Effects of Pre-Session Video Observational Modeling on Emotional Intelligence and 9 m Shooting Performance in U14 Male Handball Players: A Randomized Controlled Trial
Highlights
- A 6-week pre-session video observational modeling (VOM) program significantly improved both emotional intelligence (all dimensions) and 9 m shooting performance in U14 handball players compared to a control group.
- Improvements in emotional intelligence were significantly associated with performance gains, and post-intervention EI accounted for up to 43.7% of the variance in shooting performance.
- Brief, low-cost pre-session video interventions can simultaneously enhance psychological (EI) and technical performance outcomes in youth sport training.
- Emotional intelligence was associated with skill outcomes in the present study, supporting further investigation of its role in coaching and youth athlete development programs.
Abstract
1. Introduction
1.1. Emotional Intelligence in Sport
1.2. Emotional Intelligence in Handball
1.3. Observational Learning and Video Modeling in Sport
1.4. The Present Study
2. Materials and Methods
2.1. Study Design and Registration
2.2. Ethical Statements
2.3. Generative AI Disclosure
2.4. Participants
2.5. Measures
2.5.1. Emotional Intelligence—Arabic Emotional Intelligence Scale (A-EIS)
2.5.2. Shooting Performance (Perf/5)
2.6. Intervention
- VOM group: Pre-Session Video Observational Modeling:
- Control group: Standard Training Only:
2.7. Statistical Analyses
3. Results
3.1. Baseline Equivalence
3.2. Descriptive Statistics
3.3. Within-Group Evolution Paired T-Tests
3.4. Between-Group Gain Comparisons
3.5. Mixed ANOVA—Group × Time Interactions
3.6. Correlations Between Gain Scores
3.7. Regression Models
4. Discussion
4.1. Pre-Session Video Modeling as an EI Development Tool
4.2. Regression of EI in the Control Group
4.3. Performance Improvements and the EI-to-Performance Pathway
4.4. Validity and Sensitivity of the A-EIS
4.5. Limitations
4.6. Strengths, Practical Applications, and Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Salovey, P.; Mayer, J.D. Emotional Intelligence. Imagin. Cogn. Personal. 1990, 9, 185–211. [Google Scholar] [CrossRef]
- Bru-Luna, L.M.; Martí-Vilar, M.; Merino-Soto, C.; Cervera-Santiago, J.L. Emotional Intelligence Measures: A Systematic Review. Healthcare 2021, 9, 1696. [Google Scholar] [CrossRef] [PubMed]
- Mayer, J.D.; Salovey, P.; Caruso, D.R. Emotional intelligence: New ability or eclectic traits? Am. Psychol. 2008, 63, 503–517. [Google Scholar] [CrossRef] [PubMed]
- Lane, A.M.; Meyer, B.B.; Devonport, T.J.; Davies, K.A.; Thelwell, R.; Gill, G.S.; Diehl, C.D.; Wilson, M.; Weston, N. Validity of the emotional intelligence scale for use in sport. J. Sports Sci. Med. 2009, 8, 289–295. [Google Scholar] [PubMed]
- Lane, A.M.; Devonport, T.J.; Soos, I.; Karsai, I.; Leibinger, E.; Hamar, P. Emotional intelligence and emotions associated with optimal and dysfunctional athletic performance. J. Sports Sci. Med. 2010, 9, 388–392. [Google Scholar]
- Laborde, S.; Dosseville, F.; Allen, M.S. Emotional intelligence in sport and exercise: A systematic review. Scand. J. Med. Sci. Sports 2016, 26, 862–874. [Google Scholar] [CrossRef]
