Can watching the World Cup make you mentally healthier? Positive associations between involvement in physical activities and flourishing were mediated by psychological need satisfaction.

BACKGROUND: The current understanding of the relationship between physical activity involvement and flourishing, as well as the underlying psychological mechanisms, remains limited. Building upon the basic psychological need theory, this study investigates whether and how engaging in physical activities, either as a spectator (e.g., in sports events such as the World Cup) or a participant, explains individual differences in flourishing. METHODS: A total of 1201 Hong Kong-based Chinese adults (Mage = 42.90, SD = 11.40; 54% female) completed an anonymous online survey from the quarter-final to final stages of the 2022 FIFA World Cup in December 2022. RESULTS: Findings showed that spectator (World Cup) involvement and participant involvement were positively correlated. Moreover, both types of involvements were correlated with flourishing. In addition to the hypothesized positive association with relatedness satisfaction, spectator (World Cup) involvement was also demonstrated significant associations with autonomy and competence satisfaction. Path analysis indicated that associations between physical activities and flourishing were partially mediated by the satisfaction of all three basic psychological needs. CONCLUSIONS: This study is the first to apply the basic psychological need theory in the context of physical activity and supports its relevance in understanding individual differences in flourishing. Different stakeholders are encouraged to recognize the benefits of both spectator and participant involvements in physical activities, which may help them develop supportive strategies (e.g., physical activities with parents, sports events for spectators and participants, and funding for media/communities) in mental health promotion.

Effects of fasting during Ramadan month on soccer-specific technical performance, cognitive function, and perceptions in soccer players.

We aimed to examine the effects of Ramadan fasting (RF) and high-intensity short-term maximal performance on elite soccer players' shooting accuracy, executive function (EF), and perceptions. Sixteen Muslim elite players fasting during Ramadan underwent assessments before (BR), during (DR), and after Ramadan (AR). Soccer-specific technical performance was evaluated using the Loughborough Soccer Shooting Test (LSST) before and after a 5-metre shuttle run test (5mSRT), conducted at the same time-of-day (17:00 h). Performance metrics recorded included higher distance (HD), total distance (TD), and fatigue index (FI). RPE after a 5-min warm-up and each repetition of the 5mSRT were obtained, and the mean RPE score was calculated. Trail Making Test (TMT Parts A and B) were used after the warm-up and the 5mSRT. Perceived difficulty (PD) was assessed following the LSST. HD, TD, and FI were not affected by RF (p > 0.05). DR, RPE and accuracy scores in the LSST were significantly lower after the 5mSRT compared to BR (1.29 vs. 1.24 AU; 1.29 vs. 1.24, respectively). In conclusion, RF had no adverse effects on physical performance. However, when combined with high-intensity running sessions, RF may impact accuracy and PD, and these adverse effects seem to have been translated into EF.

The role of offensive processes and age development for female soccer players' anticipation.

Anticipation has been confirmed as a more valid measure for recognizing talented athletes than pattern recall alone. Anticipation of offensive processes in soccer, such as counter attacks and positional attacks, is essential for the sport. Additionally, the anticipation of elements such as the soccer ball, offensive and defensive players may also be affected by varied offensive processes. In this study, we combined anticipation with the pattern recall paradigm to measure the perceptual-cognitive skills of female soccer players across different age groups and offensive processes. Adult (U23) and adolescent (U15) female soccer players were recruited to complete the pattern anticipation task using coach-rated video segments. Our results show that adult female soccer players demonstrated greater accuracy in anticipating locations during positional attacks compared to adolescents, but no significant difference was observed during counter attacks. Furthermore, location anticipation accuracy is higher in all groups towards elements of the soccer ball and offensive players, but not defensive players, during counter attacks compared to positional attacks. These findings suggest that positional attack is the main advantage in perceptual-cognitive skills for adult female soccer players. Additionally, offensive processes and elements should be carefully considered when measuring perceptual-cognitive skills.

Development of the Talent Identification Questionnaire in Soccer for Outfield Players (TIDQ-OP): Coaches' perceptions of the key attributes for player recruitment.

