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Supplemental material, sj-docx-1-jmh-10.1177_15579883221084493 for Sport Participation and Subjective Outcomes of Health in Middle-Aged Men: A Scoping Review by Henry T. Blake, Jonathan D. Buckley, Brad J. Stenner, Edward J. O���Connor, Shane A. Burgess and Alyson J. Crozier in American Journal of Men���s Health

Supplemental material, sj-docx-1-jmh-10.1177_15579883221084493 for Sport Participation and Subjective Outcomes of Health in Middle-Aged Men: A Scoping Review by Henry T. Blake, Jonathan D. Buckley, Brad J. Stenner, Edward J. O���Connor, Shane A. Burgess and Alyson J. Crozier in American Journal of Men���s Health

Additional file 1.

Refereed/Peer-reviewed Wearable activity trackers offer an appealing, low-cost tool to address physical inactivity. This systematic review of systematic reviews and meta-analyses (umbrella review) aimed to examine the effectiveness of activity trackers for improving physical activity and related physiological and psychosocial outcomes in clinical and non-clinical populations. Seven databases (Embase, MEDLINE, Ovid Emcare, Scopus, SPORTDiscus, the Cochrane Library, and Web of Science) were searched from database inception to April 8, 2021. Systematic reviews of primary studies using activity trackers as interventions and reporting physical activity, physiological, or psychosocial outcomes were eligible for inclusion. In total, 39 systematic reviews and meta-analyses were identified, reporting results from 163 992 participants spanning all age groups, from both healthy and clinical populations. Taken together, the meta-analyses suggested activity trackers improved physical activity (standardised mean difference [SMD] 0·3–0·6), body composition (SMD 0·7–2·0), and fitness (SMD 0·3), equating to approximately 1800 extra steps per day, 40 min per day more walking, and reductions of approximately 1 kg in bodyweight. Effects for other physiological (blood pressure, cholesterol, and glycosylated haemoglobin) and psychosocial (quality of life and pain) outcomes were typically small and often non-significant. Activity trackers appear to be effective at increasing physical activity in a variety of age groups and clinical and non-clinical populations. The benefit is clinically important and is sustained over time. Based on the studies evaluated, there is sufficient evidence to recommend the use of activity trackers.

Refereed/Peer-reviewed Promoting athlete wellbeing has become a priority in elite sport, and the COVID-19 pandemic has accentuated the need for a comprehensive understanding of risk and protective factors. Existing sport research has not yet considered whether specific cognitive factors such as dispositional mindfulness and executive function may protect athletes against psychological distress. In a sample of high-performance Australian football athletes (n = 27), we administered measures of dispositional mindfulness (MAAS), executive function (AOSPAN; eStroop), and psychological distress (APSQ) at pre-season, coinciding with the initial (2020) COVID-19-related sport shutdown in Australia. Measures of executive function and psychological distress were re-administered at the end of the COVID-19 affected competitive season in 2020 Athletes reported significantly elevated psychological distress relative to previous estimates of distress among high-performance athletes established in prior studies. Executive functions, including working memory and inhibitory control were not significantly associated with psychological distress or dispositional mindfulness at either timepoint. However, baseline mindfulness was associated with reduced distress at both pre-season (r = −0.48, p =.03) and end of season (r = −0.56, p =.004), suggesting that dispositional mindfulness may have afforded protective buffering against symptoms of distress. Correlation data alone does not establish a directional connection from mindfulness to reduced distress, and future research is required to elucidate this association and/or establish the mechanism/s by which dispositional mindfulness may protect against psychological distress in this population.

Objectives: This mixed-methods study examined the relationship between pet ownership status and social connectedness, physical activity engagement, and the quality of life of older adults living in retirement villages. Methods: A survey was distributed to older adults (N = 58) living in retirement villages in South Australia. Those who expressed interest (N = 16) took part in an additional diary study, whereby they reported their social and physical activities over the course of a week. Results: Physical activity, social connectedness, and quality of life did not differ significantly based on pet ownership status. Social connectedness was positively related to the quality of life regardless of pet ownership status. Many pet owners described how their pets were integral to their lives. Discussion: The notion of pet presence offers a promising pathway for future research. The strategies and policies that support pet ownership in retired villages require further investigation.

