An Online Intervention to Support Student-Athlete Mental Health: Implementation, Evaluation, and Critical Reflection

in Case Studies in Sport and Exercise Psychology

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Ben Laslett Canterbury Christ Church University

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Mark Uphill Canterbury Christ Church University

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DOI:
https://doi.org/10.1123/cssep.2019-0048
Keywords:
coproduction; probe design; psychological distress; single-subject
In Print:
Volume 4: Issue S1
Page Range:
S1-54–S1-61
Restricted access

This study examined the influence of two interventions (therapeutic letter to self; values targeting) on student-athletes’ mental health using two variants of a single-subject design: a multiple-baseline single-subject design and a probe design. Four high-ability student-athletes (two males and two females) who competed in various sports (e.g., soccer and cycling) completed two preintervention measures (Mental Health Continuum Short Form; Clinical Outcomes Routine Evaluation 10) at baseline. These measures were then readministered after Intervention 1, Intervention 2, and at a 2-week follow-up using a probe design. Mental well-being (Short Warwick-Edinburgh Mental Well-Being Scale) was assessed every 2 days from start to finish using a multiple-baseline across-participants design. Data were analyzed via visual inspection methods, specifically, immediacy of effect, mean change, effect sizes, and percentage of overlapping data. Results indicated that two participants who completed the study (Nina and Tim) showed an increase in total mental health and a decrease in psychological distress from baseline to follow-up. Findings are discussed with respect to prior research and study limitations.

The authors are with the Section of Sport and Exercise Sciences, Canterbury Christ Church University, Canterbury, United Kingdom.

Laslett (benlaslett83@gmail.com) is corresponding author.
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  • Abram, K.M., Paskar, L.D., Washburn, J.J., & Teplin, L.A. (2008). Perceived barriers to mental health services among youths in detention. Journal of the American Academy of Child Adolescent Psychiatry, 47(3), 301–308. https://doi.org/10.1097/CHI.0b013e318160b3bb

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Anderson, A.G., Mahoney, C., Miles, A., & Robinson, P. (2002). Evaluating the effectiveness of applied sport psychology practice: Making the case for a case study approach. The Sport Psychologist, 16(4), 432–453. https://doi.org/10.1123/tsp.16.4.432

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Andersen, M., McCullagh, P., & Wilson, G. (2007). But what do the numbers really tell us? Arbitrary metrics and effect size reporting in sport psychology research. Journal of Sport and Exercise Psychology, 29(5), 664–672. https://doi.org/10.1123/jsep.29.5.664

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Appelqvist-Schmidlechner, K., Vaara, J., Häkkinen, A., Vasankari, T., Mäkinen, J., Mäntysaari, M., & Kyröläinen, H. (2018). Relationships between youth sports participation and mental health in young adulthood among Finnish males. American Journal of Health Promotion, 32(7), 1502–1509. https://doi.org/10.1177/0890117117746336

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Barker, J.B., Mellalieu, S.D., McCarthy, P.J., Jones, M.V., & Moran, A. (2013). A review of single-case research in sport psychology 1997–2012: Research trends and future directions, Journal of Applied Sport Psychology, 25(1), 4–32. https://doi.org/10.1080/10413200.2012.709579

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Barkham, M., Bewick, B., Mullin, T., Gilbody, S., Connell, J., Cahill, J., Mellor-Clark, J., Richards, D., Unsworth, G., & Evans, C. (2013). The CORE-10: a short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research, 13(1), 3–13. https://doi.org/10.1080/14733145.2012.729069

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bidargaddi, N., Schrader, G., Klasnia, P., Licinio, J., & Murphy, S. (2020). Designing m-Health interventions for precision mental health support. Translational Psychiatry, 10, 222. https://doi.org/10.1038/s41398-020-00895-2

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Breslin, G., & Leavey, G. (2018). Mental health and well-being interventions in sport: Research, theory and practice. Routledge.

  • Breslin, G., Shannon, S., Haughey, T., Donnelly, P., & Leavey, G. (2017). A systematic review of interventions to increase awareness of mental health and well-being in athletes, coaches and officials. Systematic Reviews, 6(1), 177. https://doi.org/10.1186/s13643-017-0568-6

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Brewer, B.W., Van Raalte, J.L., Linder, D.E., & Van Raalte, N.S. (1991). Peak performance and the perils of retrospective introspection. Journal of Sport & Exercise Psychology, 13(3), 227–238. https://doi.org/10.1123/jsep.13.3.227

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Brookfield, S. (1998). Critically reflective practice. Journal of Continuing Education in the Health Professions, 18(4), 197–205. https://doi.org/10.1002/chp.1340180402

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bruner, M.W., Munroe-Chandler, K.J., & Spink, K.S. (2008). Entry into elite sport: A preliminary investigation into the transition experiences of rookie athletes. Journal of Applied Sport Psychology, 20(2), 236–252. https://doi.org/10.1080/10413200701867745

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Chew, J. (1997). Women survivors of childhood sexual abuse. Haworth Press.

