Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being
Highlights
- The Attitude Towards Sport Scale (ATSS) is a highly valid and reliable measurement tool for early adolescents, successfully preserving its original three-factor structure (Interest, Lifestyle, and Participation).
- The scale scores are strong predictors of actual daily physical activity durations, perceived physical literacy levels, and active athletic status (licensed vs. non-licensed) in middle school students.
- Physical education teachers, pediatric public health professionals, and pediatric sports psychologists can use this developmentally sensitive tool to accurately monitor youth sports engagement and identify students at risk of sports dropout.
- Early diagnosis and support of internalized sport attitudes provide an evidence-based pathway to foster lifelong physical activity habits, directly contributing to the targets of Sustainable Development Goal 3 (Good Health and Well-Being).
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
2.2. Data Collection Instruments
2.2.1. Attitude Towards Sport Scale (ATSS)
2.2.2. Physical Activity Questionnaire for Older Children (PAQ-C)
2.2.3. Perceived Physical Literacy Scale for Middle School Students
2.2.4. Personal Information Form
2.3. Qualitative Phase: Cognitive Validity and Think-Aloud Protocol
2.3.1. Participants and Recruitment of Qualitative Phase
2.3.2. The Process of the Think-Aloud Protocol
2.3.3. Results of the Think-Aloud Protocol
2.4. Data Analysis
3. Results
3.1. Measurement Model Fit and Structural Validity
3.2. Convergent Validity and Reliability
4. Discussion
4.1. Theoretical Implications and Synthesis
4.2. Practical Applications for Educators
4.3. Limitations and Future Directions
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Guthold, R.; Stevens, G.A.; Riley, L.M.; Bull, F.C. Global Trends in Insufficient Physical Activity among Adolescents: A Pooled Analysis of 298 Population-Based Surveys with 1· 6 Million Participants. Lancet Child Adolesc. Health 2020, 4, 23–35. [Google Scholar] [CrossRef]
- Biddle, S.J.H.; Atkin, A.J.; Cavill, N.; Foster, C. Correlates of Physical Activity in Youth: A Review of Quantitative Systematic Reviews. Int. Rev. Sport Exerc. Psychol. 2011, 4, 25–49. [Google Scholar] [CrossRef]
- You, Y.; Mo, L.; Tong, J.; Chen, X.; You, Y. The Role of Education Attainment on 24-Hour Movement Behavior in Emerging Adults: Evidence from a Population-Based Study. Front. Public Health 2024, 12, 1197150. [Google Scholar] [CrossRef] [PubMed]
- Bauman, A.E.; Reis, R.S.; Sallis, J.F.; Wells, J.C.; Loos, R.J.; Martin, B.W. Correlates of Physical Activity: Why Are Some People Physically Active and Others Not? Lancet 2012, 380, 258–271. [Google Scholar] [CrossRef]
- Biddle, S.; Mutrie, N. Psychology of Physical Activity: Determinants, Well-Being and Interventions, 2nd ed.; Routledge: London, UK, 2007; ISBN 978-0-203-01932-0. [Google Scholar]
- Biddle, S.; Mutrie, N.; Gorely, T.; Faulkner, G. How to Increase Physical Activity and Reduce Sedentary Behaviour: Applied Psychology in Motion; Routledge: London, UK, 2025. [Google Scholar]
