Background: The Rapid Assessment Disuse Index (RADI) is a brief tool aimed to promptly assess primary care patients’ overall physical inactivity and sedentary behavior. This study examines the relation between physical inactivity and sitting time (RADI) to cardiometabolic risk among primary care patients. Methods: Survey data and electronic medical record information were collated to explore the association between RADI scores (cumulative and sitting) to metabolic syndrome (and components) among women and men, using multivariable logistic regression. Results: Among women, the cumulative RADI score was not significantly associated with metabolic syndrome. However, the RADI sitting score was related to low high-density lipoprotein cholesterol and metabolic syndrome. That is, a transition to a higher RADI sitting score by 1 unit (vs remaining in the score) was related with a 1.4 and 1.3 times higher odds for having low high-density lipoprotein cholesterol (95% confidence interval, 1.05–1.87) and metabolic syndrome (95% confidence interval, 1.02–1.64), respectively. Among men, no significant relations were found. Conclusions: The RADI sitting score is positively and significantly related to high-density lipoprotein and metabolic syndrome among women, yet not men. Due to the RADI’s potential clinical utility, future research should attempt to examine these relations in larger, more robust samples and adjudicated outcomes using a prospective design.
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Kerem Shuval, Liora Sahar, Kelley Pettee Gabriel, Gregory Knell, Galit Weinstein, Tal Gafni Gal, Felipe Lobelo and Loretta DiPietro
Abby Haynes, Catherine Sherrington, Geraldine Wallbank, David Lester, Allison Tong, Dafna Merom, Chris Rissel and Anne Tiedemann
The Coaching for Healthy Ageing trial evaluated the impact on physical activity (PA) and falls based on a year-long intervention in which participants aged 60+ receive a home visit, regular health coaching by physiotherapists, and a free activity monitor. This interview study describes the participants’ experiences of the intervention and ideas for improvement. The authors sampled purposively for maximum variation in experiences. The data were analyzed thematically by two researchers. Most of the 32 participants reported that the intervention increased PA levels, embedded activities, and generated positivity about PA. They were motivated by quantified PA feedback, self-directed goals, and person-centered coaching. Social connectivity motivated some, but the intervention did not support this well. The intervention structure allowed participants to trial and embed activities. Autonomy and relatedness were emphasized and should be included in future program theory. The authors identified synergistic effects, likely “essential ingredients,” and potential areas for improving this and similar interventions.
Alessandro Quartiroli, Justine Vosloo, Leslee Fisher and Robert Schinke
Cultural competence, identified as the ability to understand other cultures and being aware of one’s own cultural assumptions, has been found to be important for sport psychology professionals (SPPs). In the current study, one of a few exploring the SPPs’ own perceived cultural competence, a sample of 203 SPPs completed an online survey examining the perceptions of their own levels of cultural competence. Most participants reported receiving formal training in cultural competence. However, this training was perceived as only moderately effective and only able to predict the reported level of the SPPs’ perceived cultural competence in a limited way. These results could be attributed to the reported lack of support for SPPs engaging in culturally centered self-reflective practice and to the limited role that these factors have played in training programs. Additional findings are described and discussed, along with recommendations for professional development and applied training.
Sarah P. McLean, Christine M. Habeeb, Pete Coffee and Robert C. Eklund
Efficacy beliefs and communication are key constructs that have been targeted to develop task cohesion. This study’s purpose was to (a) examine whether collective efficacy, team-focused other-efficacy, and team-focused relation-inferred self-efficacy are predictive of task cohesion and (b) evaluate the possibility that communication mediates efficacy–task cohesion relationships. British university team-sport athletes (N = 250) completed questionnaires assessing efficacy beliefs, communication (i.e., positive conflict, negative conflict, and acceptance communication), and task cohesion (i.e., attractions to group, group integration). Data were subjected to a multigroup path analysis to test mediation hypotheses while also addressing potential differences across males and females. Across all athletes, collective efficacy and team-focused other-efficacy significantly predicted attractions to group and group integration directly. Positive conflict and acceptance communication significantly mediated relationships between efficacy (team-focused other-efficacy, collective efficacy) and cohesion (attractions to group, group integration). Findings suggest that enhancing athletes’ collective efficacy and team-focused efficacy beliefs will encourage communication factors affecting task cohesion.
Matthew J. Smith and Oliver R. Runswick
In elite sport, research has highlighted the significant incidence of athletes experiencing mental ill health. The aim of the present study was to make sense of stories that elite athletes tell about experiencing mental ill health through sampling the autobiographies of four male, elite cricketers. In each book, the player spoke in detail about mental ill health and how this impacted on their international career. Horizontal and vertical analyses of the data resulted in six progressive themes being identified, from Early Warning Signs, Fluctuations of Mental Health, Build-up to the Severe Incident, the Severe Incident, the Recovery Process, to Relapsing. The findings are considered in line with how they might be used to meet the call to develop mental health literacy, in aiming to help coaches and other psychology support staff understand more about the process of athletes who experience mental ill health across their career.
