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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Sports Act. Living</journal-id>
<journal-title>Frontiers in Sports and Active Living</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Sports Act. Living</abbrev-journal-title>
<issn pub-type="epub">2624-9367</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fspor.2025.1625231</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Sports and Active Living</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Institutional priorities and student engagement: a multi-stakeholder analysis of physical education in Israel</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><name><surname>Alayan</surname><given-names>Ali</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Salhab</surname><given-names>Ahmad</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref><uri xlink:href="https://loop.frontiersin.org/people/3061205/overview"/>
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<contrib contrib-type="author"><name><surname>Carmel</surname><given-names>Paz</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<contrib contrib-type="author"><name><surname>HaCohen</surname><given-names>Ronit Ahdut</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<aff id="aff1"><label><sup>1</sup></label><institution>Department of Education, Adam Mickiewicz University</institution>, <addr-line>Poznan</addr-line>, <country>Poland</country></aff>
<aff id="aff2"><label><sup>2</sup></label><institution>Department of Science, David Yellin Academic College of Education</institution>, <addr-line>Jerusalem</addr-line>, <country>Israel</country></aff>
<aff id="aff3"><label><sup>3</sup></label><institution>Department of Adult Education, David Yellin College of Education</institution>, <addr-line>Jerusalem</addr-line>, <country>Israel</country></aff>
<author-notes>
<fn fn-type="edited-by"><p><bold>Edited by:</bold> Marco Batista, Polytechnic Institute of Castelo Branco, Portugal</p></fn>
<fn fn-type="edited-by"><p><bold>Reviewed by:</bold> Awadhesh Kumar Shirotriya, Amity University, India</p>
<p>Eddy Noviana, Universitas Riau, Indonesia</p></fn>
<corresp id="cor1"><label>&#x002A;</label><bold>Correspondence:</bold> Ali Alayan <email>Alli12345@gmail.com</email> Ahmad Salhab <email>Ahmads@dyellin.ac.il</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>01</day><month>08</month><year>2025</year></pub-date>
<pub-date pub-type="collection"><year>2025</year></pub-date>
<volume>7</volume><elocation-id>1625231</elocation-id>
<history>
<date date-type="received"><day>12</day><month>05</month><year>2025</year></date>
<date date-type="accepted"><day>14</day><month>07</month><year>2025</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2025 Alayan, Salhab, Carmel and HaCohen.</copyright-statement>
<copyright-year>2025</copyright-year><copyright-holder>Alayan, Salhab, Carmel and HaCohen</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract><sec><title>Background</title>
<p>Physical Education (PE) is crucial to the development of children and adolescents, promoting physical health, mental well-being, and academic achievement. Despite global guidelines advocating for structured physical activity (PA) in schools, PE often remains underprioritized, especially in systems with competing academic demands. This study investigates the perceptions of students, PE teachers, and school administrators in Israel regarding PE value, participation, and institutional support.</p>
</sec><sec><title>Methods</title>
<p>A cross-sectional survey was conducted with 150 participants from six East Jerusalem secondary schools, including students (70&#x0025;), PE teachers (20&#x0025;), and administrators or other staff (10&#x0025;). A validated questionnaire assessed attitudes toward PE, including actual and preferred instructional hours, extracurricular engagement, and perceived barriers. Instrument reliability was confirmed via Cronbach&#x0027;s alpha coefficients (&#x2265;0.70), and data were analyzed using descriptive statistics and chi-square tests.</p>
</sec><sec><title>Results</title>
<p>Although 83&#x0025; of students rated PE as equally important as other academic subjects, 70.7&#x0025; reported receiving only one hour per week. Students with more PE exposure were significantly more likely to engage in extracurricular PA, value PA, and feel that they have more accessible and supportive opportunities for sports participation in their surroundings (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01). Cross-group comparisons revealed perceptual gaps in students who reported lower environmental support than teachers and administrators (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.003). While PE teachers were seen as encouraging in class, their influence outside scheduled hours was less evident. Students noted institutional barriers, including frequent cancellations of PE classes and limited extracurricular support. Nonetheless, enjoyment of PE remained high, with most barriers viewed as having only a minor impact.</p>
</sec><sec><title>Conclusion</title>
<p>These findings highlight the need for expanded PE hours, more substantial institutional commitment, and coordinated stakeholder action to foster an active school culture in Israel. However, limitations such as the modest sample size and the geographic concentration in East Jerusalem may affect the generalizability of the findings.</p>
</sec>
</abstract>
<kwd-group>
<kwd>physical education</kwd>
<kwd>student perceptions</kwd>
<kwd>school-based physical activity</kwd>
<kwd>stakeholder attitudes</kwd>
<kwd>Israeli education system</kwd>
</kwd-group><counts>
<fig-count count="0"/>
<table-count count="12"/><equation-count count="0"/><ref-count count="48"/><page-count count="12"/><word-count count="0"/></counts><custom-meta-wrap><custom-meta><meta-name>section-at-acceptance</meta-name><meta-value>Physical Education and Pedagogy</meta-value></custom-meta></custom-meta-wrap>
</article-meta>
</front>
<body><sec id="s1" sec-type="intro"><title>Introduction</title>
<p>Physical Education (PE) is a cornerstone of children&#x0027;s overall development, contributing significantly to physical health, mental well-being, and social growth. Despite its recognized benefits, PE remains underemphasized in formal education settings worldwide (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B10">10</xref>). Structured PE classes not only support the physical competencies of students but also facilitate adherence to exercise guidelines recommended by international health organizations (<xref ref-type="bibr" rid="B11">11</xref>). Moreover, consistent engagement in physical activity (PA) has been associated with a reduced risk of chronic conditions such as obesity, diabetes, and cardiovascular disease and is linked to improved cognitive function, psychological health, and academic performance (<xref ref-type="bibr" rid="B12">12</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). Nonetheless, PE continues to be viewed as one of the least prioritized subjects in schools globally (<xref ref-type="bibr" rid="B16">16</xref>). Many researchers have noted a drop in the active participation of children and adolescents in physical activities due to sedentary behaviors, increased screen time, and minimal opportunity for fun activities (<xref ref-type="bibr" rid="B17">17</xref>&#x2013;<xref ref-type="bibr" rid="B19">19</xref>). Compared with other subjects, PE receives less curriculum time in primary and secondary schools and is constrained by limited financial resources, policy noncompliance, and competing curricular demands (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). Furthermore, disparities in access to facilities, teaching materials, qualified professionals, and community support pose additional challenges to delivering effective PE, particularly in underserved or marginalized regions (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Despite these logistical barriers and the profound benefits PE offers for physical, mental, and social well-being, it has long occupied a marginalized position within global education systems (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>). Often undervalued and mischaracterized as recreational rather than academic, PE is frequently allocated fewer resources, instructional hours, and institutional recognition than other core disciplines (<xref ref-type="bibr" rid="B24">24</xref>). The COVID-19 pandemic, however, highlighted the urgent need for structured PA and reaffirmed PE&#x0027;s essential role in public health (<xref ref-type="bibr" rid="B24">24</xref>). Lockdowns triggered significant declines in PA levels among youth, contributing to widespread physical and mental health deterioration, and prompting global health organizations such as WHO and UNESCO to call for renewed investment in quality PE (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B24">24</xref>). As Shirotriya and Beighle emphasize, this period presents a pivotal opportunity to reframe PE not as a peripheral subject, but as a central pillar in promoting lifelong health and educational equity (<xref ref-type="bibr" rid="B24">24</xref>).</p>
<p>In Israel, the delivery of consistent and high-quality PE programs is hindered by a combination of systemic, cultural, and logistical barriers (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). Systemic issues include unequal resource allocation across different educational sectors, particularly between Jewish and Arab schools, as well as variability in curriculum enforcement. Cultural attitudes toward PE often deprioritize PA in favor of academic subjects, especially in communities where PE is not viewed as essential to student success. Logistical constraints further complicate implementation, including overcrowded classrooms, limited access to gymnasiums or open spaces, scheduling conflicts, and inadequate transportation for inter-school activities. These challenges are particularly evident in diverse regions such as East Jerusalem, where social, cultural, and political complexities intersect to limit institutional support for PE. Despite the Ministry of Education&#x0027;s requirement for PE classes, substantial variation remains in the frequency and quality of PE instruction across schools, educational sectors, and grade levels (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>These variations, coupled with minimal research on how students, teachers, and administrators perceive the role and importance of PE, create a significant knowledge gap. Understanding these stakeholder perspectives is crucial for identifying the barriers to consistent policy implementation and for informing interventions that promote a robust and active school culture. Some schools allocate no more than one to two hours a week for physical activities, reflecting the divergence between policy and practice (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). Communities, school-based