- WHO. The Health and Well-Being of Men in the WHO European Region: Better Health Through a Gender Approach; World Health Organization, Regional Office for Europe: Copenhagen, Denmark, 2018. [Google Scholar]
- Fernandez, R.M. SDG3 Good Health and Well-Being: Integration and Connection with Other SDGs. In Good Health and Well-Being; Springer: Cham, Switzerland, 2020; pp. 629–636. ISBN 978-3-319-95681-7. [Google Scholar]
- Sweileh, W.M. Bibliometric Analysis of Scientific Publications on “Sustainable Development Goals” with Emphasis on “Good Health and Well-Being” Goal (2015–2019). Glob. Health 2020, 16, 68. [Google Scholar] [CrossRef] [PubMed]
- Bennett, J.E.; Stevens, G.A.; Mathers, C.D.; Bonita, R.; Rehm, J.; Kruk, M.E.; Riley, L.M.; Dain, K.; Kengne, A.P.; Chalkidou, K. NCD Countdown 2030: Worldwide Trends in Non-Communicable Disease Mortality and Progress towards Sustainable Development Goal Target 3.4. Lancet 2018, 392, 1072–1088. [Google Scholar] [CrossRef] [PubMed]
- Martinez, R.; Lloyd-Sherlock, P.; Soliz, P.; Ebrahim, S.; Vega, E.; Ordunez, P.; McKee, M. Trends in Premature Avertable Mortality from Non-Communicable Diseases for 195 Countries and Territories, 1990–2017: A Population-Based Study. Lancet Glob. Health 2020, 8, e511–e523. [Google Scholar] [CrossRef]
- Cao, B.; Bray, F.; Ilbawi, A.; Soerjomataram, I. Effect on Longevity of One-Third Reduction in Premature Mortality from Non-Communicable Diseases by 2030: A Global Analysis of the Sustainable Development Goal Health Target. Lancet Glob. Health 2018, 6, e1288–e1296. [Google Scholar] [CrossRef]
- Ajzen, I. The Theory of Planned Behavior. Organ. Behav. Hum. Decis. Process. 1991, 50, 179–211. [Google Scholar] [CrossRef]
- Eagly, A.H.; Chaiken, S. The Psychology of Attitudes; Harcourt Brace Jovanovich College Publishers: Orlando, FL, USA, 1993; p. 794. ISBN 978-0-15-500097-1. [Google Scholar]
- McEachan, R.R.C.; Conner, M.; Taylor, N.J.; Lawton, R.J. Prospective Prediction of Health-Related Behaviours with the Theory of Planned Behaviour: A Meta-Analysis. Health Psychol. Rev. 2011, 5, 97–144. [Google Scholar] [CrossRef]
- Rhodes, R.E.; De Bruijn, G. How Big Is the Physical Activity Intention–Behaviour Gap? A Meta-analysis Using the Action Control Framework. Br. J. Health Psychol. 2013, 18, 296–309. [Google Scholar] [CrossRef]
- Kasahun, A.W.; Shitu, S.; Mekonnen, B.A.; Hawlet, M.; Zewdie, A. Knowledge, Attitude and Practice towards Antenatal Physical Exercise among Pregnant Women in Ethiopia: A Systematic Review and Meta-Analysis. PLoS ONE 2023, 18, e0295275. [Google Scholar] [CrossRef] [PubMed]
- Chevance, G.; Bernard, P.; Chamberland, P.E.; Rebar, A. The Association between Implicit Attitudes toward Physical Activity and Physical Activity Behaviour: A Systematic Review and Correlational Meta-Analysis. Health Psychol. Rev. 2019, 13, 248–276. [Google Scholar] [CrossRef] [PubMed]
- Plotnikoff, R.C.; Costigan, S.A.; Karunamuni, N.; Lubans, D.R. Social Cognitive Theories Used to Explain Physical Activity Behavior in Adolescents: A Systematic Review and Meta-Analysis. Prev. Med. 2013, 56, 245–253. [Google Scholar] [CrossRef] [PubMed]
