Procedures for assessing psychological predictors of injuries in circus artists: a pilot prospective study

Development and validation of the Referee Training Activity Questionnaire (RTAQ): Towards a better understanding of the training practices of soccer officials

To develop and assess the validity of the Referee Training Activity Questionnaire (RTAQ), a systematic process was employed: 1) item generation; 2) assessments of content and face validity; and 3) assessments of criterion validity. In stage 1, items were generated following semi-structured interviews with an expert panel (n = 8). Following content analyses, the RTAQ was developed and comprised 3 primary sections (12 sub-sections) assessing: 1) attributes perceived to underpin soccer officiating performance; 2) general training information; and 3) specific training practices. In stage 2, the preliminary RTAQ was assessed for content and face validity by a sample of experts (n = 6). Based upon the content validity index (CVI), content validity was confirmed for 8 sub-sections (CVI ≥ 0.78) with 5 sub-sections being deemed invalid (CVI < 0.78). Various amendments were carried out in accordance with participant feedback. In stage 3, the RTAQ was completed by a cohort of officials (n = 25) who subsequently recorded a detailed training diary. Negligible mean biases, wide 95% LOA, and significant Pearson correlations were observed between the RTAQ and training diaries for most training activities, suggesting the RTAQ holds promise as a useful and effective alternative of acquiring insight into the training practices of soccer officials.

Psychosocial Factors and Sport Injuries: Meta-analyses for Prediction and Prevention

BACKGROUND

Several studies have suggested that psychosocial variables can increase the risk of becoming injured during sport participation.

OBJECTIVES

The main objectives of these meta-analyses were to examine (i) the effect sizes of relationships between the psychosocial variables (suggested as injury predictors in the model of stress and athletic injury) and injury rates, and (ii) the effects of psychological interventions aimed at reducing injury occurrence (prevention).

METHODS

Electronic databases as well as specific sport and exercise psychology journals were searched. The literature review resulted in 48 published studies containing 161 effect sizes for injury prediction and seven effect sizes for injury prevention.

RESULTS

The results showed that stress responses (r = 0.27, 80 % CI [0.20, 0.33]) and history of stressors (r = 0.13, 80 % CI [0.11, 0.15]) had the strongest associations with injury rates. Also, the results from the path analysis showed that the stress response mediated the relationship between history of stressors and injury rates. For injury prevention studies, all studies included (N = 7) showed decreased injury rates in the treatment groups compared to control groups.

CONCLUSION

The results support the model's suggestion that psychosocial variables, as well as psychologically, based interventions, can influence injury risk among athletes.

Investigating the influence of intraindividual changes in perceived stress symptoms on injury risk in soccer

Research has shown that high levels of stress and stress responsivity can increase the risk of injuries. However, most of the research that has supported this notion has focused on between-person relationships, ignoring the relationships at the within-person level. As a result, the objective of this study was to investigate if within-person changes in perceived stress symptoms over a 1-month time period could predict injury rates during the subsequent 3 months. A prospective design with two measurement points (Time 1-at the beginning of the season and Time 2-1 month into the season) was utilized. A total of 121 competitive soccer players (85 males and 36 females; M_age  = 18.39, SD = 3.08) from Sweden and the United States completed the Kessler Psychological Distress Scale (KPDS) and a demographic sheet at Time 1. The KPDS was also completed at Time 2, and all acute injuries that occurred during the subsequent 3-month period were recorded. A Bayesian latent change scores model was used to determine whether within-person changes in stress symptoms could predict the risk of injury. Results revealed that there was a credible positive effect of changes in stress symptoms on injury rates, indicating that an increase in reported stress symptoms was related to an increased risk for injury. This finding highlights the importance of creating caring and supportive sporting environments and relationships and teaching stress management techniques, especially during the earlier portion of competitive seasons, to possibly reduce the occurrence of injuries.

Psychosocial factors and sport injuries: prediction, prevention and future research directions

This review provides an overview of recent theoretical and empirical developments regarding psychosocial factors related to the prediction and prevention of sport injuries, and highlights some of the most interesting areas of investigation that have been carried out in the past few years. For instance, a systematic review of the most cited and used theoretical framework in the field has recently been performed, which supports the model's suggestion that psychosocial variables, as well as psychologically based interventions, can influence injury risk among athletes. Based on substantial empirical evidence it is also shown that changes in stress and perceived recovery appear to predict injury occurrence in sport. Current studies, focusing on overuse injuries, also suggest that cultural norms and rules can be seen as factors that can indirectly influence the risk of becoming injured. Future research directions are presented such as the need for interdisciplinary injury prevention programs based on a combination of physiological and psychological interventions.

Monitoring athletes through self-report: factors influencing implementation

Monitoring athletic preparation facilitates the evaluation and adjustment of practices to optimize performance outcomes. Self-report measures such as questionnaires and diaries are suggested to be a simple and cost-effective approach to monitoring an athlete's response to training, however their efficacy is dependent on how they are implemented and used. This study sought to identify the perceived factors influencing the implementation of athlete self-report measures (ASRM) in elite sport settings. Semi-structured interviews were conducted with athletes, coaches and sports science and medicine staff at a national sporting institute (n = 30). Interviewees represented 20 different sports programs and had varying experience with ASRM. Purported factors influencing the implementation of ASRM related to the measure itself (e.g., accessibility, timing of completion), and the social environment (e.g., buy-in, reinforcement). Social environmental factors included individual, inter-personal and organizational levels which is consistent with a social ecological framework. An adaptation of this framework was combined with the factors associated with the measure to illustrate the inter-relations and influence upon compliance, data accuracy and athletic outcomes. To improve implementation of ASRM and ultimately athletic outcomes, a multi-factorial and multi-level approach is needed. Key pointsEffective implementation of a self-report measure for monitoring athletes requires a multi-factorial and multi-level approach which addresses the particular measure used and the surrounding social environment.A well-designed self-report measure should obtain quality data with minimal burden on athletes and staff.A supportive social environment involves buy-in and coordination of all parties, at both an individual and organization level.