Sport Settings Research Articles

Is the use of performance and image enhancing drugs (PIEDs) in women an issue of concern? The findings from a stakeholder consultation

ObjectivesThere is limited research into the use of performance and image enhancing drugs among women who participate in sport, despite evidence that women do use these substances and experience related harms. The aim of this project is to capture stakeholder perspectives on the current research, policy, and practice landscape in Australia regarding women's performance and image enhancing drug use in regulated and unregulated sport settings. DesignQualitative interviews. MethodsThirty-two semi-structured interviews were conducted online with stakeholders from Australia between September and December 2021. Interviews ranged between 15 and 90 min in duration. Data were imported into the NVivo (Version 12) platform and analysed using thematic analysis. ResultsThirty-two participants (20 females and 12 males) who held a variety of roles (e.g., coach/strength coaches, gym owners, anti-doping agents, athletes) were interviewed. Fourteen participants reported performance and image enhancing drug use. There were four overarching themes generated from the data: ‘participation in untested sports’; ‘environmental factors driving use’; ‘individual rationalisation’; and, ‘the dark side of performance and image enhancing drug use’. ConclusionsPerformance and image enhancing drug use was identified as an issue of concern for women competing in non-elite strength and power-based sports. Of particular concern is the influence of unqualified advice from third parties (i.e., coaches and partners) regarding performance and image enhancing drug use. The environments in which performance and image enhancing drug use occurs can impact individual decisions of women and eventuate in significant and long-lasting physical and psychological harms.

An intervention mapping adaptation framework to develop a self-help intervention for athletes with eating disorder symptoms.

This research forum describes the use of the intervention mapping for adaptation (IMA) framework to develop and evaluate a novel intervention for athletes with mild eating disorder (ED) symptoms. The six IMA steps were followed. In step 1 (needs assessment), we conducted a systematic review of athlete ED interventions and held interviews/focus groups with athletes and sports professionals to inform intervention format and delivery. In step 2 (intervention search), needs assessment information guided the search for an evidence-based intervention suitable for adaptation to athletes. In steps 3 and 4 (intervention development), the identified intervention was adapted and feedback sought from athletes and sport professionals. In steps 5 and 6 (implementation and evaluation), a feasibility study was conducted with athletes (n = 35; females: n = 27; Mage = 27.1). The review highlighted poor evidence for the acceptability and relative efficacy of existing interventions, which were all delivered face-to-face in groups. Interview/focus group data suggested a need for more accessible intervention formats (e.g., self-help). One non-athlete self-help intervention was determined suitable for adaptation to athletes, and adaptations were made. Initial feedback suggested the adapted intervention was relevant within sport settings. The feasibility study revealed that the intervention (MOPED-A: Motivational and Psycho-Educational Self-Help Programme for Athletes with Mild Eating Disorder Symptoms) can be feasibly implemented, is acceptable to athletes and shows potential for reducing ED symptoms. IMA is a useful framework for developing participant-centered and evidence-based interventions. The findings and approach taken provide a framework for other researchers and clinicians in developing similar interventions in the ED domain. The novel self-help intervention described in this article was developed using intervention mapping and provides promise as a tool for reducing eating disorder symptoms in athletes. We describe how adopting and systematically following a health intervention development approach, such as intervention mapping, can ensure that eating disorder interventions are participant-centered, contextually relevant, and evidence-based, which in turn could help to maximize their reach and effectiveness.

Association Between Team Identification and Sport Consumption Behaviors: A Meta-Analysis

The relationship between team identification and sport consumption behaviors is crucial for sports management researchers and practitioners. Given that collective information about the relationship is still inconclusive, this study conducted a comprehensive review of team identification and sport consumption behaviors and explored the relationships and the impact of sport setting, culture, and sample type as moderators. The meta-analysis analyzed data from 75 effect sizes based on 43,608 participants from 52 studies. The results showed that team identification was significantly correlated with sport attendance (r = .47), media consumption (r = .46), sport merchandise consumption (r = .49), and word-of-mouth (r = .60). Sport setting and culture were found to affect the relationship significantly. The current study presents a comprehensive model that synthesizes a broad spectrum of previous studies and offers important implications for investigating sport consumption behaviors and planning sport organizations’ strategies.