Refereed/Peer-reviewed The influence of a ‘group’ is often posited as a key factor that influences behavior. This is relevant in sports, where the presence of norms develops through interactions with important others. As such, an athlete’s perception of what is normative may have a significant role in how that athlete thinks and behaves. The present study undertakes a scoping review of research on norms in sports, specifically to describe the extent, scope and range of research conducted to date. Six online databases were searched to identify research published up to January 2021, from which 124 met inclusion criteria. To be included, articles were published peer-reviewed articles, written in English and evaluated norms within an athlete sample. The results suggest that the use of theoretical frameworks and conceptualizations of norms varied considerably and were used inconsistently. Most studies included in this review used a cross-sectional research design, were conducted within North America, and focused on adult athlete populations. This study identified that the concept of ‘norms’ has been examined extensively in sport, with an opportunity to explore norms in a wider range of samples and with advanced research methodologies to progress our understanding of norms in sport.

Background: Little is known about which indicators of performance elite athlete coaches (i.e., professional coaches who coach at the national or international levels) consider to be important for basketball. Objective: Using a Delphi procedure, the aim of this study was to identify the non-game performance indicators elite athlete coaches consider to be important for the recruitment/selection of basketball players. Methods: Ninety elite athlete coaches (basketball coaches (n = 71) and strength/conditioning coaches (n = 19) who coached men (n = 60), women (n = 23), or both (n = 7)), employed in 23 countries across six continents, participated in a three-round online Delphi survey. Round 1 asked coaches to identify the non-game performance indicators (i.e., measures other than game statistics) they currently used (or would like to use) for player recruitment/selection, with common indicators combined into single indicators. Round 2 asked coaches to rate the importance of each performance indicator using a Likert scale (range: 0 = no importance whatsoever to 10 = extremely important). Round 3 asked coaches to identify the single best test measure for each indicator rated ≥ 6 (i.e., important to extremely important) in Round 2. Results were reported descriptively. Results: A total of 608 responses (344 after removal of duplicates) were reported in Round 1, which were collapsed into 35 indicators, all of which were rated as ‘important’ in Round 2. Psychological and game intelligence indicators were typically rated as very important to extremely important (i.e., median = 9), with physical fitness and movement skills typically rated as very important (i.e., median = 8). For most indicators, coach observation was identified as the best test measure, with unique objective performance/anthropometric tests identified for all physical fitness indicators. Conclusion: This study identified a range of psychological, game intelligence, physical fitness, and movement skill indicators that were considered by elite athlete coaches to be important to extremely important for the recruitment/selection of basketball players. These findings may inform the development of a basketball-specific test battery for recruiting/selecting and monitoring players. Refereed/Peer-reviewed

Background Although the health benefits of physical activity are well documented, most older adults are not sufficiently active. There is a need to explore approaches to physical activity promotion amongst older adults that meet the personal preferences and needs of participants, and that can be implemented on a large scale in community-based settings. The current study evaluates Daily Moves, a community-based physical activity program for older adults living in Adelaide, Australia. Methods The Daily Moves program, which ran almost entirely during the COVID-19 pandemic, provided participants with personalized plans and information about suitable physical activity promoting activities available in their local area. This study used an explanatory sequential mixed-methods approach to evaluate associations between participation in the Daily Moves program and physical activity engagement, physical function and psychosocial wellbeing, and to explore the experiences of Daily Moves participants through qualitative interviews, with a particular focus on the impact of the COVID-19 pandemic on program participation and enjoyment. Results The research evaluation included 69 older adults (mean age at baseline = 73.9 ± 5.6 years; 19 male). Following Daily Moves, participants reported an increase in self-report physical activity levels (mean increase = 1.8 days, p p p = 0.03); Timed Up and Go (mean decrease = 1.3 s, p Daily Moves, and that they felt connected with staff and other participants despite the onset of the pandemic. Conclusions This evaluation demonstrates that physical activity programs embedded within the community can provide flexible and tailored recommendations to participants, and that this approach can promote positive change in important indicators of health in older adults.

