NCT07853495

Brief Summary

This randomized study compared two 12-week learn-to-swim instructional approaches in novice children aged 8-10 years. Children were individually allocated in a 1:1 ratio to Aquatic Skill-Efficiency Instruction or a classical learn-to-swim program. Both groups received the same planned instructional exposure of 36 supervised sessions over 12 weeks, delivered three times per week for 90 minutes per session. The programs differed primarily in pedagogical organization rather than lesson frequency or duration. The primary outcome was 25-m front-crawl time. Secondary outcomes included 25-m backstroke time, blinded video-rated front-crawl and backstroke skill, and stroke count. Harms and safety events were monitored throughout the intervention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
107

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 19, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 22, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 22, 2025

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

September 26, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 1, 2026

Completed
Last Updated

October 1, 2026

Status Verified

September 1, 2026

Enrollment Period

3 months

First QC Date

September 26, 2026

Last Update Submit

September 26, 2026

Conditions

Keywords

Learn-to-Swim InstructionAquatic Skill-Efficiency InstructionAquatic CompetenceMotor LearningSwimming PerformanceFront CrawlBackstrokeStroke SkillNovice SwimmersChildren

Outcome Measures

Primary Outcomes (1)

  • 25-m Front-Crawl Time

    Time required to complete 25 m front crawl from an in-water push start to first contact with the finish wall. At baseline, participants completed two trials and the arithmetic mean was used. At post-intervention, one 25-m trial was completed under the same standardized conditions. Lower values indicate faster swimming performance.

    Baseline (week 0) and post-intervention (week 12)

Secondary Outcomes (5)

  • 25-m Backstroke Time

    Baseline (week 0) and post-intervention (week 12)

  • Front-Crawl Stroke Skill Score

    Baseline (week 0) and post-intervention (week 12)

  • Backstroke Stroke Skill Score

    Baseline (week 0) and post-intervention (week 12)

  • Front-Crawl Stroke Count

    Baseline (week 0) and post-intervention (week 12)

  • Backstroke Stroke Count

    Baseline (week 0) and post-intervention (week 12)

Study Arms (2)

Aquatic Skill-Efficiency Instruction

EXPERIMENTAL

Participants assigned to this arm received Aquatic Skill-Efficiency Instruction, a structured learn-to-swim program organized around four learning components: Establish control, Elongate alignment, Economize propulsion, and Evaluate efficiency. The program used systematic instructional sequencing, mastery-based progression, efficiency-oriented feedback, and structured child self-monitoring. Instruction was delivered in 36 supervised sessions over 12 weeks, three times per week, with a nominal duration of 90 minutes per session.

Behavioral: Aquatic Skill-Efficiency Instruction

Classical Learn-to-Swim Instruction

ACTIVE COMPARATOR

Participants assigned to this arm received conventional learn-to-swim instruction emphasizing water familiarization, breath control, floating, gliding, kicking, basic arm actions, repeated 12.5-25 m front-crawl and backstroke practice, demonstration, repetition, correction of visible errors, and progressive completion of short swimming distances. Instruction was delivered in 36 supervised sessions over 12 weeks, three times per week, with a nominal duration of 90 minutes per session.

Behavioral: Classical Learn-to-Swim Instruction

Interventions

Aquatic Skill-Efficiency Instruction was a structured 12-week learn-to-swim program delivered in 36 supervised sessions, three times per week, with a nominal duration of 90 minutes per session. The program was organized around four learning components: Establish control, Elongate alignment, Economize propulsion, and Evaluate efficiency. Instruction emphasized aquatic control, streamlined body alignment, economical propulsion, breathing rhythm, stroke-count awareness, mastery-based progression, efficiency-oriented feedback, and structured child self-monitoring.

Aquatic Skill-Efficiency Instruction

Conventional learn-to-swim instruction was delivered over 12 weeks in 36 supervised sessions, three times per week, with a nominal duration of 90 minutes per session. Lessons emphasized water familiarization, breath control, floating, gliding, kicking, basic arm actions, repeated 12.5-25 m front-crawl and backstroke practice, demonstration, repetition, correction of visible errors, and progressive completion of short swimming distances.

Classical Learn-to-Swim Instruction

Eligibility Criteria

Age8 Years - 10 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Age 8.0-10.9 years.
  • Classification as a novice swimmer, defined as a non-competitive child with limited prior formal swimming instruction.
  • Ability to safely participate in shallow-water instructional activities, including basic water comfort and absence of diagnosed aquaphobia.

You may not qualify if:

  • Any musculoskeletal, neurological, cardiovascular, or respiratory condition that might limit safe participation in swimming lessons.
  • Ongoing pharmacological treatment affecting balance, motor control, or exercise tolerance.
  • Current participation in structured competitive swimming training more than three sessions per week.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Specialized Children's and Youth Sports School for Water Sports

Tashkent, Tashkent, Uzbekistan

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Participants and swimming instructors were not blinded because of the nature of the instructional intervention. Video-based front-crawl and backstroke skill ratings were performed independently by two assessors who were blinded to group allocation, participant identity, and testing occasion. Live poolside timekeepers and stroke counters were not blinded to group allocation.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Two-group parallel randomized educational intervention with individual 1:1 allocation to Aquatic Skill-Efficiency Instruction or classical learn-to-swim instruction. Both groups received matched planned instructional exposure over 12 weeks.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 26, 2026

First Posted

October 1, 2026

Study Start

May 19, 2025

Primary Completion

August 22, 2025

Study Completion

August 22, 2025

Last Updated

October 1, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will share

De-identified individual participant-level numerical data underlying the reported analyses will be shared, including the participant-level dataset used for the primary and secondary outcome analyses and de-identified assessor-level stroke-skill ratings used for inter-rater reliability analyses. A data dictionary describing the participant-level variables will also be provided. Potentially identifiable video recordings and participant-linked source documents will not be shared publicly because parental consent did not permit public dissemination of potentially identifiable material.

Time Frame
Beginning upon publication of the study results and available thereafter without a planned end date.
Access Criteria
The de-identified participant-level dataset, de-identified assessor-level stroke-skill ratings, and accompanying data dictionary will be available as supplementary materials associated with the published article. Access will not require a separate application or approval. Potentially identifiable video recordings and participant-linked source documents will not be made publicly available.

Locations