  • Connell, J., & Barkham, M. (2007). CORE-10 user manual, version 1.1. CORE System Trust & CORE Information Management Systems Ltd.

  • Corrie, S., & Lane, D.A. (2010). Constructing stories, telling tales: A guide to formulation in applied psychology. London: Karnac Books.

    • Search Google Scholar
    • Export Citation

  • Davidson, L., & Roe, D. (2007). Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health, 16(4), 459−470. https://doi.org/10.1080/09638230701482394

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Diment, G., Henriksen, K., & Larsen, C.H. (2020). Team Denmark’s sport psychology professional philosophy 2.0. Scandinavian Journal of Sport and Exercise Psychology, 2, 16–32. https://doi.org/10.7146/sjsep.v2i0.115660

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., McGrath, G., Connell, J., & Audin, K. (2000). Clinical outcomes in routine evaluation: The CORE-OM. Journal of Mental Health, 9(3), 247–255. https://doi.org/10.1080/713680250

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fletcher, T.B., Benshoff, J.M., & Richburg, M.J. (2003). A systems approach to understanding and counselling college student-athletes. Journal of College Counselling, 6(1), 35–45. https://doi.org/10.1002/j.2161-1882.2003.tb00225.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Foster, B.J., & Chow, G.M. (2019). Development of the Sport Mental Health Continuum—Short Form (Sport MHC-SF). Journal of Clinical Sport Psychology, 13(4), 593–608. https://doi.org/10.1123/jcsp.2017-0057

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Gavrilova, Y., & Donohue, B. (2018). Sport-specific mental health interventions in athletes: A call for optimization models sensitive to sport culture. Journal of Sport Behavior, 41, 283–304.

    • Search Google Scholar
    • Export Citation

  • Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281–291. https://doi.org/10.1017/S0048577201393198

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Haver, A., Akerjordet, K., Caputi, P., Furunes, T., & Magee, C. (2015). Measuring mental well-being: A validation of the Short Warwick-Edinburgh Mental Well-Being Scale in Norwegian and Swedish. Scandinavian Journal of Public Health, 43(7), 721–727. https://doi.org/10.1177/1403494815588862

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

    • Search Google Scholar
    • Export Citation

  • Hrycaiko, D., & Martin, G.L. (1996). Applied research studies with single-subject designs: Why so few. Journal of Applied Sport Psychology, 8(2), 183–199. https://doi.org/10.1080/10413209608406476

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Johnstone, L, & Dallos, R. (2014). Formulation in psychology and psychotherapy: Making sense of people’s problems. London: Routledge.

  • Keyes, C.L.M. (2007). Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health. American Psychologist, 62(2), 95–108. https://doi.org/10.1037/0003-066X.62.2.95

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Keyes, C.L.M., & Lopez, S.J. (2002). Toward a science of mental health: Positive directions in diagnosis and interventions. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 45–59). Oxford University Press.

    • Search Google Scholar
    • Export Citation

  • Keyes, C.L.M., Wissing, M., Potgieter, J., Temane, M., Kruger, A., & van Rooy, S. (2008). Evaluation of the Mental Health Continuum—Short Form (MHC-SF) in Swetsana-speaking South Africans. Clinical Psychology and Psychotherapy, 15(3), 181–192. https://doi.org/10.1002/cpp.572

    • Crossref
    • Search Google Scholar
    • Export Citation

  • King, L.A., & Miner, K.N. (2000). Writing about the perceived benefits of traumatic events: Implications for physical health. Personality and Social Psychology Bulletin, 26(2), 220–230. https://doi.org/10.1177/0146167200264008

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Knowles, Z., & Gilbourne, D. (2010). Aspiration, inspiration, and illustration: Initiating debate on reflective practice writing. The Sport Psychologist, 24(4), 504–520. https://doi.org/10.1123/tsp.24.4.504

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lundgren, T., Luoma, J.B., Dahl, J.A., Strosahl, K.D., & Melin, L. (2012). The Bull’s-Eye Values Survey: A psychometric evaluation. Cognitive and Behavioral Practice, 19(4), 518–526. https://doi.org/10.1016/j.cbpra.2012.01.004

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lyubomirsky, S., Dickerhoof, R., Boehm, J.K., & Sheldon, K.M. (2011). Becoming happier takes both a will and a proper way: An experimental longitudinal intervention to boost well-being. Emotion, 11(2), 391–402. https://doi.org/10.1037/a0022575

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Martindale, A., & Collins, D. (2013). The development of professional judgment and decision making expertise in applied sport psychology. The Sport Psychologist, 27(4), 390–399. https://doi.org/10.1123/tsp.27.4.390