- Daskalopoulou, C.; Stubbs, B.; Kralj, C.; Koukounari, A.; Prince, M.; Prina, A.M. Physical Activity and Healthy Ageing: A Systematic Review and Meta-Analysis of Longitudinal Cohort Studies. Ageing Res. Rev. 2017, 38, 6–17. [Google Scholar] [CrossRef]
- Deci, E.L.; Ryan, R.M. Self-Determination Theory: A Macrotheory of Human Motivation, Development, and Health. Can. Psychol./Psychol. Can. 2008, 49, 182. [Google Scholar] [CrossRef]
- Ryan, R.M.; Deci, E.L. Self-Determination Theory. In Encyclopedia of Quality of Life and Well-Being Research; Maggino, F., Ed.; Springer International Publishing: Cham, Switzerland, 2023; pp. 6229–6235. ISBN 978-3-031-17298-4. [Google Scholar]
- Bandura, A. Self-Efficacy in Changing Societies; Cambridge University Press: Cambridge, UK, 1997. [Google Scholar]
- Şentürk, H.E. Spora Yönelik Tutum Ölçeği: Geliştirilmesi, Geçerliliği ve Güvenirliği. CBÜ Beden Eğitimi Spor Bilimleri Dergisi 2015, 7, 8–18. (In Turkish) [Google Scholar]
- Whitehead, M. Physical Literacy: Throughout the Lifecourse; Routledge: London, UK, 2010; ISBN 978-1-134-01068-4. [Google Scholar]
- Messick, S. Validity of Psychological Assessment: Validation of Inferences from Persons’ Responses and Performances as Scientific Inquiry into Score Meaning. Am. Psychol. 1995, 50, 741–749. [Google Scholar] [CrossRef]
- Padilla García, J.L.; Benítez Baena, I. Validity Evidence Based on Response Processes. Psikotherma 2014, 26, 136–144. [Google Scholar] [CrossRef]
- Ericsson, K.A.; Simon, H.A. Protocol Analysis: Verbal Reports as Data; The MIT Press: Cambridge, MA, USA, 1984. [Google Scholar]
- Willis, G.B. Cognitive Interviewing: A Tool for Improving Questionnaire Design; SAGE Publications: Thousand Oaks, CA, USA, 2004; ISBN 978-1-4833-8930-1. [Google Scholar]
- Woolley, M.E.; Bowen, G.L.; Bowen, N.K. Cognitive Pretesting and the Developmental Validity of Child Self-Report Instruments: Theory and Applications. Res. Soc. Work. Pract. 2004, 14, 191–200. [Google Scholar] [CrossRef]
- Kowalski, K.C.; Crocker, P.R.; Donen, R.M. The Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescents (PAQ-A) Manual; College of Kinesiology, University of Saskatchewan: Saskatoon, SK, Canada, 2004; Volume 87, pp. 1–38. [Google Scholar]
- Sert, Z.E.; Temel, A.B. İlköğretim Öğrencileri İçin Fiziksel Aktivite Soru Formunun Türk Toplumuna Uyarlanması: Geçerlilik Ve Güvenilirlik Çalışması. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektron. Derg. 2014, 7, 109–114. [Google Scholar]
- Akarsu, M.; Güllü, M.; Doğar, Y. Perceived Physical Literacy Scale for Secondary School Students: A Study on Validity and Reliability. Spor Bilim. Araştırmaları Derg. 2024, 9, 149–162. [Google Scholar] [CrossRef]
- Collins, D. Pretesting Survey Instruments: An Overview of Cognitive Methods. Qual. Life Res. 2003, 12, 229–238. [Google Scholar] [CrossRef] [PubMed]
- Ercikan, K.; Arim, R.; Law, D.; Domene, J.; Gagnon, F.; Lacroix, S. Application of Think Aloud Protocols for Examining and Confirming Sources of Differential Item Functioning Identified by Expert Reviews. Educ. Meas. Issues Pract. 2010, 29, 24–35. [Google Scholar] [CrossRef]