policies, and teacher training are vital in encouraging routine PA participation (<xref ref-type="bibr" rid="B29">29</xref>&#x2013;<xref ref-type="bibr" rid="B31">31</xref>). Nonetheless, there is scant evidence on how different educational system stakeholders - students, PE teachers, and school principals - perceive the importance and contribution of PE classes to education in Israel. Understanding these stakeholders and their perceptions is equally essential, as the sentiments of these stakeholders strongly influence the attention, resources, quality, and efficacy accorded to PE programs. Regarding attendance and participation in PE activities, students are influenced by several factors, including personal and social aspects such as having a positive self-concept, peer support, and the extent to which the school promotes physical activities (<xref ref-type="bibr" rid="B32">32</xref>). Job satisfaction among PE teachers is closely tied to their professional environment, including administrative support, availability of resources, and opportunities for professional development (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). Research indicates that supportive leadership, equitable time allocation for PE, and inclusion in decision-making processes significantly influence teachers&#x0027; motivation and retention (<xref ref-type="bibr" rid="B34">34</xref>). Moreover, perceived status and institutional recognition of PE as a legitimate academic subject directly impact teachers&#x0027; sense of value and commitment (<xref ref-type="bibr" rid="B33">33</xref>). As principal decision-makers, school administrators play a pivotal role in shaping this environment by determining PE&#x0027;s curricular priority, funding, staffing, and policy implementation (<xref ref-type="bibr" rid="B34">34</xref>). A lack of administrative support or prioritization often results in diminished morale and limited instructional effectiveness.</p>
<p>This study aims to explore and evaluate the perspectives of key stakeholders on institutional priorities and student engagement in PE across the Israeli school system. Using a structured questionnaire, we assess students&#x0027; views on PE, the number of hours they attend and wish to attend, their extracurricular PA, and their perceptions of school and teacher support. The study also captured the perspectives of PE teachers and school administrators, providing an institutional account of priorities, barriers, and strategies to enhance participation. Through this multi-stakeholder lens, the study seeks to address gaps in policy and practice, offer evidence-based recommendations, and support the development of more inclusive and effective PE programs in Israel. Although the research focused primarily on secondary schools in East Jerusalem, the findings offer actionable insights that can guide differentiated implementation strategies across educational sectors and age groups by identifying specific challenges, contextual needs, and stakeholder attitudes that may vary between Arab and Jewish sectors or between younger and older students.</p>
</sec>
<sec id="s2" sec-type="methods"><title>Methods</title>
<sec id="s2a"><title>Study population</title>
<p>A cross-sectional survey was conducted among 150 respondents from six East Jerusalem secondary schools that follow the Israeli curriculum (<xref ref-type="table" rid="T1">Table&#x00A0;1</xref>). The largest subgroup consisted of students (<italic>n</italic>&#x2009;&#x003D;&#x2009;105, 70&#x0025;), followed by PE teachers (<italic>n</italic>&#x2009;&#x003D;&#x2009;30, 20&#x0025;). School administrators formed 4&#x0025; (<italic>n</italic>&#x2009;&#x003D;&#x2009;6) of the sample. Additionally, 6&#x0025; (<italic>n</italic>&#x2009;&#x003D;&#x2009;9) were categorized as other stakeholders, referring to teachers from non-PE subjects who nonetheless provided essential insights into students&#x0027; interdisciplinary perceptions of PE.</p>
<table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>Distribution of study participants by stakeholder role.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">Category</th>
<th valign="top" align="center">Frequency</th>
<th valign="top" align="center">Percentages (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">PE teacher</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">20</td>
</tr>
<tr>
<td valign="top" align="left">Student</td>
<td valign="top" align="center">105</td>
<td valign="top" align="center">70</td>
</tr>
<tr>
<td valign="top" align="left">School administrator</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">4</td>
</tr>
<tr>
<td valign="top" align="left">Other stakeholders</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">6</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2b"><title>Sampling strategy and sample size determination</title>
<p>A multi-stage random sampling approach was employed to recruit participants exclusively from secondary schools in East Jerusalem, which are administratively under Israeli jurisdiction. These schools typically prepare students for the Israeli Bagrut (matriculation) examinations. To receive a grade in PE, students are generally required to participate in weekly PE classes, with assessment based on participation and performance in fitness or skill-based activities, subject to school-level guidelines. The local education authority obtained an official list of all 10 secondary schools in East Jerusalem. Six schools were selected: Beit Hanina, Shuafat, Wadi al-Joz, Sur Baher, Silwan, and Jabal Mukaber. Within each selected school, participants were randomly drawn from four stakeholder categories: students, PE teachers, administrators, and other staff, with a target of at least 25 participants per school.</p>
<p>Prior to data collection, the required sample size was estimated using G&#x002A;Power (Version 3.1.9.7), assuming a moderate effect size (Cohen&#x0027;s w&#x2009;&#x003D;&#x2009;0.3), <italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.05, and power&#x2009;&#x003D;&#x2009;0.80. This calculation indicated a minimum sample of 138 participants; therefore, the final target was 150 to account for potential non-responses and incomplete data. PE classes in these schools typically include a range of structured physical activities designed to promote cardiovascular endurance, muscular strength, flexibility, and coordination. Typical activities include running, stretching, push-ups, sit-ups, pull-ups, and team sports such as soccer, basketball, and volleyball.</p>
</sec>
<sec id="s2c"><title>Questionnaire development and validation</title>
<p>The questionnaire was developed by the research team based on a comprehensive review of relevant literature on school-based PA and PE. Items were adapted from previously validated international and Israeli instruments to ensure cultural relevance to the East Jerusalem school context. To assess content validity, the instrument was reviewed by a panel of 3 experts in PE, educational psychology, and curriculum design, all with more than five years of academic or field experience. They evaluated each item for clarity, relevance, and alignment with the study&#x0027;s objectives. Based on their feedback, several items were revised or removed to enhance precision and minimize ambiguity.</p>
<p>To ensure face validity, the revised questionnaire was pilot-tested with a convenience sample of 15 students from non-participating schools in East Jerusalem. Students were asked to comment on the clarity, language, and interpretability of the items. Minor modifications were made based on their suggestions. The questionnaire demonstrated acceptable reliability, with a Cronbach&#x0027;s alpha of 0.87.</p>
</sec>
<sec id="s2d"><title>Questionnaire reliability</title>
<p>Cronbach&#x0027;s alpha coefficients were calculated for each of the four primary domains assessed in the questionnaire to guarantee the credibility and internal consistency of the study instrument (<xref ref-type="table" rid="T2">Table&#x00A0;2</xref>).</p>
<table-wrap id="T2" position="float"><label>Table 2</label>
<caption><p>Internal consistency (cronbach&#x0027;s alpha) for the questionnaire fields.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">Fields</th>
<th valign="top" align="center">Cronbach&#x0027;s alpha test</th>
<th valign="top" align="center">Number of items</th>
<th valign="top" align="center">Sample size</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Students total PA</td>
<td valign="top" align="center">0.763</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">150</td>
</tr>
<tr>
<td valign="top" align="left">Perceptions about the importance of PA</td>
<td valign="top" align="center">0.711</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">150</td>
</tr>
<tr>
<td valign="top" align="left">Activities to encourage students to participate in PA</td>
<td valign="top" align="center">0.849</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">150</td>
</tr>
<tr>
<td valign="top" align="left">Perceptual factors that affect students&#x2019; participation in education classes</td>
<td valign="top" align="center">0.727</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">150</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The domain &#x201C;Activities to encourage students to participate in PA&#x201D; demonstrated excellent internal consistency, with a Cronbach&#x0027;s alpha of <italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.849. The &#x201C;Students&#x2019; total PA&#x201D; domain showed good reliability (<italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.763). Additionally, the domains &#x201C;Perceptions about the importance of PA&#x201D; and &#x201C;Factors influencing students&#x2019; participation in PE classes&#x201D; reported acceptable reliability coefficients of <italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.711 and <italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.727, respectively. All coefficients exceeded the widely accepted threshold of 0.70, indicating that the items within each construct were internally consistent and yielded stable measurements. These findings support the instrument&#x0027;s psychometric robustness and its suitability for assessing perceptions and behaviours related to PE.</p>
</sec>
<sec id="s2e"><title>Ethical considerations</title>
<p>This study received ethical approval from the Chief Scientist&#x0027;s Office at the Israeli Ministry of Education, the official body responsible for authorizing research conducted within the national school system. As part of this approval process, the research team received formal authorization to enter schools, which was presented to school administrators to introduce the study and obtain institutional support. Informed consent was obtained from the parents or legal guardians of all participating students. An official letter, distributed to families, clearly outlined the study&#x0027;s objectives, procedures, and confidentiality measures and included an opt-out form. Students whose parents declined participation were excluded from the study, in full compliance with the approved ethical protocol. All research activities were conducted by qualified academic investigators. Focus group discussions, where applicable, were facilitated by trained moderators approved under the ethics clearance to ensure methodological and ethical integrity throughout the study.</p>
