Evolving the core product: Stakeholder’s perceptions of the NCAA wrestling season

During the past 25 years, athletics directors have made the decision to eliminate more than 130 National Collegiate Athletic Association (NCAA) wrestling programs (NCAA Sports Sponsorship, 2008). While many advocates of college wrestling in the United States have blamed Title IX for program eliminations, several scholars have illustrated that the attrition of men’s nonrevenue teams is instead due to the outlandish spending on men’s basketball and men’s football within athletic departments (Marburger & Hogshead-Makar, 2003, Zimbalist, 2003). With the economic challenges and the “arms race” occurring at the Division I level, it is imperative for college wrestling to develop strategies to ensure that each of its programs are self-sustainable in future years. The purpose of the study was to survey stakeholders of intercollegiate wrestling (coaches [N = 77], consumers [N = 954], officials [N =29], and student-athletes [N = 279]) to identify potential strategies to enhance the quality of the college wrestling product. In addition to several critical suggestions discussed in the article, stakeholders unanimously supported an adjustment in the college wrestling post-season to avoid March Madness (M = 4.95; SD = 1.23) and the high school wrestling state championships (M = 4.43; SD = 1.41)

Maximizing Organizational Effectiveness: NCAA Division III Administrator Core Values and Departmental Culturization

The purpose of this study was to explore Division III athletic administrator perceptions of organizational values through a lens of core value culturalization literature. Survey methodology was utilized to garner responses from 192 Division III head athletic directors [n = 75] and lower level (senior, associate, or assistant) athletic directors [n = 117]. Cumulative administrator emphasis on the “student-athlete experience” and “academic excellence” as top priorities demonstrates support that the mission of these Division III departments is to provide student-athletes with a high quality educational experience both in the classroom and in athletic competition (NCAA Division III, 2011). Analysis of lower-level administrator responses and open-ended responses, however, reveal insight into the lack of value-culturalization within the departments in this sample. The significant differences between athletic directors and lower- level administrators on all but four of the core values point toward an internal disparity in shared values. In order to fully maximize the educational potential of intercollegiate athletics, further concentrated efforts need to be made to imbed these values into the daily processes of these Division III organizations

An Examination of Administrators’ Nonrevenue, Olympic Program Values within NCAA Athletic Departments

The presence of the arms race in intercollegiate athletics has led to extensive spending on major, revenue-producing sports (Knight Commission, 2004). Despite the fact that only a handful of men’s basketball and football programs produce profits (NCAA, 2009), administrators continue to embrace a commercial model that has coincided with the elimination of nonrevenue, Olympic sports in National Collegiate Athletic Association (NCAA) athletic departments. With this in mind, the purpose of the study was to gain an understanding of the nonrevenue, Olympic program elements that were most highly valued by NCAA Division I, II, and III athletic administrators (N = 435) to facilitate an effort to develop strategic measures to counter program discontinuation. Despite small differences in divisional responses, the results supported the existence of institutional isomorphism when unified program values (e.g., academics, conduct, community involvement) were consistent across all NCAA divisions

Strategies Implemented by Top NCAA Olympic Coaches to Enhance Support Surrounding Their Programs

A shift in institutional priorities related to profit maximization in “big time” sport programs (men’s basketball and football) has led to the elimination of many men’s Olympic sport programs (Ridpath, Yiamouyiannis, Lawrence, & Galles, 2009). As previous literature has demonstrated, coaches can work toward minimizing elimination decisions by raising money that will limit the financial burden of their program on the athletic department (Weight, 2010). Thus, the purpose of the study was to explore fund-raising practices of top NCAA Division I wrestling coaches (N = 10) to determine strategies that programs can implement to encourage sustainability initiatives. Following the identification of top coaches, respondents were interviewed to determine factors for giving and the best practices being implemented in the field. The interviews were coded and analyzed for common themes. These themes and their subcategories are discussed to provide a foundation for coaches to implement fund-raising initiatives of their own

Social relationships and the risk of incident heart failure: results from a prospective population-based study of older men

Aims: Limited social relationships, particularly in older adults, have been implicated as a risk factor for cardiovascular disease. However, little is known about the associations between poor social relationships and heart failure incidence. Methods and results: Prospective study of socially representative men aged 60-79 years drawn from general practices in 24 British towns and followed up for a maximum of 18 years. A total of 3698 participants with no previous diagnosis of heart failure were included. Information on social relationships was based on a combination of marital status, living circumstances, and social contacts with friends and family. These provided information on contact frequency, contact satisfaction, and a social relationship score (low to high) combining frequency and satisfaction with contact. Heart failure included both incidents non-fatal heart failure and death from heart failure. Among 3698 participants, 330 developed heart failure. Men with low compared to high frequency of contact with family and friends had an increased risk of incident heart failure [hazard ratio (HR) 1.59, 95% confidence interval (CI) 1.15-2.18]; this remained statistically significant after adjustment for social class, behavioural, and biological risk factors. Low compared to high scores for satisfaction with contacts was associated with increased risk of heart failure (adjusted HR = 1.54; 95% CI 1.14-2.07). Lower social relationship scores (combining frequency and satisfaction with contact) were associated with greater risk of incident heart failure (adjusted HR = 1.38, 95% CI 1.02-1.87). Marital status and living alone were not significantly associated with heart failure. Conclusion: Weaker social relationships appear to increase the risk of developing heart failure in older age. Further research is needed to investigate pathways underlying these associations and to test whether interventions to strengthen social relationships can reduce the risk of heart failure

Social relationships and the risk of incident heart failure: results from a prospective population-based study of older men.

