Jody L. Langdon

English professional football players concussion knowledge and attitude

Background Concussions are a common pathology in football and multiple misconceptions exist amongst the players and managers. To address these misconceptions, and potentially reduce concussion associated sequela, effective educational interventions need to be developed. However, the current knowledge and attitude status must be ascertained to appropriately develop these interventions. The purpose of this study was to assess the concussion knowledge and attitude of English professional footballers. Methods Twenty-six participants from one English Football League Championship club completed the study. A mixed methods approach included the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS) and a semi-structured interview. The RoCKAS contains separate knowledge (0–25) and attitude (15–75) scores and was followed by a semi-structured interview consisting of concussion knowledge, attitude, and behavior related questions. Results The mean score on the RoCKAS knowledge was 16.4 ± 2.9 (range 11–22) and the attitude score was 59.6 ± 8.5 (range 41–71). The interview responses identified inconsistencies between the RoCKAS and the intended behaviors, endorsing multiple concussion misconceptions, and revealed barriers to concussion reporting. Conclusion The results of this study suggest that Championship Level English footballers have moderate concussion knowledge, safe attitudes, and good concussion symptom recognition when assessed with pen and paper questionnaires. However, within the semi-structured interview many respondents reported unsafe concussion behaviors despite accurately identifying the potential risks. Further, multiple barriers to concussion reporting were identified which included perceived severity of the injury, game situations, and the substitution rule. These findings can help form the foundation of educational interventions to potentially improve concussion reporting behaviors amongst professional footballers.

Comparison of Psychological Response Between Concussion and Musculoskeletal Injury in Collegiate Athletes

The psychological response to musculoskeletal injuries has been well documented; however, research on the psychological response to concussion is limited. The Profile of Mood States (POMS) and the State-Trait Anxiety Inventory (STAI) have recently been used to assess the psychological recovery of concussions (CONC). Although some studies indicate that psychological response is different for musculoskeletal injuries and concussion, there is currently not enough information to indicate this difference occurs at specific clinical milestones. The purpose of this study was to compare the psychological responses of student-athletes who have been diagnosed with a concussion to those of athletes diagnosed with musculoskeletal injuries with similar recovery duration. Fifteen collegiate athletes who sustained a musculoskeletal injury were recruited and matched with 15 previously collected concussion participants. The main outcome measures were the scores of POMS constructs: tension-anxiety, anger-hostility, fatigue-inertia, depression-dejection, vigor-activity, confusion-bewilderment, and total mood disturbance and STAI (state anxiety only). Two-way MANOVAs were run to determine the effects of group and time on POMS and STAI constructs. There were no significant interactions identified, but follow-up ANOVAs identified a main effect for time for most POMS subscales, with POMS scores improving over time in both groups. Analyses also revealed that tension-anxiety, vigor-activity and the STAI were not affected by time or group. The findings of this study that both groups’ psychological response to injury improves over time and at similar clinical milestones suggests reduction in sports and team-related activities may play a substantial role in the psychological response to either concussion or musculoskeletal injury.

Predictors of Obesity Bias among Exercise Science Students.

The purpose of the present study was to investigate particular psychosocial predictors of obesity bias in prehealth professionals, which include the internalization of athletic and general body ideals, perceived media pressure and information, and achievement goal orientations. Exercise science undergraduate students (n= 242) filled out a survey containing questions of demographic characteristics, achievement goals, social-cultural attitudes toward appearance (using Sociocultural Attitudes Towards Appearance Questionnaire-3), and obesity bias measurements (using the antifat attitudes test and fat phobia scale). The results indicated that students were explicitly biased toward overweight and obese individuals, held had high task and ego goals, and had high internalization of an athletic body type ideal, as determined by mean scores being above the median values for each scale. Internalization of the athletic body type predicted obesity bias for fat phobia, weight control blame, and physical/romantic attractiveness. In conclusion, exercise science students may enter programs socialized from society and sport, and, potentially, these psychosocial attitudes and beliefs may have implications to working with future clients, especially for those of the general population and those whose body shape and size are different than themselves.

