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Psychological Predictors of Injury Occurrence: A Prospective Investigation of Professional Swedish Soccer Players

Andreas Ivarsson, Urban Johnson, and Leslie Podlog

Context:

Athletes participating in sport are exposed to a high injury risk. Previous research has found a great number of risk factors (both physiological and psychological) that could increase injury risk.1 One limitation in previous studies is that few have considered the complex interaction between psychological factors in their research design.

Objective:

To study whether personality, stress, and coping predicted injury occurrence in an elite soccer population based on a hypothesized model.

Design:

Prospective.

Participants:

56 (n = 38 male, n = 18 female) Swedish Premiere League soccer players were selected based on convenience sampling.

Intervention:

Participants completed 4 questionnaires including the Swedish Universities Scales of Personality,2 Life Events Survey for Collegiate Athletes,3 and Brief COPE4 during the initial questionnaire administration. Subsequent to the first meeting, participants also completed the Hassle and Uplift Scale5 once per wk for a 13-wk period throughout the competitive season.

Main Outcome Measures:

A path analysis was conducted examining the influence of personality traits (ie, trait anxiety), state-level stressors (ie, negative-life-event stress and daily hassles), and coping on injury frequency.

Results:

Results of the path analysis indicated that trait anxiety, negative-life-event stress, and daily hassle were significant predictors of injury among professional soccer players, accounting for 24% of the variance.

Conclusion:

The findings highlight the need for athletes, coaches, and medical practitioners to attempt to reduce state-level stressors, especially daily hassles, in minimizing injury risk. Educating and training athletes and coaches in proactive stress-management techniques appears warranted.

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Return to Sport after Serious Injury: A Retrospective Examination of Motivation and Psychological Outcomes

Leslie Podlog and Robert C. Eklund

Context:

It is argued in self-determination theory that the motivation underlying behavior has implications for health and well-being independent of the behavior itself.

Objective:

To examine associations between athlete motivations for returning to sport after injury and perceived psychological return-to-sport outcomes.

Design:

A correlational survey design was employed to obtain data in Canada, Australia, and England.

Participants:

Elite and subelite athletes (N = 180) with injuries requiring a minimum 2-month absence from sport participation.

Main Outcome Measures:

Participants completed an inventory measuring perceptions of motivation to return to sport from a serious injury and psychological return-to-sport outcomes.

Results:

Correlational analyses revealed that intrinsic motivations for returning to competition were associated with a positive renewed perspective on sport participation. Conversely, extrinsic motivations for returning to sport were associated with increased worry and concern.

Conclusions:

The motivation underlying return to sport might play an important role in return-to-sport perceptions among elite and subelite athletes.

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College Students’ Goal Orientations, Situational Motivation and Effort/Persistence in Physical Activity Classes

Zan Gao, Leslie William Podlog, and Louis Harrison

The purpose of this study was to examine relationships among college students’ 2 × 2 goal orientations (mastery-approach [MAp], mastery-avoidance [MAv], performance-approach [PAp], performance-avoidance [PAv]), situational motivation (intrinsic motivation, identified regulation, external regulation and amotivation) and effort/persistence in physical activity classes. Participants (140 female, 109 male) completed a battery of questionnaires assessing the outcome variables at the last week of instruction. Regression analyses revealed that MAp and PAp emerged as positive predictors for intrinsic motivation whereas MAp was the only positive predictor for identified regulation. MAp was negatively related to amotivation (AM), while PAp and PAv were positively related to AM. In addition, MAp, PAp, intrinsic motivation, and identified regulation were significant positive predictors of effort/persistence.

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Effects of a TAKE 10! Classroom-Based Physical Activity Intervention on Third- to Fifth-Grade Children’s On-task Behavior

Tan Leng Goh, James Hannon, Collin Webster, Leslie Podlog, and Maria Newton

Background:

Prolonged sitting at desks during the school day without a break may result in off-task behavior in students. This study was designed to examine the effects of a classroom physical activity intervention, using TAKE 10!, on elementary school students’ on-task behavior. Nine classes (3rd to 5th grades) from 1 elementary school participated in the program (4-week baseline and 8-week intervention).

