Pre-post Evaluation of the “Supporting Student-Athlete Mental Wellness” Module for College Coaches

in Journal of Clinical Sport Psychology
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This study sought to determine whether completion of the National Collegiate Athletic Association’s “Supporting Student-Athlete Mental Wellness” online module for coaches increased mental health literacy, reduced stigma, and increased intentions to: 1) communicate proactively with team members about the importance of mental health care seeking, and 2) respond appropriately to support an athlete believed to be struggling with a mental health issue. College head coaches completed pre-test surveys (n = 969) and immediate post-test surveys (n = 347, completion rate = 36%). Module completion was associated with increased mental health literacy, decreased stigma about help seeking and increased intentions to engage in culture setting communication. These findings suggest that the online module is a good start for coach education about mental health; however, additional modifications may be warranted to the extent coach referral to sports medicine staff or provision of emotional support to student-athletes struggling with mental health concerns are considered desired behaviors.

Kroshus is with the Department of Pediatrics, University of Washington, Seattle, WA; and the Center for Child Health, Behavior and Development, Seattle Children’s Research Institute, Seattle, WA. Wagner and Hainline are with the National Collegiate Athletic Association, Indianapolis, IN. Wyrick is with the Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC.

Address author correspondence to Emily Kroshus at ekroshus@uw.edu.
Journal of Clinical Sport Psychology
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  • AdamsA.AndersonE. & McCormackM. (2010). Establishing and challenging masculinity: The influence of gendered discourses in organized sport. Journal of Language and Social Psychology 29(3) 278300. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • AltinS.V.FinkeI.Kautz-FreimuthS. & StockS. (2014). The evolution of health literacy assessment tools: A systematic review. BMC Public Health 14 1207. PubMed ID: 25418011 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • AndersonE. (2009). The maintenance of masculinity among the stakeholders of sport. Sport Management Review 12 314. doi:

  • ArmstrongS. & Oomen-EarlyJ. (2009). Social connectedness, self-esteem, and depression symptomatology among collegiate athletes versus nonathletes. Journal of American College Health 57(5) 521526. PubMed ID: 19254893 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • BronfenbrennerU. (1979). The ecology of human development. Cambridge, MA: Harvard University Press.

  • BrownG.T.HainlineB.KroshusE. & WilfertM. eds. (2015). Mind Body and Sport. Understanding and Supporting Student-Athlete Mental Wellness. Indianapolis, IN: NCAA Publications.

    • Search Google Scholar
    • Export Citation
  • CheekC.A.HillK.CarlsonJ.LockJ. & PeeblesR. (2015). Weight-related coaching pressures, mental health, sleep, and quality of life in competitive university athletes. Journal of Adolescent Health 56(2) S88. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • ClementS.SchaumanO.GrahamT.MaggioniF.Evans-LackoS.BezborodovsN.ThornicroftG. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine 45(1) 1127. PubMed ID: 24569086 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • EisenbergD.DownsM.F.GolbersteinE. & ZivinK. (2009). Stigma and help seeking for mental health among college students. Medical Care Research and Review 66(5) 522541. PubMed ID: 19454625 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • FischerE.H. & FarinaA. (1995). Attitudes toward seeking professional psychologial help: A shortened form and considerations for research. Journal of College Student Development 36(4) 368373.

    • Search Google Scholar
    • Export Citation
  • FrancisC.PirkisJ.DuntD.BloodR.W. & DavisC. (2002). Improving Mental Health Literacy: A review of the literature — Child Health Research [ResearchUpload]. Retrieved from http://www.childhealthresearch.eu/research/add-knowledge/Literature%20reveiw%20on%20mental%20health%20literacy%20strategies%202002.pdf

    • Export Citation
  • GrahamI.D.LoganJ.HarrisonM.B.StrausS.E.TetroeJ.CaswellW. & RobinsonN. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions 26(1) 1324. PubMed ID: 16557505 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • GulliverA.GriffithsK.M. & ChristensenH. (2012). Barriers and facilitators to mental health help-seeking for young elite athletes: A qualitative study. BMC Psychiatry 12 157. PubMed ID: 23009161 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • HardyE. (2015). The female “apologetic” behaviour within Canadian women’s rugby: Athlete perceptions and media influences. Sport in Society 18(2) 155167. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • JonesT.-V. (2016). Predictors of perceptions of mental illness and averseness to help: A survey of elite football players. Journal of Mental Health (Abingdon England) 25(5) 422427. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KellyC.M.JormA.F. & WrightA. (2007). Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Medical Journal of Australia 187(7) S26S30.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KesslerR.C.AngermeyerM.AnthonyJ.C.De GraafR.DemyttenaereK.GasquetI.ÜstünT.B. (2007). Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 6(3) 168176. PubMed ID: 18188442