</sec>
<sec id="s2f"><title>Statistical analysis</title>
<p>Descriptive statistics (means, standard deviations, and frequencies) were used to characterize respondents&#x0027; demographics and attitudes. Chi-square tests were conducted to assess associations among categorical variables. All analyses were performed using SPSS version 26, with statistical significance set at <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p>
</sec>
</sec>
<sec id="s3" sec-type="results"><title>Results</title>
<sec id="s3a"><title>Student valuation of PE as a key driver of engagement: beyond exposure and environment</title>
<p>As indicated in <xref ref-type="table" rid="T3">Table&#x00A0;3</xref>, in terms of PE hours per week, a significant majority of the sample population (<italic>n</italic>&#x2009;&#x003D;&#x2009;106, 70.7&#x0025;) noted having only one hour, whereas two hours (<italic>n</italic>&#x2009;&#x003D;&#x2009;22, 14.7&#x0025;) or three or more hours (<italic>n</italic>&#x2009;&#x003D;&#x2009;22, 14.7&#x0025;) were lesser reported. These numbers suggest that almost three out of four students have low PA levels within the school system. In terms of preferences, most participants (<italic>n</italic>&#x2009;&#x003D;&#x2009;98, 65.3&#x0025;) were satisfied with the current distribution of hours. Almost one-third of the students (<italic>n</italic>&#x2009;&#x003D;&#x2009;47, 31.3&#x0025;) wanted more PE hours, while only a small number (<italic>n</italic>&#x2009;&#x003D;&#x2009;5, 3.3&#x0025;) would rather have fewer. This highlights a slight disparity between actual provision and students&#x0027; perceived need for PE, which is generally beneficial for students&#x0027; attitudes towards exercise within schools. To gain further insight into the students&#x0027; views, they were asked to assess the value associated with PE and their level of participation in physical activities (<xref ref-type="table" rid="T4">Table&#x00A0;4</xref>). The statement &#x201C;PE classes are important to you and are no less important than any other subject taught in school&#x201D; received the highest mean score (M&#x2009;&#x003D;&#x2009;4.17, SD&#x2009;&#x003D;&#x2009;0.91; relative weight&#x2009;&#x003D;&#x2009;83&#x0025;). It was followed by the statement, &#x201C;Compared to other subjects, PE classes are just as important as all other disciplines&#x201D; (M&#x2009;&#x003D;&#x2009;3.54, SD&#x2009;&#x003D;&#x2009;1.00; relative weight&#x2009;&#x003D;&#x2009;71&#x0025;). Strong agreement was noted regarding the importance of PE. However, the participation outside the school hours was quite different. The statement &#x201C;PA in the after-work hours&#x2026;&#x201D; had the lowest mean score (M&#x2009;&#x003D;&#x2009;1.69, SD&#x2009;&#x003D;&#x2009;0.84; relative weight&#x2009;&#x003D;&#x2009;56&#x0025;), and &#x201C;Sports activities in which students can engage in their social surroundings&#x201D; also had low mean scores (M&#x2009;&#x003D;&#x2009;2.93, SD&#x2009;&#x003D;&#x2009;1.13). The average score (M&#x2009;&#x003D;&#x2009;3.36, SD&#x2009;&#x003D;&#x2009;0.57) indicates that the perception of PE is generally positive, although additional factors make participation outside of set school hours challenging.</p>
<table-wrap id="T3" position="float"><label>Table 3</label>
<caption><p>Distribution of participants according to the actual and preferred number of PE hours per week.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">Variables</th>
<th valign="top" align="center">Category</th>
<th valign="top" align="center">Frequency</th>
<th valign="top" align="center">Percentages (&#x0025;)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">PE hours</td>
<td valign="top" align="left">One hour</td>
<td valign="top" align="center">106</td>
<td valign="top" align="center">70.7</td>
</tr>
<tr>
<td valign="top" align="left">Two hours</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">14.7</td>
</tr>
<tr>
<td valign="top" align="left">Three hours or more</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">14.7</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">&#x0022;I would have liked the number of hours of&#x2026;</td>
<td valign="top" align="left">More or much more than it is today</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">31.3</td>
</tr>
<tr>
<td valign="top" align="left">The same thing without any differences</td>
<td valign="top" align="center">98</td>
<td valign="top" align="center">65.3</td>
</tr>
<tr>
<td valign="top" align="left">Less or much less than it is today</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">3.3</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T4" position="float"><label>Table 4</label>
<caption><p>Descriptive statistics of participants&#x2019; perceptions regarding PE and PA.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="left"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">Answer</th>
<th valign="top" align="center">Mean&#x2009;&#x00B1;&#x2009;SD</th>
<th valign="top" align="center">Relative weight (&#x0025;)</th>
<th valign="top" align="center">Order</th>
<th valign="top" align="center">Degree</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Sport activities which students can participate in their surrounded environment</td>
<td valign="top" align="center">2.9267&#x2009;&#x00B1;&#x2009;1.13</td>
<td valign="top" align="center">59&#x0025;</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">With equal percent</td>
</tr>
<tr>
<td valign="top" align="left">PA in the after-work hours as part of an extracurricular activity or in a free manner</td>
<td valign="top" align="center">1.6867&#x2009;&#x00B1;&#x2009;0.84</td>
<td valign="top" align="center">56&#x0025;</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">I participate in any PA (sometimes)/or free activity (once a week).</td>
</tr>
<tr>
<td valign="top" align="left">PE classes are important to you and are no less important than any other subject taught in school</td>
<td valign="top" align="center">4.1667&#x2009;&#x00B1;&#x2009;0.91</td>
<td valign="top" align="center">83&#x0025;</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">Compared to other subjects, PE classes are just as important as all other disciplines</td>
<td valign="top" align="center">3.5400&#x2009;&#x00B1;&#x2009;1</td>
<td valign="top" align="center">71&#x0025;</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left">With large percent</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To understand how these perceptions vary across roles, a cross-tabulation analysis was conducted among PE teachers, students, and administrators (<xref ref-type="table" rid="T5">Table&#x00A0;5</xref>). Statistically significant differences emerged regarding the perceived availability of community sports resources: while 79.6&#x0025; of students reported &#x201C;very little/little&#x201D; access, only 3.7&#x0025; of PE teachers and 19.7&#x0025; of administrators held the same view (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;16.375, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.003). Teachers were more likely to report moderate or high availability. A similar perceptual gap was observed in engagement with after-school activities. Although 64.3&#x0025; of students reported no participation, PE teachers indicated more diverse activity patterns. While not statistically significant, the difference approached relevance (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;8.765, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.067). Agreement on the value of after-school PA also varied by role (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;8.839, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.065), with students expressing higher levels of enthusiasm than teachers or administrators. Finally, significant differences were observed in the perceived academic importance of PE (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;16.823, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.002), with teachers more likely to rate it as &#x201C;large&#x201D; or &#x201C;very large&#x201D;, whereas administrators and students were somewhat more varied.</p>
<table-wrap id="T5" position="float"><label>Table 5</label>
<caption><p>Cross-tabulation of stakeholder responses by role (PE teachers, students, school administrators/others) and Chi-square test results.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="2">Item</th>
<th valign="top" align="center" colspan="6">Stakeholder role</th>
<th valign="top" align="center" rowspan="3">Chi-square</th>
<th valign="top" align="center" rowspan="3"><italic>P</italic>-value</th>
</tr>
<tr>
<th valign="top" align="center" colspan="2">PE teacher</th>
<th valign="top" align="center" colspan="2">Student</th>
<th valign="top" align="center" colspan="2">School administer/or other</th>
</tr>
<tr>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">Sport activities which students can participate in their surrounded environment</td>
<td valign="top" align="left">Very little/little percent</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">3.7</td>
<td valign="top" align="center">43</td>
<td valign="top" align="center">79.6</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">19.7</td>
<td valign="top" align="center" rowspan="3">16.375</td>
<td valign="top" align="center" rowspan="3">0.003</td>
</tr>
<tr>
<td valign="top" align="left">Equal percentage</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">30.4</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">62.5</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">7.1</td>
</tr>
<tr>
<td valign="top" align="left">Large/very large percent</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">27.5</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">67.5</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">5</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner&#x002A; State1 Cross tabulation</td>
<td valign="top" align="left">I did not participate</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">23.8</td>
<td valign="top" align="center">54</td>
<td valign="top" align="center">64.3</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">11.9</td>
<td valign="top" align="center" rowspan="3">8.765</td>
<td valign="top" align="center" rowspan="3">0.067</td>
</tr>
<tr>
<td valign="top" align="left">Once a week</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">24.1</td>
<td valign="top" align="center">18</td>
