“ All the fun stuff, the teachers say, ‘that’s dangerous! ’” Hearing from children on safety and risk in active play in schools: a systematic review

Alethea Jerebine, Katie Fitton-Davies, Natalie Lander, Emma L. J. Eyre, Michael J. Duncan, Lisa M. Barnett

    Research output: Contribution to journalReview articlepeer-review

    13 Citations (Scopus)
    70 Downloads (Pure)


    Background: Active play is vital for healthy child development, and schools are a valuable setting to promote this behaviour. Understanding the determinants of children’s physical activity behaviour during recess, particularly the role of risk-taking and the influence safety concerns have on active play, is required. This systematic review aimed to 1) synthesise qualitative research with children that explored their perceptions of safety and risk in active play during recess in elementary and/or middle school, and 2) develop a model from the findings to guide efforts in schools to optimise children’s active play opportunities during recess. Methods: Six online databases were systematically searched for articles published between January 2000 and March 2021. Following PRISMA guidelines, records were screened against eligibility criteria using Covidence software, and data extraction and synthesis was conducted using customised forms in Excel and NVivo software. Framework synthesis methodology was employed, conceptually guided by Bronfenbrenner’s socio-ecological model and Gibson’s affordance theory. Results: Of 9664 records, 31 studies met inclusion criteria, representing 1408 children across 140 schools from 11 countries. An emergent conceptual framework was developed encompassing 23 risk and safety themes and 10 risky play types that children desired in schools. Individual characteristics (age, gender, physical literacy) influenced children’s engagement with risk and how they kept themselves safe. Across outer SEM levels, factors interacted to constrain or afford children’s active play. Socio-cultural factors (supervision practices, rules, equipment restrictions) constrained active play, which children perceived were driven by adults’ concern with physical safety. These factors contributed to a cycle of risk-averse decision making and diminished play affordances, which could inadvertently exacerbate safety issues. A model for risk tolerance in children’s active play has been proposed. Conclusions: The findings show a disparity between the active play children want in schools and what they are able to do. Future work should balance the concerns of adults against the active play children want, involve children in decisions about playground policy, and foster a risk-tolerant culture in schools.

    Original languageEnglish
    Article number72
    Number of pages25
    JournalInternational Journal of Behavioral Nutrition and Physical Activity
    Issue number1
    Publication statusPublished - 25 Jun 2022

    Bibliographical note

    © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which
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    Funding Information: AJ is supported by a Cotutelle Doctoral scholarship from Deakin University and Coventry University.


    • Affordance theory
    • Physical activity
    • Physical literacy
    • Qualitative
    • Recess
    • Risk tolerance
    • Risky play
    • Social-ecological model

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Physical Therapy, Sports Therapy and Rehabilitation
    • Nutrition and Dietetics


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