The Development and Evaluation of Netball-Specific High-Intensity Interval Training Sessions : The Netball-HIIT Study

This is a self-archived version of an original article. This version may differ from the original in pagination and typographic details. Author(s): Title: Year: Version: Copyright: Rights: Rights url: Please cite the original version: CC BY 4.0 https://creativecommons.org/licenses/by/4.0/ The Development and Evaluation of Netball-Specific High-Intensity Interval Training Sessions : The Netball-HIIT Study © 2024 by the authors. Licensee MDPI, Basel, Switzerland Published version Eather, Narelle; Stansfield, Katelyn; Babic, Mark; Lubans, David R. Eather, N., Stansfield, K., Babic, M., & Lubans, D. R. (2024). The Development and Evaluation of Netball-Specific High-Intensity Interval Training Sessions : The Netball-HIIT Study. Sports, 12(1), Article 34. https://doi.org/10.3390/sports12010034 2024 Citation: Eather, N.; Stansfield, K.; Babic, M.; Lubans, D.R. The Development and Evaluation of Netball-Specific High-Intensity Interval Training Sessions: The Netball-HIIT Study. Sports 2024,12, 34. https://doi.org/10.3390/ sports12010034 Academic Editor: Dale Wilson Chapman Received: 23 November 2023 Revised: 19 December 2023 Accepted: 3 January 2024 Published: 18 January 2024 Copyright: © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). sports Article The Development and Evaluation of Netball-Specific High-Intensity Interval Training Sessions: The Netball-HIIT Study Narelle Eather 1,2,3,* , Katelyn Stansfield 1,3, Mark Babic 1,2,3 and David R. Lubans 1,2,3,4 1Centre for Active Living and Learning, University of Newcastle, Callaghan, NSW 2308, Australia; [email protected].edu.au (K.S.); [email protected] (M.B.); [email protected] (D.R.L.) 2College of Human and Social Futures, University of Newcastle, Callaghan, NSW 2308, Australia 3Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia 4Faculty of Sport and Health Sciences, University of Jyväskylä, 40014 Jyvaskyla, Finland *Correspondence: nar[email protected]; Tel.: +61-24921-6232 Abstract: This two-phase study involved the design, development, and evaluation of netball-specific high-intensity interval training sessions (Netball-HIIT) for use with netballers of varied ages and abilities. In Phase 1 (2020), a systematic analysis of netball GPS data from 30 netball players and gameplay video footage (10 h) was conducted, followed by the design and testing of five 8 min Netball-HIIT sessions involving 100 netball players (age 21 ± 8.44 years; Australia). In Phase 2 (2021), the feasibility and preliminary efficacy of delivering one Netball-HIIT session each week for five weeks was assessed using a two-armed, dose-matched, randomized, controlled feasibility study with netball players (born in 2010) (Netball HIIT n = 15; Netball Knee Program: NKP n = 15). Cardiorespiratory and muscular fitness was assessed at baseline and 6 weeks. Data were analyzed using linear mixed models and Cohen’s deffect sizes. Netball-HIIT sessions were highly rated by players, and higher average (139 bpm) and peak heart rates (156 bpm) were detected amongst Netball- HIIT participants (KNP = 127 bpm and 152 bpm). We observed a large effect for cardiorespiratory fitness (+2.4 laps, d= 0.89), and a small to medium effect for muscular fitness (push-ups +1.2, d= 0.49; standing jump +0.8 cm, d= 0.36) in favor of Netball-HIIT, suggesting that coach-led Netball-HIIT may provide a time-efficient and effective training component for use in netball. Keywords: coaching; fitness; HIIT; high intensity; netball; sport; injury prevention 1. Introduction Participation in individual and team sports has shown to be beneficial to physical, social, psychological, and cognitive health outcomes [ 1 – 3 ], and these benefits often provide additional or more potent health benefits than those achieved through other types of physical activities. The public health benefits of participating in sports are far-reaching, given that ~70% of children and adolescents and up to 40% of adults participate in some form of individual or team sport [4,5]. Sports provide athletes with an opportunity to engage in high-intensity or vigorous physical activity (VPA), which activates