- Elling, S.; Lentz, L.; de Jong, M. Combining Concurrent Think-Aloud Protocols and Eye-Tracking Observations: An Analysis of Verbalizations and Silences. IEEE Trans. Prof. Commun. 2012, 55, 206–220. [Google Scholar] [CrossRef]
- Gadermann, A.M.; Guhn, M.; Zumbo, B.D. Investigating the Substantive Aspect of Construct Validity for the Satisfaction with Life Scale Adapted for Children: A Focus on Cognitive Processes. Soc. Indic. Res. 2011, 100, 37–60. [Google Scholar] [CrossRef]
- Tabachnick, B.G.; Fidell, L.S.; Ullman, J.B. Using Multivariate Statistics, 7th ed.; Pearson: New York, NY, USA, 2019; ISBN 978-0-13-479054-1. [Google Scholar]
- Kline, R.B. Principles and Practice of Structural Equation Modeling; Guilford Publications: New York, NY, USA, 2023; ISBN 978-1-4625-5191-0. [Google Scholar]
- Pallant, J. SPSS Survival Manual: A Step by Step Guide to Data Analysis Using IBM SPSS; Routledge: London, UK, 2020. [Google Scholar]
- Hair, J.F.; Risher, J.J.; Sarstedt, M.; Ringle, C.M. When to Use and How to Report the Results of PLS-SEM. Eur. Bus. Rev. 2019, 31, 2–24. [Google Scholar] [CrossRef]
- Hu, L.; Bentler, P.M. Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria versus New Alternatives. Struct. Equ. Model. Multidiscip. J. 1999, 6, 1–55. [Google Scholar] [CrossRef]
- Fornell, C.; Larcker, D.F. Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. J. Mark. Res. 1981, 18, 39–50. [Google Scholar] [CrossRef]
- Eime, R.M.; Young, J.A.; Harvey, J.T.; Charity, M.J.; Payne, W.R. A Systematic Review of the Psychological and Social Benefits of Participation in Sport for Children and Adolescents: Informing Development of a Conceptual Model of Health through Sport. Int. J. Behav. Nutr. Phys. Act. 2013, 10, 98. [Google Scholar] [CrossRef]
- Panza, M.J.; Graupensperger, S.; Agans, J.P.; Doré, I.; Vella, S.A.; Evans, M.B. Adolescent Sport Participation and Symptoms of Anxiety and Depression: A Systematic Review and Meta-Analysis. J. Sport Exerc. Psychol. 2020, 42, 201–218. [Google Scholar] [CrossRef]
- Marques, A.; Ekelund, U.; Sardinha, L.B. Associations between Organized Sports Participation and Objectively Measured Physical Activity, Sedentary Time and Weight Status in Youth. J. Sci. Med. Sport 2016, 19, 154–157. [Google Scholar] [CrossRef] [PubMed]
- Vella, S.A.; Cliff, D.P.; Magee, C.A.; Okely, A.D. Sports Participation and Parent-Reported Health-Related Quality of Life in Children: Longitudinal Associations. J. Pediatr. 2014, 164, 1469–1474. [Google Scholar] [CrossRef] [PubMed]
- Taliaferro, L.A.; Rienzo, B.A.; Miller, M.D.; Pigg, R.M., Jr.; Dodd, V.J. High School Youth and Suicide Risk: Exploring Protection Afforded Through Physical Activity and Sport Participation. J. Sch. Health 2008, 78, 545–553. [Google Scholar] [CrossRef] [PubMed]
- Kjønniksen, L.; Anderssen, N.; Wold, B. Organized Youth Sport as a Predictor of Physical Activity in Adulthood. Scand. J. Med. Sci. Sports 2009, 19, 646–654. [Google Scholar] [CrossRef]
- Perneger, T.V. What’s Wrong with Bonferroni Adjustments. BMJ 1998, 316, 1236–1238. [Google Scholar] [CrossRef]