    • Search Google Scholar
    • Export Citation
  • KraneV. (2001). We can be athletic and feminine, but do we want to? Challenging hegemonic femininity in women’s sport. Quest 53(1) 115133. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KroshusE. (2017). Stigma, coping skills, and psychological help seeking among collegiate athletes. Athletic Training and Sports Health Care 9(6) 254262. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KroshusE.CoppelD.ChrismanS.P.D. & HerringS. (in press). Coach support of high school student-athletes struggling with anxiety or depression. Journal of Clinical Sport Psychology. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KroshusE. & DavorenA.K. (2016). Mental health and substance use of sexual minority college athletes. Journal of American College Health 64(5) 371379. PubMed ID: 26943646 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • KroshusE.GarnettB.R.BaughC.M. & CalzoJ.P. (2015). Social norms theory and concussion education. Health Education Research 30(6) 10041013. PubMed ID: 26471918 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • MazzerK.R. & RickwoodD.J. (2009). Community gatekeepers’ advice to young people to seek help from mental health professionals: Youth workers and sport coaches. International Journal of Mental Health Promotion 11(2) 1323. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McGlashanA.J. & FinchC.F. (2010). The extent to which behavioural and social sciences theories and models are used in sport injury prevention research. Sports Medicine 40(10) 841858. PubMed ID: 20836582 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McGorryP.D.PurcellR.GoldstoneS. & AmmingerG.P. (2011). Age of onset and timing of treatment for mental and substance use disorders: Implications for preventive intervention strategies and models of care. Current Opinion in Psychiatry 24(4) 301306. PubMed ID: 21532481 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mental health best practices. (2016). NCAA. Retrieved from https://www.ncaa.org/sites/default/files/HS_Mental-Health-Best-Practices_20160317.pdf

    • Search Google Scholar
    • Export Citation
  • NamS.K.ChuH.J.LeeM.K.LeeJ.H.KimN. & LeeS.M. (2010). A meta-analysis of gender differences in attitudes toward seeking professional psychological help. Journal of American College Health 59(2) 110116. PubMed ID: 20864437 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • PierceD.LiawS.-T.DobellJ. & AndersonR. (2010). Australian rural football club leaders as mental health advocates: An investigation of the impact of the Coach the Coach project. International Journal of Mental Health Systems 4(1) 10. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • ProctorE.SilmereH.RaghavanR.HovmandP.AaronsG.BungerA.HensleyM. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research 38(2) 6576. PubMed ID: 20957426 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • PutukianM. (2016). The psychological response to injury in student athletes: A narrative review with a focus on mental health. British Journal of Sports Medicine 50(3) 145148. PubMed ID: 26719498 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • RaoA.L. & HongE.S. (2016). Understanding depression and suicide in college athletes: Emerging concepts and future directions. British Journal of Sports Medicine 50(3) 136137. PubMed ID: 26614763 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • SheeranP. & WebbT.L. (2016). The intention–behavior gap. Social and Personality Psychology Compass 10(9) 503518. doi:

  • ShroutP.E. & YagerT.J. (1989). Reliability and validity of screening scales: Effect of reducing scale length. Journal of Clinical Epidemiology 42(1) 6978. PubMed ID: 2913189 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • SørensenK.Van den BrouckeS.FullamJ.DoyleG.PelikanJ.SlonskaZ. & BrandH. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 12 80. PubMed ID: 22276600 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • SteinfeldtJ.A.GilchristG.A.HaltermanA.W.GomoryA. & SteinfeldtM.C. (2011). Drive for muscularity and conformity to masculine norms among college football players. Psychology of Men & Masculinity 12(4) 324338. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Van RaalteJ.L.CorneliusA.E.AndrewsS.DiehlN.S. & BrewerB.W. (2015). Mental health referral for student-athletes: Web-based education and training. Journal of Clinical Sport Psychology 9(3) 197212. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • WahtoR.S.SwiftJ.K. & WhippleJ.L. (2016). The role of stigma and referral source in predicting college student-athletes’ attitudes toward psychological help-seeking. Journal of Clinical Sport Psychology 10(2) 8598. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • WatsonJ.C. (2005). College student-athletes’ attitudes toward help-seeking behavior and expectations of counseling services. Journal of College Student Development 46(4) 442449. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • WolaninA.HongE.MarksD.PanchooK. & GrossM. (2016). Prevalence of clinically elevated depressive symptoms in college athletes and differences by gender and sport. British Journal of Sports Medicine 50(3) 167171. PubMed ID: 26782764 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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