Background <p>The positive impact of fundamental movement skills on physical activity in young children has been shown in previous studies, but little is known about the association between fundamental movement skills and cognitive development in young children. This study protocol describes a 10-month, four-arm cluster randomized crossover trial evaluating the effectiveness of the “Advancing Movement and Physical Literacy Earlier” (AMPLE) program in promoting physical literacy and executive function among 3-5-year-old children in 18 Hong Kong kindergartens.</p> Methods <p>This program integrates fundamental movement skills training with cognitively challenging activities. Four classes per kindergarten will be randomly assigned to one of four conditions: (1) combined fundamental movement skills and cognitive challenge, (2) sedentary with cognitive challenge, (3) fundamental movement skills alone, or (4) sedentary without cognitive challenges. Each condition involves 30-minute sessions, three times per week, with a six-week washout period between the three-week intervention phases. The research team will use multiple objective measures and self-report measures, covering the elements and domains of the assessment of physical literacy and executive function. Three follow-up tests will be conducted within six months after the end of the intervention to evaluate the long-term impact of the program. Intervention implementation and fidelity will be assessed through focus group interviews with teachers and principals.</p> Discussion <p>The “AMPLE” program aims to strengthen the theoretical understanding of motor‒cognitive connections, inform early childhood education practices, and contribute to public health strategies promoting lifelong physical activity. Ultimately, the program seeks to provide evidence-based interventions for fostering holistic child development and establishing healthy lifestyle habits.</p> Trial registration <p>The protocol has been registered at Chinese Clinical Trial Registry on August 27, 2025, under identifier ChiCTR2500108295.</p>

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Advancing movement and physical literacy earlier (AMPLE) program for promoting physical literacy and executive function among young children: study protocol of a cluster randomized crossover trial

  • Zheng Ye,
  • James Robert Rudd,
  • Jia Yi Chow,
  • Cindy Hui Ping Sit,
  • Suzannie Kit Ying Leung,
  • Siu Ming Choi ,
  • Minghui Li,
  • Raymond Kim Wai Sum

摘要

Background

The positive impact of fundamental movement skills on physical activity in young children has been shown in previous studies, but little is known about the association between fundamental movement skills and cognitive development in young children. This study protocol describes a 10-month, four-arm cluster randomized crossover trial evaluating the effectiveness of the “Advancing Movement and Physical Literacy Earlier” (AMPLE) program in promoting physical literacy and executive function among 3-5-year-old children in 18 Hong Kong kindergartens.

Methods

This program integrates fundamental movement skills training with cognitively challenging activities. Four classes per kindergarten will be randomly assigned to one of four conditions: (1) combined fundamental movement skills and cognitive challenge, (2) sedentary with cognitive challenge, (3) fundamental movement skills alone, or (4) sedentary without cognitive challenges. Each condition involves 30-minute sessions, three times per week, with a six-week washout period between the three-week intervention phases. The research team will use multiple objective measures and self-report measures, covering the elements and domains of the assessment of physical literacy and executive function. Three follow-up tests will be conducted within six months after the end of the intervention to evaluate the long-term impact of the program. Intervention implementation and fidelity will be assessed through focus group interviews with teachers and principals.

Discussion

The “AMPLE” program aims to strengthen the theoretical understanding of motor‒cognitive connections, inform early childhood education practices, and contribute to public health strategies promoting lifelong physical activity. Ultimately, the program seeks to provide evidence-based interventions for fostering holistic child development and establishing healthy lifestyle habits.

Trial registration

The protocol has been registered at Chinese Clinical Trial Registry on August 27, 2025, under identifier ChiCTR2500108295.