- Nogueira, J.M.; Morais, C.; Mansell, P.; Gomes, A.R. Emotional profile of athletes before competition: Contributions for perceived stress, cognitive appraisal and coping strategies. Front. Sports Act. Living 2025, 7, 1636826. [Google Scholar] [CrossRef]
- Peña-Sarrionandia, A.; Mikolajczak, M.; Gross, J.J. Integrating emotion regulation and emotional intelligence traditions: A meta-analysis. Front. Psychol. 2015, 6, 160. [Google Scholar] [CrossRef]
- Lane, A.M. Distinguishing Mood and Emotion: Implications for High-Performance Regulation. Brain Sci. 2026, 16, 231. [Google Scholar] [CrossRef]
- Martín-Rodríguez, A.; Gostian-Ropotin, L.A.; Beltrán-Velasco, A.I.; Belando-Pedreño, N.; Simón, J.A.; López-Mora, C.; Navarro-Jiménez, E.; Tornero-Aguilera, J.F.; Clemente-Suárez, V.J. Sporting Mind: The Interplay of Physical Activity and Psychological Health. Sports 2024, 12, 37. [Google Scholar] [CrossRef]
- Zadorozhny, B.S.; Petrides, K.V.; Jongerling, J.; Cuppello, S.; van der Linden, D. Assessing the temporal stability of a measure of trait emotional intelligence: Systematic review and empirical analysis. Personal. Individ. Differ. 2024, 217, 112467. [Google Scholar] [CrossRef]
- Kopp, A.; Jekauc, D. The Influence of Emotional Intelligence on Performance in Competitive Sports: A Meta-Analytical Investigation. Sports 2018, 6, 175. [Google Scholar] [CrossRef] [PubMed]
- Lulu, Z.; Huimin, L.; Hua, S. Effect of emotional regulation on performance of shooters during competition: An ecological momentary assessment study. PLoS ONE 2025, 20, e0318872. [Google Scholar] [CrossRef]
- Spieszny, M.; Kamys, Z.; Kasicki, K.; Wąsacz, W.; Ambroży, T.; Jaszczur-Nowicki, J.; Rydzik, Ł. The Impact of Coordination Training on Psychomotor Abilities in Adolescent Handball Players: A Randomized Controlled Trial. Appl. Sci. 2024, 14, 7974. [Google Scholar] [CrossRef]
- Massuça, L.M.; Fragoso, I.; Teles, J. Attributes of Top Elite Team-Handball Players. J. Strength Cond. Res. 2014, 28, 178–186. [Google Scholar] [CrossRef] [PubMed]
- Muntianu, V.A.; Abalașei, B.A.; Nichifor, F.; Dumitru, I.M. The Correlation between Psychological Characteristics and Psychomotor Abilities of Junior Handball Players. Children 2022, 9, 767. [Google Scholar] [CrossRef]
- Öztürk Çelik, D. Emotional Intelligence and Psychological Well-Being of Turkish Physical Education and Sports Athlete–Students: The Mediating Roles of Self-Efficacy and Burnout. Behav. Sci. 2025, 15, 314. [Google Scholar] [CrossRef] [PubMed]
- Trigueros, R.; Aguilar-Parra, J.M.; Álvarez, J.F.; González-Bernal, J.J.; López-Liria, R. Emotion, Psychological Well-Being and Their Influence on Resilience. A Study with Semi-Professional Athletes. Int. J. Environ. Res. Public Health 2019, 16, 4192. [Google Scholar] [CrossRef]
- Suppiej, A.; Longo, I.; Pettoello-Mantovani, M. The pivotal role of mental health in child and adolescent development. Glob. Pediatr. 2025, 13, 100277. [Google Scholar] [CrossRef]
- Yang, S.; Jing, L.; He, Q.; Wang, H. Fostering emotional well-being in adolescents: The role of physical activity, emotional intelligence, and interpersonal forgiveness. Front. Psychol. 2024, 15, 1408022. [Google Scholar] [CrossRef]