Inhyang Choi, Damian Haslett, Javier Monforte and Brett Smith
Academics and sport organizations have recently recognized Para-sport as a powerful platform for disability activism. However, little attention has been given to Para-sport activism in non-Western cultures. This study explored the influence of Confucianism on South Korean Para-sport activism. Data were collected through interviews conducted with four stakeholders from the Korea Paralympic Committee and 18 Para-athletes. Through a reflexive thematic analysis, the authors crafted five themes corresponding to Confucian values: position hierarchy, age hierarchy, parent–child relationship, factionalism, and collectivism. All values had the capacity to encourage and discourage participants toward engaging in activism. These findings contribute to the field of Cultural Sport Psychology by highlighting a multitude of cultural factors affecting Para-sport activism. Practical suggestions to promote Para-sport activism are offered, including sociocultural and organizational legacy.
Irfan A. Khan and Kelley Henderson
Clinical Question: What is the efficacy of myofascial release, combined with trigger point therapy, in treating pain in patients with tension-type headaches? Clinical Bottom Line: There is significant evidence to support the use of myofascial release and trigger point therapy in patients with pain from tension-type headaches.
This article deploys a qualitative media content analysis to examine discourses linking sport, head injury, and longer term neurocognitive decline. It draws on a seminal British television documentary and associated print media coverage to demonstrate that the representation of sport-related brain injury is intricately connected to both conceptions of risk in sport and a wider social response to aging and dementia. The article augments existing North American analyses to provide the first cross-cultural comparison of this phenomenon and, in doing so, illustrates how the social prominence of cultural representations of sport-related brain injury relates in part to the distinct characteristics of the sport-related phenomenon, which extend and amplify both the broader cultural crisis of concussion in sport and existing representations of dementia. The study is therefore important because it provides a unique perspective on both a key contemporary sporting issue and this global health concern.
Kendra Nelson Ferguson and Craig Hall
Biofeedback is among the various self-regulation techniques that mental performance consultants can utilize in their practice with athletes. Biofeedback produces psychophysiological assessments in real time to enhance awareness of thoughts and emotions. Quantitatively, research shows that biofeedback can facilitate self-regulation, allowing an athlete to gain control over psychophysiological responses that could be detrimental to performance. With technology becoming a widespread tool in monitoring psychophysiological states, an exploration of consultants’ use of biofeedback, their perceptions of effectiveness, and limitations of their use was warranted to qualitatively evaluate efficiency of the tool. A qualitative descriptive approach was taken through semistructured interviews with 10 mental performance consultants. Inductive reasoning uncovered three themes: positive implications, practical limitations, and equipment options. With biofeedback, athletes have the ability to develop a deeper level of self-awareness and thereby facilitate the use of self-regulation strategies intended for optimal performance states and outcomes.
Dawn Scott, Dean Norris and Ric Lovell
Purpose: To examine the dose–response relationship between match-play high-speed running (HSR), very high-speed running (VHSR), and sprint (SPR) distances versus subsequent ratings of fatigue and soreness. Methods: Thirty-six outfield players competing in the professional National Women’s Soccer League (NWSL, United States) with a minimum of five 90-minute match observations were monitored during the 2016 and 2017 seasons (408 match observations, 11 /player). HSR (≥3.47 m·s−1), VHSR (≥5.28 m·s−1), and SPR (≥6.25 m·s−1) were determined generically (GEN) in players using a 10-Hz global positioning system. HSR, VHSR, and SPR speed thresholds were also reconfigured according to player peak speed per se and in combination with the final velocity achieved in the 30:15 Intermittent Fitness Test (locomotor approach to establishing individual speed zones). On the morning following matches (match day [MD + 1]), players recorded subjective wellness ratings of fatigue and soreness using 7-point Likert scales. Results: Fatigue (−2.32; 95% CI, −2.60 to −2.03 au; P < .0001) and soreness (−2.05; 95% CI, −2.29 to −1.81; P < .0001) ratings worsened on MD + 1. Standardized unit changes in HSRGEN (fatigue: −0.05; 95% CI, −0.11 to 0.02 and soreness: −0.02, 95% CI, −0.07 to 0.04) and VHSRGEN (fatigue: −0.06; 95% CI, −0.12 to 0.00 and soreness: −0.04; 95% CI, −0.10 to 0.02) had no influence on wellness ratings at MD + 1. Individualized speed thresholds did not improve the model fit. Conclusions: Subjective ratings of fatigue and wellness are not sensitive to substantial within-player changes in match physical performance. HSR, VHSR, and SPR thresholds customized for individual players’ athletic qualities did not improve the dose–response relationship between external load and wellness ratings.