A qualitative analysis of Swedish sport psychology practitioners' experience of a continued professional development program.

Although sport psychology practitioners and researchers acknowledge the importance of continued professional development (CPD) for professional effectiveness and excellence, few studies have explored the influence of CPD activities on the practitioners' practice and thinking. This study examined qualified Swedish sport psychology practitioners' experiences of engaging in a CPD program and how it impacted their professional development. The Swedish Sports Confederation offers a CPD program that targets performance enhancement services and psychotherapy for sport psychology practitioners. We explored the influence of this CPD program on the professional development of 13 graduates (five females; age in years: M = 41.2, SD = 8.3) via semi-structured interviews. Our stance involved a realist ontology and constructionist epistemology. We followed the six-step Reflexive Thematic Analysis procedures to analyze data. We identified four themes of CPD: (1) Critique (participants decided to do the CPD program because of perceived gaps in their knowledge and skills), (2) Change (participants discussed several changes as a result of the CPD program), (3) Context (participants discussed the aspects of the CPD program that promoted change), and (4) Challenge (participants mentioned issues related to having completed the program). The study provides insights into the value of CPD activities for sport psychology practitioners, advances current knowledge on practitioner maturation, and illustrates how CPD fits within a practitioner's lifelong learning. Future research could investigate the professional development of mid-career sport psychology practitioners engaging in other CPD programs to confirm or extend this work.

Advancing mental imagery research from an interdisciplinary sport science perspective: a commentary on Frank et al. (2023).

Frank et al.'s (2023) perceptual-cognitive scaffold meaningfully extends the cognitive action architecture approach and we support this interdisciplinary advancement. However, there are theoretical and applied aspects that could be further developed within this research to maximise practical impact across domains such as sport. In particular, there is a need to consider how these mechanisms (1) might critically inform or relate to other prominent theories within sport (e.g., constrained action hypothesis and ecological approaches) and, (2) reflect the real-world challenges experienced by athletes. With these ideas in mind, this commentary aims to stimulate discussion and enhance the translational application of Frank et al.'s research.

Sport Psychology: Principles and Practices for Sports Medicine Physicians.

ABSTRACT: Sport psychology is the scientific study and application of psychological principles to enhance performance and well-being in sport, exercise, and physical activity. It has numerous applications to sports medicine, as psychological factors are associated with sport injury risk, recovery, successful return to play, and overall health. This article addresses how sport psychology is important to sports medicine and what applied sport psychologists do. We discuss several psychological principles and practices relevant to individual performance and well-being, including goal setting, communication, arousal and performance, imagery/mental rehearsal, attention management, managing psychological distress, and behavioral health. We also discuss principles and practices of sport psychology relevant to team performance, including stages of team development, goal setting, communication, arousal and performance, and behavioral health. Sport psychology and applied sport psychology practitioners can be valued assets to sports medicine teams in supporting individual and team performance and injury recovery.

Applying sport psychology in health professions education: A systematic review of performance mental skills training.

INTRODUCTION: Health professionals are expected to consistently perform to a high standard during a variety of challenging clinical situations, which can provoke stress and impair their performance. There is increasing interest in applying sport psychology training using performance mental skills (PMS) immediately before and during performance. METHODS: A systematic review of the main relevant databases was conducted with the aim to identify how PMS training (PMST) has been applied in health professions education and its outcomes. RESULTS: The 20 selected studies noted the potential for PMST to improve performance, especially for simulated situations. The key implementation components were a multimodal approach that targeted several PMS in combination and delivered face-to-face delivery in a group by a trainer with expertise in PMS. The average number of sessions was 5 and of 57 min duration, with structured learner guidance, an opportunity for practice of the PMS and a focus on application for transfer to another context. CONCLUSION: Future PMST can be informed by the key implementation components identified in the review but further design and development research is essential to close the gap in current understanding of the effectiveness of PMST and its key implementation components, especially in real-life situations.