Methods:

The students’ on-task behavior was measured using systematic direct observation. Observations occurred once a week during weeks 1 to 4 (baseline) and weeks 8 to 12 (intervention). A two-way repeated-measures analysis of variance was used to compare on-task behavior between observation periods.

Results:

There was a significant decrease (P = .001) in mean percentage on-task behavior from preno TAKE 10! (91.2 ± 3.4) to postno TAKE 10! (83.5 ± 4.0) during the baseline period, whereas there was a significant increase (P = .001) in mean percentage on-task behavior from pre-TAKE 10! (82.3 ± 4.5) to post-TAKE 10! (89.5 ± 2.7) during the intervention period.

Conclusions:

Furthermore, students who received more daily TAKE 10! were found to be more on-task than students who received less TAKE 10!. The TAKE 10! program is effective in improving students’ on-task behavior in the classroom.

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Psychological Readiness to Return to Competitive Sport Following Injury: A Qualitative Study

Leslie Podlog, Sophie M. Banham, Ross Wadey, and James C. Hannon

The purpose of this study was to examine athlete experiences and understandings of psychological readiness to return to sport following a serious injury. A focus group and follow-up semistructured interviews were conducted with seven English athletes representing a variety of sports. Three key attributes of readiness were identified including: (a) confidence in returning to sport; (b) realistic expectations of one’s sporting capabilities; and (c) motivation to regain previous performance standards. Numerous precursors such as trust in rehabilitation providers, accepting postinjury limitations, and feeling wanted by significant others were articulated. Results indicate that psychological readiness is a dynamic, psychosocial process comprised of three dimensions that increase athletes’ perceived likelihood of a successful return to sport following injury. Findings are discussed in relation to previous research and practical implications are offered.

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Why Do Athletes Remain Committed to Sport After Severe Injury? An Examination of the Sport Commitment Model

Melissa Mae Iñigo, Leslie Podlog, and Morgan S. Hall

The purpose of this study was to examine athletes’ sources of commitment to return to sport following a severe injury using the Sport Commitment Model (Scanlan, Carpenter, Schmidt, Simons, & Keeler, 1993). To address this aim, ten varsity athletes from the University of the Philippines Diliman were interviewed following protocols outlined in the Scanlan Collaborative Interview Method (SCIM; Scanlan, Russell, Wilson, & Scanlan, 2003a). Results indicate that sport enjoyment, valuable opportunities, personal investments, social constraints, and social support were salient sources of commitment, while other priorities had either a neutral or positive effect on commitment. Furthermore, additional constructs were identified, in particular, wanting to be the best, self-affirmation, and contractual obligations. These merit further investigation and possible inclusion in the SCM. Findings are discussed in relation to previous research and practical implications are offered.

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Certified Athletic Trainers' Perspectives on Rehabilitation Adherence in Collegiate Athletic Training Settings

Megan D. Granquist, Leslie Podlog, Joanna R. Engel, and Aubrey Newland

Context:

Adherence to sport-injury rehabilitation protocols may be pivotal in ensuring successful rehabilitation and return-to-play outcomes.

Objectives:

To investigate athletic trainers' perspectives related to the degree to which rehabilitation adherence is an issue in collegiate athletic training settings, gain insight from certified athletic trainers regarding the factors contributing to rehabilitation nonadherence (underadherence and overadherence), and ascertain views on the most effective means for promoting adherence.

Design:

Crosssectional, mixed methods.

Setting:

Collegiate athletic training in the United States.

Participants:

Certified athletic trainers (n = 479; 234 male, 245 female).

Main Outcome Measures:

Online survey consisting of 3 questions regarding rehabilitation adherence, each followed by an open-ended comments section. Descriptive statistics were calculated for quantitative items; hierarchical content analyses were conducted for qualitative items.

