Long-Term Relationships between SFD Program Engagement, Physical Literacy, and Physical Activity Levels among Urban Youth Aged 6 - 12 Facing Barriers to Positive Development

This study explored sport and physical activity-related outcomes associated with participation in intentionally designed youth Sport For Development programming and tested the hypothesis that program participation would be associated with significant increases in physical activity and physical literacy over a two-year period among youth aged 6 - 12 who faced barriers to positive development. 93 youth were recruited from registered Sport For Development programs and participated in this repeated-measures quasi-experimental study. Our findings suggest that intentionally designed and strategically resourced youth SFD programming is associated with significant increases in physical activity and physical literacy (F (2, 133) = 5.133, p < 0.01) over a two-year period, with comparable increases across demographic groups and the most growth observed from baseline to 6 months. These are novel findings in the Sport for Development literature, which has primarily focused on social and affective youth outcomes. A rich and detailed description of the intervention and discussion of programmatic and non-programmatic factors and temporal and equity considerations impacting outcomes offer transferable insights for sport practitioners and researchers. Long-Term Relationships between and Youth Aged Positive


Introduction
Physical activity (PA) levels for youth remain alarmingly low in Canada. Prior to Often, youth who face barriers to positive development lack access to sport and physical activity programs designed to build physical literacy and develop fundamental movement skills (FMS) Frederick et al., 2014; Physical Activity Guidelines Advisory Committee, 2018). Barriers to access include the cost of programming and equipment, impracticality of travel to access programs, family time constraints, program staff not being reflective of the communities and demographic groups served, and issues relating to physical and psychological safety in program settings (MLSE Foundation, 2021). One factor underlying these identified barriers is the failure of decision-makers within the youth sport sector to mobilize and adopt evidence-based best practices. The existing body of evidence could help to inform the design and implementation of impactful programs intended to increase PL and FMS among youth facing barriers. However, this valuable knowledge is typically not mobilized effectively to community sport programming organizations (Lyras & Welty Peachy, 2011;Warner, Robinson, Heal, et al., 2021). When the research community takes steps to share learnings with sport practitioners, the knowledge is often not translated in a manner that supports uptake and application in real-world settings. Integrating research-based practices may demand significant human, physical, and financial resources that community sport organizations frequently lack.
While ample research has assessed the short-term impact of various sport and physical activity interventions on physical literacy in children, significant gaps in knowledge remain relating to the longer-term effects of such programming (Whitley, Farrell, et al., 2019). In addition, the bulk of research exploring the impacts of PL and FMS programs has taken place in the school setting. Resources for physical education have been substantially eroded over the past several years, particularly affecting youth experiencing socioeconomic challenges (Hobin et al., 2017;Leblanc et al., 2015). Particularly considering the difficulties wrought by the COVID-19 pandemic in 2020 and 2021 with multiple school closures and the widespread cancellation or elimination of extracurricular school activities, community sport settings have become a more prominent and feasible route to sport engagement for many youth (Green et al., 2018;. One approach to community youth sport programming is Sport For Development (SFD), defined as the intentional use of sport and PA to build healthy communities and help people reach their full potential. This approach combines sport with development components to enhance effectiveness (MLSE LaunchPad, 2020;Svensson & Loat, 2019). Recent research positions SFD as one possible solution to youth sport access and engagement issues, but many questions relating to the long-term impacts of this approach remain unanswered. Our team identified a documented need for longitudinal research to determine the long-term impacts of a SFD intervention on PL and PA outcomes and explore the role SFD can play in fostering positive lifelong movement behaviors among youth facing barriers (Jones et al., 2017;Kimiecik et al., 2020;Warner et al., 2019). A rigorous exploration of the long-term relationships between engagement in SFD programming and PA and PL outcomes could have significant programming, funding, and policy implications impacting the private and public sectors. A more robust understanding of programmatic factors contributing to long-term PA and PL outcomes in a SFD setting could lead to enhanced program quality and increased long-term impact in a range of youth sport and youth service settings. We hypothesized that participation in an intentionally designed youth SFD programming would be associated with significant increases in PA and PL over a two-year period among youth aged 6-12 who face barriers to positive development.

Measurement Tools
The PLAYself Physical Literacy Assessment for Youth was used to assess physical literacy (Canadian Sport for Life, 2014). PLAYself is a 22-item graded self-report scale used to evaluate physical literacy levels in physical education and community sport settings. A customized self-report questionnaire was used to assess frequency and type of engagement in physical activity (sport, play, active transportation, etc.). Self-report questionnaires were completed online using the MLSE Scoreboard TM digital platform for youth engagement and evaluation.
Additionally, pedometer data were collected using PiezoRx waist-worn pedometers for one week at each assessment time point. At the final time point, participant and parent/guardian interviews were conducted to gather qualitative data relating to personal experiences of SFD program involvement and self-perceptions of program impact. Sample interview questions included: has being a LaunchPad member had any impact on your sport skills? Has being a LaunchPad member changed your physical and mental health? Has being a LaunchPad member had any impact on how you are doing at school?