Refereed/Peer-reviewed The relationships between cognitive function and each of physical activity, sleep and sedentary behaviour in older adults are well documented. However, these three “time use” behaviours are co-dependent parts of the 24-hour day (spending time in one leaves less time for the others), and their best balance for cognitive function in older adults is still largely unknown. This systematic review summarises the existing evidence on the associations between combinations of two or more time-use behaviours and cognitive function in older adults. Embase, Pubmed, PsycInfo, Medline and Emcare databases were searched in March 2020 and updated in May 2021, returning a total of 25,289 papers for screening. A total of 23 studies were included in the synthesis, spanning >23,000 participants (mean age 71 years). Findings support previous evidence that spending more time in physical activity and limiting sedentary behaviour is broadly associated with better cognitive outcomes in older adults. Higher proportions of moderate-vigorous physical activity in the day were most frequently associated with better cognitive function. Some evidence suggests that certain types of sedentary behaviour may be positively associated with cognitive function, such as reading or computer use. Sleep duration appears to share an inverted U-shaped relationship with cognition, as too much or too little sleep is negatively associated with cognitive function. This review highlights considerable heterogeneity in methodological and statistical approaches, and encourages a more standardised, transparent approach to capturing important daily behaviours in older adults. Investigating all three time-use behaviours together against cognitive function using suitable statistical methodology is strongly recommended to further our understanding of optimal 24-hour time use for brain function in aging.

Objectives: The purpose of this research was two-fold: (1) to explore the relationship between descriptive and injunctive norm perceptions on stair-use, and (2) to examine the impact of social and non-social stair prompts on stair use. Design: Study 1 employed a cross-sectional design, and Study 2 had a time-series experimental design, with two baseline periods and two intervention periods. Method: A total of 226 adults completed the online survey for Study 1, reporting their social norm perceptions and individual stair use. For Study 2, 8007 individuals entered the stairwell or elevator over the four-week observation period, either measured by infrared people-counters installed across the entrance to the stairs or by observed trainers positioned near the elevators. Results: Study 1 showed a positive relationship between descriptive and injunctive norm perceptions and individual stair use. Study 2 found social prompts to significantly increase the proportion of individuals taking the stairs compared to baseline. The non-social prompts did not increase stair use beyond the effects of the social prompts. Conclusions: Individuals perceptions of what is typical and/or desirable behaviour relates to individuals self reported stair use. Further, findings support the use of social messages as an alternate message for prompting stair use in a university setting. Health practitioners may wish to harness the power of social influence and emphasise that stair use is typical and desirable. Refereed/Peer-reviewed

Objectives The purpose was to explore the relationship between athletes’ self-compassion and perceptions of their teammates’ self-compassion (descriptive norm). A secondary purpose was to explore whether gender moderated this relationship. Design Cross-sectional, online survey. Method Team sport competitive athletes (N = 108; Mage = 23.1 years; SDage = 4.68) reported their descriptive norm perceptions of their teammates’ self-compassion as well as their own self-compassion. Results Hierarchical regression analysis indicated a positive relationship between descriptive norms and self-compassion, explaining 17.2% of the variance in self-compassion. The more it was perceived that teammates were engaging in self-compassion, the more likely athletes reported being self-compassionate (β = 0.39). There were no significant main or interaction effects of gender. Conclusions Athletes’ self-compassion is related to their perceptions of how often their teammates are self-compassionate. Coaches and sport psychologists should encourage athletes to build awareness about how their cognitions and behaviours relate to others’ cognitions and behaviours.

Background Podiatrists regularly use scalpels in the management of foot pathologies, yet the teaching and learning of these skills can be challenging. The use of 3D printed foot models presents an opportunity for podiatry students to practice their scalpel skills in a relatively safe, controlled risk setting, potentially increasing confidence and reducing associated anxiety. This study evaluated the use of 3D printed foot models on podiatry students’ anxiety and confidence levels and explored the fidelity of using 3D foot models as a teaching methodology. Materials and methods Multiple study designs were used. A repeated measure trial evaluated the effects of a 3D printed foot model on anxiety and confidence in two student groups: novice users in their second year of podiatry studies (n = 24), and more experienced fourth year students completing a workshop on ulcer management (n = 15). A randomised controlled trial compared the use of the 3D printed foot models (n = 12) to standard teaching methods (n = 15) on students’ anxiety and confidence in second year students. Finally, a focus group was conducted (n = 5) to explore final year student’s perceptions of the fidelity of the foot ulcer models in their studies. Results The use of 3D printed foot models increased both novice and more experienced users’ self-confidence and task self-efficacy; however, cognitive and somatic anxiety was only reduced in the experienced users. All changes were considered large effects. In comparison to standard teaching methods, the use of 3D printed foot models had similar decreases in anxiety and increases in confidence measures. Students also identified the use of 3D foot models for the learning of scalpel skills as ‘authentic’ and ‘lifelike’ and led to enhanced confidence prior to assessment of skills in more high-risk situations. Conclusion Podiatry undergraduate programs should consider using 3D printed foot models as a teaching method to improve students’ confidence and reduce their anxiety when using scalpels, especially in instances where face-to-face teaching is not possible (e.g., pandemic related restrictions on face-to-face teaching).

