This study explored depression, anxiety, and help-seeking at a National Collegiate Athletic Association Division III historically women’s college in the United States, while taking into account gender identities outside of male and female. An online survey including the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and help-seeking measures were completed by 109 student-athletes. Participants’ ages ranged from 18 to 22. Within the sample, 59.7% of participants identified as LGBTQIA+ (lesbian, gay, bisexual, transgender, queer, intersex, asexual, among other identities) and 8.3% identified as genderqueer/gender-nonconforming. A total of 33.0% of the participants reported symptoms of depression, while 28.5% reported symptoms of anxiety. Genderqueer/gender-nonconforming athletes reported higher rates of anxiety than athletes who identified as women. Higher rates of depression and anxiety were related to higher levels of formal help-seeking. The results indicate that student-athletes at a historically women’s college may be experiencing higher levels of depression and anxiety than student-athletes in other contexts and have more positive views toward help-seeking. Student-athletes who identify outside of the gender binary may be at higher risk for anxiety.
Aidan D. Kraus and Erica Tibbetts
Diego H. Méndez, Pablo O. Policastro, and Danilo De Oliveira Silva
Context: Injury surveillance and training load monitoring are both essential for the development of preventative strategies for gradual-onset musculoskeletal injuries in elite sport. Our aim was to survey health professionals working with elite tennis players on whether and how they monitor injuries and training load. Design: A cross-sectional multinational online open-survey. Methods: The survey was developed and advertised in English, Spanish, and Portuguese languages on social media channels, a tennis academic journal, professional tennis associations, and clinical networks of the research team, from December 2020 to April 2021. Results: 72 health professionals from 27 different countries working with elite tennis players responded to the survey. Injury surveillance is performed by 94% (68/72) of the survey respondents, with only 10% (7/68) using the consensus-recommended Oslo Sports Trauma Research Center questionnaire. Most common barriers identified by health professionals to injury surveillance are time constraints (66%), lack of knowledge (43%), and technology (31%). Training load monitoring is performed by 50% (36/72) of the health professionals working with elite tennis players. Main metrics monitored are weekly differences in training load (72%) and acute:chronic workload ratio (58%). Most common reasons for training load monitoring are injury prevention (94%), training planning (81%), and player feedback (53%). Conclusions: Despite a high percentage of health professionals implementing injury surveillance metrics, most of them do not use any validated method. Only half of health professionals working with elite tennis players monitor training load. Lack of knowledge and technology were the main barriers reported for adequately monitoring injuries.
Philippe Crisp and Paul Brackley
In the United Kingdom, many sport coaching career paths are considered to be focused on skills development, competence, and leadership within the context of performance. However, sport coaching also sits substantially within the community and youth sectors, where sport is seen to facilitate various social policy issues. Aligning nonperformance-related coaching contexts to existing formal qualifications schemes is problematic, given they frequently emphasize athlete and team performance. While an emerging base of studies examining community sports coaching exists, further insight and perspectives of in situ learning and coach support in this context are needed. Using observations, evaluation, and feedback centered on practitioner competence and confidence, and conducted over a 2-year period with 13 new community/grassroots sports coaches working with Albion in the Community (the official charity of Brighton and Hove Albion Football Club), we present some of the key findings and principles that we believe underlined their practice. These principles related to how, despite the majority being appropriately qualified at national governing bodies Level 2, they generally needed additional support and expertise for their specific (community) operational environment in terms of outcomes, practice design, and challenging what was seen as a focus on providing competitive (team) environments above individual player development.