In-Season Longitudinal Hydration/Body Cell Mass Ratio Changes in Elite Rugby Players.

Hydration status has a direct role in sports performance. Bioelectrical Impedance Vector Analysis (BIVA) and Urine Specific Gravity (USG) are commonly used to assess hydration. The study aims to identify the sensitivity and relationship between BIVA and USG in a field sports setting. BIVA and USG measurements were conducted five times throughout one rugby season. 34 elite male rugby players (25.1 ± 4.4 years; 184.0 ± 7.8 cm; 99.9 ± 13.4 kg) were enrolled. Differences over time were tested using one-way repeated measures ANOVA, and Bonferroni's post-hoc test was applied in pairwise comparisons. Resistance-reactance graphs and Hotelling's T2 test were used to characterize the sample and to identify bioelectrical changes. A repeated measures correlation test was conducted for BIVA-USG associations. Two clear trends were seen: (1) from July to September, there was a vector shortening and an increase of the phase angle (p < 0.001); and (2) from December to April, there was a vector lengthening and a decrease of the phase angle (p < 0.001). USG reported neither changes nor correlation with BIVA longitudinally (p > 0.05). Vector variations indicated a body fluid gain (especially in the intracellular compartment) and a body cell mass increase during the preseason, suggesting a physical condition and performance improvement. During the last months of the season, the kinetic was the opposite (fluid loss and decreased body cell mass). Results suggested that BIVA is sensitive to physiological changes and a better option than USG for assessing hydration changes during a rugby sports season.

Altered sagittal plane mechanics is associated with Functional Movement Screen deep squat score

Background: The Functional Movement Screen (FMS) assesses the quality of movements, including the deep squat (DS), which is used in sports settings. The validity of the individual item scores has yet to be established.Objectives: To investigate the validity of the FMS DS by comparing the sagittal plane kinematics of participants who achieve different observer scores.Method: Seventeen injury-free, adolescent male cricket bowlers were assessed. The movement was captured using the Optitrack® motion capture system. Simultaneously, observers scored participants’ execution of the DS according to the standard FMS scoring criteria. Participants were grouped into Group 1 (lowest score), Group 2 (altered movement mechanics) or Group 3 (perfect score) according to observer scores. Specific joint angles of each group were compared using the Kruskal–Wallis and Mann–Whitney U tests.Results: There were significant differences in the degree to which the femur passed the horizontal between Group 3 and Group 1 (p = 0.04, r = 0.61) and Group 2 and Group 1 (p = 0.03, r = 0.66) and the difference in the degree to which the torso was kept vertical between Group 3 and Group 1 (p = 0.02, r = 0.66) and Group 2 and Group 1 (p = 0.02; r = 0.72).Conclusion: Kinematic differences exist between participants who achieve different observer scores for the FMS DS.Clinical implications: While differences in sagittal plane kinematics have been observed in participants scoring high on the FMS DS and participants scoring low, further investigation into the validity of the frontal plane kinematics is warranted, as well as the concurrent validity of the individual scoring criteria.

The use of video feedback as a facet of performance analysis: an integrative review

ABSTRACT Video feedback is a well-established aspect of performance analysis (PA), employed to evaluate and describe performance. However, there is a lack of research investigating how video feedback used during PA can best support athlete learning and development. This integrative review sought to consider empirical evidence that has examined the effect of video feedback as a facet of PA on learning in sport settings. Following PRISMA guidelines, literature searches were conducted using PsycInfo, PubMed, Scopus, SPORTDiscus and Web of Science databases. Sixteen articles from an initial yield of 5,838 met the inclusion criteria. The analysis identified limited research settings and designs. PA delivery, e.g. coach-led classroom sessions or self-led practice, and the environment PA is provided in (e.g. dependence on classroom-type sessions) appear to influence learning, whilst scheduling of feedback appears to encourage the retention of declarative knowledge but may not transfer to performance. Collaborative practices between coach and athlete may enhance engagement and involvement in the learning process. The main conclusions highlight the need for greater variety in experimental methods in future PA research. Frameworks are required to build better understanding of effective PA delivery. This review was retrospectively registered with the Open Science Network (OSF) Registries (https://osf.io/bqa6j).

