Personal qualities of effective sport psychologists: a sports physician perspective

Abstract Previous literature within applied sport psychology offers little detailed discussion regarding the personal qualities of sport psychology practitioners and the impact of these qualities on practice. This paper presents an exploration of the views of sport physicians regarding the personal characteristics and qualities of applied sport psychologists deemed necessary for effective practice. Five UK-based physicians and one Head of Medical Services, working in a range of elite and professional sports, were interviewed about their experience and perceptions of working with sport psychologists. The interview transcripts were content analysed and trustworthiness criteria applied. Four key themes emerged from the data, labelled ‘Personal qualities’, ‘Relationship Building’, ‘Professionalism in Practice’, and ‘Similarities between Psychologist and Physician’. The findings within each theme offered interesting insights into the impact of personal qualities on effective sport psychology practice. This study extends the existing literature on sport psychologists’ characteristics and effectiveness and offers new insights into their personal qualities and how these interact with the practice environment. The findings supported the growing emphasis within the field on the importance of the person behind the practitioner. Suggestions are offered with reference to the need to consider how literature from counselling psychology and medical training could assist the development of practice and education and training in sport psychology

The feasibility of following up prisoners, with mental health problems, after release: A pilot trial employing an innovative system, for engagement and retention in research, with a harder to engage population.

Abstract Background Following up released prisoners is demanding, particularly for those prisoners with mental health problems, for whom stigma and chaotic lifestyles are problematic. Measurement of mental health outcomes after release is challenging. To evaluate mental healthcare for offender populations, using high-quality randomised controlled trials, evidenced-based methods must be developed to engage them while in custody, to locate and re-interview them after release, and to collect potentially stigmatising mental health outcomes data. Methods We developed an initial theoretical model and operational procedures for collecting baseline and follow-up data informed by a literature search, focus groups, and case studies. Male prisoners from five prisons in two sites were invited to participate. The inclusion criteria included individuals who were above threshold on nine-item Patient Health Questionnaire, seven-item Generalized Anxiety Disorder, or post-traumatic stress disorder scales, or who had reported mental health problems in the past 2 years or had been assessed with a likely personality disorder. Potential participants were interviewed to generate baseline data and were re-contacted before their release. We then contacted them for a follow-up interview, which included repeating the earlier data collection measures 2–8 weeks after release. A qualitative formative process evaluation produced and refined a model procedure for the recruitment and retention of male prison leavers in trials, identified the mechanisms which promoted engagement and retention, and mapped these against a theoretical behaviour change model. Results We developed a flexible procedure which was successful in recruiting male prison leavers to a pilot trial: 185/243 (76%, 95% confidence interval (CI) 70–81%) of those approached agreed to participate. We also retained 63% (95% CI 54–71%) of those eligible to participate in a follow-up interview 2–8 weeks after release. Mental health outcomes data was collected at both these time points. Conclusions It is possible to design acceptable procedures to achieve sustained engagement critical for delivering and evaluating interventions in prison and in the community and to collect mental health outcomes data. These procedures may reduce attrition bias in future randomised controlled trials of mental health interventions for prison leavers. This procedure has been replicated and successfully delivered in a subsequent pilot trial and a definitive randomised controlled trial

Environmental flows - basics for novices

The term environmental flows has become widely used to define the hydrological regime required to sustain freshwater and estuarine ecosystems and the human livelihoods and well-being that depend on them. A large range of frameworks and methods has been developed to assess environmental flow needs and many authors have identified subtleties in the approaches needed for different situations and required outcomes. This article summaries some basic concepts that can assist those new to environmental flows to navigate the rapidly expanding plethora of information. It briefly covers key areas of setting objectives for river ecosystems, examining pressures that constrain reaching these objectives, the level of detail needed, implementation, and how future changes affect environmental flow assessments

“Leaps of faith”: parents' and professionals' viewpoints on preparing adolescents on the autism spectrum for leaving school

Adolescents on the autism spectrum experience difficulty transitioning from secondary school to post-school activities, often due to transition planning processes that do not meet their unique needs. This study identified parents' and professionals' viewpoints on transition planning for adolescents on the autism spectrum. Interviews were completed with nine parents of adolescents on the autism spectrum and four professionals who worked with adolescents on the autism spectrum. A constant comparison approach was used to analyse the transcripts. Four themes were identified, reflecting parents' and professionals' viewpoints on how to meet the transition planning needs of adolescents on the autism spectrum. Supporting adolescents to grasp the big picture can enhance motivation to participate in transition planning. Autism can be an ‘invisible disability’; therefore, encouraging adolescents to be active participants and to be seen in transition planning ensures their individual needs are met. Encouraging adolescents to have high aspirations in transition planning develops their self-determination. Finally, to be prepared for the transition from school may reduce the adolescent's' anxiety. Adolescents on the autism spectrum face unique challenges in transition planning. The themes identified in this study provide insight into how parents and professionals might support adolescents with these challenges

‘Concussion’ is not a true diagnosis

In current usage, ‘concussion’ describes a clinical presentation, but does not identify the underlying pathological process and therefore cannot be considered a true diagnosis. However, mounting evidence indicates diffuse axonal injury as a likely pathological substrate for concussion, thereby providing a framework to develop true diagnostic criteria

Pilot randomised controlled trial of the ENGAGER collaborative care intervention for prisoners with common mental health problems, near to and after release

