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Sara L. Giovannetti, Jessica R.G. Robertson, Heather L. Colquhoun, and Cindy K. Malachowski

University student-athletes are equally vulnerable to mental health challenges compared to their non-athlete peers, but they access mental health services with less frequency. This study sought to explore the mental health issues experienced by Canadian student-athletes in order to address the question: how can Canadian universities better meet the mental health needs of student-athletes? An electronic survey was distributed to student-athletes at a large Canadian university. Data from 113 respondents were analyzed using descriptive statistics and content analysis. Stress and pressure were reported as the most prevalent contributors to mental health issues, and 47% of respondents indicated that there was a time in which they wanted to seek services for their mental health, but chose not to. Respondents identified mental health education for coaches and designating a healthcare professional within the athletic department as beneficial resources. Findings from this study can inform local and national mental health service planning for student-athletes.

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Janine V. Olthuis, Margo C. Watt, Christopher E. J. DeWolfe, Emma Connell, Emily N. Wright, and Laura Sevigny

Women, relative to men, are at particularly high risk for anxiety and depression, perhaps in part due to their heightened levels of anxiety sensitivity (AS). Physical activity (PA) is an accessible mental health intervention that may be particularly beneficial for women. Using a within-subjects pre-post mixed methods design, this study tested the acceptability, appropriateness, feasibility, and evidence-base of a community-based PA intervention for AS among women at high risk for anxiety and depression. Participants were 45 women with high AS who completed an 8-week group PA intervention. Data were collected via self-report questionnaires, interviews, and recruitment, participation, and retention rates. Results suggest the intervention is acceptable, appropriate, and feasible. Interviews reveal high intervention satisfaction and perceived benefits beyond AS reduction. There was a relatively high attrition rate that suggests room for improvement. The intervention significantly reduced AS, as well as panic, social anxiety, generalized anxiety, and depression symptoms. In the context of the preliminary nature of this study, results suggest the use of community-delivered, group-based PA as a mental health intervention strategy for women is worth further exploration. There is potential for collaboration between the health system, PA delivery professionals, and community organizations to improve access to care.

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Sadie Rose Adado and Kenneth E. Games

. Access to care Note . HCPs = healthcare providers; PCC = patient-centered care. Healthcare was defined as the participants’ child receiving one or more of the following interventions: injury/illness assessment, evaluation, treatment, and/or diagnostic testing on one or more occasion(s) by a healthcare

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Lea Barbetta Pereira da Silva, Gilmar Mercês de Jesus, José de Bessa Junior, Valter Abrantes Pereira da Silva, Ivanilde Guedes de Mattos, Coretta Melissa Jenerette, and Evanilda Souza de Santana Carvalho

are avoided through access to care. Thus, death during childhood is a rare event, with > 90% of children with SCD surviving to adulthood. This is in stark contrast to children born in low-resource settings, where most births take place. Of the estimated 312,000 annual births homozygous for Hb SS, >90

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Arya M. Sharma, Donna L. Goodwin, and Janice Causgrove Dunn

, there are very complex neuroendocrine factors that defend body weight against weight loss—and that is why it is chronic disease. Recognizing obesity as a chronic disease will hopefully provide better access to care by fundamentally changing how we think about helping people live with this disease. In

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Jenny H. Conviser, Amanda Schlitzer Tierney, and Riley Nickols

-Borgen & Torstveit, 2004 ), with some rates of EDs among athletes appear to be increasing ( Chatterton & Petrie, 2013 ). Eating disorders are substantially different from more common eating-related and body-related frustrations and, once established, do not remit without professional treatment. Timely access to care

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René Revis Shingles

to care, improves quality of care, reduces health disparities, and improves health outcomes ( Betancourt et al., 2005 ; National Prevention Council, 2011 ). For example, Brunett and Shingles ( 2017 ) found that patients’ experiences and subsequent satisfaction were affected by health care

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David H. Perrin

communities, thereby increasing access to care; • racial and ethnic minority patients report greater levels of satisfaction with care provided by minority health care professionals; and • racial and ethnic health care providers can help health systems in efforts to reduce cultural and linguistic barriers and

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Nathan H. Parker, Rebecca E. Lee, Daniel P. O’Connor, An Ngo-Huang, Maria Q.B. Petzel, Keri Schadler, Xuemei Wang, Lianchun Xiao, David Fogelman, Richard Simpson, Jason B. Fleming, Jeffrey E. Lee, Ching-Wei D. Tzeng, Sunil K. Sahai, Karen Basen-Engquist, and Matthew H.G. Katz

therapy and recovery following surgery. 7 Given financial and logistical constraints associated with access to care at tertiary cancer centers, exercise during preoperative treatment may be most broadly impactful when prescribed as part of home-based programs. 20 But compared with supervised, in

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Matthew D. Bird, Graig M. Chow, Gily Meir, and Jaison Freeman

health practitioners who provide counseling services via the internet chose to do so. Results from their study indicate that this group of professionals thought OC allowed for more flexibility between client and patient. Along with convenience, OC can improve clients’ access to care ( Sampson, Kolodinsky