Developing Positive Relationships: Strategies for Building Strong Teacher/Student Relationships

Although most teachers would acknowledge the impact relationships with their students have on the environmental climate in their gymnasium, this topic has been scarcely discussed. To date, there are few papers focusing on tangible strategies for developing, building, and enhancing the relationship between physical educators and their students. This article outlines and provides tangible examples for how to initiate closeness and avoid conflict within teacher/student relationships, specific to physical education and other sporting contexts. Effective practical strategies are presented, including setting high expectations for youth, fostering distinctiveness, using inclusive language, and speaking from one’s own experiences. In all, these best practices are applicable for the development of teacher/student relationships in any setting, but particularly physical education or a variety of other sport settings.

Compulsive exercise and its relationship with mental health and psychosocial wellbeing in recreational exercisers and athletes.

Better understanding of compulsive exercise is needed in sports medicine. Whilst compulsive exercise may impact mental health, the limited research exploring the relationship between compulsive exercise and psychosocial outcomes is equivocal. The majority of studies have examined eating disorder populations where the eating disorder pathology might account for distress. This study explores relationships between compulsive exercise and mental health. Cross-sectional observational study. Australian recreational exercisers and athletes (N = 1157; Mage 36.4, standard deviation = 12.9, 77 % female) recruited through sporting organisations, clubs, and gyms, completed measures of compulsive exercise, depression, anxiety, stress, life satisfaction, social physique anxiety, and self-esteem. Regression analyses examined relationships between dimensions of compulsive exercise and wellbeing. After adjustment for eating disorder symptoms and sporting level, compulsive exercise was associated with increased risk of clinically-significant anxiety, depression, and stress symptoms. Compulsive exercise was also associated with lower life satisfaction and self-esteem, and higher social physique anxiety. Notably, different dimensions of compulsive exercise had varying relationships with outcomes, and avoidance and rule-driven behaviour and lack of exercise enjoyment were associated with poorer mental health and wellbeing. Results suggest that compulsive exercise is uniquely associated with a range of psychosocial and mental health outcomes. Results support the need to improve identification and treatment of compulsive exercise in sport and exercise settings. Results highlight that mental health intervention is an important component of treatment, and treatments targeting symptoms related to avoidance and rule-driven behaviour, and anhedonia may be valuable treatment components for those with compulsive exercise.

Whakawhiti te ra: A whakapapa approach to protecting haka as a taonga within sport settings in Aotearoa.

Whakawhiti te ra: A whakapapa approach to protecting haka as a taonga within sport settings in Aotearoa.

Examining the factor structure and validity of the social motivational orientations in sport scale

ABSTRACT The Social Motivational Orientations in Sport Scale (SMOSS), developed by Allen [(2003). Social motivation in youth sport. Journal of Sport and Exercise Psychology, 25(4), 551–567; (2005). Measuring social motivational orientations in sport: An examination of the construct validity of the SMOSS. International Journal of Sport and Exercise Psychology, 3(2), 147–161], to measure social goals in sport, has only been tested among late adolescent and adult samples and in either the physical education or sport setting. The purpose of this study was to extend the utility of the SMOSS scale by examining social goals in a sample of underrepresented early adolescents, and for physical activity more broadly. Confirmatory factor analysis (CFA) demonstrated the SMOSS was effective for measuring/identifying distinct social goal orientations for physical activity in this sample of youth and replicated Allen's [(2005). Measuring social motivational orientations in sport: An examination of the construct validity of the SMOSS. International Journal of Sport and Exercise Psychology, 3(2), 147–161] three-factor model: affiliation, recognition, and status. The three-factor model demonstrated adequate concurrent and predictive validity. Findings suggest that affiliation goals for physical activity are inversely related to early adolescents’ peer and emotional problems, but recognition and status goals have mixed effects on youth appearance-related motivations to engage in physical activity, peer problems, emotional problems, and prosocial behaviour. This study provides evidence that the SMOSS adequately measures social goals among a sample of underrepresented early adolescents and across physical activity contexts. Findings demonstrate that social goals for physical activity during early adolescence are similar to those observed in late adolescence and adulthood. Future social goal research should involve translating results into tangible aspects of intervention development to help promote physical activity and other positive outcomes in youth.

