A qualitative study investigating the sources of teacher efficacy beliefs

A teacher’s efficacy beliefs have been found to influence their professional commitment (Coladarci, 1992; Ware and Kitsantas, 2007, 2011; Klassen et al., 2013), their job satisfaction (Caprara et al., 2006, Hoigaard et al., 2012) and how resilient they are in difficult situations (Ashton and Webb, 1986), as well as influencing student achievement and teaching performance (Armor et al., 1976; Caprara et al, 2006; Klassen and Tze, 2014). Bandura (1997) has suggested that self-efficacy beliefs are formed from four sources: enactive mastery experiences, vicarious experiences, verbal persuasion and physiological and affective states. Considering the potential importance of developing positive teacher efficacy cognitions, there has been a lack of research investigating the sources of teacher efficacy beliefs (Henson, 2002; Klassen et al, 2011). This study used a constructivist grounded theory method to investigate the sources of teachers’ efficacy beliefs, a method that has not been employed by other researchers in this area. The use of a social constructivist framework (Charmaz, 2006), with its focus on processes and the creation of knowledge through interaction, reflected my belief that my own experiences as a teacher may influence the interpretation of the data. In this study, 18 interviews were conducted with teachers in a secondary school in Essex. Teachers appeared to use a variety of sources to validate their efficacy beliefs. In contrast to Bandura’s (1997) theory about the sources of self-efficacy beliefs suggesting mastery experiences as the most important, verbal persuasion in the form of lesson observation feedback appeared to be a particularly salient source for teachers in this study. The study suggests that this may be due to the increasing accountability culture in English schools. The study contributes to our understanding of how teacher efficacy beliefs are influenced by contextual factors, in particular the influence of government agendas, and suggests some implications for school leaders and areas for future research

Implementation of multimodal computed tomography in a telestroke network : five-year experience

Aims: Penumbral selection is best-evidence practice for thrombectomy in the 6-24 hour window. Moreover, it helps to identify the best responders to thrombolysis. Multimodal computed tomography (mCT) at the primary centre—including noncontrast CT, CT perfusion, and CT angiography—may enhance reperfusion therapy decision-making. We developed a network with five spoke primary stroke sites and assessed safety, feasibility, and influence of mCT in rural hospitals on decision-making for thrombolysis. Methods: Consecutive patients assessed via telemedicine from April 2013 to June 2018. Clinical outcomes were measured, and decision-making compared using theoretical models for reperfusion therapy applied without mCT guidance. Symptomatic intracranial hemorrhage (sICH) was assessed according to Safe Implementation of Treatments in Stroke Thrombolysis Registry criteria. Results: A total of 334 patients were assessed, 240 received mCT, 58 were thrombolysed (24.2%). The mean age of thrombolysed patients was 70 years, median baseline National Institutes of Health Stroke Scale was 10 (IQR 7-18) and 23 (39.7%) had a large vessel occlusion. 1.7% had sICH and 3.5% parenchymal hematoma. Three months poststroke, 55% were independent, compared with 70% in the non-thrombolysed group. Conclusion: Implementation of CTP in rural centers was feasible and led to high thrombolysis rates with low rates of sICH. © 2019 The Authors. CNS Neuroscience & Therapeutics Published by John Wiley & Sons Ltd

Sleep quantity and quality during consecutive day heat training with the inclusion of cold-water immersion recovery

Exercise in the heat is a common occurrence among athletes and often is intentional in order to gain heat acclimation benefits, however, little is known about how such training may affect sleep. Therefore, this study investigated five days of training in the heat of varying intensity and duration and inclusion of cold-water immersion (CWI) recovery on sleep quantity and quality. Thirty recreationally-trained male participants completed five days of heat training (HT) and were randomised into three interventions including (i) 90 min cycling at 40% power at maximal aerobic capacity (Pmax) with 15 min passive recovery (90HT); (ii) 90 min cycling at 40% Pmax with 15 min CWI recovery (90CWI); or (iii) 30 min cycling alternating between 40% and 70% Pmax, with 15 min passive recovery (30HT). Sleep quality and quantity were assessed using Actigraphy and sleep diaries during five baseline nights (BASE) and five nights of HT which included subjective sleep quality and objective assessments of sleep quantity and quality. Total time asleep and perceived sleep quality were reduced, while awake duration and wake after sleep onset (WASO) were increased (p = 0.001–0.01) during HT compared to BASE. Latency was shorter for 30HT compared to 90HT during HT (p = 0.02), however, no differences between interventions for all other sleep variables (p > 0.05). The reduction in total sleep time due to increases in average wake duration during HT may be due to the unaccustomed increased in training frequency. Of note, reducing training in the heat duration per day improved sleep latency and sleep quality with no effect on total sleep time, while the addition of CWI has minimal effect on sleep quality or quantity