- Vast, R.; Young, R.; Thomas, P.R. Emotion and automaticity: Impact of positive and negative emotions on novice and experienced performance of a sensorimotor skill. Int. J. Sport Exerc. Psychol. 2011, 9, 227–237. [Google Scholar] [CrossRef]
- Rumjaun, A.; Narod, F. Social Learning Theory—Albert Bandura. In Science Education in Theory and Practice: An Introductory Guide to Learning Theory; Akpan, B., Kennedy, T.J., Eds.; Springer Nature: Cham, Switzerland, 2025; pp. 65–82. [Google Scholar]
- Bandura, A. Social Foundations of Thought and Action; Prentice-Hall: Englewood Cliffs, NJ, USA, 1986; p. 2. [Google Scholar]
- Tannoubi, A.; Ouergui, I.; Srem-Sai, M.; Hagan, J.E.; Quansah, F.; Azaiez, F. Effectiveness of video modeling in improving technical skills in young novice basketball players: A quasi-experimental study. Children 2023, 10, 687. [Google Scholar] [CrossRef]
- Tannoubi, A.; Geantă, V.A.; Ursu, V.E.; Azaiez, F. Self-video modeling combined with self-feedback in youth sport: An opinion on cognitive load, attention, and learning design. Front. Psychol. 2026, 17, 1775088. [Google Scholar] [CrossRef] [PubMed]
- Trabelsi, O.; Romdhani, A.; Ghorbel, A.; Bouchiba, M.; Souissi, M.A.; Scharenberg, S.; Gharbi, A. A review of best practices in video modeling for sport pedagogues. Int. J. Sports Sci. Coach. 2025, 20, 1749–1760. [Google Scholar] [CrossRef]
- Ste-Marie, D.M.; Law, B.; Rymal, A.M.; Jenny, O.; Hall, C.; McCullagh, P. Observation interventions for motor skill learning and performance: An applied model for the use of observation. Int. Rev. Sport Exerc. Psychol. 2012, 5, 145–176. [Google Scholar] [CrossRef]
- Law, B.; Hall, C. Observational learning use and self-efficacy beliefs in adult sport novices. Psychol. Sport Exerc. 2009, 10, 263–270. [Google Scholar] [CrossRef]
- Kwon, T.; Shin, S.; Shin, M. The Effect of Observational Learning on Self-Efficacy by Sport Competition Condition, Performance Level of Team Members, and Whether You Win or Lose. Int. J. Environ. Res. Public Health 2022, 19, 10148. [Google Scholar] [CrossRef]
- Hancock, D.J.; Rymal, A.M. Sport officials’ use of observational learning. Front. Sports Act. Living 2024, 6, 1289455. [Google Scholar] [CrossRef]
- Lindsay, R.S.; Larkin, P.; Kittel, A.; Spittle, M. Mental imagery training programs for developing sport-specific motor skills: A systematic review and meta-analysis. Phys. Educ. Sport Pedagog. 2023, 28, 444–465. [Google Scholar] [CrossRef]
- Ashford, D.; Davids, K.; Bennett, S.J. Developmental effects influencing observational modelling: A meta-analysis. J. Sports Sci. 2007, 25, 547–558. [Google Scholar] [CrossRef]
- Ashford, D.; Bennett, S.J.; Davids, K. Observational Modeling Effects for Movement Dynamics and Movement Outcome Measures Across Differing Task Constraints: A Meta-Analysis. J. Mot. Behav. 2006, 38, 185–205. [Google Scholar] [CrossRef]
- Pearson, A.; Webb, T.; Milligan, G.; Miller-Dicks, M. The use of video feedback as a facet of performance analysis: An integrative review. Int. Rev. Sport Exerc. Psychol. 2025, 18, 417–439. [Google Scholar] [CrossRef]