several complex physiological responses and contributes to the development and maintenance of cardiorespiratory fitness (CRF) [ 6 ]. CRF is important for participating in and succeeding in many individual and team sports and provides individuals with a multitude of health benefits [ 7 ]. Furthermore, the development of muscular fitness (strength, endurance, and power) is also important for motor skill proficiency in many sports and is linked to a range of short and long-term health outcomes and reduced injury risk [ 8 – 10 ]. However, in Australia, some community/club level sport coaches do not have formal qualifications, are often parent volunteers [ 11 , 12 ], and sometimes lack the knowledge and expertise to maximize opportunities for all participants to engage in health-enhancing doses of VPA. In addition, coaches do not always Sports 2024,12, 34. https://doi.org/10.3390/sports12010034 https://www.mdpi.com/journal/sports Sports 2024,12, 34 2 of 11 have strategies for planning and delivering sports sessions that are enjoyable, engaging, and motivating for participants [ 13 ]. In doing so, training sessions may fail to develop sport-specific fitness and, therefore, limit children’s success and/or enjoyment in sports participation. For example, previous studies show that children can spend up to two-thirds of sports training session time sedentary or engaged in light physical activity (PA) or as little as 20 min out of 60 in moderate-to-vigorous physical activity (MVPA) [ 14 ]. Providing coaches with session ideas that maximize players’ PA during training, may help to simultaneously achieve fitness and motor skill objectives. High-intensity interval training (HIIT) is a popular and time-efficient form of exercise [ 15 ]. HIIT consists of short but intense (from ≤ 45 s to 2–4 min), repeated bouts of activity (typically >85% of age-predicated maximal heart rate), separated by short periods of active rest or recovery [ 16 , 17 ]. HIIT has demonstrated the capacity for enhancing a range of health outcomes (including physical fitness, cognition, cardiovascular disease biomarkers, and mental health) in varied populations, including children, adolescents, and adults, in various settings (e.g., education, workplace, sport, exercise settings) [18–20]. Embedding HIIT into sport training sessions represents a novel approach for increasing the dose of VPA that sports participants receive during training [ 21 ]. This strategy may have utility if sessions are (1) specifically designed to target and develop the fitness and motor skill demands of the chosen sport; (2) they are relatively simple and can be implemented by volunteer coaches (requiring minimal preparation, equipment, or time); and (3) they can be easily adapted to suit the needs of different players and teams (to maximize enjoyment, motivation, and engagement). Lending itself to HIIT training is the popular team sport, netball. Netball is played by two opposing teams of seven players on a rectangular court with the objective of scoring goals by shooting it through a netball ring (3.05 m high) from within the defined area known as the netball circle. Players are assigned specific positions and are restricted to move within certain areas of the court, with games lasting 60 min in duration. During a netball game, players are required to perform short bursts of high-intensity activity (running, sprinting, dodging, and jumping), accompanied by periods of reduced effort (clearing movements, passing, and holding). However, significant variations in heart rate are typical across playing positions, with available literature suggesting that the Goal Shooter (GS) and Goal Keeper (GK) are the only two positions to spend significant amounts of time in the moderate intensity zone (70%HRmax); whereas the Centre (C), Goal Attack (GA), and Goal Defence (GD) have the greatest cardiovascular demands, spending substantial amounts of time engaged in vigorous-intensity activity (>85%HRmax), predominantly due to the greater court coverage required by these positions [ 22 ]. Additionally, the quantity of time spent in the MVPA or VPA (>70%HRmax) ranges from 7% to 62.6% across positions throughout the game, emphasizing a distinct difference in CRF requirements of netball players during match play [ 22 ]. Despite this knowledge, there is limited research specifically exploring the effectiveness of embedding HIIT into sports training sessions, especially sport-specific HIIT sessions [ 23 ]. Therefore, the main objective of our two-phase study was to (1) design and develop netball-specific HIIT (Netball-HIIT) sessions and (2) assess the feasibility and preliminary efficacy of Netball-HIIT for improving cardiorespiratory and muscular fitness when compared to a recommended preparation and conditioning program for netball. 