, X., Zhang, J., Zhan, E., & Hamilton, M. F. (2024). Results assessment methods of health-related fitness test batteries in school-based physical education programs: A global comparison. Journal of Teaching in Physical Education, 44(3), 564–572. https://doi.org/10.1123/jtpe.2024-0005
Zamorano-García, D., Infantes-Paniagua, Á., Cuevas-Campos, R., & Fernández-Bustos, J. G. (2023). Impact of Physical Activity-Based Interventions on Children and Adolescents’ Physical Self-Concept: A Meta-Analysis. Research Quarterly for Exercise and Sport, 94(1), 1–14. https://doi.org/10.1080/02701367.2021.1927945
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