- Rothman, K.J. No Adjustments Are Needed for Multiple Comparisons. Epidemiology 1990, 1, 43. [Google Scholar] [CrossRef]
- Marsh, H.W.; Hocevar, D. Application of Confirmatory Factor Analysis to the Study of Self-Concept: First-and Higher Order Factor Models and Their Invariance across Groups. Psychol. Bull. 1985, 97, 562. [Google Scholar] [CrossRef]
- Chen, F.F. Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance. Struct. Equ. Model. Multidiscip. J. 2007, 14, 464–504. [Google Scholar] [CrossRef]
- Hattie, J.; Timperley, H. The Power of Feedback. Rev. Educ. Res. 2007, 77, 81–112. [Google Scholar] [CrossRef]
- Wagnsson, S.; Lindwall, M.; Gustafsson, H. Participation in Organized Sport and Self-Esteem Across Adolescence: The Mediating Role of Perceived Sport Competence. J. Sport Exerc. Psychol. 2014, 36, 584–594. [Google Scholar] [CrossRef]
- Teixeira, P.J.; Carraça, E.V.; Markland, D.; Silva, M.N.; Ryan, R.M. Exercise, Physical Activity, and Self-Determination Theory: A Systematic Review. Int. J. Behav. Nutr. Phys. Act. 2012, 9, 78. [Google Scholar] [CrossRef]
- Marques, A.; Peralta, M.; Santos, T.; Martins, J.; Gaspar de Matos, M. Self-Rated Health and Health-Related Quality of Life Are Related with Adolescents’ Healthy Lifestyle. Public Health 2019, 170, 89–94. [Google Scholar] [CrossRef] [PubMed]
- Peng, B.; Chen, W.; Wang, H.; Yu, T. How Does Physical Exercise Influence Self-Efficacy in Adolescents? A Study Based on the Mediating Role of Psychological Resilience. BMC Psychol. 2025, 13, 285. [Google Scholar] [CrossRef] [PubMed]
- Biddle, S.J.; Ekkekakis, P. Physically Active Lifestyles and Well-Being. Sci. Well-Being 2005, 140, 168. [Google Scholar] [CrossRef]
- Arora, N.K.; Mishra, I. United Nations Sustainable Development Goals 2030 and Environmental Sustainability: Race against Time. Environ. Sustain. 2019, 2, 339–342. [Google Scholar] [CrossRef]
- Baena-Morales, S.; González-Víllora, S. Physical Education for Sustainable Development Goals: Reflections and Comments for Contribution in the Educational Framework. Sport Educ. Soc. 2023, 28, 697–713. [Google Scholar] [CrossRef]
- Baena-Morales, S.; Jerez-Mayorga, D.; Delgado-Floody, P.; Martínez-Martínez, J. Sustainable Development Goals and Physical Education. A Proposal for Practice-Based Models. Int. J. Environ. Res. Public Health 2021, 18, 2129. [Google Scholar] [CrossRef]
- Baena-Morales, S.; Prieto-Ayuso, A.; Merma-Molina, G.; González-Víllora, S. Exploring Physical Education Teachers’ Perceptions of Sustainable Development Goals and Education for Sustainable Development. Sport Educ. Soc. 2024, 29, 162–179. [Google Scholar] [CrossRef]
- Dietler, D.; Leuenberger, A.; Bempong, N.-E.; Campbell-Lendrum, D.; Cramer, C.; Eggen, R.I.; Erismann, S.; Ferazzi, S.; Flahault, A.; Fletcher, H.A. Health in the 2030 Agenda for Sustainable Development: From Framework to Action, Transforming Challenges into Opportunities. J. Glob. Health 2019, 9, 020201. [Google Scholar]
- Fröberg, A.; Lundvall, S. The Distinct Role of Physical Education in the Context of Agenda 2030 and Sustainable Development Goals: An Explorative Review and Suggestions for Future Work. Sustainability 2021, 13, 11900. [Google Scholar] [CrossRef]