2. Materials and Methods We conducted the Netball-HIIT study in two distinct phases. Phase 1 (March–August 2020) involved the design of five Netball-HIIT sessions, and Phase 2 (May–August 2021) involved the evaluation of the 5-session Netball-HIIT program using a dose-matched two-armed randomized controlled trial involving junior netball players (see Figure 1). Ethics approval for the entire study was provided by the University of Newcastle Human Research Ethics Committee. Study participants provided written informed consent prior to participation in each phase of the study. Trial Registration: Australian New Zealand Clinical Trials Registry: ACTRN12620001219976. Sports 2024,12, 34 3 of 11 Sports 2024, 12, x FOR PEER REVIEW 3 of 12 Figure 1. Netball-HIIT study timeline. 2.1. Phase 1: Netball-HIIT Session Design and Evaluation Recruitment, Participants, and Processes Step 1: gameplay GPS data collection: Twenty experienced female netball players (aged between 14 and 42 years) were recruited to participate in the design phase of the study. Upon providing written informed consent, eligible netball players were required to participate in two × 60 min games of netball conducted one week apart at the community netball courts (The Hunter Region, NSW, Australia) wearing a GPS tracking device (SPT2- GPS tracker) (Game Traka, 2020). Eligible participants had to be registered with a club or representative netball team and without existing medical conditions or injuries preventing participation in match play. All GPS devices were set up and positioned in the pocket of the GPS vest by a member of the research team and collected the following variables: maximum and average running speed (m/s), total distance covered (m), and movement patterns on court. At the completion of the game, all GPS data were downloaded using the SPT bridge to GameTraka for analysis. Step 2: Gameplay video analysis: Video analysis was used to investigate specific movement patterns frequently used by netball players (including movement types, angles, patterns, and distances) across positions and age groups. Ten hours of video footage of netball games involving adolescent representative players (provided by The Regional Academy of Sport, Australia), adult club level players (broadcast by NBN), and adult representative premier league players (live-streamed by BarTV) from the 2019 to 2020 seasons were observed and coded play-by-play by one member of the research team (with 10% coded independently by a second member and checked for accuracy). The predominant movement patterns were categorized as sprinting, jogging (sub-maximal running), clearing (moving out of the immediate play area), dodging, jumping, or side-stepping. Step 3: Netball-HIIT session design: Guided by the GPS data and video analysis and the protocols used in our previous HIIT studies with adolescents and adults [24], the research team designed a 2 min general warm-up and five Netball-HIIT sessions lasting eight minutes (30 s: 30 s work/rest ratio). Each session included a combination of aerobic exercises and muscle-strengthening exercises that incorporated netball-specific movements, fitness requirements, and motor skills (final HIIT sessions can be accessed by contacting the corresponding author). Step 4: Pilot testing of Netball-HIIT sessions: One hundred female adolescent and adult netball players from (12 teams; mean age 21.07 ± 8.44) were recruited to evaluate the Netball-HIIT sessions (July 2020). Eligible participants provided written informed consent prior to participating in the designed two-minute warm-up and one of the eight-minute Netball-HIIT sessions (30 s:30 s work/rest ratio) whilst wearing a Polar H10 heart rate monitor (Heart Rate Sensors Collection|Polar Australia) to track mean and peak heart rate Figure 1. Netball-HIIT study timeline. 