The Development and Initial Validation of a Measure of Coaching Behaviors in a Sample of Soldiers Under Training

In this article we outline a model of coaching that is conceptually grounded in workplace and sport coaching literature and present 2 studies conducted to test this model: the extent that coaching behaviors are present in a military training setting, and their association with performance-related outcomes. Following an extensive review of literature and rigorous development and validation procedures the 28-item Military Coaching Behavior Scale was tested. The measure showed good content and predictive validity for 2 dependent variables (satisfaction and resilience). We concluded that the Military Coaching Behavior Scale offers a psychometrically sound, brief, and easy-to-administer measure of high-performance coaching behavior

Urban Area Disadvantage and Under-5 Mortality in Nigeria: The Effect of Rapid Urbanization

Background: Living in socioeconomically disadvantaged areas is associated with increased -childhood mortality risks. As city living becomes the predominant social context in low- and middle-income countries, the resulting rapid urbanization together with the poor economic circumstances of these countries greatly increases the risks of mortality for children < 5 years of age (under-5 mortality). Objective: In this study we examined the trends in urban population growth and urban under-5 mortality between 1983 and 2003 in Nigeria. We assessed whether urban area socioeconomic dis-advantage has an impact on under-5 mortality. Methods: Urban under-5 mortality rates were directly estimated from the 1990, 1999, and 2003 Nigeria Demographic and Health Surveys. Multilevel logistic regression analysis was performed on data for 2,118 children nested within data for 1,350 mothers, who were in turn nested within data for 165 communities. Results: Urban under-5 mortality increased as urban population steadily increased between 1983 and 2003. Urban area disadvantage was significantly associated with under-5 mortality after adjusting for individual child- and mother-level demographic and socioeconomic characteristics. Conclusions: Significant relative risks of under-5 deaths at both individual and community levels underscore the need for interventions tailored toward community- and individual-level inter-ventions. We stress the need for further studies on community-level determinants of under-5 mortality in disadvantaged urban areas

Inequitable childhood immunization uptake in Nigeria: a multilevel analysis of individual and contextual determinants

Background: Immunization coverage in many parts of Nigeria is far from optimal, and far from equitable. Nigeria accounts for half of the deaths from Measles in Africa, the highest prevalence of circulating wild poliovirus in the world, and the country is among the ten countries in the world with vaccine coverage below 50 percent. Studies focusing on community-level determinants therefore have serious policy implications Methods: Multilevel multivariable regression analysis was used on a nationally-representative sample of women aged 15-49 years from the 2003 Nigeria Demographic and Health Survey. Multilevel regression analysis was performed with children (level 1) nested within mothers (level 2), who were in turn nested within communities (level 3). Results: Results show that the pattern of full immunization clusters within families and communities, and that socio-economic characteristics are important in explaining the differentials in full immunization among the children in the study. At the individual level, ethnicity, mothers' occupation, and mothers' household wealth were characteristics of the mothers associated with full immunization of the children. At the community level, the proportion of mothers that had hospital delivery was a determinant of full immunization status. Conclusion: Significant community-level variation remaining after having controlled for child- and mother-level characteristics is indicative of a need for further research on community-levels factors, which would enable extensive tailoring of community-level interventions aimed at improving full immunization and other child health outcomes

The impact of a brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial)

BackgroundThe risk factors for chronic disease, smoking, poor nutrition, hazardous alcohol consumption, physical inactivity and weight (SNAPW) are common in primary health care (PHC) affording opportunity for preventive interventions. Community nurses are an important component of PHC in Australia. However there has been little research evaluating the effectiveness of lifestyle interventions in routine community nursing practice. This study aimed to address this gap in our knowledge.MethodsThe study was a quasi-experimental trial involving four generalist community nursing (CN) services in New South Wales, Australia. Two services were randomly allocated to an &lsquo;early intervention&rsquo; and two to a &lsquo;late intervention&rsquo; group. Nurses in the early intervention group received training and support in identifying risk factors and offering brief lifestyle intervention for clients. Those in the late intervention group provided usual care for the first 6 months and then received training. Clients aged 30&ndash;80 years who were referred to the services between September 2009 and September 2010 were recruited prior to being seen by the nurse and baseline self-reported data collected. Data on their SNAPW risk factors, readiness to change these behaviours and advice and referral received about their risk factors in the previous 3 months were collected at baseline, 3 and 6 months. Analysis compared changes using univariate and multilevel regression techniques.Results804 participants were recruited from 2361 (34.1%) eligible clients. The proportion of clients who recalled receiving dietary or physical activity advice increased between baseline and 3 months in the early intervention group (from 12.9 to 23.3% and 12.3 to 19.1% respectively) as did the proportion who recalled being referred for dietary or physical activity interventions (from 9.5 to 15.6% and 5.8 to 21.0% respectively). There was no change in the late intervention group. There a shift towards greater readiness to change in those who were physically inactive in the early but not the comparison group. Clients in both groups reported being more physically active and eating more fruit and vegetables but there were no significant differences between groups at 6 months.ConclusionThe study demonstrated that although the intervention was associated with increases in advice and referral for diet or physical activity and readiness for change in physical activity, this did not translate into significant changes in lifestyle behaviours or weight. This suggests a need to facilitate referral to more intensive long-term interventions for clients with risk factors identified by primary health care nurses

The effect of perceived psychological need support on amotivation in physical education

This is the accepted version of an article subsequently published in the journal, European Physical Education Review. The definitive version is available at: http://dx.doi.org/10.1177/1356336X15591341.Physical educators have a responsibility to create a learning environment that is viewed as supportive of students’ psychological needs and which helps reduce amotivation. The aim of the current study was to examine the effects of students’ perceived need support on four dimensions of amotivation in physical education (PE) (deficiency in ability beliefs, deficiency in effort beliefs, insufficient task values and unappealing task characteristics). A longitudinal design was employed with three assessment points over a 6-week unit of work in cricket. Surveys were conducted with 162 boys (mean age ¼ 14 years, SD ¼ 0.87) over three consecutive PE lessons in weeks one, three and five. At the start of the study, multilevel modelling analyses showed all three types of perceived need support negatively predicted unappealing task characteristics and insufficient task values. Over time, perceived autonomy, competence and relatedness support negatively predicted change in unappealing task characteristics but did not significantly predict change in deficiency in ability beliefs, deficiency in effort beliefs and insufficient task values. Overall, the findings suggest that if students perceive their teacher to provide inadequate support for their basic psychological needs, PE tasks become less appealing over time, thus reinforcing the importance of teachers in ameliorating the development of specific amotivated behaviours in PE