Exploring effects on motor skills of the ball-based play in preschools intervention, a stepped wedge case-controlled

Malte Nejst Larsen1, Vibeke Grandt2, Marlene Rosager Lund Pedersen3

  • 1Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, Odense M, 5230, Denmark. mnlarsen@health.sdu.dk.

Scientific Reports
|June 28, 2026
PubMed

Insights

Preschool children showed improved motor skills, especially in ball-catching, through a "Ball-Based Play" program. This intervention enhances overall movement competence and highlights the importance of early physical activity development.

Area of Science:

  • Child Development
  • Motor Skill Acquisition
  • Early Childhood Education

Background:

  • Low movement competence in early childhood impacts lifelong physical activity.
  • Preschool years are crucial for developing foundational motor skills.
  • Existing interventions for preschool motor skills often lack effectiveness.

Purpose of the Study:

  • To evaluate the preliminary effects of the "Ball-Based Play in Preschools" intervention on motor skills in children aged 3-6 years.
  • To assess the intervention's impact on different components of motor competence, including aim-and-catch, manual dexterity, and balance.
  • To utilize a stepped-wedge-case-controlled design for staggered implementation and robust evaluation.

Main Methods:

  • A stepped-wedge-case-controlled design was employed across eight preschools with staggered intervention implementation.
  • The Movement-ABC-2 test was administered at three timepoints to assess motor skills.
  • Data were analyzed using linear mixed models and complete case analyses, with a focus on intervention effects.

Main Results:

  • Significant improvements were observed in total motor competence (7.1-10.3 percentile points) and aim-and-catch skills (17.2-21.0 points).
  • A moderate effect size was found for aim-and-catch skills (d=0.62), with notably larger gains in girls (d=1.01).
  • No significant changes were detected in manual dexterity, and balance showed only marginal improvement.

Conclusions:

  • The "Ball-Based Play in Preschools" intervention shows promise for enhancing general motor competence and specific ball-related skills.
  • Findings support further development and scaling of the intervention.
  • Future efforts should focus on refining intervention components to improve manual dexterity and balance.

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