2.1. Phase 1: Netball-HIIT Session Design and Evaluation Recruitment, Participants, and Processes Step 1: gameplay GPS data collection: Twenty experienced female netball players (aged between 14 and 42 years) were recruited to participate in the design phase of the study. Upon providing written informed consent, eligible netball players were required to participate in two × 60 min games of netball conducted one week apart at the community netball courts (The Hunter Region, NSW, Australia) wearing a GPS tracking device (SPT2-GPS tracker) (Game Traka, 2020). Eligible participants had to be registered with a club or representative netball team and without existing medical conditions or injuries preventing participation in match play. All GPS devices were set up and positioned in the pocket of the GPS vest by a member of the research team and collected the following variables: maximum and average running speed (m/s), total distance covered (m), and movement patterns on court. At the completion of the game, all GPS data were downloaded using the SPT bridge to GameTraka for analysis. Step 2: Gameplay video analysis: Video analysis was used to investigate specific movement patterns frequently used by netball players (including movement types, angles, patterns, and distances) across positions and age groups. Ten hours of video footage of netball games involving adolescent representative players (provided by The Regional Academy of Sport, Australia), adult club level players (broadcast by NBN), and adult representative premier league players (live-streamed by BarTV) from the 2019 to 2020 seasons were observed and coded play-by-play by one member of the research team (with 10% coded independently by a second member and checked for accuracy). The predominant movement patterns were categorized as sprinting, jogging (sub-maximal running), clearing (moving out of the immediate play area), dodging, jumping, or side-stepping. Step 3: Netball-HIIT session design: Guided by the GPS data and video analysis and the protocols used in our previous HIIT studies with adolescents and adults [ 24 ], the research team designed a 2 min general warm-up and five Netball-HIIT sessions lasting eight minutes (30 s:30 s work/rest ratio). Each session included a combination of aerobic exercises and muscle-strengthening exercises that incorporated netball-specific movements, fitness requirements, and motor skills (final HIIT sessions can be accessed by contacting the corresponding author). Step 4: Pilot testing of Netball-HIIT sessions: One hundred female adolescent and adult netball players from (12 teams; mean age 21.07 ± 8.44) were recruited to evaluate the Netball-HIIT sessions (July 2020). Eligible participants provided written informed consent prior to participating in the designed two-minute warm-up and one of the eight-minute Netball-HIIT sessions (30 s:30 s work/rest ratio) whilst wearing a Polar H10 heart rate monitor (Heart Rate Sensors Collection|Polar Australia) to track mean and peak heart Sports 2024,12, 34 4 of 11 rate during HIIT sessions. Eligible participants were females registered with a club or representative netball team and had no existing medical conditions or injuries preventing participation in the Netball-HIIT session. Players completed the Netball-HIIT sessions in small groups/or as a team, with a member/s of the research team directly observing each session. To ensure end-users were involved in the development of our tailored HIIT sessions, verbal and written feedback was sought from participants to determine session suitability for netball, comprehension of the session task cards, and enjoyment of the session. Heart rate monitoring using Polar HR monitors synced to the Polar Team tablet application (app) was also used to investigate intensity of the workouts and determine if the sessions replicated the intensity experienced during a netball game. 2.2. Phase 2: Netball-HIIT Implementation and Evaluation 2.2.1. Recruitment, Participants, and Processes We conducted a two-armed, dose-matched, randomized, controlled feasibility study in 2021 involving 30 female junior representative-level netball players born in 2010 (turning 11 in 2021) with no existing medical conditions or injuries preventing participation in HIIT. Assessments were conducted at baseline (May 2021) and immediately post-intervention (June 2021) at the club’s outdoor netball courts by the research team. Participants were recruited as individuals and then, after baseline assessments, allocated to one of two study conditions (Netball-HIIT or NKP [ 25 ]) by an independent person from the Netball Association using a Microsoft Excel list of participant study numbers. 