- Bandura, A. Self-Efficacy. In The Corsini Encyclopedia of Psychology; Wiley: Hoboken, NJ, USA, 2010; pp. 1–3. [Google Scholar]
- Hodges, N.J.; Williams, A.M.; Hayes, S.J.; Breslin, G. What is modelled during observational learning? J. Sports Sci. 2007, 25, 531–545. [Google Scholar] [CrossRef] [PubMed]
- Han, Y.; Syed Ali, S.K.B.; Ji, L. Use of observational learning to promote motor skill learning in physical education: A systematic review. Int. J. Environ. Res. Public Health 2022, 19, 10109. [Google Scholar] [CrossRef]
- Popa, D.; Mîndrescu, V.; Iconomescu, T.-M.; Talaghir, L.-G. Mindfulness and Self-Regulation Strategies Predict Performance of Romanian Handball Players. Sustainability 2020, 12, 3667. [Google Scholar] [CrossRef]
- Bandura, A.; Hall, P. Albert bandura and social learning theory. Learn. Theor. Early Years 2018, 78, 35–36. [Google Scholar]
- Schulz, K.F.; Altman, D.G.; Moher, D. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMC Med. 2010, 8, 18. [Google Scholar] [CrossRef] [PubMed]
- O’donoghue, P. Research Methods for Sports Performance Analysis; Routledge: Oxon, UK, 2009. [Google Scholar]
- Association, W.M. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human participants. JAMA 2025, 333, 71–74. [Google Scholar] [CrossRef] [PubMed]
- Harris, B.S.; Byrd, M.M.; Johnson, K.; Ziegler, L. Ethical Issues in Sport Injury and Rehabilitation. In The Psychology of Sport Injury and Rehabilitation; Routledge: Oxon, UK, 2024; pp. 109–120. [Google Scholar]
- Faul, F.; Erdfelder, E.; Lang, A.-G.; Buchner, A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav. Res. Methods 2007, 39, 175–191. [Google Scholar] [CrossRef]
- Yahyaoui, R.; Ouergui, I.; Marzouki, H.; Selmi, O.; Quansah, F.; Hagan, J.E.; Guelmemi, N.; Chen, Y.-S.; Lane, A.; Jarraya, M. Adaptation and validation of the emotional intelligence scale in the physical education and sport Arabic context: A gender and type of sport invariance analysis. J. Kinesiol. Exerc. Sci. 2025, 35, 40–53. [Google Scholar] [CrossRef]
- Zapartidis, I.; Vareltzis, I.; Gouvali, M.; Kororos, P. Physical fitness and anthropometric characteristics in different levels of young team handball players. Open Sports Sci. J. 2009, 2, 22–28. [Google Scholar] [CrossRef]
- Wagner, H.; Finkenzeller, T.; Würth, S.; von Duvillard, S.P. Individual and team performance in team-handball: A review. J. Sports Sci. Med. 2014, 13, 808–816. [Google Scholar] [PubMed]
- R Core Team. R: A Language and Environment for Statistical Computing; R Foundation for Statistical Computing: Vienna, Austria, 2024. [Google Scholar]
- Shapiro, S.S.; Wilk, M.B. An analysis of variance test for normality (complete samples). Biometrika 1965, 52, 591–611. [Google Scholar] [CrossRef]
- Levene, H. Robust tests for equality of variances. In Contributions to Probability and Statistics; Stanford University Press: Redwood City, CA, USA, 1960; pp. 278–292. [Google Scholar]
- Wilcoxon, F. Individual Comparisons by Ranking Methods. Biometrics 1945, 1, 80–83. [Google Scholar] [CrossRef]
- Cohen, J. Statistical Power Analysis for the Behavioral Sciences; Routledge: Oxon, UK, 2013. [Google Scholar]