Aims: Limited social relationships, particularly in older adults, have been implicated as a risk factor for cardiovascular disease. However, little is known about the associations between poor social relationships and heart failure incidence. Methods and results: Prospective study of socially representative men aged 60-79 years drawn from general practices in 24 British towns and followed up for a maximum of 18 years. A total of 3698 participants with no previous diagnosis of heart failure were included. Information on social relationships was based on a combination of marital status, living circumstances, and social contacts with friends and family. These provided information on contact frequency, contact satisfaction, and a social relationship score (low to high) combining frequency and satisfaction with contact. Heart failure included both incidents non-fatal heart failure and death from heart failure. Among 3698 participants, 330 developed heart failure. Men with low compared to high frequency of contact with family and friends had an increased risk of incident heart failure [hazard ratio (HR) 1.59, 95% confidence interval (CI) 1.15-2.18]; this remained statistically significant after adjustment for social class, behavioural, and biological risk factors. Low compared to high scores for satisfaction with contacts was associated with increased risk of heart failure (adjusted HR = 1.54; 95% CI 1.14-2.07). Lower social relationship scores (combining frequency and satisfaction with contact) were associated with greater risk of incident heart failure (adjusted HR = 1.38, 95% CI 1.02-1.87). Marital status and living alone were not significantly associated with heart failure. Conclusion: Weaker social relationships appear to increase the risk of developing heart failure in older age. Further research is needed to investigate pathways underlying these associations and to test whether interventions to strengthen social relationships can reduce the risk of heart failure

Second primary cancer risk - the impact of applying different definitions of multiple primaries: results from a retrospective population-based cancer registry study

Background: There is evidence that cancer survivors are at increased risk of second primary cancers. Changes in the prevalence of risk factors and diagnostic techniques may have affected more recent risks.<p></p> Methods: We examined the incidence of second primary cancer among adults in the West of Scotland, UK, diagnosed with cancer between 2000 and 2004 (n = 57,393). We used National Cancer Institute Surveillance Epidemiology and End Results and International Agency for Research on Cancer definitions of multiple primary cancers and estimated indirectly standardised incidence ratios (SIR) with 95% confidence intervals (CI).<p></p> Results: There was a high incidence of cancer during the first 60 days following diagnosis (SIR = 2.36, 95% CI = 2.12 to 2.63). When this period was excluded the risk was not raised, but it was high for some patient groups; in particular women aged <50 years with breast cancer (SIR = 2.13, 95% CI = 1.58 to 2.78), patients with bladder (SIR = 1.41, 95% CI = 1.19 to 1.67) and head & neck (SIR = 1.93, 95% CI = 1.67 to 2.21) cancer. Head & neck cancer patients had increased risks of lung cancer (SIR = 3.75, 95% CI = 3.01 to 4.62), oesophageal (SIR = 4.62, 95% CI = 2.73 to 7.29) and other head & neck tumours (SIR = 6.10, 95% CI = 4.17 to 8.61). Patients with bladder cancer had raised risks of lung (SIR = 2.18, 95% CI = 1.62 to 2.88) and prostate (SIR = 2.41, 95% CI = 1.72 to 3.30) cancer.<p></p> Conclusions: Relative risks of second primary cancers may be smaller than previously reported. Premenopausal women with breast cancer and patients with malignant melanomas, bladder and head & neck cancers may benefit from increased surveillance and advice to avoid known risk factors

Exploring Interventions to Improve the Oral Health and Related Health Behaviours of Adults Experiencing Severe and Multiple Disadvantage: Protocol for a Qualitative Study with Stakeholders

The number of individuals in England experiencing homelessness, substance use, and involvement with the criminal justice system is increasing. These issues, referred to as severe and multiple disadvantage (SMD), are often interlinked and co-occur. Health inequalities, particularly poor oral health, persist for those facing these inter-related issues and are closely linked with high levels of substance use, smoking, and poor diet. However, evidence for interventions that can improve these health outcomes for those experiencing these issues is limited. This paper outlines the design of a qualitative study which aims to explore the perspectives of stakeholders to understand what interventions can help to support SMD groups with their oral health and related health behaviours (i.e., substance use, smoking, diet). Interviews and focus groups will be undertaken with stakeholders comprising two groups: (1) individuals with experience of SMD, and (2) service providers (staff and volunteers), policy makers, and commissioners who support such individuals. Public involvement and engagement is central to the project. For example, stakeholders and research partners in policy and practice and people with lived experience of SMD will provide input at all stages of this study. Findings from the study will inform an ‘evidence for practice’ briefing outlining recommendations for policy. Dissemination will occur through presentations to a range of practice, policy and academic beneficiaries, and through peer-reviewed publications

Investigating the effectiveness and acceptability of oral health and related health behaviour interventions in adults with severe and multiple disadvantage: Protocol for a mixed-methods systematic review

Increasing numbers of people in England experience homelessness, substance use, and repeated offending (known as ‘severe and multiple disadvantage’; SMD). Populations experiencing SMD often have extremely poor oral health, which is closely inter-linked with high levels of substance use, smoking, and poor diet. This study aims to undertake an evidence synthesis to identify the effectiveness, resource requirements, and factors influencing the implementation and acceptability of oral health and related health behaviour interventions in adults experiencing SMD. Two systematic reviews will be conducted using mixed-methods. Review 1 will investigate the effectiveness and resource implications of oral health and related health behaviours (substance use, smoking, diet) interventions; Review 2 will investigate factors influencing the implementation of such interventions. The population includes adults (≥18 years) experiencing SMD. Standard review methods in terms of searches, screening, data extraction, and quality appraisal will be conducted. Narrative syntheses will be conducted. If feasible, a meta-analysis will be conducted for Review 1 and a thematic synthesis for Review 2. Evidence from the two reviews will then be synthesised together. Input from people with experience of SMD will be sought throughout to inform the reviews. An initial logic model will be iteratively refined during the review