2.2.2. Treatment Conditions (1) Netball-HIIT program: Players randomized to Netball-HIIT conditions completed a 5-week intervention delivered in the first 10 min of training by one Representative coach and supervised by a member of the research team. As a group (and split into pairs by choice), participants were asked to complete a set 2 min warm-up and one Netball-HIIT session (after which they completed the remainder of their 2 h training session). Each of the five Netball-HIIT sessions required players to work in pairs for 8 min, with a work-to-rest ratio of 30 s:30 s. (2) Netball Knee Program: Players randomized to the active control group received Netball Knee Program (NKP) [ 25 ], which is a free netball-specific injury prevention and conditioning program accessible and promoted to all netball coaches in Australia. The program is designed for use at the start of netball training sessions and specifically targets the preparation and conditioning of players (junior to elite) to perform rapid acceleration and deceleration, sharp changes in direction, jumping, and landing. In this study, 10 min of the NKP was implemented at the start of training over five weeks by one Representative coach and supervised by a member of the research team. Participants in both groups wore Garmin GPS and Heart Rate monitoring wristworn devices to record heart rate (beats per minute; average and maximum) and distance (kilometers) achieved in each 10 min session. Players were verbally encouraged to work to capacity during each activity (with a target heart rate of >85% max set for Netball-HIIT) to ensure appropriate exercise intensity was reached and maintained, and skills were developed under game-like conditions across the five sessions. 2.2.3. Measures The following outcomes were assessed by a member of the research team: 1. Process evaluation: Assessment of (i) Compliance and attendance (i.e., participants’ attendance and completion of scheduled sessions in real-world environment) assessed using an attendance roll; Sports 2024,12, 34 5 of 11 (ii) Fidelity (adherence to session protocols) measured using heart rate data (collected by a wrist-worn heart rate and GPS Garmin device worn in the first 10 min of training and completion of programmed Netball-HIIT sessions; (iii) Satisfaction (via questionnaire assessing participants’ enjoyment of HIIT adapted from Paxton’s (2008) physical activity enjoyment scale: Netball HIIT group only) completed at follow-up. 2. The Affective/Feelings State questionnaire [ 26 ]: a one-item questionnaire administered pre- and post-HIIT sessions asking participants to respond to the question ‘How are you feeling right now?’ ( − 5 = very bad to +5 = very good) following each HIIT session. 3. Efficacy outcomes: Physiological measures: At baseline and follow-up using standardized published protocols (i) CRF (20 m Shuttle Run Test) [ 27 ] with total number of 20 m laps recorded and (ii) muscular fitness (90 0 Push-Up test [ 27 ], standing long jump). A single attempt of the 90 0 Push-Up test was completed (with total complete pushups recorded), and participants completed the standing broad jump twice (with the highest distance score recorded in meters). Psychological measures: (i) The High-Intensity Interval Training Self-efficacy Questionnaire (HIIT-SQ) (Netball-HIIT group only) [ 28 ] using 6 items and a 10-point Likert scale (0 = Not at all confident; 10 = Completely confident) was administered at follow-up. 3. Statistical Analyses Statistical analyses were conducted using IBM SPSS Statistics for Windows (Version 20) (SPSS, INC 2010, IBM Company, New York, NY, USA). We did not perform a power calculation as this was a program development and feasibility study, although a recruitment target of 100 (Phase 1) and 30 (Phase 2) was set. Phase 1 and Phase 2 feasibility data were investigated using descriptive statistics (e.g., means, percentages). Linear mixed models (for fitness outcomes) and one-way ANOVA (for heart rate and GPS data) were used to assess differences in mean scores between treatment conditions (Netball-HIIT or Knee Program), and Cohen’s dwas calculated by dividing the mean difference in change by the pooled standard deviation of change for each variable [29]. 