- MacFarland, T.W.; Yates, J.M. Mann–Whitney U Test. In Introduction to Nonparametric Statistics for the Biological Sciences Using R; Springer International Publishing: Cham, Switzerland, 2016; pp. 103–132. [Google Scholar]
- Lakens, D. Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Front. Psychol. 2013, 4, 863. [Google Scholar] [CrossRef]
- Gould, D.; Carson, S. Life skills development through sport: Current status and future directions. Int. Rev. Sport Exerc. Psychol. 2008, 1, 58–78. [Google Scholar] [CrossRef]
- Wildman, L.; Nemes, R.; Hou, Z. Action Sequence Modelling for Tactical Training in Handball. SN Comput. Sci. 2026, 7, 311. [Google Scholar] [CrossRef]
- Cece, V.; Guillet-Descas, E.; Nicaise, V.; Lienhart, N.; Martinent, G. Longitudinal trajectories of emotions among young athletes involving in intense training centres: Do emotional intelligence and emotional regulation matter? Psychol. Sport Exerc. 2019, 43, 128–136. [Google Scholar] [CrossRef]


| Variable | CG (n = 16) M (SD) | t(31) | p | VOM (n = 17) M (SD) |
|---|---|---|---|---|
| Height (cm) | 162.88 (3.10) | 0.40 | 0.692 | 163.29 (2.64) |
| Weight (kg) | 53.88 (3.14) | 0.05 | 0.961 | 53.94 (2.41) |
| Variable | VOM T1 M (SD) | 95% CI | VOM T2 M (SD) | 95% CI | CG T1 M (SD) | CG T2 M (SD) |
|---|---|---|---|---|---|---|
| UE | 13.11 (3.95) | [11.2, 15.0] | 19.16 (0.83) | [18.7, 19.6] | 13.75 (1.43) | 8.53 (2.62) |
| AOW | 10.24 (3.33) | [8.5, 12.0] | 14.71 (0.47) | [14.5, 14.9] | 9.42 (2.58) | 6.61 (2.77) |
| RE | 7.47 (3.00) | [6.0, 8.9] | 9.81 (0.42) | [9.6, 10.0] | 7.44 (1.75) | 3.75 (1.53) |
| SK | 9.48 (3.46) | [7.7, 11.2] | 14.69 (0.49) | [14.5, 14.9] | 9.56 (3.41) | 6.84 (2.51) |
| AOT | 12.49 (4.33) | [10.3, 14.7] | 19.58 (0.52) | [19.3, 19.8] | 12.19 (3.56) | 10.08 (4.23) |
| IE Total | 52.93 (14.60) | [45.4, 60.4] | 77.81 (1.48) | [77.0, 78.6] | 52.31 (8.53) | 35.72 (11.70) |
| Perf/5 | 2.53 (1.12) | [1.9, 3.1] | 4.35 (0.70) | [4.0, 4.7] | 2.64 (1.11) | 3.17 (1.07) |
| Variable | ΔM VOM | t(16) | p | d | 95% CI d | ΔM CG | t(15) | p | d | 95% CI d |
|---|---|---|---|---|---|---|---|---|---|---|
| UE | +6.06 | 6.709 | <0.001 | 1.63 | [0.90, 2.36] | −5.22 | −5.812 | <0.001 | −1.45 | [−2.15, −0.75] |
| AOW | +4.47 | 5.209 | <0.001 | 1.26 | [0.62, 1.90] | −2.81 | −2.640 | 0.019 | −0.66 | [−1.20, −0.12] |
| RE | +2.34 | 3.286 | 0.005 | 0.80 | [0.25, 1.35] | −3.69 | −8.668 | <0.001 | −2.17 | [−3.07, −1.27] |
| SK | +5.21 | 6.028 | <0.001 | 1.46 | [0.78, 2.14] | −2.72 | −2.796 | 0.014 | −0.70 | [−1.25, −0.15] |
| AOT | +7.08 | 6.690 | <0.001 | 1.62 | [0.90, 2.34] | −2.11 | −1.434 | 0.172 | −0.36 | [−0.87, 0.15] |
| IE Total | +24.88 | 7.197 | <0.001 | 1.74 | [0.99, 2.49] | −16.59 | −4.313 | <0.001 | −1.08 | [−1.70, −0.46] |
| Perf/5 | +1.82 | 4.980 | <0.001 | 1.21 | [0.58, 1.84] | +0.53 | 1.552 | 0.141 | +0.39 | [−0.12, 0.90] |
| Variable | ΔM VOM (SD) | ΔM CG (SD) | t(31) | p | U | p | d | 95% CI d | r |
|---|---|---|---|---|---|---|---|---|---|
| UE | +6.06 (3.72) | −5.22 (3.59) | 8.846 | <0.001 | 269.0 | <0.001 | 3.08 | [2.05, 4.11] | 0.978 |