<td valign="top" align="center">62.1</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">13.8</td>
</tr>
<tr>
<td valign="top" align="left">Two or three times a week</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">8.1</td>
<td valign="top" align="center">33</td>
<td valign="top" align="center">89.2</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">2.7</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">33.3</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">66.7</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">8.839</td>
<td valign="top" align="center" rowspan="3">0.065</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">21.9</td>
<td valign="top" align="center">85</td>
<td valign="top" align="center">66.4</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">11.7</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">Compared to other subjects, PE classes are just as important as all other disciplines</td>
<td valign="top" align="left">Very little/little percent</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">87</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">16.8</td>
<td valign="top" align="center" rowspan="3">0.002</td>
</tr>
<tr>
<td valign="top" align="left">Equal percentage</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">87.5</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">7.5</td>
</tr>
<tr>
<td valign="top" align="left">Large/very large percent</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">105</td>
<td valign="top" align="center">70</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">10</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To assess whether exposure to PE shapes students&#x0027; perceptions and behaviours, another cross-tabulation examined outcomes by the number of weekly PE hours (<xref ref-type="table" rid="T6">Table&#x00A0;6</xref>). Students receiving three or more PE hours were significantly more likely to report high availability of sports opportunities in their surrounding environment (32.5&#x0025;) compared to those with two hours (15&#x0025;) and one hour (11.1&#x0025;) (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;15.158, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.004). In contrast, 74.1&#x0025; of students with only one PE hour reported limited access to such opportunities. Although students with greater PE exposure also reported higher rates of participation in extracurricular PA two to three times per week (14.5&#x0025; for the three-hour group), the association did not reach statistical significance (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;8.938, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.177). However, perceptions regarding the value of after-school PA differed significantly across exposure levels (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;300, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001). All students who disagreed with the value of after-school activity were from the one-hour group, whereas agreement was exclusive to students with two or more hours of PE. Likewise, perceived academic importance of PE was strongly associated with exposure (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;56.393, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001), with 46.4&#x0025; of students in the three-hour group and 37.7&#x0025; in the two-hour group rating it as &#x201C;large&#x201D; or &#x201C;very large&#x201D;, compared to only 15.9&#x0025; in the one-hour group. These findings indicate that increased PE exposure is significantly linked to more favorable attitudes toward both PA and the academic value of PE. To deepen the analysis, students&#x0027; preferences regarding weekly PE hours were examined in relation to their PA attitudes and behaviors (<xref ref-type="table" rid="T7">Table&#x00A0;7</xref>). Preferences were categorized as wanting more, the same, or fewer PE hours. A statistically significant association was observed between students&#x2019; attitudes toward after-school activity and their preferences (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;26.680, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001). Among those who valued after-school activities, 31.3&#x0025; wanted more PE, and only 0.8&#x0025; wanted less. In contrast, 33.3&#x0025; of students who did not value after-school activities preferred fewer hours. A similar trend was observed regarding how students perceived the academic importance of PE (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;20.210, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001). Students who rated PE as &#x201C;very important&#x201D; overwhelmingly wanted either the same amount (65.3&#x0025;) or more time (31.3&#x0025;), while only 3.3&#x0025; preferred less. Meanwhile, 17.4&#x0025; of those rated PE as &#x201C;very little/little&#x201D; in importance preferred reduced hours. Other variables, such as the perceived availability of sports opportunities and actual participation in extracurricular PA, did not show statistically significant associations with students&#x0027; preferences for PE hours. This suggests that while environmental factors may shape attitudes, students&#x0027; valuation of PE and belief in its importance are the strongest predictors of their desire for increased PE time.</p>
<table-wrap id="T6" position="float"><label>Table 6</label>
<caption><p>Cross-tabulation of participants&#x2019; responses by the number of PE hours per week.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="2">Item</th>
<th valign="top" align="center" colspan="6">Number of hours of PE at the school</th>
<th valign="top" align="center" rowspan="3">Chi-square</th>
<th valign="top" align="center" rowspan="3"><italic>P</italic>-value</th>
</tr>
<tr>
<th valign="top" align="center" colspan="2">One hour</th>
<th valign="top" align="center" colspan="2">Two hours</th>
<th valign="top" align="center" colspan="2">Three or more</th>
</tr>
<tr>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">Sport activities which students can participate in their surrounded environment</td>
<td valign="top" align="left">VERY little/little percent</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">74.1</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">14.8</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">11.1</td>
<td valign="top" align="center" rowspan="3">15.158</td>
<td valign="top" align="center" rowspan="3">0.004</td>
</tr>
<tr>
<td valign="top" align="left">EQUAL percentage</td>
<td valign="top" align="center">45</td>
<td valign="top" align="center">80.4</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">14.3</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">5.3</td>
</tr>
<tr>
<td valign="top" align="left">LARGE/very large percent</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">52.5</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">32.5</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner<break/>&#x002A;State1 Crosstabulation</td>
<td valign="top" align="left">I did not participate</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">8.938</td>
<td valign="top" align="center" rowspan="3">0.177</td>
</tr>
<tr>
<td valign="top" align="left">Once a week</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">93.8</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">6.3</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Two or three times a week</td>
<td valign="top" align="center">48</td>
<td valign="top" align="center">69.6</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">15.9</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">14.5</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">300</td>
<td valign="top" align="center" rowspan="3">&#x003C;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">69</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">Compared to other subjects, PE classes are just as important as all other disciplines</td>
<td valign="top" align="left">very little/little percent</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">33.3</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">33.3</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">33.3</td>
<td valign="top" align="center" rowspan="3">56.393</td>
<td valign="top" align="center" rowspan="3">&#x003C;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">equal percentage</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Large/very large percent</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">15.9</td>
<td valign="top" align="center">26</td>
<td valign="top" align="center">37.7</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">46.4</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T7" position="float"><label>Table 7</label>
<caption><p>Cross-tabulation of students&#x2019; preferences for the number of weekly PE hours with their PA perceptions and behaviors.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="2">Item</th>
<th valign="top" align="center" colspan="6">How the student like for the number of hours of PE</th>
<th valign="top" align="center" rowspan="3">Ch-square</th>
<th valign="top" align="center" rowspan="3"><italic>P</italic>-value</th>
</tr>
<tr>
<th valign="top" align="center" colspan="2">More</th>
<th valign="top" align="center" colspan="2">The same</th>
<th valign="top" align="center" colspan="2">Less</th>
</tr>
<tr>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">In the area where I live, there is a wide choice of sports activities that students can participate in</td>
<td valign="top" align="left">Very little/little percent</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">31.5</td>
<td valign="top" align="center">34</td>
<td valign="top" align="center">63</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">5.6</td>
<td valign="top" align="center" rowspan="3">4.045</td>
<td valign="top" align="center" rowspan="3">0.400</td>
</tr>
<tr>
<td valign="top" align="left">Equal percentage</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">35.7</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">64.3</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Large/very large percent</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">70</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">5</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner &#x002A; State1 Crosstabulation</td>
<td valign="top" align="left">I did not participate</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">32.1</td>
<td valign="top" align="center">54</td>
<td valign="top" align="center">64.3</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">3.6</td>
<td valign="top" align="center" rowspan="3">4.211</td>
<td valign="top" align="center" rowspan="3">0.378</td>
</tr>
<tr>
<td valign="top" align="left">Once a week</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">20.7</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">72.4</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">6.9</td>