Need Supportive Instructor Training: Perspectives from GraduateTeaching Assistants in a College/University Physical Activity Program

ABSTRACT Background: In the U.S. college/university setting, physical activity courses are often offered as part of the general education program, where students earn college credits towards the completion of their degree program. These courses are typically taught by graduate teaching assistants (GTAs), who face several challenges in instructing undergraduate students. Often, GTAs are thrust into their roles without the preparation that traditional teachers receive as customary with education degrees. Literature on need supportive teacher training, as part of self-determination theory, indicates that teachers including GTAs, can be successfully trained to meet the needs of their students regardless of years of previous experience. Presently, there is little information on the impact of such a training program from the perspective of the GTAs participating in the program. Purpose: The aim of this study is to provide in-depth perspectives on need supportive training through examination of GTAs reflections of the training process. Participants and setting: Fourteen GTAs from a university physical activity and healthful living program were recruited for this study, but two dropped out. All participants taught one of the following courses: aerobics, basketball, body conditioning, bowling, flag football, golf, racquetball, soccer, tennis, ultimate frisbee, volleyball, or yoga. Data collection: Teaching reflections were written by participants at the end of a year-long training program. Data analyses: Written reflections completed by the GTAs were analyzed via content analysis. Data were organized by how strategies were implemented, most/least successful use of the strategies, and adherence to the training. Once organized, the data was examined by two different researchers independently and themes were shared with participants as part of the member checking process. Searches for negative cases were utilized during the analysis process as well. Findings: Across the data, it was determined that the GTAs felt the training to be beneficial, influencing much of how they worked with students. Results suggested that GTAs found several ways to implement the reviewed need supportive teaching strategies, including giving students the choice of activities and group membership. They were also able to better respond to students’ negative affect and give explanatory rationales. Goal setting was a consistently used strategy by the GTAs; however, it was cited as one of the least successful strategies due to the inability to effectively follow-up on the goals made during classes with the students. Additionally, it was noted that the GTAs had difficulties with devising their own ways of implementing the strategies and relied heavily on the examples that were provided during their training sessions. Conclusion: In better understanding, the perceptions of GTAs who engage in need supportive training programs, researchers can better gauge the effectiveness of such programs and how they can be improved. Future research should focus on how to help GTAs to engage in more creative ways of using need supportive teaching strategies in physical activity environments.

An Examination of Adolescent Athletes and Nonathletes on Baseline Neuropsychological Test Scores

CONTEXT   An estimated 15.3 million adolescent students are enrolled in US high schools, with approximately 7.8 million participating in athletics. Researchers have examined various demographics in high school athletes; however, athletic participation may play a larger role in test performance than previously thought. Currently, investigations of concussion assessment may rely on uninjured athletes as controls. However, due to the intense nature of athletics, this may not be an appropriate practice. OBJECTIVE   To examine differences between athletes and nonathletes using a common computerized neuropsychological test. DESIGN   Retrospective cross-sectional study. SETTING   High schools from a school district in Columbus, Ohio. PATIENTS OR OTHER PARTICIPANTS   A total of 662 adolescent high school students (athletes: n = 383, female n = 18; nonathletes: n = 279, female n = 193). MAIN OUTCOME MEASURE(S)   Participants were administered a computerized neuropsychological test battery (Immediate Post-Concussion Assessment and Cognitive Test [ImPACT]) during baseline concussion assessment. Differences between groups were established for output composite scores. RESULTS   Differences were found between athletes and nonathletes in composite reaction time ( F1,522 = 14.855, P < .001) and total symptom score ( F1,427 = 33.770, P < .001). Nonathletes reported more symptoms, whereas athletes had faster reaction times. No differences were present in composite verbal memory, composite visual memory, composite visual motor speed, or composite impulse control ( P > .05). CONCLUSIONS   Symptom reporting and reaction time differed between high school athletes and nonathletes. Participation in extracurricular activities may lead to cognitive differences in adolescents that can influence performance on the Immediate Post-Concussion Assessment and Cognitive Test battery. Researchers should account for these differences in baseline performance when making concussion diagnostic and management decisions.