Mental Performance Consultants' Perspectives on Content and Delivery of Sport Psychology Services to Masters Athletes.

In the absence of sport psychology resources for Masters Athletes, mental performance consultants could benefit from information to assist consultancy with older adult athletes. We conducted semistructured interviews to explore 10 Canadian professional mental performance consultants' (two men and eight women) perspectives of targeted content and the nature of service delivery to Masters Athletes. Following inductive thematic analysis, results for Content of Sport Psychology related to performance readiness (e.g., preparatory routines, mental focus plans); prioritizing sport (e.g., balance/time management, recruiting social support); preserving sport enjoyment (e.g., self-reflection, gratitude/sport as opportunity); and age-related considerations (e.g., managing changing physical realities). Results pertaining to Addressing and Delivering Sport Psychology Services included considerations toward age-related attributes (e.g., values/identity, engaged/invested clients) and accommodating barriers/constraints (e.g., time, stigma). Our results show there are novel considerations when consulting with Masters Athletes, and we discuss what these findings mean for adult-oriented approaches in applied practice.

Strength and Conditioning Coaches' Perceptions of Sport Psychology Strategies.

ABSTRACT: Quartiroli, A, Moore, EWG, and Zakrajsek, RA. Strength and conditioning coaches' perceptions of sport psychology strategies. . J Strength Cond Res 36(5): 1327-1334, 2022-Strength and conditioning coaches (SCCs) hold a central role in the development of student-athletes. Although they certainly focus on student-athletes' physical skill development, SCCs are in an ideal position to integrate mental skills into their strength and conditioning sessions. For example, sport psychology (SP) strategies can be used within strength and conditioning sessions to assist in athlete exercise execution by regulating arousal, improving concentration, confidence, as well as improve self-correction through self-talk and imagery. The purpose of this study was to assess collegiate SCCs' use of SP skills/strategies. A total sample of 415 SCCs (19.7% return rate) across the United States participated in an online survey. Although the majority of these coaches reported having less than moderate training in SP (59.9%), they also reported a moderate to high use of certain SP strategies (e.g., goal setting, self-talk). Strength and conditioning coaches' familiarity with, knowledge of, and confidence to use the SP strategies were found to be predictors of SCCs' frequency of SP strategy use. This study aimed to provide an initial exploration of SCCs' understanding and use of specific SP strategies, which was influenced by the SCCs' perceived level of preparation to use these strategies. For SCCs to be able to purposefully and confidently incorporate SP strategies into training sessions, the current study suggests the need for specific training aimed to enhance the SCCs' knowledge of and confidence in using specific SP strategies.

Pacing of Women and Men in Half-Marathon and Marathon Races.

Background and objective: Half-marathon is the most popular endurance running race in terms of number of races and runners competing annually; however, no study has compared pacing strategies for this race distance with marathon. The aim of the present study was to profile pacing in half-marathon, compare half-marathon and marathon for pacing, and estimate sex differences in pacing. Materials and methods: A total of 9137 finishers in the half-marathon (n = 7258) and marathon race (n = 1853) in Ljubljana 2017 were considered for their pacing in five race segments (0⁻23.7%, 23.7⁻47.4%, 47.4⁻71.1%, 71.1⁻94.8%, and 94.8⁻100% of the race. Results: Half-marathon runners followed a positive pacing with every segment being slower than its previous one without the presence of an endspurt. Compared to marathon (where the average percent of change in speed (ACS) was 5.71%), a more even pacing was observed in half-marathon (ACS = 4.10%). Moreover, women (ACS = 4.11%) had similar pacing as men (ACS = 4.09%) in half-marathons. Conclusions: In summary, running a half-marathon followed a unique pattern that differentiated this race distance from marathon, with the former showing a more even pacing with an absence of endspurt, and sex difference compared to the latter. Consequently, runners should be advised to adopt a less variable pacing when competing in a half-marathon, regardless of their sex. To the best of our knowledge, the more even pacing in half-marathon, than in marathon, was a novel finding, as it was the first study to compare the two race distances for this characteristic.