Procedures
The study timeline included a two-year data collection period with each participant to enable two years of sustained follow-up with an adequate number of par-

Intervention
The intervention was implemented as described in previous work by the authors (Warner et al., 2019;Warner, Robinson, Heal, et al., 2021). Program offerings consisted of "Sport Plus" programs, where sport acts as the hook and context for engagement in activities that support positive youth development outcomes.
Primary outcomes of interest are related to physical activity, physical literacy, and continued sport engagement. Several structured, registered programs were offered each week during after-school hours and on Saturdays. Offerings varied for each 9-week program cycle, but included basketball, ball hockey, soccer, football, futsal, handball, multi-sport, dance, circus, tennis, and rock climbing, as well as drop-in "Open Gym" time for semi-structured, supervised play. Registered programs were structured similarly and included dynamic FMS, skill development, sport-specific gameplay/performance content, and a cool-down including reflective and team-building activities. Multiple programs in each program cycle were offered in a girls-only format, in response to evidence suggesting the girls' physical activity levels increase in girls-only sport settings (Casey et al., 2009;Wallace et al., 2020). Girls-only programs were open to all youth who identified as girls. All programs were provided free of cost and delivered by diverse, trained coaches demographically representative of the community served. No limits were placed on the number of programs per week that youth could participate in. In some cases, program capacity limits led to some youth being placed on a waitlist or choosing to register in an alternative program.
Participants had access to wraparound supports beyond the "Sport Plus" programming described above, such as healthy after-school snacks offered during Repeated measures ANOVAs was used to examine the main effect of time on physical literacy scores, self-reported physical activity and rates of continued participation in physical activity, controlling for demographic variables such as age and gender. Moderation analyses were used to explore the effect of program dosage in terms of the number of programs attended over the course of participation in this study on the relationship between time and change in physical literacy. A similar moderation effect was explored in the relationship between time and the change in self-reported physical activity levels. A standard multiple regression controlling for age, gender, household income and housing status was used to identify predictive variables for each of the three primary outcomes, including baseline physical literacy and program participation levels. Qualitative data were coded manually and analyzed using an inductive approach (Creswell & Poth, 2018), with triangulation used to validate themes (Patton, 2015).

Results
Of the 124 participants (48.4% girls) assessed at baseline, 93 youth (50.5% girls) provided data at the 6-month follow-up, 70 (52.9% girls) at the 1-year follow-up, and 55 (54.6% girls) at the 2-year follow-up. There were no significant differences in baseline characteristics between youth with missing follow-up data and those who contributed data at all time points. Youth were 9.06 ± 1.97 years old at baseline and 11.04 ± 1.88 years at final follow-up. The participant sample was racially diverse, with 25% of youth identifying as Black and 56% identifying as racialized. Youth reported a median annual household income of between $30,000 and $50,000. Most youth (87%) were born in Canada and did not live in foster or community housing (59%). No differences were observed at baseline on physical literacy or physical activity levels based on demographic criteria including gender, race, or household income level. Participant demographics are detailed in Table 3.
Youth were engaged in MLSE LaunchPad programs consistently over the 2-year study period. On average, youth participated in six 9-week program cycles and 3.67 programs per program cycle, which is typical for youth in this age range participating at MLSE LaunchPad. In addition to their participation in co-ed program offerings, all female participants attended at least one session of girls-only multi-sport programming.
Participants' physical literacy increased significantly over time, F (2, 136) = 5.133, p < 0.01 (see Figure 1). Pairwise t-tests showed that youth demonstrated a non-statistically significant increase in physical literacy at 6-month and a statistically significant increase in physical literacy from 6-month to 1-year, p > 0.05.
There was no significant change in physical literacy from 1-year to 2-year of participation. Female participants demonstrated a greater, yet non-statistically  Youth participants were more physically active over time. At each time point, a greater number of youth consistently recorded more days of 60 minutes or more moderate to vigorous physical activity (MVPA) than Canadian youth (see Figure 2).
Youth participated in significantly more days of sport activity over time, t (133) = 5.991, p < 0.001. Pairwise t-tests showed that males engaged in more days of sport activity (0.5 days more) than females despite having no significant difference in physical literacy, p < 0.01. In addition to gender, physical literacy was also significant predictor of sport activity, t (133) = 5.179, p < 0.001. The amount of sport activity increased as physical literacy scores increased.
Youth also engaged in significantly more play-based activities, F (2, 133) = 12.320, p < 0.001, and walking-based activity, F (2, 133) = 11.339, p < 0.001 over time. Physical literacy was a significant predictor of play-(p < 0.001) and walking-based activity (p < 0.001), such that youth with higher physical literacy at all time points engaged in more play and walking-based activity.