Talent identification in sports is a complex process, whereby the aim is to identify, select and promote players who are considered to have the necessary skills and competencies (e.g., technical, tactical, and physical attributes) to succeed in senior adult competition. To support this process, this study focused on the development of a questionnaire to assist in the identification of talent among South African youth soccer players. This will establish a measure of the attributes coaches consider important when making talent identification decisions for outfield soccer players. The questionnaire was constructed following established instrument development phases. In phase 1, 61 questionnaire items were generated based on a review of the relevant literature. In phase 2, a panel of experts examined the content validity of the preliminary items. In phase 3, the provisional 59-item questionnaire (Talent Identification Questionnaire in Soccer for Outfield Players; TIDQ-OP) was administered to 173 experienced South African soccer coaches (130 males and 43 females) who ranged in age from 18 to 64 years. In phase 3, the factorial structure of the questionnaire was established through principal component analysis. The final questionnaire consisted of 58 items. These preliminary analyses indicate the usefulness of the TIDQ-OP as a tool to assist South African coaches in the identification and selection of talented players.

Professional soccer players perceptions of the English Football Association 4 corner model in supporting first team transitions.

The English Football Association (FA from hereon in) 4 Corner Model is a multidisciplinary framework that aims to enhance player talent identification and development, and is characterised by physical, social, technical/tactical and psychological components. Despite the framework being prominent within English football development pathways, player insights into the effectiveness of the framework in supporting academy to first team transitions are lacking. Therefore, the aim of this study was to explore established first team professional footballer's perceptions of the FA 4 Corner Model, in relation to the attributes that they perceived to facilitate the successful transition to a professional first team environment. Twelve current (n = 8) and ex (n = 4) professional players who had successfully transitioned from a youth academy, and subsequently became an established first team player, were interviewed for the study. Interpretations across the qualitative data set highlighted the importance of players adapting to physical and tactical demands, while also dealing with different psychosocial factors when entering a first team setting. The study highlights that disparities can exist between players, coaches, practitioners, and sport scientists perceived development needs, a situation that could hinder players progression through the player pathway.

Negotiating periodised training programmes in youth soccer development: A social process.

The purpose of the study was to develop new knowledge about the everyday realities when implementing periodised training programmes in professional soccer Academies. Specifically, this project enhances understanding in relation to 1) those stakeholders involved in periodised training programmes in professional soccer Academies, 2) factors that facilitate and constrain the design, implementation, and monitoring of periodised programmes, 3) the extent to which practitioners perceive that education programmes adequately prepared them for this aspect of their work. Academy managers, coaches and sport science support staff were approached to complete an online survey, with 30 individuals (33.6 ± 9.5 years old) agreeing to do so. Findings highlight that practitioners "have" to adapt their practices accordingly in response to contextually constraining factors. Here, the importance of developing richer insights into the social aspects of work in applied settings, greater recognition of facilitating and constraining factors, and an improved awareness and development of the educational interventions that can prepare practitioners in applied practice is emphasised.

The influence of the perceived requirements of the next match and motivation on the mental fatigue of soccer players.

The high cognitive and/or emotional demands of competition can lead to a state of mental fatigue which has shown to be detrimental to soccer performance. However, there is a need to further understand the true mental demands of soccer players. The aim of the present study was to analyze the influence of motivation and the perceived requirements of the next match on mental fatigue perceived by soccer players over the passing of a season. The combined effect of both variables on the perception of mental fatigue, as well as the influence of the time of the season on perceived mental fatigue, were also analyzed. Twenty-six semi-professional Spanish male players (M = 26.31 ± 5.18 years) participated in the present study, conducted during the 2020-2021 season. Perceived mental fatigue and motivation were measured at each training session. The perceived requirements of the next match were also measured in each of the competitive weeks. Linear mixed models were run with R Studio to examine the influence of motivation and the perceived difficulty of the next match on perceived mental fatigue, the combined effect of both variables on perceived mental fatigue, and the influence of the passing of the season on perceived mental fatigue. The results showed a negative and significant influence of motivation on perceived mental fatigue (p < 0.001) and a positive and significant influence of the perceived requirements of the next match on perceived mental fatigue (p < 0.001). Regarding the combined effect, there was a positive and significant effect (p < 0.01) of the perceived difficulty of the next match on the relation between motivation and perceived mental fatigue. A negative influence of season passage on perceived mental fatigue levels was found (p < 0.001). We recommended coaches to consider using the most motivating training tasks when higher next-match requirements are perceived and to be careful with avoidance strategies for mental fatigue, especially at the beginning of the season.

Motivational climate dimensions predict youth soccer players' psychosocial well-being over time.