The 3 × 2 Achievement Goals in the Education, Sport, and Occupation Literatures: A Systematic Review with Meta-Analysis.

Achievement goal theory has been a dominant motivation framework since the 1980s. The 3 × 2 achievement goal framework emerged in the literature in 2011. We aimed to conduct a systematic review with meta-analysis following the PRISMA guidelines of the 3 × 2 achievement goal research in education, sport, and occupation settings. We retrieved articles from searching EBSCOhost and Google Scholar platforms. Eligible articles contained the 3 × 2 achievement goal in education, sport, or occupation, were published in a peer-reviewed journal, and provided mean data or correlate data. We tested hypotheses concerned with (1) the overall pattern of achievement goal endorsement, (2) achievement goal differences by domain (education, sport) and compulsory nature of the domains or sub-domains, and (3) achievement goal relationships with correlates (e.g., learning strategies, motivations, performance). After screening, 56 articles met all inclusion criteria, providing 58 samples across education (n = 44), sport (n = 10), and occupation (n = 4) settings with 35,031 unique participants from 15 countries. Participants endorsed the task- and self-approach goals more than the counterpart avoidance goals, other-avoidance goals more than other-approach goals, and the intercorrelations and reliability coefficients were acceptable. Minimal impact results from examining within and across study bias statistics. Of importance, the domain (i.e., education, sport) and the compulsory nature of the domain or sub-domains (i.e., primary-secondary education, sport) moderated goal endorsement (group mixed-effects p < 0.05, g values medium to very large). These groupings also moderated the other goal differences. Concerning our correlates analyses, most meta-analyzed correlations among the achievement goals and correlates were small in meaningfulness with the largest correlations (0.30-0.42) between the approach goals merged and the task- and self-approach goals and facilitative learning strategies and desired motivations. In conclusion, the 3 × 2 achievement goals literature is diverse. Furthering the study and application of this model requires overcoming inherent limitations (i.e., consistent response scale sets), teasing out differences between the task- and self-goals, measuring performance outcomes, and cross-cultural collaborations.

Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications.

Concussions are a common injury both within and outside sport and recreational settings, and they remain a serious concern for children and youth. Any young person suspected of sustaining a concussion should be medically evaluated as soon as possible, and when the injury occurs during sport, the individual must be removed from play immediately to avoid secondary injury. A brief initial period of physical and cognitive rest is followed by supervised, stepwise return-to-learn and return-to-play protocols. All individuals involved in child and youth sports and recreation must be able to recognize risk for, and signs and symptoms of, concussion. They must also ensure that any participant suspected of sustaining a concussion is properly evaluated and managed by qualified medical personnel. Evolving data and literature have strengthened both our pathophysiological understanding of concussion and guidance for clinical management, especially related to acute care, persistent symptoms, and prevention. This statement also re-examines the relationship between bodychecking in hockey and injury rates, and advocates for a change in policy in youth hockey.

Extending the understanding of the impact of conscientiousness on individual soccer performance: examining the mediating role of mental toughness.

