Factors affecting decision-making in Gaelic Football: a focus group approach.

Objectives: Research examining decision-making in sports has predominantly used experimental approaches that fail to provide a holistic understanding of the various factors that impact the decision-making process. The current study aimed to explore the decision-making processes of Senior (expert) and Academy (near-expert) Gaelic Football players using a focus group approach. Methods: Four focus groups were conducted; two with Senior players (n = 5; n = 6) and two with U17 Academy players (n = 5; n = 6). In each focus group, short video clips of Senior Gaelic football games were played, and the action was paused at key moments. The group then discussed the options available to the player in possession, the decision they would make in that situation, and importantly, what factors influenced the final decision. Thematic analysis was used to identify themes that emerged from the focus groups. Results and discussion: Four primary themes emerged that affected the decision-making process. Three themes were related to information sources, namely, pre-match context (coach tactics and instructions, match importance, and opposition status), current match context (score and time remaining), and visual information (player positioning and field space, and visual search strategy), and the fourth theme related to individual differences (self-efficacy, risk propensity, perceived pressure, physical characteristics, action capabilities, fatigue) that moderated the decision-making process. Compared to the near-expert Academy players, the expert Senior players displayed a more sophisticated understanding of the various sources of information and were able to integrate them in a more complex manner to make projections regarding future scenarios. For both groups, the decision-making process was moderated by individual differences. A schematic has been developed based on the study findings in an attempt to illustrate the hypothesized decision-making process.

Effects of 1 Year of Lifestyle Intervention on Institutionalized Older Adults.

The socio-economic and health consequences of our ageing population are well documented, with older adults living in long-term care facilities amongst the frailest possessing specific and significant healthcare and social care needs. These needs may be exacerbated through the sedentary behaviour which is prevalent within care home settings. Reducing sedentary time can reduce the risk of many diseases and improve functional health, implying that improvements in health may be gained by simply helping older adults substitute time spent sitting with time spent standing or in light-intensity ambulation. This study identified the impact of 1 year of lifestyle intervention in a group of older adults living in a long-term care setting in Italy. One hundred and eleven older adults (mean age, 82.37 years; SD = 10.55 years) participated in the study. Sixty-nine older adults were in the intervention group (35 without severe cognitive decline and 34 with dementia) and 42 older adults were in the control group. Data on physical functioning, basic activities of daily living (BADL) and mood were collected 4 times, before, during (every four months) and after the 1 year of intervention. The lifestyle intervention focused on improving the amount of time spent every week in active behaviour and physical activity (minimum 150 min of weekly activities). All participants completed the training program and no adverse events, related to the program, occurred. The intervention group showed steady and significant improvements in physical functioning and a stable situation in BADL and mood following the intervention in older adults with and without dementia, whilst the control group exhibited a significant decline over time. These results suggest that engagement in a physical activity intervention may benefit care home residents with and without dementia both physically and mentally, leading to improved social care and a reduced burden on healthcare services.

Movement-Specific Reinvestment in Older People Explains Past Falls and Predicts Future Error-Prone Movements.

The tendency to think about or consciously control automated movements (i.e., movement-specific reinvestment) is a crucial factor associated with falling in the elderly. We tested whether elderly people's movement-specific reinvestment depended on their past falling history and whether it can predict future error-prone movements. In a longitudinal pre-post design, we assessed n = 21 elderly people's (Mage = 84.38 years, SD = 5.68) falling history, movement-specific reinvestment (i.e., Movement-Specific Reinvestment Scale), and physical functioning (i.e., Short-Physical-Performance Battery). Following a baseline assessment, participants reported their movement behavior in a daily diary for 2 months, after which we assessed their movement-specific reinvestment and physical functioning again (longitudinal, pre-post design). Results revealed, first, that participants' movement self-consciousness score was fairly stable, while their conscious-motor-processing score was less stable. Second, conscious motor processing was higher in participants who had fallen as opposed to those who had not fallen in the past. Third, conscious motor processing predicted error-prone future movement behavior reported in the daily diary. For identifying individuals who are more prone to fall, caregivers, rehabilitation staff, or doctors could apply the Movement-Specific Reinvestment Scale to screen elderly people's psychomotor behavior. Based on conscious motor processing, monitoring cognitions could be tailored in theory-based, individual interventions involving both cognitive and motor training.