OBJECTIVES: This study tested a longitudinal model of relationships, based on self-determination theory, to determine whether motivational climate dimensions predicted young athletes' psychological need satisfaction and, in turn, personal and social responsibility. DESIGN: We used a longitudinal design. METHOD: Youth soccer players (N = 161; M = 10.8 years-old, SD = 1.0 year) completed a survey at two time points, spaced 4 months apart, on average. RESULTS: Several significant direct effects emerged. First, greater perceptions that coaches punished for mistakes predicted decreases in relatedness with coaches and teammates. Second, greater perceptions of relatedness with coaches and teammates predicted increases in personal and social responsibility. Indirect effects also emerged: (a) punishment for mistakes predicted decreases in personal responsibility and social responsibility, and (b) cooperative learning predicted increases in social responsibility, through effects on coach and teammate relatedness. CONCLUSIONS: Results suggest that coaches who provide opportunities for collaborative learning and minimize mistake-contingent punishment will foster athletes' sense of connection and enhance their psychosocial well-being.

The measurement, tracking and development practices of English professional football academies.

Tracking and measuring elements of performance is a well-established feature of practice in football academies. Player characteristics are considered, tracked, and measured using a variety of methods, with curricula often devised based on perceived importance and data interpretation. Against this breadth, our aim was to investigate the policies and systems in place at category one and two English football academies. Specifically, our objectives were (a) to understand what factors academies believe are important in the development of their players, (b) explore what academies are tracking and how they measure performance, and (c) analyse the extent to which these factors are integrated into the player's curricula. A total of 15 participants with over 10 years' experience across 40 Talent Development (TD) environments were recruited to participate in semi-structured interviews. Using Reflexive Thematic Analysis (RTA), generated themes suggest that academies perceive a differential weighting between performance factors, with greatest importance placed on technical, tactical and psychological factors. A lack of clear measurement systematisation was often apparent. Finally, we identified methods of player curricula integration. We conclude by offering implications for academies to optimise integration of systems and processes that measure and track their players development.

The effect of COVID-19 on home advantage in high- and low-stake situations: Evidence from the European national football competitions.

The Covid-19 pandemic has significantly altered the way sporting events are observed. With the absence or limited presence of spectators in stadiums, the traditional advantage enjoyed by home teams has diminished considerably. This underscores the notion that the support of home fans can often be considered a key factor of the home advantage (HA) phenomenon, wherein teams perform better in front of their own supporters. However, the impact of reduced attendance on games with higher stakes, as opposed to low-stakes friendly matches, remains uncertain. In this study, we investigate the recently concluded European football championship (EURO 20), wherein several teams had the advantage of playing at home in high-stakes games with only one-third of the stadium capacity filled. Firstly, we demonstrate that the Covid-19 restrictions, leading to reduced fan attendance, resulted in a nearly 50% decrease in HA compared to the HA exhibited by the same teams during the qualification stage preceding EURO 20, even after accounting for team strength. Secondly, we show that while low-stakes friendly matches generally exhibit a smaller overall HA compared to high-stakes games, the absence of fans led to a similar reduction in HA during the low-stakes matches. Utilizing the recently developed Home Advantage Mediated (HAM) model (Bilalic, Gula, & Vaci, 2021, Scientific Reports, 21558), we were able to attribute the reduction in both high- and low-stakes games to poorer team performance, with no significant contribution from referee bias.

What happens in the prefrontal cortex? Cognitive processing of novel and familiar stimuli in soccer: An exploratory fNIRS study.

The importance of both general and sport-specific perceptual-cognitive abilities in soccer players has been investigated in several studies. Although these perceptual-cognitive skills could contribute significantly to soccer players' expertise, the underlying cortical mechanisms have not been clarified yet. Examining activity changes in the prefrontal cortex under different cognitive demands may help to better understand the underlying mechanisms of sports expertise. The aim of this study was to analyse the prefrontal activity of soccer experts during general and sport-specific cognitive tasks. For this purpose, 39 semi-professional soccer players performed four perceptual-cognitive tests, two of which assessed general cognition, the other two assessed sport-specific cognition. Since soccer is a movement-intensive sport, two tests were performed in motion. While performing cognitive tests, prefrontal activity was recorded using functional near-infrared spectroscopy (fNIRS) (NIRSport, NIRx Medical Technologies, USA). Differences of prefrontal activity in general and sport-specific cognitive tasks were analysed using paired t-tests. The results showed significant increases in prefrontal activity during general cognitive tests (novel stimuli) compared to sport-specific tests (familiar stimuli). The comparatively lower prefrontal activity change during sport-specific cognition might be due to learned automatisms of experts in this field. These results seem in line with previous findings on novel and automated cognition, "repetition suppression theory" and "neural efficiency theory". Furthermore, the different cortical processes could be caused by altered prefrontal structures of experts and might represent a decisive factor for expertise in team sports. However, further research is needed to clarify the prefrontal involvement on expertise in general and sport-specific cognition.