Barriers to the Prescription of Psychological Strategies by Strength and Conditioning Specialists.

Radcliffe, JN, Comfort, P, and Fawcett, T. Barriers to the prescription of psychological strategies by strength and conditioning specialists. J Strength Cond Res 32(7): 1948-1959, 2018-The purpose of this article was to explore the barriers to strength and conditioning coaches integrating psychological strategies within the strength and conditioning practice. The sample of accredited strength and conditioning coaches comprised 10 subjects working within the United Kingdom, 3 within the United Sates, and 5 within Australia offering a cross section of experience from a range sporting disciplines and educational backgrounds. Subjects were interviewed using semistructured interviews and thematic clustering was used using interpretative phenomenological analysis to identify common themes. It was evident that not incorporating psychological strategies into strength and conditioning practice could be attributed to either internal, personally governed beliefs, or external, environmentally governed situations. Internal sources consisted of insufficient knowledge either regarding the value of psychological strategies or methods of implementing such techniques; in addition, the implementation of psychological techniques was outside the remit of the coach and difficulty existed in demonstrating the effectiveness of interventions. External causes consisted of a lack of time, insufficient control and authority of training session content, and athletes' negative perceptions. Recommendations are made on the basis of eliminating the observed barriers to the inclusion of psychological strategies. This included the use of education programs for both strength and conditioning coaches and organizational gatekeepers and the suggestion for increased collaboration with qualified psychologists.

What can medical educators learn from the Rio 2016 Olympic Games?

Medical Educators face an ongoing challenge in optimizing preparedness for practice for newly qualified doctors. Junior doctors have highlighted specific areas in which they do not feel adequately equipped to undertake their duties, including managing the acutely unwell patient. In these highly stressful, time-critical scenarios it might be assumed that a lack of knowledge underpins these feelings of apprehension from junior medics; however, having studied, trained and passed examinations to demonstrate such knowledge, perhaps other factors should be considered. The recent Olympic Games in Rio demonstrated the impact of sport psychology techniques in allowing athletes to achieve their optimum performance in the face of adversity. The use of mental and behavioral strategies to control feelings of anxiety and low self-efficacy are pivotal for athletes to deliver their best performance under extreme pressure. We consider whether such techniques could improve the preparedness of the newest recruits to the healthcare system, and the impact this could have on patient care. Finally, suggestions for potential research directions within this area are offered to stimulate interest amongst the research community.

Applying sport psychology to improve clinical performance.

Preparedness for practice has become an international theme within Medical Education: for healthcare systems to maintain their highest clinical standards, junior doctors must "hit the ground running" on beginning work. Despite demonstrating logical, structured assessment and management plans during their undergraduate examinations, many newly qualified doctors report difficulty in translating this theoretical knowledge into the real clinical environment. "Preparedness" must constitute more than the knowledge and skills acquired during medical school. Complexities of the clinical environment overwhelm some junior doctors, who acknowledge that they lack strategies to manage their anxieties, under-confidence and low self-efficacy. If uncontrolled, such negative emotions and behaviors may impede the delivery of time-critical treatment for acutely unwell patients and compound junior doctors' self-doubt, thus impacting future patient encounters. Medical Education often seeks inspiration from other industries for potential solutions to challenges. To address "preparedness for practice," this AMEE Guide highlights sport psychology: elite sportspeople train both physically and psychologically for their discipline. The latter promotes management of negative emotions, distractions and under-confidence, thus optimizing performance despite immense pressures of career-defining moments. Similar techniques might allow junior doctors to optimize patient care, especially within stressful situations. This AMEE Guide introduces the novel conceptual model, PERFORM, which targets the challenges faced by junior doctors on graduation. The model applies pre-performance routines from sport psychology with the self-regulatory processes of metacognition to the clinical context. This model could potentially equip junior doctors, and other healthcare professionals facing similar challenges, with strategies to optimize clinical care under the most difficult circumstances.