- Salvo, D.; Garcia, L.; Reis, R.S.; Stankov, I.; Goel, R.; Schipperijn, J.; Hallal, P.C.; Ding, D.; Pratt, M. Physical Activity Promotion and the United Nations Sustainable Development Goals: Building Synergies to Maximize Impact. J. Phys. Act. Health 2021, 18, 1163–1180. [Google Scholar] [CrossRef]
- Sukys, S.; Kuzmarskiene, G.; Motiejunaite, K. Systematic Review of Health Literacy and Health Behavior in Adolescents Research. Epidemiologia 2026, 7, 29. [Google Scholar] [CrossRef] [PubMed]
- Borges, D.; Pinto, I.; Santos, O.; Moura, I.; Ferreira, I.R.; Macedo, A.P.; Taveira, A. On–Off Childhood? A Rapid Review of the Impact of Technology on Children’s Health. Healthcare 2025, 13, 1769. [Google Scholar] [CrossRef] [PubMed]
- Roland, D.; Ashman, V.; Patel, A.; Blake-Smith, K.; Hiams, L.; Keating, S.; Traynor, A.; Islam, Z.; Miah, N.; Arshad, Q.; et al. The Importance of Health Education in Schools: Reflections, Representation and Recommendations. Future 2026, 4, 9. [Google Scholar] [CrossRef]
- Rajkovic Vuletic, P.; Gilic, B.; Pavlinovic, V.; Matijasevic, P.; Sekulic, D. Effects of a Physical-Literacy-Based Educational Intervention on Physical Activity and Body Composition in Preadolescent Children: A School-Based Controlled Trial. Sports 2026, 14, 77. [Google Scholar] [CrossRef]
- Zhang, N.; Su, Z.; Li, Z.; Jiang, Y. Motor Proficiency and Physical Activity Behaviors Among Female College Students: Implications for Public Health and Physical Education. Adolescents 2026, 6, 1. [Google Scholar] [CrossRef]
- Yıldız, R.; Çalı, O. “What Kind of Physical Education Lesson Do I Envision?”: A Theoretically Grounded Analysis Based on Teacher and Student Perspectives. Sustainability 2026, 18, 887. [Google Scholar] [CrossRef]
- Pastor-Cisneros, R.; Mendoza-Muñoz, M.; Rodríguez-Gutiérrez, A.; Carlos-Vivas, J. Cross-Cultural Adaptation and Validation of the “Brief Scale of Perceived Barriers to Physical Activity for Children”: Analysis of Psychometric Properties. Healthcare 2025, 13, 2991. [Google Scholar] [CrossRef]
- Silva, J.; Serpa, J.; Santos, V.; Vieira, F.; Casanova, N.; Willig, R.; Flôres, F.; Marconcin, P. Associations Between Body Image Satisfaction, Body Mass Index, Quality of Life, and Screen Time in Portuguese Students. Healthcare 2025, 13, 2761. [Google Scholar] [CrossRef]
- Akarsu, M.; Güllü, M.; Polat Günata, G.; Kızılkaya, A.; Aydın, S.; Özcan, E.; Norman, G.; Kurhan, C.O. The Mediating Role of Physical Literacy in the Relationship Between E-Health Literacy and a Sustainable Healthy Lifestyle Among Adolescents. Healthcare 2025, 13, 1870. [Google Scholar] [CrossRef] [PubMed]
- Nigg, C.; Nigg, C.R. It’s More than Climate Change and Active Transport—Physical Activity’s Role in Sustainable Behavior. Transl. Behav. Med. 2021, 11, 945–953. [Google Scholar] [CrossRef] [PubMed]
- Ellingson, L.D.; Shields, M.R.; Stegner, A.J.; Cook, D.B. Physical Activity, Sustained Sedentary Behavior, and Pain Modulation in Women with Fibromyalgia. J. Pain 2012, 13, 195–206. [Google Scholar] [CrossRef] [PubMed]