This fNIRS study examines differences in the prefrontal activity of soccer experts during general and sport-specific cognitive tasks.In general cognitive tasks, increased prefrontal activity changes were detected, whereas lower cortical activity changes during sport-specific cognition were found.These findings support the "repetition suppression theory" and earlier findings on the processing of novel stimuli in the prefrontal cortex (PFC).The differences in the cortical processing of general and sport-specific tasks of soccer players might be caused by altered prefrontal structures of experts and could be of special importance for expertise in soccer.

How the 12th Man Influences Football Matches: The Role of Fans and Referees in the Home Advantage Phenomenon.

Home advantage and referee bias are two sport factors that have been widely studied in the football (i.e., soccer) context. However, the mediating effect of spectators on these factors is not well understood, especially in the Turkish Super League. We examined (a) how variables of home advantage, referee bias, and spectator presence interacted to affect the outcome of past football matches; (b) how these variables have changed over time in the Turkish Super League; (c) and whether home advantage and referee bias differ in matches with spectators and ghost matches (without spectators). We analyzed regular season matches played in the Turkish Super League between the 2014-2015 and 2021-2022 seasons. We found that home teams had a significant advantage over away teams in matches with spectators (p < .001) and in ghost matches (p < .05 and p < .001), with small to medium effect sizes (d = .09 and .34, respectively). Regarding referee bias, away teams received more yellow cards and fewer penalties than home teams in matches with spectators (p < .001; d = -.10), and away teams received fewer yellow cards than home teams in ghost matches (p > .05; d = .05). There was no statistically significant difference between home and away teams on number of red cards in either type of match (p > .05). Thus, our data reveal that home teams have an edge over away teams with and without spectators, but this advantage is reduced during ghost matches (without spectators). We also revealed weak evidence of referee bias in favor of home teams, but only for some variables and only when spectators were present.

Is coaches' perceived team performance associated with their intentions to persist in coaching? The mediating role of coaches' psychological needs and motivation.

This study examined the association between team performance perceived by coaches, coaches' basic psychological needs, motivation, and their intentions to persist in coaching. Participants were 719 coaches (80 females, M = 33.49 years, SD = 10.27, range = 18-67) of different team sports (soccer = 514; basketball = 165; volleyball = 23; handball = 14; and hockey = 3) who completed questionnaire measures at the end of the season. Structural equation modelling adjusted for sex, coaches' experience, age categories, and type of sport revealed that coaches' perceptions of team performance were positively related to their need satisfaction and negatively to their need frustration. In turn, coaches' need satisfaction was positively associated with their autonomous motivation, whereas their need frustration was positively related to controlled motivation and amotivation. Finally, coaches' autonomous motivation was a positive predictor of their intentions to persist, and conversely, coaches' amotivation was a negative predictor of their intentions to persist. We found a significant positive and indirect effect between team performance perceived by coaches and their intention to persist through their need satisfaction and autonomous motivation. These findings represent the first quantitative insight into how coach-perceived team performance could function as a new antecedent relevant to coaches' motivational processes and persistence.

Exploring football coaches' views on coach education, role, and practice design: An Australian perspective.

Despite the importance placed on the design and delivery of formal coach education programs by Football Australia, there remains a lack of research relating to how formal coach education strategies support Australian football (i.e., soccer) coaches and their coaching practices. Through a series of semi-structured interviews, 20 highly qualified and experienced Australian senior football coaches shared their perspectives on: (i) coach education, (ii) their role as coach, and (iii) practice design. Findings revealed that formal coach education in Australia was largely ineffective in preparing senior coaches for the realities of senior football. Coaches attributed this to a number of factors, including the content's quality, structure and delivery, which they viewed as rudimentary, outdated, repetitive and lacking in relevance and depth. Coaches also revealed there was an expectation of conformity to the content and practices endorsed by the National Football Curriculum, limiting the value and impact of formal coach education in supporting the development of coaches' theoretical and practical dispositions. These findings point towards a number of broad and systemic issues relating to the conceptual, theoretical and practical foundations of the National Football Curriculum and subsequent courses. If Football Australia are to reach their goal in designing and delivering effective and meaningful coach education programs that support the highly complex and multifaceted role of senior coaching, formal coach education may need to adapt and evolve in a manner that better supports the multi-dimensional and context-specific needs of Australian senior football coaches.