Preliminary investigation into sport and exercise psychology consultants' views and experiences of an interprofessional care team approach to sport injury rehabilitation.

Sport injury rehabilitation has moved from predominately physical treatment to a more holistic care. However, limited research has explored the views and experiences of those involved in such an approach. The purpose of this study was to preliminarily investigate sport psychology consultants' (SPCs') views and experiences of an interprofessional team approach to sport injury rehabilitation. A cross-sectional online survey previously used with athletic trainers was distributed via a US-based sport/exercise psychology list-serve (N = 1245). A total of 62 (27 men, 35 women, M age 38.2 years, age range: 22-73 years) participants with 10.6 (SD = 9.8) years of experience as an SPC were included in the final analyses. On average, SPCs felt that it was very important (M = 6.6; SD = 0.6) for athletes to have access to an interprofessional care team. Of the sample, 64.5% (n = 40) typically worked as part of an interprofessional care team 44.7% of the time. The SPCs (n = 28; 45.2%) also indicated that the primary treatment providers (e.g., athletic trainer, physical therapist) were typically serving as the primary point person for such teams. Since gaining entry to sport medicine can be an area SPCs struggle with, building effective working relationships with treatment providers can help promote and increase SPCs involvement in providing holistic, interprofessional care to athletes with injuries. To ensure athletes' successful biopsychosocial return to sport, different individuals and professionals should work together for the benefit of the athlete by adopting holistic care during sports injury rehabilitation.

Child and adolescent sports psychiatry in the US.

A positive youth sports experience is essential if an athlete is to develop a lifelong commitment to sport. Children enjoy play and adults can create opportunities for physical, emotional, and cognitive development through sport for all children. This article reviews the current state of youth sports in the US, highlighting some of the problems of the current model and efforts to transform and improve the youth sports experience in the US. The new model of youth sports emphasizes the importance of developing 'physical literacy' in all young athletes, increasing availability of recreational sports activities, providing quality coaching to all, improved sports safety, improved availability of sports venues for athletes at all levels, and at an affordable cost for all. The US Olympic Committee, following an innovative programme by USA Hockey, has developed and promoted the American Developmental Model to its component Sport National Governing Boards to improve the experience of young athletes. The sports-informed paediatric psychiatrist, knowledgeable about child and family development and aware of the local youth sports opportunities and challenges, is well prepared to advocate for a healthy and fun sport experience for every young athlete.

Cheating and sports: history, diagnosis and treatment.

This paper focuses on "cheating" in modern day athletics from youth through professional sports. We briefly summarize a history of cheating in the sports world. We examine the current role cheating plays in sports as well as its causes including, psychodynamic issues, the development of personality disorders and how personality traits become pathological resulting in deception, dishonesty, and underhandedness. We describe management and treatment including psychotherapeutic intervention as well as medication. Finally we discuss a systems approach involving outreach to coaches, families, and related sports organizations (like FIFA, WADA, etc) or the professional leagues which have institutional control and partial influence on the athlete.

The psychological response to injury in student athletes: a narrative review with a focus on mental health.

BACKGROUND: Injury is a major stressor for athletes and one that can pose significant challenges. Student athletes must handle rigorous academic as well as athletic demands that require time as well as significant physical requirements. Trying to perform and succeed in the classroom and on the playing field has become more difficult as the demands and expectations have increased. If an athlete is injured, these stressors increase. MAIN THESIS: Stress is an important antecedent to injuries and can play a role in the response to, rehabilitation and return to play after injury. The psychological response to injury can trigger and/or unmask mental health issues including depression and suicidal ideation, anxiety, disordered eating, and substance use/abuse. There are barriers to mental health treatment in athletes. They often consider seeking help as a sign of weakness, feeling that they should be able to 'push through' psychological obstacles as they do physical ones. Athletes may not have developed healthy coping behaviours making response to injury especially challenging. PURPOSE: I discuss the current state of knowledge regarding the psychological response to injury and delineate resources necessary to direct the injured athlete to a mental health care provider if appropriate.