- Bélanger, M.; Gray-Donald, K.; O’Loughlin, J.; Paradis, G.; Hanley, J. When Adolescents Drop the Ball: Sustainability of Physical Activity in Youth. Am. J. Prev. Med. 2009, 37, 41–49. [Google Scholar] [CrossRef]
- Martín-Borràs, C.; Giné-Garriga, M.; Puig-Ribera, A.; Martín, C.; Solà, M.; Cuesta-Vargas, A.I. A New Model of Exercise Referral Scheme in Primary Care: Is the Effect on Adherence to Physical Activity Sustainable in the Long Term? A 15-Month Randomised Controlled Trial. BMJ Open 2018, 8, e017211. [Google Scholar] [CrossRef]
- Bjørnarå, H.B.; Torstveit, M.K.; Bere, E. Healthy and Sustainable Diet and Physical Activity: The Rationale for and Experiences from Developing a Combined Summary Score. Scand. J. Public Health 2019, 47, 583–591. [Google Scholar] [CrossRef]
- Bjørnarå, H.B.; Torstveit, M.K.; Stea, T.H.; Bere, E. Is There Such a Thing as Sustainable Physical Activity? Scand. J. Med. Sci. Sports 2017, 27, 366–372. [Google Scholar] [CrossRef]
- Sansano-Nadal, O.; Giné-Garriga, M.; Brach, J.S.; Wert, D.M.; Jerez-Roig, J.; Guerra-Balic, M.; Oviedo, G.; Fortuño, J.; Gómara-Toldrà, N.; Soto-Bagaria, L. Exercise-Based Interventions to Enhance Long-Term Sustainability of Physical Activity in Older Adults: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Int. J. Environ. Res. Public Health 2019, 16, 2527. [Google Scholar] [CrossRef]
- Bácsné-Bába, É.; Ráthonyi, G.; Pfau, C.; Müller, A.; Szabados, G.N.; Harangi-Rákos, M. Sustainability-Sport-Physical Activity. Int. J. Environ. Res. Public Health 2021, 18, 1455. [Google Scholar] [CrossRef]
- Babakr, Z.H.; Mohamedamin, P.; Kakamad, K. Piaget’s Cognitive Developmental Theory: Critical Review. Educ. Q. Rev. 2019, 2, 517–524. [Google Scholar] [CrossRef]

| Demographic | Groups | N | % | MGPA | MDMPAT (min) | MWVPAT (min) |
|---|---|---|---|---|---|---|
| Gender | Male | 258 | 48.6 | 87.29 ± 11.97 | 37.52 ± 19.68 | 224.19 ± 148.61 |
| Female | 273 | 51.4 | 87.42 ± 11.10 | 30.90 ± 20.27 | 144.18 ± 112.79 | |
| Grades | 5. | 135 | 25.4 | 86.64 ± 13.35 | 32.59 ± 19.70 | 166.67 ± 114.74 |
| 6. | 142 | 26.7 | 89.37 ± 9.63 | 32.89 ± 20.32 | 167.75 ± 143.59 | |
| 7. | 131 | 24.7 | 87.63 ± 10.75 | 35.42 ± 20.10 | 209.08 ± 146.069 | |
| 8. | 123 | 23.2 | 85.51 ± 11.91 | 35.81 ± 20.91 | 190.98 ± 139.46 | |
| Licensed | Yes | 268 | 50.5 | 89.30 ± 10.40 | 36.66 ± 19.57 | 235.52 ± 130.49 |
| No | 263 | 49.5 | 85.38 ± 12.27 | 31.52 ± 20.61 | 129.58 ± 112.24 |
| Item No | Factor 1 (Interest) (λ) | Factor 2 (Lifestyle) (λ) | Factor 3 (Participation) (λ) | R2 |
|---|---|---|---|---|
| 4 | 0.876 | 0.767 | ||
| 7 | 0.871 | 0.759 | ||
| 8 | 0.803 | 0.645 | ||
| 9 | 0.790 | 0.624 | ||
| 12 | 0.847 | 0.717 | ||
| 13 | 0.894 | 0.799 | ||
| 14 | 0.822 | 0.675 | ||
| 15 | 0.820 | 0.672 | ||
| 18 | 0.843 | 0.711 | ||
| 19 | 0.882 | 0.778 | ||
| 23 | 0.783 | 0.613 | ||
| 24 | 0.874 | 0.763 | ||
| 25 | 0.878 | 0.771 | ||
| 1 | 0.766 | 0.587 | ||
| 3 | 0.890 | 0.792 | ||
| 5 | 0.863 | 0.744 | ||
| 6 | 0.839 | 0.705 | ||
| 17 | 0.656 | 0.431 | ||
| 22 | 0.883 | 0.780 | ||
| 2 | 0.839 | 0.703 | ||
| 10 | 0.852 | 0.726 | ||
| 11 | 0.818 | 0.669 | ||
| 16 | 0.859 | 0.738 | ||
| 20 | 0.871 | 0.758 | ||
| 21 | 0.812 | 0.659 | ||