The effects of different small-sided games configurations on heart rate, rating of perceived exertion, and running demands in professional soccer players.

We examined the effects of different small-sided games (SSG) configurations on heart rate (HR), rating of perceived exertion (RPE), and running demands in soccer players. Twelve male soccer players (U18) participated in this randomized cross-over study. Players performed three SSG in different "fixed" and "dynamic" pitch sizes (3v3 in large (SSGL) and small (SSGS) fixed area; or 3v3 in dynamic dimensions [SSGD]), with 4x4 minutes interspersed by 2 minutes of rest. HR measures (maximum [HRmax], average [HRavg], and percentage of maximum [%HRmax]), RPE, and running demands were collected across the SGG sessions. The following running activities were recorded: total distance covered (TD), distance covered (DC) at 6-12 km·h-1, ≥ 12-18 km·h-1, and >18 km·h-1, peak running speed, acceleration (ACC) and deceleration (DEC) at 1-2 m·s-2 and 2-3 m·s-2, player load, and high metabolic load distance (HMLD). SSGL displayed higher HRavg, %HRmax, and RPE values than SSGS (p < 0.05). SSGL resulted in higher TD, DC at 6-12 km·h-1, ≥ 12-18 km·h-1, > 18 km·h-1, and higher peak speed than SSGS and SSGD (p < 0.05). Moreover, SSGD presented higher TD and DC at 6-12 km·h-1 and ≥ 12-18 km·h-1 than SSGS (p < 0.05). In contrast, SSGD and SSGS showed higher number of ACC and DEC at 1-2 m·s-2 than SSGL (p < 0.05). In conclusion, the pitch size and playing area of the SSG can be manipulated to promote desired physiological and physical demands in young soccer players.HighlightsWe examined how fixed (small and large) or variable (dynamic) pitch sizes affected the psychophysiological and running demands of young soccer players during small-sided games.Small-sided games with larger pitch sizes and areas per player elicited greater psychophysiological and running demands than small areas.The pitch size designed in the current study does not appear to affect the number of acceleration and deceleration (> 2 m·s-2).Varying the pitch size during the small-sided games (i.e. dynamic condition) could be an interesting constraint to be considered by soccer coaches in order to enhance task variability.

Longitudinal relationships between mental toughness, resilience, cognitive appraisals and perceived performance in competitive soccer goalkeepers.

The purpose of this study was twofold: (1) to examine the influence of the mental toughness (MT) trait on resilience, cognitive appraisals and perceived performance states and (2) to explore dynamic relationships between these states among soccer goalkeepers during a competitive season. Thirty-six soccer goalkeepers from regional to professional levels first voluntarily completed a questionnaire measuring their mental toughness. Subsequently, a single-item approach was used to assess resilience, cognitive appraisals (threat, loss, challenge and benefit) and subjective performance every 2 weeks for 4 months. Results of multilevel analyses showed that mental toughness significantly and positively predicted resilience, which significantly and positively predicted benefit appraisal and negatively predicted threat appraisal. Moreover, subjective performance was significantly and positively predicted by benefit appraisal. Our results also revealed the mediating role of resilience in the relationship between mental toughness and appraisals (threat and benefit) as well as the mediating role of benefit appraisal in the relationship between resilience and subjective performance. Practical applications are proposed to optimize the daily experiences of goalkeepers, such as creating a supportive climate.

Psychosocial Predictors of Drop-Out from Organised Sport: A Prospective Study in Adolescent Soccer.

In recent years an increased drop-out rate in adolescents' soccer participation has been observed. Given the potentially adverse consequences of drop-out from soccer, more information about risk factors for drop-out is warranted. In the current study, Classification and Regression Tree (CRT) analysis was used to investigate demographic and motivational factors associated with an increased risk of drop-out from adolescent soccer. The results of this study indicate that older age, experiencing less autonomy support from the coach, less intrinsic motivation, being female, and lower socioeconomic status are factors associated with an increased risk of drop-out. An interpretation of the results of this study is that coaches play a central part in creating a sports context that facilitates motivation and continued soccer participation. Based on the findings of the current study we propose that soccer clubs implement theoretically informed coach education programs to help coaches adopt autonomy-supportive coaching strategies.