</tr>
<tr>
<td valign="top" align="left">Two or three times a week</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">37.8</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">62.2</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PA in the after-work hours as part of an extracurricular activity or in a free manner</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">66.7</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">33.3</td>
<td valign="top" align="center" rowspan="3">26.68</td>
<td valign="top" align="center" rowspan="3">0.000</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">43.8</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">43.8</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">12.5</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">31.3</td>
<td valign="top" align="center">87</td>
<td valign="top" align="center">68</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">0.8</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">Compared to other subjects, PE classes are just as important as all other disciplines</td>
<td valign="top" align="left">Very little/little percent</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">39.1</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">43.5</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">17.4</td>
<td valign="top" align="center" rowspan="3">20.21</td>
<td valign="top" align="center" rowspan="3">0.000</td>
</tr>
<tr>
<td valign="top" align="left">Equal percentage</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">37.5</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">62.5</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1.1</td>
</tr>
<tr>
<td valign="top" align="left">Large/very large percent</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">31.3</td>
<td valign="top" align="center">98</td>
<td valign="top" align="center">65.3</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">3.3</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3b"><title>Schools motivate students more during class time than after hours</title>
<p>The previous analyses examined the differences stemming from stakeholder roles in the PE classes, the number of hours spent in class, and whether students would prefer more or fewer PE classes. Now, it is essential to examine students&#x0027; attitudes towards the active role the school plays in encouraging them to engage in PA. These attitudes reflect the school&#x0027;s institutional commitment to student physical well-being. To understand this aspect, the focus was on the descriptive statistics regarding the level to which schools motivate, instruct, and facilitate PA both during and after school hours. A descriptive analysis was made to assess how students working in the school perceive the encouragement given towards exercise both within and outside official school hours (<xref ref-type="table" rid="T8">Table&#x00A0;8</xref>). The item rated highest was &#x201C;During the school work plan, the stresses motivating students to participate in sports activity inside and outside the school&#x201D;, which had a mean value of 3.78 (SD&#x2009;&#x003D;&#x2009;0.99), with 75.6&#x0025; agreement, indicating a high level of agreement. In the same context, students have also confirmed that &#x201C;The school explains the importance of PA and a healthy lifestyle&#x201D; with a mean score of 3.67 (SD&#x2009;&#x003D;&#x2009;1.07; relative weight&#x2009;&#x003D;&#x2009;73.5&#x0025;), which suggests moderate agreement. There was moderate agreement as well for the item &#x201C;Your school encourages students to play ball games or free games in the schoolyard&#x201D; (M&#x2009;&#x003D;&#x2009;3.47, SD&#x2009;&#x003D;&#x2009;1.21) but the lowest mean was for &#x201C;Your school encourages students to participate in PA also after official working hours&#x201D;, which received a neutral response (M&#x2009;&#x003D;&#x2009;3.13, SD&#x2009;&#x003D;&#x2009;1.19; relative weight&#x2009;&#x003D;&#x2009;63&#x0025;). Based on these results, students perceive that motivation and structured education about PA are mainly limited to school hours, and there is little to no direct encouragement to participate in physical activities after school. The overall average is somewhat high, with a mean item score of 3.51 (SD&#x2009;&#x003D;&#x2009;0.82), indicating that there is general agreement that schools provide PE; however, the level of such encouragement varies depending on the situation.</p>
<table-wrap id="T8" position="float"><label>Table 8</label>
<caption><p>Descriptive statistics of students&#x2019; perceptions of school-based encouragement for PA.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="left"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">The answer</th>
<th valign="top" align="center">Mean</th>
<th valign="top" align="center">Standard deviation</th>
<th valign="top" align="center">Relative weight</th>
<th valign="top" align="center">Order</th>
<th valign="top" align="left">Degree</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">During the school work plan, the stresses motivating students to participate in sports activity inside and outside the school</td>
<td valign="top" align="center">3.7800</td>
<td valign="top" align="center">0.99576</td>
<td valign="top" align="center">75.6</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">The school will explain to students the importance of PA and a healthy lifestyle</td>
<td valign="top" align="center">3.6733</td>
<td valign="top" align="center">1.07126</td>
<td valign="top" align="center">73.5</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">Your school encourages students to play ball games or free games in the schoolyard</td>
<td valign="top" align="center">3.4667</td>
<td valign="top" align="center">1.20773</td>
<td valign="top" align="center">69</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">Your school encourages students to participate in PA also after official working hours, for example, extracurricular activities</td>
<td valign="top" align="center">3.1267</td>
<td valign="top" align="center">1.19449</td>
<td valign="top" align="center">63</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">Neutral</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To deepen this analysis, a cross-tabulation was conducted to examine differences among students, PE teachers, and school administrators. Statistically significant group differences were observed across all four items (<xref ref-type="table" rid="T9">Table&#x00A0;9</xref>). Teachers and students expressed relatively higher agreement with items related to in-school encouragement, while administrators showed notably lower deal. For example, although 61.7&#x0025; of students agreed that PA is emphasized within the school plan, only 10.3&#x0025; of administrators concurred (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;21.681, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.000). Similarly, students and teachers were more likely to agree that the school promotes ball games or explains the importance of a healthy lifestyle, whereas administrators were less likely to affirm these roles. The starkest perception gap appeared in encouragement for after-hours activity, where 82&#x0025; of students disagreed that schools promoted such engagement, despite 30.6&#x0025; of teachers reporting otherwise (&#x03C7;<sup>2</sup>&#x2009;&#x003D;&#x2009;17.819, <italic>p</italic>&#x2009;&#x003D;&#x2009;.001).</p>
<table-wrap id="T9" position="float"><label>Table 9</label>
<caption><p>Cross tabulation for the question: stakeholder role vs. Perceptions about the importance of PA.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="2">Paragraph</th>
<th valign="top" align="center" colspan="6">Situation</th>
<th valign="top" align="center" rowspan="3">Ch-square</th>
<th valign="top" align="center" rowspan="3">Probability value</th>
</tr>
<tr>
<th valign="top" align="center" colspan="2">PE teacher</th>
<th valign="top" align="center" colspan="2">Student</th>
<th valign="top" align="center" colspan="2">School administer/or other</th>
</tr>
<tr>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">During the school work plan, he stresses on motivating students to participate in sports activity inside and outside the school</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">77</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">22.2</td>
<td valign="top" align="center" rowspan="3">21.681</td>
<td valign="top" align="center" rowspan="3">.000</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">66</td>
<td valign="top" align="center">61.7</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">10.3</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">The school will explain to students the importance of PA and a healthy lifestyle</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">27.266</td>
<td valign="top" align="center" rowspan="3">.000</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">96</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">29</td>
<td valign="top" align="center">28.7</td>
<td valign="top" align="center">57</td>
<td valign="top" align="center">56.4</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">14.9</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">Your school encourages students to play ball games or free games in the schoolyard</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">17.1</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">77.1</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">5.7</td>
<td valign="top" align="center" rowspan="3">12.136</td>
<td valign="top" align="center" rowspan="3">.016</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">4.3</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">95.7</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">56</td>
<td valign="top" align="center">60.9</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">14.1</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">Your school encourages students to participate in PA also after official working hours, for example extracurricular activities</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">41</td>
<td valign="top" align="center">82</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center" rowspan="3">17.819</td>
<td valign="top" align="center" rowspan="3">.001</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">10.7</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">89.3</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">30.6</td>
<td valign="top" align="center">39</td>
<td valign="top" align="center">54.2</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">15.3</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Taken together, the descriptive and inferential analyses reveal that while students acknowledge the presence of PA promotion during school hours, the effort appears to taper off outside these times. Additionally, significant perceptual mismatches between stakeholder groups underscore the need for greater alignment in communication and policy regarding PA promotion across the school day.</p>