Drawing upon Motowidlo et al.'s theory of individual differences in individual performance, the current study aims to contribute to a better understanding of the relationship between conscientiousness and individual soccer performance, by examining whether mental toughness, posited as a characteristic adaptation, acts as a psychological mechanism underlying this link. Relying upon a concurrent validity design, 130 soccer players completed a survey including the measures of conscientiousness and mental toughness. Participants were also instructed to provide a subjective assessment of their individual soccer performance, by self-rating their physical, technical and tactical performance levels. Their objective performance was also measured as the total amount of minutes each player participated in official games, during the first half-season. The findings showed that conscientiousness and mental toughness represent significant and meaningful predictors of both individual soccer performance measures gathered, i.e. individual soccer subjective and objective performance. As expected, further mediation analyses showed that the influence of conscientiousness on subjective performance is totally indirect, via mental toughness. Still, for the objective performance criterion, only the direct effect of conscientiousness was supported. These findings support the merits of conscientiousness as a valid predictor of human performance across achievement contexts, namely in sports settings and specifically in the domain of soccer. They also suggest that while this personality factor exerts a direct impact on individual soccer objective performance, it seems to play a more distal influence on subjective performance, by enacting individual mental toughness resources. Major theoretical and applied research implications are discussed.

Using Randomized Controlled Trials in the Sports Medicine and Performance Environment: Is It Time to Reconsider and Think Outside the Methodological Box?

SYNOPSIS: Randomized controlled trials (RCTs) are ubiquitous in medicine and have facilitated great strides in clinical care. However, when applied in sport, RCTs have limitations that hinder implementing effective interventions in the real-world clinical setting. Pragmatic clinical trials offer some solutions. Yet due to the competitive, high-pressure nature of sport at the individual, team, and governing body level, RCTs are likely infeasible in certain sport settings. The small number of athletes at the elite team level, along with the potential financial consequences of randomizing at the individual athlete and team level, also restricts study power and feasibility, limiting conclusions. Consequently, researchers may need to "think outside the box" and consider other research methodology, to help improve athlete care. In this Viewpoint, we detail alternative study designs that can help solve real-world problems in sports medicine and performance, while maintaining robust research standards and accounting for the challenges that RCTs pose. We also provide practical examples of alternative designs. J Orthop Sports Phys Ther 2023;53(6):1-4. Epub: 18 April 2023. doi:10.2519/jospt.2023.11824.

Exploring the perceived benefits of engaging with Spotlight personality profiling in performance domains

Spotlight Profile is a contemporary personality profiling tool developed in elite sport that focuses on fostering adaptability. It has been increasingly deployed by sport psychology consultants in sport and other organizational settings, yet how end-users perceive the tool’s use to benefit their performance is not yet known. Using semi-structured interviews, we explored the experiences of 16 individuals who have engaged with Spotlight Profile as part of a performance-based intervention across elite sport and a series of other domains (e.g. business, education, health). Thematic analysis led to the development of seven themes, which included: self-awareness, contextual sensitivity, positive outlook, adaptability, self-regulation, interpersonal skills, and team effectiveness. These findings highlight the multiple benefits which may be experienced by engaging with Spotlight Profile and offer a framework to guide the potential areas for development when using personality profiling in applied practice.

Externally validated machine learning algorithm accurately predicts medial tibial stress syndrome in military trainees: a multicohort study

ObjectivesMedial tibial stress syndrome (MTSS) is a common musculoskeletal injury in both sporting and military settings. No reliable treatments exist, and reoccurrence rates are high. Prevention of MTSS is critical...

Quantification of patellar tendon strain and opportunities for personalized tendon loading during back squats

Tendon strain during exercise is a critical regulatory factor in tendon adaptive responses and there are indications for an optimal range of strain that promotes tendon adaptation. Back squats are used to improve patellar tendon properties in sport and clinical settings. To date, the operating patellar tendon strain during back squats is unknown and current recommendations for individual exercise loading are based on the one repetition maximum (1RM). Here, we quantified patellar tendon strain during loaded back squats at 40, 60 and 80% of the 1RM and during maximum isometric knee extension contractions (MVC) using ultrasonography. Kinematics, ground reaction forces and muscle electromyographic activity were also recorded. Additionally, maximum tendon strain during the MVC and the percentage of 1RM were used as explanatory variables to estimate the individual patellar tendon strain during the squats. Strain increased with increasing 1RM loading (4.7 to 8.2%), indicating that already medium-loading back squats may provide a sufficient stimulus for tendon adaptation. The individual variability was, however, too high to generalize these findings. Yet, there was a high agreement between the individually estimated and measured patellar tendon strain (R2 = 0.858) during back squats. We argue that this approach may provide new opportunities for personalized tendon exercise.