Elite female football players' perception of the impact of their menstrual cycle stages on their football performance. A semi-structured interview-based study.

OBJECTIVES: This study assesses how female footballers perceive how their menstrual cycle impacts their physical and psychological performance, informing future research and intervention. METHODS: Semi-structured interviews, developed using piloting and peer review took place with fifteen elite female footballers from two English WSL clubs (age: 25.2 [18-33]). Data was audio recorded, transcribed verbatim, and analysed thematically using NVivo. RESULTS: All players (100%) perceive their menstrual cycle to negatively impact performance. Analysing 27,438 words of data revealed five themes: A) symptoms, B) preparation, C) performance, D) recovery, and E) management. Over half (53%) of players experienced decreased appetite and sleep quality prior to performance during menstruation. Competitive performance was perceived to be most negatively impacted during menses (54 references) following by the pre-menstrual stage (23 references). During menstruation, the most impacted physical performance indicators were power (93%) and fatigue (87%). Psychologically, confidence, focus, and reaction to criticism were commonly affected (66.7%). Players reported missing training (13.3%) and matches (13.3%) due to severity of impact. Recovery was affected during the pre-menstrual (26.7%) and menstrual (66.7) stages. Players self-manage symptoms using over the counter (66.7%) and prescription (26.7%) medication, some prophylactically prior to competition (46.7%). CONCLUSIONS: This first attempt to ascertain player perception in football exposes a clear negative impact on performance. The complex interplay of biopsychosocial and logistical factors, lack of awareness and education highlight the need for further research. Intervention is necessary and immediate initiation would be prudent, starting with simple measures such as basic self-management advice, education, and provision of sanitary products.

Exploring psychosocial risk factors for dropout in adolescent female soccer.

OBJECTIVES: We examined the manner in which age, participation in other sports, socioeconomic status, perceived sport competence, achievement goal orientations, and perceived motivational climate may interact to predict the risk of dropout among adolescent female soccer players. METHODS: Self-reported data from 519 female soccer players between 10 and 19 years of age (M = 13.41, SD = 1.77) were analysed using a person-centred approach to uncover the interactions among risk factors and their relative predictability of dropout. RESULTS: Perceived motivational climate was identified as the main predictor, where relatively lower levels of mastery climate were associated with a higher dropout tendency (absolute risk reduction [ARR] = 12.2% ±6.1% [95% CL]). If combined with relatively lower levels of mastery climate, then relatively lower levels of perceived sport competence were related to higher dropout risks (ARR = 16.5% ±9.5%), whereas, in combination with relatively higher levels of mastery climate, then relatively lower levels of ego-orientated achievement goals were associated with higher dropout rates (ARR = 10.8% ±12.6%). CONCLUSIONS: Our findings afford novel insights into the interactions between, and the relative importance of, various risk factors for dropout in adolescent female soccer. This knowledge may be useful for soccer associations, clubs, and coaches when developing guidelines and strategies that aim to foster young females' sustained participation in organised soccer.

Normalising the conversation: a qualitative analysis of player and stakeholder perceptions of menstrual health support within elite female soccer.

PURPOSE: This qualitative study explores player and stakeholder perceptions of menstrual health support in elite female soccer. METHODS: Semi-structured interviews were conducted with 47 participants including players (n = 12), parents (n = 9), coaches (n = 9), sport scientists (n = 7), nutritionists (n = 5) and medical staff (n = 5). RESULTS: Via thematic analysis, data demonstrate that elite female soccer players experience a range of physical and psychological symptoms primarily at the onset of and during menses (as also perceived by stakeholders), with most participants perceiving these symptoms to impact performance. Nonetheless, menstrual health support is perceived as minimal and although players have their menstrual status tracked, they report little understanding as to why or how this information is used. This confusion was also present among stakeholders, often as a result of uncertainty about the evidence supporting the need for menstrual health support. The perceived lack of support may also be reflective of a culture where conversations about the menstrual cycle are not normalised. Overall, this may result in failure to identify and treat menstrual irregularities despite non-coaching staff members perceiving them to be common amongst players. CONCLUSION: These data support the need for individualised support based on the lived experiences of individual players and support staff. Furthermore, our research identifies the need for organisational, stakeholder, and player centred education programmes (led by experts in female athlete health) that create an environment where players receive personalised menstrual health support.