</sec>
<sec id="s3c"><title>Students view PE teachers as motivators within the class, but are less engaged</title>
<p>To assess how students perceive the role of PE teachers in encouraging PA beyond scheduled class periods, a series of items was analysed using descriptive statistics (<xref ref-type="table" rid="T10">Table&#x00A0;10</xref>). The analysis focused on teacher encouragement, educational messaging, follow-up on extracurricular engagement, and the frequency of active breaks during the school day. The highest-rated item was &#x201C;The PE teacher at school encourages me to do PA in my spare time&#x201D;, with a mean score of 3.47 (SD&#x2009;&#x003D;&#x2009;1.12) and a relative weight of 0.694. This suggests that students agree that their PE teachers serve as motivational figures for promoting PA outside of school hours. The second-highest rated statement was &#x201C;The PE teacher explains the importance of PA&#x201D; (M&#x2009;&#x003D;&#x2009;3.40, SD&#x2009;&#x003D;&#x2009;1.17; relative weight&#x2009;&#x003D;&#x2009;0.68), indicating a generally positive perception of the teachers&#x0027; educational role in health promotion. Conversely, students expressed more neutral views on items that required ongoing engagement or the application of PA to everyday life. The item &#x201C;During the PE classes, they explain to us how to apply PA also outside working hours (e.g., walking instead of riding a car, using stairs instead of the elevator)&#x201D; received a mean score of 3.25 (SD&#x2009;&#x003D;&#x2009;1.26), while &#x201C;The PE teacher cares and asks about the sports activities that I participate in after official working hours&#x201D; received a nearly identical mean of 3.24 (SD&#x2009;&#x003D;&#x2009;1.32). Both items reflect a lack of strong consensus, suggesting that while students perceive some support, it may be limited in follow-through or practicality. Finally, the statement addressing the frequency of adequate breaks involving PA within the school day received a mean of 3.25 (SD&#x2009;&#x003D;&#x2009;1.11), interpreted as approximately &#x201C;one or two times a week&#x201D;, which further suggests room for improvement in incorporating PA into the daily school routine. The overall mean score for this set of items was 3.31 (SD&#x2009;&#x003D;&#x2009;0.99), corresponding to a neutral level of agreement. This result indicates that while PE teachers are generally viewed as encouraging, their role in reinforcing PA behaviours beyond class hours may not be fully optimized or consistently experienced by students.</p>
<table-wrap id="T10" position="float"><label>Table 10</label>
<caption><p>Descriptive statistics of students&#x2019; perceptions regarding the PE teacher&#x0027;s role in promoting PA beyond scheduled class periods.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="left"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">The answer</th>
<th valign="top" align="center">Mean</th>
<th valign="top" align="center">Standard deviation</th>
<th valign="top" align="center">Relative weight</th>
<th valign="top" align="center">Order</th>
<th valign="top" align="center">Degree</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">The PE teacher in the school explains to us about the importance of PA</td>
<td valign="top" align="center">3.40</td>
<td valign="top" align="center">1.17</td>
<td valign="top" align="center">0.68</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">The PE teacher at school encourages me to do PA in my spare time</td>
<td valign="top" align="center">3.47</td>
<td valign="top" align="center">1.12</td>
<td valign="top" align="center">0.694</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">During the PE classes, they explain to us how to apply PA also outside working hours (for example, walking instead of riding the car, climbing stairs instead of using the elevator</td>
<td valign="top" align="center">3.25</td>
<td valign="top" align="center">1.26</td>
<td valign="top" align="center">0.65</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">Neutral</td>
</tr>
<tr>
<td valign="top" align="left">The PE teacher cares and asks about the sports activities that I participate in after official working hours</td>
<td valign="top" align="center">3.24</td>
<td valign="top" align="center">1.32</td>
<td valign="top" align="center">0.648</td>
<td valign="top" align="center">5</td>
<td valign="top" align="left">Neutral</td>
</tr>
<tr>
<td valign="top" align="left">How many times a week is an effective break held inside the school?</td>
<td valign="top" align="center">3.25</td>
<td valign="top" align="center">1.11</td>
<td valign="top" align="center">0.65</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">One or two times a week</td>
</tr>
<tr>
<td valign="top" align="left">Overall mean</td>
<td valign="top" align="center">3.31</td>
<td valign="top" align="center">0.99</td>
<td valign="top" align="center">0.662</td>
<td valign="top" align="center"/>
<td valign="top" align="left">Neutral</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3d"><title>High enjoyment, low barriers: student perspectives on participation in PE</title>
<p>Although previous studies have analyzed the role schools and PE teachers play in encouraging active lifestyles, students&#x0027; views on their participation in PE classes and potential restraints are also crucial. Knowing students&#x0027; perceptions and barriers tells much more about the environment and describes the negative conditions of motivation and participation. The next part of the table examines students&#x0027; perceptions of their enjoyment of PE and the social, emotional, and structural factors that impact their continued participation. From the analysis of students&#x0027; responses (<xref ref-type="table" rid="T11">Tables&#x00A0;11</xref>, <xref ref-type="table" rid="T12">12</xref>), it was clear that their overall attitude towards participating in PE was positive, and their perception of barriers to participation was low. Most students supported the statement, &#x201C;I love participating in PE classes inside the school&#x201D; (M&#x2009;&#x003D;&#x2009;4.15, SD&#x2009;&#x003D;&#x2009;0.90; relative weight&#x2009;&#x003D;&#x2009;0.83), with this level of support indicating strong enthusiasm for PE within the student body. However, most of the perceived obstacles, such as low motivation (M&#x2009;&#x003D;&#x2009;2.26) and insufficient equipment (M&#x2009;&#x003D;&#x2009;1.94), as well as teacher training frustration (M&#x2009;&#x003D;&#x2009;2.13), and teachers not having time due to numerous other responsibilities (M&#x2009;&#x003D;&#x2009;2.07), were rated as having little impact. Likewise, students&#x0027; low motivation (M&#x2009;&#x003D;&#x2009;2.36) or low perceived importance of PE among peers (M&#x2009;&#x003D;&#x2009;2.34) were equally as unproblematic. Notably, while the barriers to participation were perceived to be low, one particular concern was the high rate of cancellations of PE compared to other subjects. Students endorsed the statement, &#x201C;PE classes are canceled more often than other classes&#x201D; (M&#x2009;&#x003D;&#x2009;3.65, SD&#x2009;&#x003D;&#x2009;1.28; relative weight&#x2009;&#x003D;&#x2009;0.73), suggesting that cancellation of classes may contribute to disaffection. The embarrassment factor in PE classes received a neutral rating (M&#x2009;&#x003D;&#x2009;2.91), indicating that respondents perceived emotional discomfort as present, but not to a strong enough extent to influence their participation choice. The overall mean across all items is 2.38 (SD&#x2009;&#x003D;&#x2009;0.54), indicating that students generally seem to enjoy PE. Yet, some broader structural or sociological aspects are identifiable and do not allow their full engagement.</p>
<table-wrap id="T11" position="float"><label>Table 11</label>
<caption><p>Descriptive statistics of students&#x2019; perceptions regarding barriers to participation and attitudes toward PE.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="left"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">The answer</th>
<th valign="top" align="center">Mean</th>
<th valign="top" align="center">Standard deviation</th>
<th valign="top" align="center">Relative weight</th>
<th valign="top" align="center">Degree</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">I love participating in PE classes inside the school</td>
<td valign="top" align="center">4.15</td>
<td valign="top" align="center">0.90031</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">Is there a lack of sports infrastructure?</td>
<td valign="top" align="center">2.26</td>
<td valign="top" align="center">1.18365</td>
<td valign="top" align="center">0.57</td>
<td valign="top" align="left">effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">Is there a shortage of suitable sports equipment?</td>
<td valign="top" align="center">1.94</td>
<td valign="top" align="center">.76064</td>
<td valign="top" align="center">0.49</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">There is a shortage of professional teachers in the field of PE</td>
<td valign="top" align="center">2.18</td>
<td valign="top" align="center">1.10721</td>
<td valign="top" align="center">0.55</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">Lack of desire among PE teachers for learning and professional development</td>
<td valign="top" align="center">2.13</td>
<td valign="top" align="center">1.06010</td>
<td valign="top" align="center">0.53</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">Multiple additional functions performed by a PE teacher</td>
<td valign="top" align="center">2.07</td>
<td valign="top" align="center">1.04160</td>
<td valign="top" align="center">0.52</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">Perception of a topic of low importance in the eyes of students</td>
<td valign="top" align="center">2.34</td>
<td valign="top" align="center">1.09531</td>
<td valign="top" align="center">0.587</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">Students&#x2019; motivation is low when they participate in PE classes</td>
<td valign="top" align="center">2.36</td>
<td valign="top" align="center">1.16422</td>
<td valign="top" align="center">0.59</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">In your school, PE classes are repeatedly cancelled compared to other classes, and does the issue affect, in general, the participation of students in PE classes</td>
<td valign="top" align="center">2.39</td>
<td valign="top" align="center">1.19616</td>
<td valign="top" align="center">0.60</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">PE classes are cancelled more often than other classes</td>
<td valign="top" align="center">3.65</td>
<td valign="top" align="center">1.28485</td>
<td valign="top" align="center">0.73</td>
