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Miranda Brunett and René Revis Shingles

Clinical Scenario People from different cultures, races, ethnicities, genders, sexualities, and other social locations have different beliefs about illness and different needs and preferences when it comes to receiving health care. Cultural competence in health care can generally be defined as the

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Emma V. Richardson, Sarah Blaylock, Elizabeth Barstow, Matthew Fifolt and Robert W. Motl

recent observations that persons with MS actively seek information about exercise and diet for managing MS through a health care provider (HCP) ( Motl et al., 2017 ). HCPs are trusted by patients and viewed as credible messengers of exercise ( Letts et al., 2011 , Smith, Tomasone, Latimer

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Katherine R. Newsham

Performance enhancement is a multibillion dollar industry, with little known about the efficacy or safety of many practices. Many sport governing bodies have banned certain equipment, supplements, and drugs, yet, some athletes use anyway. This use may pose a danger to the individual user, as well as to other participants, and can challenge the integrity of the sport. We must consider how we, as health care professionals, balance personal autonomy, individual safety, and the integrity of sport in fulfilling our social contract.

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Brianne L. Foulon, Valérie Lemay, Victoria Ainsworth and Kathleen A. Martin Ginis

The purpose of this study was to determine preferences of people with spinal cord injury (SCI) and health care professionals (HCP) regarding the content and format of a SCI physical activity guide to support recently released SCI physical activity guidelines. Seventy-eight people with SCI and 80 HCP completed a survey questionnaire. Participants with SCI identified desired content items and their preferences for format. HCP rated the helpfulness of content items to prescribe physical activity. All content items were rated favorably by participants with SCI and useful by HCP. The risks and benefits of activity and inactivity, and strategies for becoming more active, were rated high by both samples. Photographs and separate information for those with paraplegia versus tetraplegia were strongly endorsed. These data were used to guide the development of an SCI physical activity guide to enhance the uptake of physical activity guidelines for people with SCI. The guide was publically released November 11, 2011.

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Richard J. Carey

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Charles J. Redmond and Robert C. Welles

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Jeff Stewart and Vivian H. Wright

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James Rankin

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William F. Regan

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John Parsons

Edited by Gary Wilkerson