Factors contributing to the uptake and maintenance of regular exercise behaviour in emerging adults

Objective: To identify the influence of parental autonomy support, basic need satisfaction and motivation on emerging adults’ physical activity level and exercise behaviours. Design: Cross-sectional survey. Setting: This study convenience-sampled approximately 435 college students identified as emerging adults – aged 18–25 years, who did not have a child, own a home, or have sufficient income to be fully independent. Methods: Survey responses were used in a path model to investigate how parental autonomy support, psychological mediators and motivational processes influenced emerging adults’ exercise behaviour. Results: The hypothesised model was supported with minor modifications. Most notable was the influence of parental physical activity level and autonomy support on psychological mediators, motivational processes and exercise behaviour. Conclusion: Results indicate that parents influence their children both directly and indirectly. The impact of autonomy and competence support was found to promote emerging adults’ intrinsic motivation, which consequently influenced actual physical activity and behaviour.

Using a MG-M Imagery Intervention to Enhance the Sport Competence of Young Special Olympics Athletes

Abstract Opportunities for athletes with an intellectual disability (ID) to participate in sport are limited by physical and psychosocial barriers. Sport psychology interventions may be able to address these barriers, namely the lack of sport competence that athletes with an ID experience. This study sought to enhance sport competence among athletes with an ID using personalized motivational general-mastery (MG-M) imagery scripts. The six-week study assessed the imagery use, imagery ability, and sport competence of five Special Olympians (Mage=11.40) who had ID’s including autism, a mild intellectual disability, and a moderate intellectual disability. Three of five participants demonstrated improvements in sport competence through the intervention, with two of those three maintaining these changes upon withdrawal of the intervention. Effect sizes suggested that scores became more stable during the intervention for three of five participants. Implications of the current study emphasize the feasibility of conducting research with this special population of athletes. Additionally, this study identifies the relevant modifications for mental skills training with individuals who have an ID. Results suggest that imagery use, ability, and sport competence can be improved with individualized imagery training among athletes with an ID.

Concussion knowledge among amateur motocross riders

Aim: There has been considerable increase in concussion awareness and risks; however, extreme sports such as motocross have received scant attention. The purpose of this study was to assess concussion knowledge among motocross riders and determine differences based on demographic factors. Methodology & results: 782 motocross riders responded to an Internet-based questionnaire, and participants knowledge score was 14.3 ± 2.7 out of 20 and symptom recognition was 6.8 ± 1.4 out of 8. Riders who had performed baseline concussion testing or received formal concussion education demonstrated higher knowledge scores. Riders demographics did not predict outcome measures. Conclusions: Considerable misconceptions and lack of symptom knowledge persist among motocross riders and these results can be used for future interventions to improve concussion reporting.

Relationships among meeting physical activity guidelines and health risk behaviors

BACKGROUND Young adults have the highest participation in physical activity but also have the highest incidence rates of binge drinking, cigarette smoking, and smokeless tobacco use. We examined these factors to determine whether there are relationships among physical activity and health risk behaviors. METHODS We conducted correlation and χ² analyses using the American College Health Association-National College Health Assessment fall 2009 data set (N = 34,208) to examine the relationship among meeting physical-activity guidelines, binge drinking, and tobacco use among survey participants. RESULTS The data suggest a positive relationship between meeting physical-activity guidelines and binge drinking, with the strongest relationship between those reporting binge drinking 4 times in a 2-week period. Meeting physical-activity guidelines was negatively associated with cigarette use but positively associated with all other types of tobacco use. CONCLUSIONS Associations between physical activity and binge-drinking episodes indicate a need to address the relationship between heavy drinking and alcohol dependence and physical-activity behavior patterns. Further studies should examine relationships between physical activity and binge drinking in other age groups. Results also suggest the need to examine differing associations between physical activity and types of tobacco use.