<td valign="top" align="left">Agree</td>
</tr>
<tr>
<td valign="top" align="left">Is there a problem with the lack of encouragement for parents to take their children into PE classes at school?</td>
<td valign="top" align="center">2.16</td>
<td valign="top" align="center">0.97011</td>
<td valign="top" align="center">0.54</td>
<td valign="top" align="left">Effect slightly</td>
</tr>
<tr>
<td valign="top" align="left">I feel embarrassed in PE classes?</td>
<td valign="top" align="center">2.91</td>
<td valign="top" align="center">1.40413</td>
<td valign="top" align="center">0.582</td>
<td valign="top" align="left">Neutral</td>
</tr>
<tr>
<td valign="top" align="left">Overall mean</td>
<td valign="top" align="center">2.38</td>
<td valign="top" align="center">0.53758</td>
<td valign="top" align="center"/>
<td valign="top" align="left">Effect slightly</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T12" position="float"><label>Table 12</label>
<caption><p>Cross-tabulation of stakeholder role and perceptions regarding barriers and attitudes toward PE in schools.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="3" colspan="2">Paragraph</th>
<th valign="top" align="center" colspan="6">Stakeholder role</th>
<th valign="top" align="center" rowspan="3">Chi-square</th>
<th valign="top" align="center" rowspan="3"><italic>P</italic>-value</th>
</tr>
<tr>
<th valign="top" align="center" colspan="2">PE teacher</th>
<th valign="top" align="center" colspan="2">Student</th>
<th valign="top" align="center" colspan="2">School administer/or other</th>
</tr>
<tr>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
<th valign="top" align="center">freq</th>
<th valign="top" align="center">&#x0025;</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left" rowspan="3">I love participating in PE classes inside the school</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center" rowspan="3">8.760</td>
<td valign="top" align="center" rowspan="3">0.067</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">14.8</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">85.2</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">26</td>
<td valign="top" align="center">22.4</td>
<td valign="top" align="center">75</td>
<td valign="top" align="center">64.7</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">12.9</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Is there a lack of sports infrastructure?</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">16.3</td>
<td valign="top" align="center">59</td>
<td valign="top" align="center">73.8</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center" rowspan="2">3.380</td>
<td valign="top" align="center" rowspan="2">0.187</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">28.3</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">60</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">11.7</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Is there a shortage of suitable sports equipment?</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">66</td>
<td valign="top" align="center">63.5</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">12.5</td>
<td valign="top" align="center" rowspan="2">7.766</td>
<td valign="top" align="center" rowspan="2">0.021</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">13.9</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">86.1</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">There is a shortage of professional teachers in the field of PE</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">19.5</td>
<td valign="top" align="center">64</td>
<td valign="top" align="center">73.6</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">6.9</td>
<td valign="top" align="center" rowspan="2">3.532</td>
<td valign="top" align="center" rowspan="2">0.171</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">22.8</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">61.4</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">15.8</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Lack of desire among PE teachers for learning and professional development</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">26</td>
<td valign="top" align="center">30.2</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">58.1</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">11.6</td>
<td valign="top" align="center" rowspan="2">12.095</td>
<td valign="top" align="center" rowspan="2">0.005</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">7.1</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">83.9</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">8.9</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Multiple additional functions performed by a PE teacher</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">21.6</td>
<td valign="top" align="center">61</td>
<td valign="top" align="center">69.3</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">9.1</td>
<td valign="top" align="center" rowspan="2">.644</td>
<td valign="top" align="center" rowspan="2">0.725</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">17.2</td>
<td valign="top" align="center">41</td>
<td valign="top" align="center">70.7</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">12.1</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Perception of a topic of low importance in the eyes of students</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">24.7</td>
<td valign="top" align="center">53</td>
<td valign="top" align="center">65.4</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">9.9</td>
<td valign="top" align="center" rowspan="2">1.792</td>
<td valign="top" align="center" rowspan="2">0.408</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">15.6</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">73.4</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">10.9</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Students&#x2019; motivation is low when they participate in PE classes</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">20.7</td>
<td valign="top" align="center">57</td>
<td valign="top" align="center">69.5</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">9.8</td>
<td valign="top" align="center" rowspan="2">0.46</td>
<td valign="top" align="center" rowspan="2">0.677</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">45</td>
<td valign="top" align="center">69.2</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">10.8</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">In your school, PE classes are repeatedly cancelled compared to other classes, and does the issue affect, in general, the participation of students in PE classes</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">27.4</td>
<td valign="top" align="center">46</td>
<td valign="top" align="center">63</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">9.6</td>
<td valign="top" align="center" rowspan="2">4.374</td>
<td valign="top" align="center" rowspan="2">0.112</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">13.5</td>
<td valign="top" align="center">56</td>
<td valign="top" align="center">75.7</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">10.8</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">PE classes are cancelled more often than other classes</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">36.4</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">60.6</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center" rowspan="3">10.976</td>
<td valign="top" align="center" rowspan="3">0.029</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">24.1</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">69</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">6.9</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">12.5</td>
<td valign="top" align="center">65</td>
<td valign="top" align="center">73.9</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">13.6</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="2">Is there a problem with the lack of encouragement for parents to take their children into PE classes at school?</td>
<td valign="top" align="left">Slightly or less</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">24.7</td>
<td valign="top" align="center">49</td>
<td valign="top" align="center">60.5</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">14.8</td>
<td valign="top" align="center" rowspan="2">7.437</td>
<td valign="top" align="center" rowspan="2">0.024</td>
</tr>
<tr>
<td valign="top" align="left">Moderately or more</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">15.2</td>
<td valign="top" align="center">53</td>
<td valign="top" align="center">80.3</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">4.5</td>
</tr>
<tr>
<td valign="top" align="left" rowspan="3">I feel embarrassed in PE classes</td>
<td valign="top" align="left">Disagree</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">20.3</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">68.1</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">11.6</td>
<td valign="top" align="center" rowspan="3">3.216</td>
<td valign="top" align="center" rowspan="3">0.522</td>
</tr>
<tr>
<td valign="top" align="left">Neutral</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">10.3</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">79.3</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">10.3</td>
</tr>
<tr>
<td valign="top" align="left">Agree</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">26.5</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">65.3</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">8.2</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s4" sec-type="discussion"><title>Discussion</title>
<p>This study sought to assess students&#x0027; perceptions of PE among students, PE teachers, and school administrators in East Jerusalem schools. The findings present a nuanced view of how the educational system values, supports, and implements PE. While there is broad agreement on the importance of PE, key discrepancies emerged between stakeholder roles regarding participation levels, institutional support, and perceived barriers, suggesting a need for more cohesive strategies to promote PA within and beyond the school setting.</p>
<p>A central finding of this study is that the vast majority of students (70.7&#x0025;) receive only one hour of PE per week, which falls significantly below international recommendations. The World Health Organization (WHO) recommends that children and adolescents engage in at least 60&#x2005;min of moderate-to-vigorous PA daily (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). According to OECD data, most member countries allocate between 90 and 150&#x2005;min of PE per week in primary and secondary education (<xref ref-type="bibr" rid="B37">37</xref>). For example, countries like France, the UK, and Finland typically provide 2&#x2013;3&#x2005;h of PE per week. In contrast, data from the Middle East and North Africa (MENA) region show significant variability, with some countries, such as Qatar and the UAE, implementing two PE lessons per week, while others report less consistent or under-enforced guidelines (<xref ref-type="bibr" rid="B38">38</xref>&#x2013;<xref ref-type="bibr" rid="B42">42</xref>). In this context, the limited PE time in East Jerusalem schools raises concerns about whether students receive adequate, structured opportunities to meet health and fitness standards, particularly when extracurricular engagement is also low.</p>
