A wearable-supported physical education intervention produced a significant increase in in-class MVPA among underserved adolescents (F(1, 47) = 14.60, p < 0.01, ηp2 = 0.24), though no significant improvements in psychosocial beliefs were observed in either group.
Key Findings
Results
The wearable-supported PE intervention produced a significant between-group difference in change in in-class MVPA, favoring the intervention group.
ANCOVA revealed a significant interaction for MVPA of in-class PE: F(1, 47) = 14.60, p < 0.01, ηp2 = 0.24
The effect size (ηp2 = 0.24) indicates a large effect
MVPA was measured via actigraphy
The intervention lasted two weeks in PE classes among students aged 11–14
Results
No significant improvements in psychosocial beliefs were observed in either the intervention or control group.
Psychosocial beliefs were assessed via questionnaires at pre- and post-assessment
Between-group differences were analyzed using ANCOVA or non-parametric equivalent tests
Neither the wearable-supported PE group nor the usual PE group showed significant changes in psychosocial beliefs
The two-week intervention duration may have been insufficient to produce psychosocial changes
Results
The study met pre-specified feasibility benchmarks for recruitment, retention, data completeness, and technology adherence.
Four PE classes were enrolled with N = 55 students; analyses included 52 students with complete pre- and post-assessment data
Feasibility benchmarks were set a priori and included recruitment, retention, data completeness, adherence, dose, and technology metrics
Recruitment, retention, data collection, and technology adherence benchmarks were all met
The study was conducted at a low-income public school with adolescents ages 11–14
Methods
The study design assigned four PE classes to either a two-week wearable-supported PE intervention or usual PE as the control condition.
This was a feasibility and preliminary efficacy study, not a full randomized controlled trial
The intervention integrated fitness wearables with physical education classes
Self-monitoring and real-time feedback via fitness wearables were key components of the intervention
The study population consisted of underserved adolescents from a low-income public school
Between-group differences in MVPA and psychosocial beliefs were the primary outcomes
Conclusions
The authors conclude that digital health tools, including fitness wearables, may increase in-class engagement in MVPA among underserved adolescents when aligned with evidence-based pedagogical strategies and behavior change techniques.
Schools and health professionals are identified as potential implementers of wearable-supported PE programs
The authors note that 'further studies are warranted to strengthen the evidence in this population'
Self-monitoring and real-time feedback are highlighted as potentially active mechanisms
The intervention specifically targeted a low-income youth population, which the authors note is disproportionately insufficiently active
What This Means
This research suggests that giving middle school students at a low-income school fitness trackers to use during physical education class can meaningfully increase the amount of time they spend in moderate-to-vigorous physical activity (MVPA) during class. In a two-week study comparing classes that used wearable devices with classes that had regular PE, students with the wearables showed significantly greater gains in active time, with a large effect size. The study also confirmed that this type of program is practically feasible to run in a real school setting, meeting pre-set goals for recruiting students, keeping them in the study, and getting them to actually use the technology.
However, the wearables did not appear to change students' psychological attitudes or beliefs about physical activity — such as their confidence or motivation — in just two weeks. This suggests that while the devices may prompt more movement in the short term through real-time feedback and self-monitoring, deeper shifts in how young people think and feel about being active may require longer or more intensive programs.
This research matters because youth from low-income backgrounds are less likely to meet recommended physical activity guidelines, and schools are an important setting for reaching them. The findings suggest that relatively simple, technology-based additions to existing PE classes could help address this gap. Still, the authors note that this was a small, short-term pilot study, and larger studies are needed before strong conclusions can be drawn.
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Ryu S, Kringle E, Gao Z. (2026). Wearable-Supported Physical Education for Physical Activity and Psychosocial Beliefs in Underserved Adolescents.. The Journal of school health. https://doi.org/10.1111/josh.70219