BACKGROUND: Rates of common mental health problems are much higher in prison populations, but access to primary care mental health support falls short of community equivalence. Discontinuity of care on release is the norm and is further complicated by substance use and a range of social problems, e.g. homelessness. To address these problems, we worked with criminal justice, third sector social inclusion services, health services and people with lived experiences (peer researchers), to develop a complex collaborative care intervention aimed at supporting men with common mental health problems near to and following release from prison. This paper describes an external pilot trial to test the feasibility of a full randomised controlled trial. METHODS: Eligible individuals with 4 to 16 weeks left to serve were screened to assess for common mental health problems. Participants were then randomised at a ratio of 2:1 allocation to ENGAGER plus standard care (intervention) or standard care alone (treatment as usual). Participants were followed up at 1 and 3 months' post release. Success criteria for this pilot trial were to meet the recruitment target sample size of 60 participants, to follow up at least 50% of participants at 3 months' post release from prison, and to deliver the ENGAGER intervention. Estimates of recruitment and retention rates and 95% confidence intervals (CIs) are reported. Descriptive analyses included summaries (percentages or means) for participant demographics, and baseline characteristics are reported. RESULTS: Recruitment target was met with 60 participants randomised in 9 months. The average retention rates were 73% at 1 month [95% CI 61 to 83] and 47% at 3 months follow-up [95% CI 35 to 59]. Ninety percent of participants allocated to the intervention successfully engaged with a practitioner before release and 70% engaged following release. CONCLUSIONS: This pilot confirms the feasibility of conducting a randomised trial for prison leavers with common mental health problems. Based on this pilot study and some minor changes to the trial design and intervention, a full two-centre randomised trial assessing the clinical and cost-effectiveness of the ENGAGER intervention is currently underway

Suspended timber ground floors: measured heat loss compared with models

There are approximately 6.6 million dwellings in the UK built before 1919, predominantly constructed with suspended timber ground floors whose thermal performance has not been extensively investigated. The results are presented from an in-situ heat-flow measuring campaign conducted at 27 locations on a suspended timber ground floor, and the estimated whole-floor U-value compared with modelled results. Findings highlight a significant variability in heat flow, with increased heat loss near the external perimeter. In-situ measured-point U-values ranged from 0.54 ± 0.09 Wm−2 K−1, when away from the external wall perimeter, to nearly four times as high (2.04 ± 0.21 Wm−2 K−1) when near the perimeter. The results highlight the fact that observing only a few measurements is likely to bias any attempts to derive a whole-floor U-value, which was estimated to be 1.04 ± 0.12 Wm−2 K−1 and nearly twice that derived from current models. This raises questions about the validity of using such models in housing stock models to inform retrofit decision-making and space-heating-reduction interventions. If this disparity between models and measurements exists in the wider stock, a reappraisal of the performance of suspended timber ground floors and heat-loss-reduction potential through this element will be required to support the UK’s carbon-emission-reduction targets

Heat-flow variability of suspended timber ground floors: Implications for in-situ heat-flux measuring

Reducing space heating energy demand supports the UK’s legislated carbon emission reduction targets and requires the effective characterisation of the UK’s existing housing stock to facilitate retrofitting decision-making. Approximately 6.6 million UK dwellings pre-date 1919 and are predominantly of suspended timber ground floor construction, the thermal performance of which has not been extensively investigated. This paper examines suspended timber ground floor heat-flow by presenting high resolution in-situ heat-flux measurements undertaken in a case study house at 15 point locations on the floor. The results highlight significant variability in observed heat-flow: point U-values range from 0.56 ± 0.05 to 1.18 ± 0.11 Wm−2 K−1. This highlights that observing only a few measurements is unlikely to be representative of the whole floor heat-flow and the extrapolation from such point values to whole floor U-value estimates could lead to its over- or under- estimation. Floor U-value models appear to underestimate the actual measured floor U-value in this case study. This paper highlights the care with which in-situ heat-flux measuring must be undertaken to enable comparison with models, literature and between studies and the findings support the unique, high-resolution in-situ monitoring methodology used in this study for further research in this area

Systematic methodological review : developing a framework for a qualitative semi-structured interview guide

Aim: To produce a framework for the development of a qualitative semi-structured interview guide. Background: Rigorous data collection procedures fundamentally influence the results of studies. The semi-structured interview is a common data collection method, but methodological research on the development of a semi-structured interview guide is sparse. Design: Systematic methodological review. Data Sources: We searched PubMed, CINAHL, Scopus and Web of Science for methodological papers on semi-structured interview guides from October 2004 - September 2014. Having examined 2,703 titles and abstracts and 21 full texts, we finally selected ten papers. Review methods: We analysed the data using the qualitative content analysis method. Results: Our analysis resulted in new synthesized knowledge on the development of a semistructured interview guide, including five phases: 1) identifying the prerequisites for using semi-structured interviews; 2) retrieving and using previous knowledge; 3) formulating the preliminary semi-structured interview guide; 4) pilot testing the guide; and 5) presenting the complete semi-structured interview guide. Conclusion: Rigorous development of a qualitative semi-structured interview guide contributes to the objectivity and trustworthiness of studies and makes the results more plausible. Researchers should consider using this five-step process to develop a semistructured interview guide and justify the decisions made during it