This experimental study examined the interaction between messages conveying different levels of descriptive norms and positive outcome expectations on university students’ engagement in moderate and vigorous physical activity over an exam period. Using a pre–post design, university students entering a final examination period (N = 74) were randomly assigned to one of four message conditions, receiving a message motivating them to exercise over the exam period. Messages included both a descriptive norm (how many others reported being active during a previous exam period; high vs. low) and a positive outcome expectation (those who exercise during exams report better grades; high vs. low). The results from an analysis of covariance (ANCOVA), controlling for baseline levels of daily physical activity, revealed a significant interaction. Post hoc analyses indicated that when the descriptive norm was high, those who received a high positive outcome expectation reported being more active during the exam period compared to those receiving the low positive outcome expectation. Results provide preliminary support for the idea that activity during an exam period can be positively influenced if individuals are presented with normative messages that (a) many others are being active during the exams and (b) many of those being active also are benefiting academically. Refereed/Peer-reviewed

Two group constructs positively related to sport adherence are team cohesion (Spink, 1995) and groupness (Crozier & Spink, 2014). Given that both constructs likely share some conceptual overlap, it is unclear how they might relate to an adherence outcome when examined together. To address this, the effect of varying levels of both cohesion and groupness on an individual athlete's intention to return to a sport team was examined using a within-subjects experimental design. Adult soccer players (N = 68) read 4 hypothetical soccer team scenarios where the description differed in the levels of cohesion (high vs. low) and groupness (high vs. low) associated with each team. While imagining themselves as a member of each team, participants rated their intention to return to that team in the future based on the cohesion/groupness characteristics outlined in the team description. ANOVA results indicated that the overall model was significant (p < .001), with a strong effect size (eta(2)(p) = .72). Post hoc analyses revealed that intention to return to a team was higher when teams were described as possessing more versus less of either cohesion or groupness. As well, an additive effect emerged, such that intention to return was highest when imagining oneself as a member of the high cohesion/high groupness team. Although in need of real-world replication, this provides initial support for the idea that cohesion and groupness have additive effects on intention to return. Refereed/Peer-reviewed

Importance: The focus of occupational therapy is often on personal care, life skills, and daily living. Sport, as a type of leisure activity, can also provide benefits to health and well-being. Occupational therapy practitioners should therefore promote the role of sport in the lives of clients. Objective: To investigate the extent, range, and nature of peer-reviewed occupational therapy literature investigating sport as a leisure occupation. Data Sources: The following databases were searched: Embase, MEDLINE, OTseeker, PsycINFO, PubMed, and SPORTDiscus. Study Selection and Data Collection: We identified published studies investigating competitive sport in occupational therapy research or practice. Included studies investigated adult participants (age ≥18 yr) participating in sport, had a clear occupational therapy input, and were written in the English language. Findings: Six studies met the inclusion criteria. Only 2 of the 6 studies identified through the search strategy were conducted after 2004, diagnosis and outcome measures varied widely, and sport as a leisure occupation was found to have positive individual outcomes. Conclusions and Relevance: Opportunities exist to investigate sport as a leisure occupation and its involvement in occupational therapy practice. Future research may contribute to positive outcomes and experiences for clients who receive occupational therapy. What This Article Adds: This scoping review describes literature about sport as an occupation and highlights the opportunities for practitioners and researchers to incorporate sport as a leisure occupation.

The definition of coaching is the same when we consider it with reference to people with autism spectrum disorder (ASD) or the neurotypical population. In a sporting context, a coach is someone who uses sport as a vehicle for the development of individuals as performers and as people. Coaching is a form of teaching or instruction as it primarily involves communicating, learning, and maintaining positive relationships with those being taught. The aims of coaching are to understand: how individuals learn so that an effective learning environment can be created, to improve sports technique and develop skills, and to recognize areas for improvement, inside and outside the sporting realm.