<p>Despite the restricted time, student perceptions of PE were generally positive. Many students viewed PE as equal or of greater importance than academic subjects, and over 30&#x0025; expressed a desire for increased PE hours. This enthusiasm is consistent with previous studies, which indicate that when PE is delivered effectively, students value it for its physical benefits and contributions to enjoyment, social bonding, and emotional regulation (<xref ref-type="bibr" rid="B43">43</xref>). However, the current findings also point to a gap between students&#x0027; attitudes and their actual participation in PA outside of school, with many reporting low levels of extracurricular engagement.</p>
<p>Interestingly, a perceptual gap emerged between students&#x0027; high valuation of after-school PA and their low participation rates. While a majority of students agreed with the importance of extracurricular PA, 64.3&#x0025; reported not participating in any such activities. This discrepancy suggests that students may appreciate the value of PA yet face barriers that prevent engagement, such as lack of time, limited access to facilities, transportation issues, or competing academic demands. This finding aligns with earlier research, which highlights that positive attitudes alone are insufficient predictors of behavior, particularly when structural or contextual limitations exist. Future interventions should aim not only to strengthen positive attitudes but also to remove practical barriers to participation, such as improving access to after-school sports programs, fostering community partnerships, or providing transportation support.</p>
<p>One notable divergence in this study relates to stakeholders&#x0027; perceptions of environmental opportunities for PA. While most students reported a lack of accessible sports activities in their surroundings, PE teachers and administrators were more likely to rate these opportunities as moderate or high. This discrepancy may reflect differences in awareness, access, or expectations. Students&#x0027; limited mobility or knowledge of available programs may contribute to underutilizing existing community resources. Alternatively, it may indicate a lack of structured opportunities in particular geographic or socioeconomically disadvantaged areas.</p>
<p>The analysis also highlighted the influence of PE exposure on student perceptions. Students receiving more than one hour of PE per week were significantly more likely to value PA and report better access to local sports opportunities. This aligns with previous research suggesting that greater exposure to PE can enhance students&#x0027; motivation, self-efficacy, and positive attitudes toward an active lifestyle (<xref ref-type="bibr" rid="B44">44</xref>). Increasing PE hours may, therefore, serve as a viable strategy for improving fitness outcomes and instilling long-term habits and appreciation for PA.</p>
<p>Students generally viewed PE teachers as supportive and encouraging, especially regarding the importance of PA. However, follow-up engagement and integrating PA principles into daily life, such as promoting walking or using stairs, received more neutral responses. This indicates that while PE teachers fulfill a motivational role within class sessions, their influence may be limited beyond scheduled instruction. These findings echo previous literature emphasizing the need for professional development that equips PE teachers with tools to extend their impact into students&#x0027; broader lifestyle behaviors (<xref ref-type="bibr" rid="B45">45</xref>).</p>
<p>Institutional barriers were also reported, with students noting that PE classes are canceled more frequently than other subjects and that encouragement for after-school activities remains weak. These findings suggest systemic de-prioritization of PE within school scheduling and policy implementation. Administrative commitment and structured school-wide strategies are essential for embedding PA into the broader educational culture (<xref ref-type="bibr" rid="B46">46</xref>). Even well-trained teachers may struggle to implement comprehensive and sustainable programs without the support of institutional buy-in.</p>
<p>Interestingly, while potential barriers such as lack of infrastructure, equipment, or teacher development were recognized by students, they were generally rated as having a &#x201C;slight effect&#x201D;. This indicates that when students enjoy PE, they overlook logistical shortcomings, or it reflects limited awareness of the structural challenges teachers face. Still, frequent class cancellations and some emotional barriers, such as embarrassment during PE, were more prominent, pointing to areas requiring policy and pedagogical attention.</p>
<p>Several countries facing similar challenges in PE have implemented effective strategies to improve access and quality. For example, Finland has emphasized the integration of PE into the national curriculum by mandating minimum weekly hours and linking PA to well-being and academic outcomes (<xref ref-type="bibr" rid="B47">47</xref>). Canada has addressed equity in PE through province-specific frameworks, community partnerships, and inclusive policies to engage diverse populations (<xref ref-type="bibr" rid="B48">48</xref>). These approaches highlight the importance of national policy alignment, adequate teacher training, and investment in facilities and extracurricular programming. Lessons from these international examples could guide improvements in PE delivery in Israel, especially in under-resourced or culturally diverse settings such as East Jerusalem.</p>
<p>This study underscores the complex interplay between institutional structures, stakeholder perceptions, and student behavior in school-based PA. While students express a strong appreciation for PE, limited instructional time, perceived environmental constraints, and inconsistent institutional support may impede broader engagement. A coordinated effort involving policy reform, professional development, and cross-sector collaboration is needed to create a more active and health-promoting educational environment in East Jerusalem schools. While this study provides valuable insights into stakeholder perceptions of PE within East Jerusalem schools, its geographic limitation may affect the generalizability of the findings. East Jerusalem represents a unique socio-political and cultural context within Israel, which may not fully reflect the conditions and attitudes present in other regions or educational sectors, such as secular Jewish, ultra-Orthodox, or mixed cities. To build on these findings and enhance their applicability, future research should aim to include a more diverse sample, encompassing schools from various geographic areas, socio-economic backgrounds, and demographic compositions across Israel. Such expansion would enable a more comprehensive understanding of national trends and facilitate the development of tailored, evidence-based policies to strengthen PE programs nationwide. Additionally, it is essential to recognize that the perspectives presented by different stakeholder groups may be influenced by response bias. For example, PE teachers may have a vested interest in portraying PE in a more favorable light, potentially overstating its institutional support or minimizing barriers. Similarly, students&#x0027; responses may be influenced by personal enjoyment of PE or dissatisfaction with its current structure, while administrators may present responses aligned with institutional narratives or priorities. These potential biases should be considered when interpreting the findings, as they may influence the extent to which stakeholder perceptions accurately reflect the objective reality of PE implementation and support in schools. Future studies may benefit from triangulating stakeholder input with objective observations, curriculum analysis, or policy reviews to mitigate subjectivity.</p>
<p>In conclusion, educational policymakers and school administrators should consider increasing the allocated hours for PE, ensuring it is given equal priority alongside other academic subjects. Additionally, targeted investment in infrastructure, such as access to gymnasiums and open spaces, is essential to enhance the quality and consistency of PE delivery. Policymakers should also support the development of structured extracurricular PA programs, particularly in under-resourced schools, to provide students with meaningful opportunities beyond the classroom. Finally, establishing monitoring frameworks and stakeholder feedback mechanisms can help ensure that policy reforms are responsive, equitable, and sustainable across different school sectors in Israel.</p>
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</body>
<back>
<sec id="s5" sec-type="data-availability"><title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6" sec-type="ethics-statement"><title>Ethics statement</title>
<p>The studies involving humans were approved by Bar-Ilan University, Faculty of Education - International research program on adolescent well-being and health. The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent for participation in this study was provided by the participants&#x0027; legal guardians/next of kin.</p>
</sec>
<sec id="s7" sec-type="author-contributions"><title>Author contributions</title>
<p>AA: Conceptualization, Data curation, Funding acquisition, Project administration, Supervision, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. AS: Data curation, Formal analysis, Investigation, Methodology, Software, Validation, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. PC: Data curation, Investigation, Resources, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. RH: Data curation, Funding acquisition, Investigation, Resources, Validation, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information"><title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article.</p>
</sec>
<sec id="s9" sec-type="COI-statement"><title>Conflict of interest</title>
<p>The authors declare that the study was conducted without commercial or financial relationships that could create a conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement"><title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer"><title>Publisher&#x0027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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