Inspiring IDEA: Girls on the Run's developmental approach to and assessment of inclusion, diversity, equity, and access programming.

Introduction: Evaluation studies of positive youth development (PYD) programs show promising impact on children's psychosocial and behavioral outcomes, but less is known about how programming affects youth of varying racial, ethnic, and cultural identities. Girls on the Run, a physical activity-based PYD program, has developed curricula and coach training with a lens toward inclusion, diversity, equity, and access (IDEA). The purpose of this study was to assess the program's effectiveness in achieving IDEA programming goals. Methods: Surveys were completed by youth (n = 342), caregivers (n = 2,375), and coaches (n = 1,406), and focus groups/interviews were conducted with 12 youth, 20 caregivers, and 9 coaches, diverse in race, ethnicity, ability, and other identities. Survey and focus group/interview questions addressed participants' thoughts and experiences regarding inclusion, diversity, equity, andaccess in Girls on the Run. Results: Quantitative analyses of survey responses revealed favorable responses by all groups that the program: (a) provides a safe, inclusive, and supportive climate for all youth; (b) consists of teams with racially and ethnically diverse backgrounds; and, (c) successfully engages in strategies to reduce barriers to participation. Qualitative analyses of focus group/interview data resulted in 5 higher-order themes: (a) positive sentiments by girls, caregivers, and coaches; (b) social justice in the curriculum; (c) access to programming; (d) considerations regarding racial diversity; and, (e) serving gender-diverse participants. Discussion: Collective findings characterized Girls on the Run as successful in meeting its pledge toward inclusion, diversity, equity, and access to participation. All groups recognized the program's positive impact on girls' social and emotional learning and fostering an atmosphere of community connectedness. Curricular lessons and coach training align with evidence based strategies for inclusive and equitable programming, which can serve as an exemplar for other out-of-school-time programs.

COVID-19 deaths: Which explanatory variables matter the most?

More than a year since the appearance of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), many questions about the disease COVID-19 have been answered; however, many more remain poorly understood. Although the situation continues to evolve, it is crucial to understand what factors may be driving transmission through different populations, both for potential future waves, as well as the implications for future pandemics. In this report, we compiled a database of more than 28 potentially explanatory variables for each of the 50 U.S. states through early May 2020. Using a combination of traditional statistical and modern machine learning approaches, we identified those variables that were the most statistically significant, and, those that were the most important. These variables were chosen to be fiduciaries of a range of possible drivers for COVID-19 deaths in the USA. We found that population-weighted population density (PWPD), some "stay at home" metrics, monthly temperature and precipitation, race/ethnicity, and chronic low-respiratory death rate, were all statistically significant. Of these, PWPD and mobility metrics dominated. This suggests that the biggest impact on COVID-19 deaths was, at least initially, a function of where you lived, and not what you did. However, clearly, increasing social distancing has the net effect of (at least temporarily) reducing the effective PWPD. Our results strongly support the idea that the loosening of "lock-down" orders should be tailored to the local PWPD. In contrast to these variables, while still statistically significant, race/ethnicity, health, and climate effects could only account for a few percent of the variability in deaths. Where associations were anticipated but were not found, we discuss how limitations in the parameters chosen may mask a contribution that might otherwise be present.

"A Piece of Sanity in the Midst of Insane Times": Girls on the Run Programming to Promote Physical Activity and Psychosocial Well-Being During the COVID-19 Pandemic.

Afterschool programs have the potential to promote social, emotional, and physical health outcomes among youth participants. The positive youth development (PYD) framework argues that acquiring desirable attitudes and behaviors occurs when skill-building opportunities are explicitly provided within a safe and supportive climate guided by caring, competent, and compassionate instructors. Girls on the Run (GOTR) is a PYD program that uses running, motor skills, and other physical activities as a platform for promoting positive psychosocial outcomes and life skills learning among elementary- and middle school-aged girls. The onset of the COVID-19 pandemic challenged GOTR to modify lessons, coach training, and program delivery (in-person, virtual, or hybrid) to accommodate public health guidelines. The purpose of this study was to assess caregivers' and coaches' perceptions of program effectiveness in light of these changes. Following the Fall 2020 season, caregivers (n = 1,617) and coaches (n = 991) from 1,077 teams and 39 councils completed an online survey about program experiences. Both stakeholder groups positively rated program impact regardless of delivery mode, although in-person mode was rated higher for satisfaction with the end-of-season event. Thematic analysis of open-ended responses revealed that caregivers and coaches identified increased physical activity opportunities and life skills learning as well as improved social, psychological, and emotional development as a result of participating. Both stakeholders noted GOTR provided a sense of normalcy during this time of great need. Findings using mixed methods provide evidence of program effectiveness and recommendations for youth programming during challenging times.

Shoulder Rehabilitation Protocol and Equipment Fit Recommendations for the Wheelchair Sport Athlete With Shoulder Pain.

Shoulder injuries in wheelchair sport athletes is the most commonly reported injury site and can directly impact not only sport performance, but everyday function and mobility. There is abundant research on shoulder rehabilitation for able bodied athletes, but minimal specifically related to wheelchair sport athletes. The purpose of this paper is to outline an exercise protocol and wheelchair sport equipment fit guidelines based off current research and expert opinion. Further research is needed on the effectiveness of a wheelchair athlete specific shoulder rehabilitation protocol, and biomechanical analysis of ideal wheelchair sport equipment fit to reduce shoulder injury and optimize performance.

Exploring the impact of a summer sport-based youth development program.

The purpose of this study was to examine the benefits of youth participation in a sport-based youth development summer program, the National Youth Sport Program (NYSP). This study also identified areas of programmatic strength within the program, as well as areas for improvement. 193 participants in NYSP completed a pre- and post-test that assessed belonging, social competence, athletic competence, and competence related to eight specific sports. Significant improvements in perceptions of overall athletic competence and competence related to five specific sports were found. Although perceptions of social competence and belonging increased from pre-to-post test, findings were not statistically significant. Site observations resulted in the identification of strengths and areas that also inform areas for programmatic improvement. Implications for the design, implementation, and evaluation of sport-based youth development programs are discussed.