“They are men, they will be looking even if you put on pants or a sweatshirt”: Girl athletes' and coaches' experiences of body image in Mexico City sport settings

Body image concerns are a barrier for girls’ participation in sports. Scarce evidence from Mexico suggests adolescents experience high levels of body dissatisfaction, and national statistics report low levels of physical activity among girls. This study aimed to explore girls’ body image concerns and coaches’ perceptions of girls’ body image experiences in sport. We used reflexive thematic analysis on secondary data from semi-structured focus groups conducted in Mexico City with 12 girls aged 11–17 years and six coaches from two sports organizations. Girls expressed feelings of self-consciousness about their performance, body-related teasing, the male gaze, and harassment within and outside sports contexts. Lack of support from coaches resulted in making excuses for withdrawing or supporting one another. Coaches’ accounts demonstrate gender stereotypes about girls in sport. They acknowledge that girls abandon sport because of appearance-related teasing and body image concerns. In addition, colorism and discomfort with speaking directly about bodily functions are fundamental sociocultural influences affecting their communication. This is the first qualitative study exploring girls’ body image concerns and coaches’ perceptions of such concerns in Mexico City. Further research in lower- and middle-income countries is key in developing effective intervention programs to help girls benefit from sport.

How do representatives from sporting organisations understand primary prevention of violence against women?

Sports settings have been identified as important locations for the prevention of violence against women, with numerous prevention initiatives currently running in many sports internationally. However, little is known about how those involved in sporting organisations, who are often tasked with delivering such initiatives, conceptualise the prevention of violence against women. This research draws on a survey of people who were invited to participate if they had professional experience in the development or delivery of violence prevention programs in their sporting organisation. We found that a cohort of participants had a limited understanding of primary prevention and how it applies to the prevention of violence against women through sport. Broadly, they were not aware of the difference between primary, secondary and tertiary prevention techniques. These findings suggest that there is a need for better education of those working in sporting organisations about the nature of primary prevention of violence against women as well as deeper consideration of the complex nature of doing violence prevention work through sport.

Mental fatigue does not affect static balance under both single and dual task conditions in young adults

The ability to control balance and prevent falls while carrying out daily life activities may require a predominantly controlled (cognitive) or automatic processing depending on the balance challenge, age, or other factors. Consequently, this process may be affected by mental fatigue which has been shown to impair cognitive abilities. Controlling static balance in young adults is a relatively easy task that may proceed automatically with minimal cognitive input making it insusceptible to mental fatigue. To investigate this hypothesis, static single and dual task (while concurrently counting backward by seven) balance was assessed in 60 young adults (25.2 ± 2.4 years) before and after 45 min of Stroop task (mental fatigue condition) and watching documentary (control), presented in a randomized counterbalanced order on separate days. Moreover, because mental fatigue can occur due to task underload or overload, participants carried out two different Stroop tasks (i.e., all congruent, and mainly incongruent trials) on separate days in the mental fatigue condition. Results of the study revealed a significantly higher feeling of mental fatigue after the mental fatigue conditions compared to control (p < 0.001). Similarly, the performance on congruent Stroop trials decreases with time indicating objective mental fatigue (p < 0.01). However, there was no difference in balance or concurrent task performance under both single and dual task assessments between the three conditions (p > 0.05) indicating lack of effect of mental fatigue on static balance in this population. Therefore, future studies investigating this phenomenon in occupational or sport settings in similar population should consider using more challenging balance tasks.