| AOW | +4.47 (3.54) | −2.81 (4.26) | 5.355 | <0.001 | 248.5 | <0.001 | 1.86 | [1.04, 2.68] | 0.827 |
| RE | +2.34 (2.94) | −3.69 (1.70) | 7.153 | <0.001 | 272.0 | <0.001 | 2.51 | [1.58, 3.44] | 1.000 |
| SK | +5.21 (3.56) | −2.72 (3.89) | 6.111 | <0.001 | 255.5 | <0.001 | 2.13 | [1.27, 2.99] | 0.879 |
| AOT | +7.08 (4.37) | −2.11 (5.88) | 5.118 | <0.001 | 238.0 | <0.001 | 1.77 | [0.96, 2.58] | 0.750 |
| IE Total | +24.88 (14.26) | −16.59 (15.39) | 8.037 | <0.001 | 268.0 | <0.001 | 2.80 | [1.82, 3.78] | 0.971 |
| Perf/5 | +1.82 (1.51) | +0.53 (1.37) | 2.570 | 0.015 | 203.5 | 0.014 | 0.90 | [0.18, 1.62] | 0.496 |
| Variable | F Group (1,31) | p | η2p | ω2p | F Time (1,31) | p | η2p | ω2p | F Interaction (1,31) | p | η2p | ω2p |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UE | 68.06 | <0.001 | 0.687 | 0.670 | 0.86 | 0.361 | 0.027 | −0.002 | 78.25 | <0.001 | 0.716 | 0.539 |
| AOW | 63.81 | <0.001 | 0.673 | 0.656 | 1.91 | 0.177 | 0.058 | 0.014 | 28.68 | <0.001 | 0.481 | 0.295 |
| RE | 34.58 | <0.001 | 0.527 | 0.504 | 1.91 | 0.177 | 0.058 | 0.014 | 51.17 | <0.001 | 0.623 | 0.432 |
| SK | 30.84 | <0.001 | 0.499 | 0.475 | 4.44 | 0.043 | 0.125 | 0.050 | 37.35 | <0.001 | 0.546 | 0.355 |
| AOT | 34.94 | <0.001 | 0.530 | 0.507 | 8.56 | 0.006 | 0.216 | 0.103 | 26.20 | <0.001 | 0.458 | 0.276 |
| IE Total | 73.06 | <0.001 | 0.702 | 0.686 | 3.43 | 0.074 | 0.099 | 0.035 | 64.60 | <0.001 | 0.676 | 0.491 |
| Perf/5 | 4.66 | 0.039 | 0.131 | 0.100 | 22.70 | <0.001 | 0.423 | 0.247 | 6.61 | 0.015 | 0.176 | 0.078 |
| Model | Predictor | B | SE | β | t | p | R2 | R2adj | f2 |
|---|---|---|---|---|---|---|---|---|---|
| A: ΔIE → ΔPerformance | ΔIE Total | 0.032 | 0.009 | 0.517 | 3.359 | 0.002 | 0.267 | 0.243 | 0.364 |
| B: IE(T2) → Perf(T2) | IE Total T2 | 0.031 | 0.006 | 0.661 | 4.908 | <0.001 | 0.437 | 0.419 | 0.777 |
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Tannoubi, A.; Ahmed, N.; Hagan, J.E.; Srem-Sai, M.; Geantă, V.A.; Azaiez, F. Effects of Pre-Session Video Observational Modeling on Emotional Intelligence and 9 m Shooting Performance in U14 Male Handball Players: A Randomized Controlled Trial. Children 2026, 13, 655. https://doi.org/10.3390/children13050655
Tannoubi A, Ahmed N, Hagan JE, Srem-Sai M, Geantă VA, Azaiez F. Effects of Pre-Session Video Observational Modeling on Emotional Intelligence and 9 m Shooting Performance in U14 Male Handball Players: A Randomized Controlled Trial. Children. 2026; 13(5):655. https://doi.org/10.3390/children13050655
Chicago/Turabian StyleTannoubi, Amayra, Noura Ahmed, John Elvis Hagan, Medina Srem-Sai, Vlad Adrian Geantă, and Fairouz Azaiez. 2026. "Effects of Pre-Session Video Observational Modeling on Emotional Intelligence and 9 m Shooting Performance in U14 Male Handball Players: A Randomized Controlled Trial" Children 13, no. 5: 655. https://doi.org/10.3390/children13050655
APA StyleTannoubi, A., Ahmed, N., Hagan, J. E., Srem-Sai, M., Geantă, V. A., & Azaiez, F. (2026). Effects of Pre-Session Video Observational Modeling on Emotional Intelligence and 9 m Shooting Performance in U14 Male Handball Players: A Randomized Controlled Trial. Children, 13(5), 655. https://doi.org/10.3390/children13050655