Stages of psychological impact after diagnosis with serious or potentially lethal cardiac disease in young competitive athletes: a new model.

IMPORTANCE: Sudden cardiac death (SCD) in sports is a tragic event. Pre-participation cardiovascular screening is required before participation in high school and college athletic programs and is universally endorsed by major medical societies. The medical impact of a diagnosis may be life-saving; however, the detection of disease should not be the sole endpoint of care. Physicians have an obligation to attend to both the medical and psychological well-being of their patients. OBJECTIVE: To determine the psychological impact of being diagnosed with cardiac disease in young competitive athletes. DESIGN: Athletes diagnosed with cardiac conditions were recruited to participate in a semi-structured interview, which was analyzed by sport psychology experts using qualitative research. Individuals shared reactions and experiences regarding diagnosis, lifestyle implications, coping strategies, major concerns, and overall impact on psychosocial functioning. SETTING: Young competitive athletes from across the United States. PARTICIPANTS: 25 athletes (52% male, 80% Caucasian, median age 17.7) participated. Diagnoses included: 5 hypertrophic cardiomyopathy, 8 Wolff Parkinson White, 4 long QT syndrome, 3 atrial septal defect, 2 supraventricular tachycardia, and 3 other. MAIN OUTCOME MEASURES: Interviews were analyzed using consensual qualitative research (CQR) to identify domains, categories, and core ideas. RESULTS: Athletes progressed through 4 stages of psychological impact including: 1) immediate reactions and challenge to athlete identity, 2) grief/coping, 3) adaptation, and 4) acceptance. Risk factors for increased psychological morbidity included: higher level of competition, permanent disqualification from sports, persistent reminders (e.g. daily medication, monitoring heart rate during activity), and unanticipated outcomes (e.g. failed procedures). Those undergoing simple corrective procedures came to terms with their diagnosis quickly with little impact on daily life. Few athletes described emotional support mechanisms provided by medical programs. Diagnosis often led to new goals such as mentoring or coaching. All athletes diagnosed through advanced cardiovascular screening stated they would repeat the process. CONCLUSIONS AND RELEVANCE: Athletes diagnosed with cardiac disease represent an emotionally vulnerable population and experience 4 stages of psychological adjustment not previously described. This proposed model of psychological impact should be used to develop improved support mechanisms, awareness, and education to assist athletes diagnosed with serious or potentially lethal cardiac disease.

Competitive Cycling and Doping: Proposing a Functional Analysis Based on the Color Yellow.

The authors demonstrate in three experiments (N = 241) that yellow impacts on social perceptions when associated with competitive cycling. In Experiment 1, the image of a syringe evocated competitive cycling and doping more strongly when presented on yellow as compared with gray. In Experiment 2, a performance improvement scenario yielded more discredit of a depicted racer and higher suspicions of doping when ending on a yellow frame, as opposed to a gray one. In Experiment 3, the image of a racer wearing a yellow jersey (instead of a gray or a white one) yielded the lowest scores on measures of suitability as a role model and attractiveness of sport participation. Moreover, no significant differences emerged for gender, thereby suggesting equivalent effects for female and male participants. Finally, the authors discuss conceptual and practical implications as well as limitations before proposing a number of avenues for future research.

Bayesian structural equation modeling in sport and exercise psychology.

Bayesian statistics is on the rise in mainstream psychology, but applications in sport and exercise psychology research are scarce. In this article, the foundations of Bayesian analysis are introduced, and we will illustrate how to apply Bayesian structural equation modeling in a sport and exercise psychology setting. More specifically, we contrasted a confirmatory factor analysis on the Sport Motivation Scale II estimated with the most commonly used estimator, maximum likelihood, and a Bayesian approach with weakly informative priors for cross-loadings and correlated residuals. The results indicated that the model with Bayesian estimation and weakly informative priors provided a good fit to the data, whereas the model estimated with a maximum likelihood estimator did not produce a well-fitting model. The reasons for this discrepancy between maximum likelihood and Bayesian estimation are discussed as well as potential advantages and caveats with the Bayesian approach.

