Cardiovascular risk assessments at occupational health services: employee experiences.

BACKGROUND: Across England in the UK, population screening for cardiovascular disease (CVD) primarily takes place within general practice in the form of the National Health Service Health Check. Additional screening sites such as occupational health are advocated to improve the population impact. AIMS: To investigate participant experiences with cardiovascular and type 2 diabetes risk assessment (RA) at occupational health and subsequent support-seeking at general practice. METHODS: Face-to-face interviews were conducted for this qualitative study. Participants were recruited at three workplaces; a steel works and two hospital sites. Using interpretive phenomenological analyses, themes were drawn from salient narratives and categorically organized. RESULTS: There were 29 participants. Themes (n = 16) were organized into two domains; factors that facilitated (n = 9) or thwarted (n = 7) participant engagement with the RA and general practice. All participants described the RA as worthwhile and strongly valued RA at occupational health. Those with obesity and high CVD risk highlighted their difficulties in making lifestyle changes. Participants reported confusion and anxiety when GP advice about medication appeared to contradict what participants had interpreted during RA at occupational health. CONCLUSIONS: This study highlights factors that facilitate or thwart engagement in cardiovascular RA at occupational health services and general practice follow-up. Stakeholders can integrate these factors into standard operating procedures to enhance participant engagement and enable safeguards that minimize potential harm to participants.

Stress-related growth following sport injury: Examining the applicability of the organismic valuing theory.

This study explored the applicability of organismic valuing theory (OVT) to stress-related growth (SRG) following sport injury. Specifically, the direct and indirect relationships between need satisfaction (i.e., autonomy, competence, and relatedness), SRG, and subjective well-being (i.e., positive affect) were examined. Previously injured athletes (n = 520), ranging from 18 to 59 years of age (Mage = 23.3 years; standard deviation = 6.5), completed three measures: needs satisfaction scale, stress-related growth scale, and positive affect scale. Structural equation modeling with maximum likelihood estimation revealed a significant positive relationship between competence and relatedness and SRG, and between SRG and positive affect. In line with OVT, SRG was also found to mediate the relationship between need satisfaction (competence and relatedness) and subjective well-being. The findings offer preliminary support for the applicability of OVT in aiding our understanding of the antecedents and consequences of SRG. Future avenues of research are discussed, together with recommended methodologies to further extend and refine knowledge and understanding of the phenomenon of SRG following sport injury.

A conceptual framework of organizational stressors in sport performers.

In the study reported here, 12 sport performers (six elite and six non-elite) were interviewed with regard to organizational-related issues they had experienced in preparation for competition. Grounded theory procedures facilitated the development of a conceptual framework of organizational stressors consisting of five general dimensions: factors intrinsic to the sport, roles in the sport organization, sport relationships and interpersonal demands, athletic career and performance development issues, and organizational structure and climate of the sport. The data indicate that the stressors were encountered proportionately more by elite performers (#EPOS=315) than non-elite performers (#NPOS=228) with some demands being in common and some unique to each group. The results are discussed in relation to previous research and regarding their implications for professional practice.

Intensity and direction of competitive anxiety as a function of goal attainment expectation and competition goal generation.

Jones's control model was adopted to investigate differences in the labelling of symptoms associated with pre-competition anxiety and self-confidence as a function of goal attainment expectation and competition goal generation. Team sport performers (N = 96) were divided into outcome, performance and process goal groups. Anxiety intensity and direction, and self-confidence were then examined as a function of goal expectancy (positive or negative) and perceived input into goal production (input or no input). MANOVA and follow-up ANOVA supported the study predictions. Specifically, participants who reported positive expectations of goal achievement and indicated some input into the goal generation process experienced the most facilitative interpretations of cognitive symptoms and greater self-confidence. The results highlight the need to consider how goals are generated when attempting to foster a sense of control and help athletes cope with the psychological demands of competition.