Re-evaluating the measurement and influence of conscious movement processing on gait performance in older adults: Development of the Gait-Specific Attentional Profile.

BACKGROUND: Recent decades have seen increased interest in how anxiety-and associated changes in conscious movement processing (CMP)-can influence the control of balance and gait, particularly in older adults. However, the most prevalent scale used to measure CMP during gait (the Movement-Specific Reinvestment Scale (MSRS)) is generic (i.e., non-gait-specific) and potentially lacks sensitivity in this context. METHODS: In a preliminary study, we first sought to evaluate if MSRS scores associated with the number of CMP-related thoughts self-reported by older adults while walking. The next aim was to develop and validate a new questionnaire (the Gait-Specific Attentional Profile, G-SAP) capable of measuring gait-specific CMP, in addition to other attentional processes purported to influence gait. This scale was validated using responses from 117 (exploratory) and 107 (confirmatory factor analysis) older adults, resulting in an 11-item scale with four sub-scales: CMP, anxiety, fall-related ruminations, and processing inefficiencies. Finally, in a separate cohort of 53 older adults, we evaluated associations between scores from both the G-SAP CMP subscale and the MSRS, and gait outcomes measured using a GAITRite walkway in addition to participants' fall-history. RESULTS: MSRS scores were not associated with self-reported thoughts categorised as representing CMP. In regression analyses that controlled for functional balance, unlike the MSRS, the G-SAP subscale of CMP significantly predicted several gait characteristics including velocity (p = .033), step length (p = .032), and double-limb support (p = .015). SIGNIFICANCE: The G-SAP provides gait-specific measures of four psychological factors implicated in mediating the control of balance and gait. In particular, unlike the MSRS, the G-SAP subscale of CMP appears sensitive to relevant attentional processes known to influence gait performance. We suggest that the G-SAP offers an opportunity for the research community to further develop understanding of psychological factors impacting gait performance across a range of applied clinical contexts.

Is the ability to keep your mind sharp under pressure reflected in your heart? Evidence for the neurophysiological bases of decision reinvestment.

The aim of this study was twofold: first, to examine the influence of decision reinvestment on decision-making performance using an option-generation task, and second to investigate its neurophysiological basis with heart rate variability. Forty-two male participants performed an option-generation task (i.e., where participants are required to generate their own options rather than being asked to decide from a set of options) under low- and high-pressure conditions. Results showed that the decision-making performance of low and high decision reinvesters was similar in the low-pressure condition, however in the high-pressure condition low reinvesters decided faster than their high reinvester counterparts. Moreover, we found that the pressure-induced reduction in parasympathetic activity was more pronounced in high reinvesters in comparison to low reinvesters. Findings are interpreted in light of the neurovisceral integration model, assuming a positive relationship between cognitive performance and parasympathetic activity. These findings offer a physiological insight into a psychological phenomenon and may also suggest a way to counteract the detrimental effects of decision reinvestment by utilizing interventions that target the parasympathetic activity, such as heart rate variability biofeedback.

Development and validation of the Decision-Specific Reinvestment Scale.

Items from the Reinvestment Scale were modified to create a decision-specific version of the scale. Principal components analysis of responses from 165 participants revealed one-, two-, three-, and four-factor solutions for the Decision-Specific Reinvestment Scale. Confirmatory factor analysis of responses from a second sample of 111 participants revealed that a 13-item two-factor solution showed the best fit. The first factor comprised six items referring to conscious monitoring of the process involved in making a decision, and was termed decision reinvestment. The second factor, decision rumination, comprised seven items related to focus on negative evaluations of previous poor decisions. In an initial assessment of predictive validity, Decision-Specific Reinvestment Scale scores of 59 skilled team sport players were found to be highly correlated with coaches' ratings of players' tendency to choke under pressure (r = 0.74), with high Decision-Specific Reinvestment Scale scores indicating greater susceptibility to poor decision-making under pressure. It was concluded that the Decision-Specific Reinvestment Scale highlights a performer's predisposition to engage in behaviours detrimental to performance under pressure, namely decision reinvestment and decision rumination.