Results:

Most (98.3%) participants reported poor rehabilitation adherence to be a problem (1.7% = no problem, 29.2% = minor problem, 49.7% = problem, 19.4% = major problem), while most (98.96%) participants reported that they had athletes who exhibited poor rehabilitation adherence (1% = never, 71.4% = occasionally, 22.5% = often, 5% = always). In addition, the majority (97.91%) of participants reported that overadherence (eg, doing too much, failing to comply with activity restrictions, etc) was at least an occasional occurrence (2.1% = never, 69.3% = occasionally, 26.3% = often, 1.9% = always). Hierarchical content analyses regarding the constructs of poor adherence and overadherence revealed 4 major themes: the motivation to adhere, the development of good athletic trainer–athlete rapport and effective communication, athletic trainers' perception of the coaches' role in fostering adherence, and the influence of injury- or individual- (eg, injury severity, sport type, gender) specific characteristics on rehabilitation adherence.

Conclusions:

These results suggest that participants believe that underadherence (and to a lesser extent overadherence) is a frequent occurrence in collegiate athletic training settings. Strategies for enhancing rehabilitation adherence rates and preventing overadherence may therefore be important for optimizing rehabilitation outcomes.

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Injury and Disordered Eating Behaviors: What is the Connection for Female Professional Dancers?

Justine J. Reel, Leslie Podlog, Lindsey Hamilton, Lindsey Greviskes, Dana K. Voelker, and Cara Gray

Dancers, like athletes, frequently endure injuries and disordered eating as a result of performance-specific demands. The purpose of this study was to explore the relationship between severe injuries and disordered eating from the perspectives of female professional dancers. In-depth, semi-structured interviews were conducted with 13 female professional dancers ages 18–38 (M = 23; SD = 6.2) whose dance participation was suspended for 4–36 weeks (M = 12.69; SD = 10.09) due to a dance-related injury. We adopted a social constructivist stance to view the experiences of dancers through the lens of a phenomenon highly influenced by environmental and cultural factors. A thematic analysis yielded five themes including negative emotions associated with injury, anxiety and uncertainty around future involvement, modifications in nutritional intake (e.g., reduction of calories), coping with injury, and the need for an effective and holistic injury rehabilitation program.

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Chapter 7 Effects of a Classroom-Based Physical Activity Program on Children’s Physical Activity Levels

Tan Leng Goh, James Hannon, Collin Andrew Webster, Leslie William Podlog, Timothy Brusseau, and Maria Newton

High levels of physical inactivity are evident among many American children. To address this problem, providing physical activity (PA) during the school day within the CSPAP framework, is one strategy to increase children’s PA. Thus, the purpose of this study was to examine the effects of a classroom-based PA program on children’s PA. Two hundred and ten students from one school participated in TAKE 10! for 12 weeks. All students wore pedometers and a sample of 64 students wore accelerometers for 4 days during week 1 (baseline), week 8 (midintervention), and week 12 (end-intervention). Data were analyzed using repeated-measures ANOVA. The results showed that students’ daily in-school step counts increased by 672 steps from baseline to midintervention (P < .001). Students’ moderate-to-vigorous intensity PA (MVPA) increased by approximately 2 minutes from baseline to end-intervention (P < .01). In conclusion, participating in TAKE 10! helps children strive toward the goal of recommended daily MVPA.

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Associations of Physical Activity Enjoyment and Physical Education Enjoyment With Segmented Daily Physical Activity in Children: Exploring Tenets of the Trans-Contextual Model of Motivation

Ryan D. Burns, Yang Bai, Leslie W. Podlog, Timothy A. Brusseau, and Gregory J. Welk

Purpose: This study examined the associations between physical activity enjoyment and physical education enjoyment with segmented physical activity in children. Method: Using student-level data from the School Wellness Integration Targeting Child Health project (N = 1,986), the Youth Activity Profile (YAP) assessed physical activity before school, during physical education, recess, after school, and evening. Segmented YAP scores were regressed onto two enjoyment variables using a seemingly unrelated regression system. Results: Physical activity enjoyment and physical education enjoyment significantly associated with YAP scores during all segments, but physical education enjoyment showed stronger associations during physical education. Older students had higher physical activity before school and in the evening, and physical education enjoyment was more influential for females before school. Conclusion: This study supports tenets of the trans-contextual model of motivation. Improving both physical activity and physical education enjoyment may yield improvements in physical activity behaviors during physical education and all other day segments.