Programmatic Factors
Several intentional program features are likely to have contributed to the positive findings relating to long-term, sustained increases in levels of sport participation, physical activity, and physical literacy among youth facing barriers who engaged in a SFD intervention. These program features include a multi-sport approach, emphasizing FMS in programming, ensuring a fun and engaging experience, providing variety and choice to participants, and building long-term youth-staff relationships (Perkins & Noam, 2007;Weiss et al., 2013;Whitley, Massey, et al., 2019). A multi-sport approach is known to encourage engagement in a diverse range of sports, leading to the well-rounded development of various FMS and sport-specific physical competence and confidence (Kimiecik et al., 2020;Pesce et al., 2013;Salin et al., 2021). Study participants were offered a diverse range of sport programming opportunities. These opportunities included sampling approaches (i.e., 9-week multi-sport programs that introduced a new sport each week; Open Gym programs with options to engage with a variety of equipment and sport activities) and 9-week sport-specific programs designed to build more advanced physical competence, knowledge of gameplay, and understanding of essential skills and tactics. Staff actively encouraged youth participants to try a range of sports, and monthly member and family newsletters detailed new program offerings. FMS were emphasized in program curriculum and delivery, and all programs shared a focus on the safe and competent performance of core FMS such as running and jumping. An additional program component that reinforced the programmatic focus on FMS was a biannual "FMS Carnival" held each Fall and Spring, where youth members engaged in FMS "challenges" in a highly engaging carnival-like setting. An overall focus on fun and engagement was key to the successful approach. Previous evidence indicates that enjoyment is a primary motivator for youth sport engagement (Visek et al., 2015). Youth were frequently asked to provide feedback on their program experience, with data-driven changes implemented rapidly to increase enjoyment.
This focus also included fostering an environment of physical and psychological safety to address or remove possible impediments to enjoyment. Variety and choice are also known factors that support ongoing youth sport participation, particularly among girls (Canadian Women & Sport, 2020). These were provided at a facility level via the wide variety of available programs and the program level via coaching staff providing within-session choices such as which skills to work on or which position to play. Finally, positive long-term youth-staff relationships are known to support sustained sport engagement and related outcomes (Kimiecik et al., 2020). The organization focused on hiring and retaining competent staff with a demonstrated interest in personal and professional growth and the capacity to build and maintain long-term relationships with young people in the community. Tactics utilized included equity-driven recruitment and retention practices such as hiring from the local community, providing extensive professional development and mentorship opportunities to coaching staff, and providing inflation-based pay increases and opportunities for internal advancement.

Non-Programmatic Factors
Non-programmatic factors are also likely to have impacted outcomes. These included nutrition programming, supports for engagement in active transporta- focus, and physical energy in a context of high levels of food insecurity (Belski et al., 2017).
A "walking school bus" program was created to support youth to safely and actively travel from local schools to the SFD facility in the afternoon. This program addressed the barriers to sport engagement presented by safety concerns in the community and lack of parental availability to support transportation. This program also may have contributed to fostering positive peer and adult relationships.
All program participants were given personal accounts in the MLSE Scoreboard TM platform, which included engaging and motivational content designed to reinforce program themes and organizational values relating to physical and mental health and achieving one's full potential. Engagement with the platform was strong among the study population and supported regular contact with sport and PA-related content outside of program time.
Finally, drop-in and pre-booked counselling services provided by licensed mental health practitioners were offered at the facility in a private wellness room adjacent to the sport courts. These services included individual and family counselling and often incorporated sport and physical activity. For example, a youth might spend part of their counselling session engaging in a boxing activity, or the session could take place on a closed sport court with the practitioner and youth playing a casual game of basketball while discussing the issues for which the youth sought support. These services, delivered in partnership with an established local youth mental health agency, provided low-barrier access to mental health services for youth and families while reducing the stigma associated with experiencing mental health challenges.

Temporal Considerations
Youth engaged in MLSE LaunchPad Sport-Plus programs demonstrated greater physical literacy over time, with the most impact occurring in the first 6-months to 1-year of participation. Consistent participation in a few programs during the first year of engagement led to similar physical literacy outcomes as consistent participation in a larger number of programs, suggesting that quality of programming opportunities is more important than the quantity of programming opportunities.

Equity Considerations
In contrast to recent trends reported by ParticipACTION (2020)

Limitations
The study design did not include a comparison group due to ethical and feasibility concerns. As a result of this choice, the present study does not demonstrate causation. In addition, the research team was unable to complete planned follow-up data collection with youth who had left the program and did not provide updated contact information. The follow-up data from these youth could have provided valuable insight into disparities in baseline status or program experience between youth who stayed engaged for the entire two-year period and those who did not. Finally, physical fitness, including cardiorespiratory function and muscle strength, is an important variable likely to relate closely to PL and PA outcomes and was not assessed as part of this protocol.

Conclusion
Intentionally designed youth SFD programming is associated with significant increases in PA and PL over a two-year period, with comparable increases across demographic groups and the most growth observed from baseline to 6 months.
Continued exploration of these topics should include the development and validation of an outcome measure specifically designed to holistically assess PL in a community sport context; no such tool was available to the authors of the present study. Further research exploring the dependencies and relationships between the four elements of physical literacy (confidence, competence, motivation, and knowledge), physical activity level, physical fitness level, and sport engagement with specific consideration of age, developmental stage, and equity-related demographics factors such as gender, race, ability level, and household income level will also support strong and equitable impact in SFD and community sport programs.