4. Results 4.1. Phase 1 Results Results Step 1: gameplay GPS data collection: The GPS data indicated that the average top speed for the netball participants during gameplay ranged from 9.50 km/h to 26.25 km/h, and the average distance covered ranged from 2.04 km to 11.67 km across the two × 60 min periods. Results Step 2: gameplay video analysis: Most movements performed during the analyzed video footage of netball gameplay were less than ten seconds in duration, followed by approximately 30 s of recovery. All movement patterns and the duration of work efforts were similar for all playing levels. A summary of the movement analysis is provided in Table 1. Table 1. Step 1: netball gameplay GPS data (Australia, 2021). Players Position Average Top Speed Average Distance Covered (120 min) Average Distance in Hard Running Midcourt (WA, C, WD) 23.70 km/h 8.26 km 16.3 m Shooters (GS, GA) 22.70 km/h 6.90 km 10.8 m Circle Defenders (GD, GK) 17.71 km/h 5.29 km 6.8 m Results Step 3: Netball-HIIT session design: Informed by the data collected from GPS tracking and Video analysis, five HIIT sessions specific to netball were designed. The Sports 2024,12, 34 6 of 11 protocols for the Netball-HIIT sessions aligned with the research team’s previous HIIT studies (including Uni HIIT, Work HIIT, Burn2Learn, and HIIT for Teens) and included a combination of aerobic and muscular fitness activities performed in a 30 s:30 s rest-to-work ratio. The Netball-HIIT task cards can be accessed by emailing the corresponding author. In summary: Netball-HIIT 1 focused predominantly on attacking movements (e.g., driving forward and at angles) and included jumping and core strength activities. Netball-HIIT 2 had a predominantly defensive movement focus, including footwork activities and whole-body and core strength activities (such as push-ups and lunges). Netball-HIIT 3 had an attacking focus using dynamic, explosive drives and movements to target agility and power, along with the inclusion of core and leg strength activities. Netball-HIIT 4 had a core and upper body strength and explosive movement focus, including lower body power exercises (e.g., high skips). Netball-HIIT 5 provided activities targeting attack and defending fitness requirements using a combination of power-, agility-, and speed-related movements, including explosive angled and straight drives, dodges, and lateral jumps. Results Step 4: Pilot testing of Netball-HIIT: A total of 100 netball players (age range of 12–53 years: mean age of 21 ± 8.44 years) participated in heart rate tracking while completing the five Netball HIIT sessions. For the percentage of heart rate maximum achieved across sessions, there was a significant difference observed by age group, playing level, and HIIT session (Table 2). Table 2. Percentage of heart rate maximum (average) by subgroup. Subgroup Percentage of Heart Rate Maximum (Average) Age Adolescents 83 ±5.60%HRmax Adults 80 ±7.12%HRmax Playing Level Representative 81 ±6.48%HRmax Club 79 ±7.49%HRmax Netball-HIIT session Netball-HIIT 1 77.97 ±6.55%HRmax Netball-HIIT 2 75.18 ±8.48%HRmax Netball-HIIT 3 82.58 ±4.79%HRmax Netball-HIIT 4 83 ±4.62%HRmax Netball-HIIT 5 85 ±3.77%HRmax The qualitative verbal feedback provided by players (N = 21; 10 representative levels, 10 club level) after Netball-HIIT sessions indicated that most players enjoyed the sessions, felt that they were beneficial for netball conditioning, and the activities were well suited to and reflective of the movement requirements of netball. Player statements included: “I really enjoyed the HIIT sessions. They were quick to do and involved