| AVE | 0.717 | 0.679 | 0.709 | |
| CR | 0.970 | 0.925 | 0.936 | |
| McDonald’s (ω) | 0.971 | 0.927 | 0.936 | 0.973 (Total) |
| Cronbach (α) | 0.970 | 0.923 | 0.935 | 0.974 (Total) |
| Factors | Groups | N | M | SD | t | df | p | Cohen’s d |
|---|---|---|---|---|---|---|---|---|
| Interest | Licensed | 268 | 55.32 | 10.99 | 8.515 | 529 | 0.001 * | 0.739 |
| Non-licensed | 263 | 45.54 | 15.18 | |||||
| Lifestyle | Licensed | 268 | 24.82 | 4.25 | 7.991 | 529 | 0.001 * | 0.694 |
| Non-licensed | 263 | 21.24 | 5.94 | |||||
| Participation | Licensed | 268 | 20.54 | 3.77 | 10.114 | 529 | 0.001 * | 0.878 |
| Non-licensed | 263 | 16.61 | 5.10 | |||||
| ATSS-EA | Licensed | 268 | 104.98 | 17.74 | 9.668 | 529 | 0.001 * | 0.839 |
| Non-licensed | 263 | 86.91 | 24.82 |
| Source | Sum of Squares | df | Mean Square | F | p | η2p |
|---|---|---|---|---|---|---|
| Covariates | ||||||
| Grade | 3522.774 | 3 | 1174.258 | 2.700 | 0.045 | 0.015 |
| Gender | 12,727.557 | 1 | 12,727.557 | 29.268 | <0.001 | 0.053 |
| Main Effect | ||||||
| License Status | 34,854.511 | 1 | 34,854.511 | 80.149 | <0.001 | 0.132 |
| Error (Residuals) | 228,306.493 | 525 | 434.870 |
| PA Durations | ATSS-EA | Factor 1 (Interest) | Factor 2 (Lifestyle) | Factor 3 (Participation) |
|---|---|---|---|---|
| DMPAT (min) | 0.113 | 0.095 | 0.121 | 0.104 |
| 0.009 * | 0.029 * | 0.005 * | 0.017 * | |
| WVPAT (day × min) | 0.492 | 0.435 | 0.422 | 0.523 |
| 0.001 ** | 0.001 ** | 0.001 ** | 0.001 ** |
| Scales/Sub-Scales | ATSS-EA | Factor 1 (Interest) | Factor 2 (Lifestyle) | Factor 3 (Participation) |
|---|---|---|---|---|
| PPLS | 0.923 * [0.91, 0.94] | 0.919 * [0.90, 0.93] | 0.767 * [0.73, 0.80] | 0.752 * [0.71, 0.79] |
| PPLS (motivation) | 0.802 * [0.77, 0.83] | 0.841 * [0.81, 0.86] | 0.560 * [0.50, 0.62] | 0.647 * [0.60, 0.70] |
| PPLS (information) | 0.810 * [0.78, 0.84] | 0.823 * [0.79, 0.85] | 0.639 * [0.59, 0.69] | 0.657 * [0.61, 0.70] |
| PPLS (trust) | 0.796 * [0.76, 0.83] | 0.830 * [0.80, 0.85] | 0.589 * [0.53, 0.64] | 0.619 * [0.56, 0.67] |
| PPLS (physical) | 0.622 * [0.57, 0.67] | 0.514 * [0.45, 0.57] | 0.739 * [0.70, 0.77] | 0.546 * [0.48, 0.60] |
| PAQ-C | 0.845 * [0.82, 0.87] | 0.791 * [0.76, 0.82] | 0.755 * [0.72, 0.79] | 0.757 * [0.72, 0.79] |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Senturk, H.E.; Tanir, G.; Erdogan Yuce, U.; Karatut, A.; Karakaş, E. Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being. Healthcare 2026, 14, 842. https://doi.org/10.3390/healthcare14070842
Senturk HE, Tanir G, Erdogan Yuce U, Karatut A, Karakaş E. Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being. Healthcare. 2026; 14(7):842. https://doi.org/10.3390/healthcare14070842
Chicago/Turabian StyleSenturk, Halil Evren, Gulsum Tanir, Ulkum Erdogan Yuce, Adem Karatut, and Ecesu Karakaş. 2026. "Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being" Healthcare 14, no. 7: 842. https://doi.org/10.3390/healthcare14070842
APA StyleSenturk, H. E., Tanir, G., Erdogan Yuce, U., Karatut, A., & Karakaş, E. (2026). Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being. Healthcare, 14(7), 842. https://doi.org/10.3390/healthcare14070842