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Noblet, A., & Gifford, S. (2002). The sources of stress experienced by professional Australian footballers. Journal of Applied Sport Psychology, 14(1), 1–13. https://doi.org/10.1080/10413200209339007

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Parker, R.I., & Vannest, K.J. (2009). An improved effect size for single case research: Non-overlap of all pairs (NAP). Behavior Therapy, 40(4), 357–367. https://doi.org/10.1016/j.beth.2008.10.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Pates, J., Maynard, I.W., & Westbury, T. (2001). An investigation into the effects of hypnosis on basketball performance. Journal of Applied Sport Psychology, 13(1), 84–102. https://doi.org/10.1080/10413200109339005

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Reardon, C.L., & Factor, R.M. (2010). Sports psychiatry: A systematic review of diagnosis and medical treatment of mental illness in athletes. Sports Medicine, 40(11), 961–980. https://doi.org/10.2165/11536580-000000000-00000

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Robson, C. (1993). Real world research. Blackwell.

  • Sampras, P. (2015, June 29). Letter to my younger self. Retrieved from https://www.theplayerstribune.com/en-us/articles/pete-sampras-letter-to-my-younger-self

    • Search Google Scholar
    • Export Citation

  • Schinke, R.J., Stambulova, N.B, Si, G., & Moore, Z. (2018). International society of sport psychology position stand: Athletes’ mental health, performance, and development. International Journal of Sport and Exercise Psychology, 16(6), 622–639. https://doi.org/10.1080/1612197X.2017.1295557

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Shah, N., Cader, M., Andrews, W.P., Wijesekera, D., & Stewart-Brown, S.T. (2018). Responsiveness of the Short Warwick Edinburgh Mental Well-Being Scale (SWEMWBS): Evaluation a clinical sample. Health & Quality of Life Outcomes, 16, 1–7.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Stewart-Brown, S., Tennant, A., Tennant, R., Platt, S., Parkinson, J., & Weich, S. (2009). Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): A Rasch analysis using data from the Scottish Health Education Population Survey. Health and Quality of Life Outcomes, 7(1), 15. https://doi.org/10.1186/1477-7525-7-15

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Suldo, S.M., & Shaffer, E.J. (2008). Looking beyond psychopathology: The dual-factor model of mental health in youth. School Psychology Review, 37(1), 52–68. https://doi.org/10.1080/02796015.2008.12087908

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sungat-Borgan, J., & Torstveit, M.K. (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sports Medicine, 14, 25–32.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., & Stewart-Brown, S. (2007). The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5(1), 63. https://doi.org/10.1186/1477-7525-5-63

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Thelwell, R.C., & Greenlees, I.A. (2001). The effects of a mental skills training package on gymnasium triathlon performance. The Sport Psychologist, 15(2), 127–141. https://doi.org/10.1123/tsp.15.2.127

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Uphill, M., Sly, D., & Swain, J. (2016). From mental health to mental wealth in athletes: Looking back and moving forward. Frontiers in Psychology, 7, 935. https://doi.org/10.3389/fpsyg.2016.00935

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Van Raalte, J.L., Cornelius, A.E., Andrews, S., Diehl, N.S., & Brewer, B.W. (2015). Mental health referral for student-athletes: Web-based education and training. Journal of Clinical Sport Psychology, 9(3), 197–212. https://doi.org/10.1123/jcsp.2015-0011

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Walitzer, K.S., Dermen, K.H., & Connors, G.J. (1999). Strategies for preparing clients for treatment: A review. Behavior Modification, 23, 129–151.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Watson, J. (2005). College student-athletes’ attitudes towards help-seeking behaviour and expectations of counselling services. Journal of College Student Development, 46(4), 442–449. https://doi.org/10.1353/csd.2005.0044

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Watson, J.C. (2006). Student-athletes and counselling: Factors influencing the decision to seek counselling services. College Student Journal, 40, 35–42. https://doi.org/10.1179/1935739714z.00000000022

    • Search Google Scholar
    • Export Citation

  • Watt, E. (2018, September 4). A letter to my 14-year-old self. Retrieved from https://www.wolves.co.uk/news/academy/20180904-elliot-watt-a-letter-to-my-14-year-old-self/

    • Search Google Scholar
    • Export Citation

  • White, V. E., & Murray, M.A. (2002). Passing notes: The use of therapeutic letter writing in counseling adolescents. Journal of Mental Health Counseling, 24, 166–176.

    • Search Google Scholar
    • Export Citation

  • Wilson C., Rickwood, D., & Deane, F. (2007). Depressive symptoms and help-seeking intentions in young people. Clinical Psychologist, 11(3), 98–107. https://doi.org/10.1080/13284200701870954

    • Crossref
    • Search Google Scholar
    • Export Citation

  • World Health Organization. (2013). Mental health action plan (2013–2020). WHO Document Production Services.

  • Yin, R.K. (2018). Case study research and applications: Design and methods (6th ed.). Sage.

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