lots of different exercises which I liked as it kept it interesting, especially some involving two elements (e.g., squat jumps and dodges)” (Representative player A); “As I am a mid-court player, I feel the exercises suit where I play really well, as they involved lots of footwork activities and burst of high-intensity efforts” (Representative player B); “I really enjoyed all of the short interval sessions, they were suitable to all positions. Set out at a good pace to get the heart rate up with relevant exercises for game play and they incorporated injury prevention exercises too” (Club player A). However, one participant reflected negatively on the various sit-up exercises due to a hard surface causing discomfort, particularly the club athletes training on an outdoor court. This was Sports 2024,12, 34 7 of 11 also observed by the research team. Example player feedback included: “ . . . The only activity I didn’t enjoy was the sit-ups as I didn’t have a towel to make the surface a bit softer, all other activities were great and helpful for my court fitness” (Club Player B). Based on the feedback, minor modifications to the Netball-HIIT sessions were made (and implemented in Phase 2) to maximize the player enjoyment of each session, the performance, and the suitability of sessions for netball performed on both indoor and outdoor surfaces. 4.2. Phase 2 Results Compliance All five sessions were conducted; however, there was a break between weeks four and five due to weather and training being canceled. Attendance: On average, 27/30 participants attended all sessions across the five weeks (90%). Three participants were absent for one training session dues to sickness. Injuries sustained during scheduled games hampered full participation for some participants (e.g., shin splints, rolled ankle, broken arm), and modifications were provided accordingly. No injuries occurred during the delivery of either program. Fidelity: During each session, both heart rate and affective feeling states were monitored and recorded (with valid heart rate data recorded) (See Table 3). Averaged across all HIIT sessions, participants in the Netball-HIIT had an average heart rate of 139 bpm or 67%HR max (including rest and work intervals) and peak heart rate of 156 bpm or 75%HR max , and KNP had an average of 127 bpm or 61%HR max and a peak of 152 bpm or 73%HR max . Significant differences between groups (p< 0.05) were observed for average heart rate in Session 1, 4, and 5 as well as for peak heart rate in Session 1. Table 3. Participant Netball-HIIT vs. Netball Knee Program Study (heart rate, distance, affect data) (Australia, 2021). Measure and Week No. N Netball-HIIT (n = 15) Knee Program (n = 15) One-Way ANOVA (F) pValue Netball-HIIT: Knee Program Mean SD Mean SD Heart Rate 1 13:13 141.69 12.96 115.85 11.22 29.551 <0.001 Heart Rate 2 13:13 153.69 17.98 151.00 12.28 0.40 0.535 Heart Rate 3 13:13 137.15 14.94 130.46 13.70 1.42 0.245 Heart Rate 4 12:11 128.92 11.00 116.82 11.33 6.75 0.017 Heart Rate 5 11:12 134.73 11.93 121.83 10.79 7.41 0.013 Peak Heart Rate 1 13:13 169.77 16.24 143.77 11.20 22.58 0.000 Peak Heart Rate 2 13:13 153.69 17.98 151.00 12.28 0.20 0.660 Peak Heart Rate 3 13:13 156.85 16.60 162.38 17.56 0.68 0.417 Peak Heart Rate 4 12:11 138.63 46.05 148.73 13.58 0.15 0.701 Peak Heart Rate 5 11:12 159.82 16.85 153.83 12.61 0.94 0.343 Distance 1 13:13 0.40 0.13 0.54 0.30 2.12 0.158 Distance 2 13:13 0.49 0.23 0.52 0.20 0.11 0.748 Distance 3 13:13 0.80 0.26 0.80 0.28 0.00 0.981 Distance 4 12:11 0.69 0.28 0.81 0.21 0.93 0.346 Distance 5 11:12 0.73 0.24 0.84 0.02 2.44 0.133 Change Affect 1 13:14 −0.23 1.48 −0.29 1.64 0.01 0.928 Change Affect 2 15:13 −0.20 1.86 −0.15 0.90 0.01 0.936 Change Affect 3 15:13 0.27 1.28 0.46 1.45 0.14 0.709 Change Affect 4 11:11 −0.55 1.29 0.18 1.08 2.05 0.168 Change Affect 5 13:11 −0.31 1.18 −0.10 2.18 0.09 0.772 Note: Heart rate and peak heart rate expressed as beats per minute (BPM), and distance is expressed in kilometers (km). N indicates the number of participants with watch data or completed feeling state questionnaire. Note: The affective/feeling state questionnaire is a one-item questionnaire administered pre- and post-HIIT sessions. Participants respond to the question: ‘How are you feeling right now?’ (−5 = very bad to +5 = very good). Additionally, across the 8-week program, the feeling state survey indicated that there was no significant change in affective state across sessions for either group. Players in Sports 2024,12, 34 8 of 11 the Netball-HIIT group had a decline of − 0.2, and players in the NKP had an increase of +0.02 regarding the pre-post rating (Table 1). Enjoyment: Participants in the Netball-HIIT program reported an average enjoyment of HIIT score of 11.60 ± 5.49 (with possible scores ranging from 7 to 35 and a low score indicating positive enjoyment). Preliminary Efficacy Results Physiological outcomes: We observed a large positive effect for CRF (+2.4 laps, 95% CI (1.54–20.91); d= 0.89), and small-to-medium effects resulted for muscular fitness (push-ups +1.2, d= 0.49; standing jump +0.8 cm, d= 0.36) (Table 4). Psychological outcomes: Netball-HIIT participants reported that their HIIT Self-efficacy was 45.36 ± 7.76 (out of 60) when rating themselves at the completion of the 5 weeks. Table 4. Participant Netball-HIIT vs. Netball Knee Program Study (Physiological and Psychological Outcomes) (Australia, 2021). Measure Netball-HIIT (n = 15) Netball Knee Program (n = 15) Baseline SD 8 Weeks Posttest SD Baseline SD 8 Weeks Posttest SD Adjusted Difference in Change (95% CI) a pValue Cohen’s d Effect Size Physiological Pushup (No.) 8.07 4.85 12.08 b6.53 11.00 6.58 14.12 b7.53 1.2 (−1.13–4.37) 0.238 0.49 Jump (cm) 154.27 15.56 167.73 b18.14 153.53 22.71 163.10 b22.43 0.8 (−5.78–13.56) 0.417 0.36 20 m SRT (laps) 34.13 13.60 45.07 16.41 47.87 11.80 47.58 14.42 2.4 (1.54–20.91) 0.025 0.89 No. = number; CI = confidence interval; SD = standard deviation a Adjusted mean = difference and 95% CI between Netball-HIIT and Netball Knee Program after 6 weeks (Intervention–comparison) adjusted for baseline scores; b Significant within-group change over time p> 0.05; Cohen’s dcalculated as d= mean difference in change scores/pooled standard deviation and interpreted as 0.2 = small effect, 0.5 = medium effect, 0.8 = large effect. 5. Discussion The aim of our study was to design, develop, and evaluate netball-specific highintensity interval training sessions. We found that the Netball-HIIT sessions successfully targeted netball movement patterns, motor skills, and physical fitness requirements. The sessions invoked heart rate intensity levels of ≥ 75% max HR and facilitated improved cardiorespiratory and muscular fitness in players when integrated into the start of training sessions once per week. Our findings provide initial support for Netball-HIIT as a timeefficient and effective training component suitable for use in netball. Improving the health status of our population is a global priority, with PA being a core element of attaining and maintaining optimal health. Sports, a subset of physical activity, has shown to be particularly beneficial for facilitating a range of positive physical, mental, and social health outcomes [ 3 , 30 ]. Therefore, sports coaches are perfectly positioned to help participants develop movement patterns and motor skill competencies, which are important for lifelong PA participation. Importantly, when sports coaches engage their players or athletes in MVPA/VPA and muscle-strengthening exercises, the greatest health benefits can be achieved [ 7 – 10 ]. However, research demonstrates that sport training sessions are largely inactive [ 14 , 31 ], and many coaches are untrained and/or inexperienced volunteers who often seek help in planning and delivering effective sports training sessions [ 11 ]. By providing netball coaches with a novel and evidence-based PA program, we are targeting a public health issue and maximizing training effectiveness and quality (by targeting netball-specific movement skills and fitness) largely without impacting limited training time [13]. The Netball-HIIT study aligns directly with three key considerations presented in the conceptual model recently published by Lubans and colleagues (2022) [ 21 ]. Lubans et al. advocate that there are four complementary elements vital for successfully designing and delivering HIIT sessions for adolescents that target population health at scale. The