Psychological Preparation for Paralympic Athletes: A Preliminary Study.

Since the first Paralympics in 1960 there has been an increase in social and scientific interest in Paralympic athletes' personality, their preparation, and their sport results. During the last 20 yr, researchers and practitioners have been focused on psychological-skills programs for athletes with disabilities. The purpose of this article was to describe a psychological-preparation program for Israeli Paralympic athletes. Two subprograms, the learning-modification-application approach and the Simulation Training Exercise Program, were adapted to athletes' disability and sport demands. Two case studies, from table tennis and sailing (Sonar 3-person keelboat), are described to demonstrate how systematic sport psychology preparation can be effectively integrated into the training process of Paralympic athletes. Some recommendations for Paralympic athletes are presented.

Professional development of sport psychology practitioners: From systematic review to a model of development.

A clear model of professional development (PD) has the potential to enhance educational and training programs and promote effective, competent, and ethical practice. Scholars have explored facets of the PD of sport psychology practitioners (SPPs) using theoretical frameworks borrowed from counseling psychology. Yet, given the emergence of a sport-specific body of work on this topic, it appears timely to take stock of existing context-specific knowledge. In the present study, we aimed to systematically review the extant literature focused on SPP's PD to identify specific characteristics and organize this knowledge in an accessible and structured manner in the form of a process model of PD. Following the PRISMA guidelines, we identified 1147 research records in the databases SportDiscuss, PsychArticles, PsychInfo, ProQuest, and PubMed. We subsequently screened and assessed the records for eligibility (i.e., empirical studies published in English that focus on developmental characteristics of SPPs, including a clear developmental stage) reducing the sample of articles that fitted our inclusion criteria to 34 qualitative manuscripts. Finally, we critically explored these manuscripts by engaging in a reflexive thematic analysis and created four developmental phases (i.e., introduction, exploration, solidification, and fulfillment). SPPs' transition through these phases is seemingly facilitated by four processes (i.e., reflection, supervision, connections and networking with peers, and learning by doing), which also support the completion of the tasks associated with nine developmental elements (i.e., purpose, confidence and anxiety, focus, awareness, adaptability, independence, philosophy/congruence, professional identity, and the individual). We present the interaction of these developmental phases, elements, and processes in the form of a sport psychology-specific process model of PD. We discuss the implications of this model and its potential contribution to future research, supervision, and training programs. Yet, we also acknowledge how a focus on Anglophone and Western cultural contexts and a lack of methodological transparency are limitations of the extant literature.

Practitioners in search of an identity: A Delphi study of sport psychology professional identity.

The existence of a professional identity among sport psychology practitioners (SPPs) can increase ethical and effective practice while also leading to more satisfactory careers and advancing awareness of professional roles. There is currently no consensus regarding a sport psychology professional identity (SPPI), a definition of this construct, and the factors influencing it. As such, in the present study, we sought consensus on a definition of SPPI and aimed to identify associated factors. A multinational panel of 39 SPPs from 6 different continents participated in a 3-round Delphi study. The panelists in this study, who were recruited based on their applied and scholarly experiences, constructed a shared definition of SPPI as an individual's professional self-concept concerning their sense of belonging and fit within the sport psychology profession. Further, the panelists also constructed a list of factors supporting (n = 13; e.g., knowledge and philosophy of the profession, personal meaning) and hindering (n = 10; e.g., isolation, non-traditional roles, lack of practitioner-environment fit) the development of SPPI. Professional organizations might use these results to advance professional development and training by integrating them into curricula for qualification processes. A clear understanding of what SPPI is and the factors that foster and hinder its development can support practitioners' wellbeing and practice as well as raise public awareness of what is the sport psychology profession.