The effect of high versus low intensity heat acclimation on performance and neuromuscular responses

This study examined the effect of exercise intensity and duration during 5-day heat acclimation (HA) on\ud cycling performance and neuromuscular responses. 20 recreationally trained males completed a ‘baseline’ trial\ud followed by 5 consecutive days HA, and a ‘post-acclimation’ trial. Baseline and post-acclimation trials consisted of maximal voluntary contractions (MVC), a single and repeated countermovement jump protocol,\ud 20 km cycling time trial(TT) and 5x6 s maximal sprints (SPR). Cycling trials were undertaken in 33.0 ±\ud 0.8 °C and 60 ± 3% relative humidity.Core(Tcore), and skin temperatures (Tskin), heart rate (HR), rating of\ud perceived exertion (RPE) and thermal sensation were recorded throughout cycling trials. Participants were\ud assigned to either 30 min high-intensity (30HI) or 90 min low-intensity (90LI) cohorts for HA, conducted in\ud environmental conditions of 32.0 ± 1.6 °C. Percentage change time to complete the 20 km TT for the 90LI cohort was significantly improved post-acclimation(-5.9 ± 7.0%; P=0.04) compared to the 30HI cohort (-0.18 ± 3.9%; P<0.05). The 30HI cohort showed greatest improvements in power output (PO) during post-acclimation SPR1 and 2 compared to 90LI (546 ± 128 W and 517 ± 87 W,respectively; P<0.02). No\ud differences were evident for MVC within 30HI cohort, however, a reduced performance indicated by % change\ud within the 90LI (P=0.04). Compared to baseline, mean Tcore was reduced post-acclimation within the 30HI cohort (P=0.05) while mean Tcore and HR were significantly reduced within the 90LI cohort (P=0.01 and 0.04, respectively). Greater physiological adaptations and performance improvements were noted within the 90LI cohort compared to the 30HI. However, 30HI did provide some benefit to anaerobic performance including sprint PO and MVC. These findings suggest specifying training duration and intensity during heat acclimation may be useful for specific post-acclimation performance

Sleep quantity and quality during heat-based training and the effects of cold-water immersion recovery

- Introduction Heat-based training (HT) is becoming increasingly popular as a means of inducing acclimation before athletic competition in hot conditions and/or to augment the training impulse beyond that achieved in thermo-neutral conditions. Importantly, current understanding of the effects of HT on regenerative processes such as sleep and the interactions with common recovery interventions remain unknown. This study aimed to examine sleep characteristics during five consecutive days of training in the heat with the inclusion of cold-water immersion (CWI) compared to baseline sleep patterns. - Methods Thirty recreationally-trained males completed HT in 32 ± 1 °C and 60% rh for five consecutive days. Conditions included: 1) 90 min cycling at 40 % power at VO2max (Pmax) (90CONT; n = 10); 90 min cycling at 40 % Pmax with a 20 min CWI (14 ± 1 °C; 90CWI; n = 10); and 30 min cycling alternating between 40 and 70 % Pmax every 3 min, with no recovery intervention (30HIT; n = 10). Sleep quality and quantity was assessed during HT and four nights of 'baseline' sleep (BASE). Actigraphy provided measures of time in and out of bed, sleep latency, efficiency, total time in bed and total time asleep, wake after sleep onset, number of awakenings, and wakening duration. Subjective ratings of sleep were also recorded using a 1-5 Likert scale. Repeated measures analysis of variance (ANOVA) was completed to determine effect of time and condition on sleep quality and quantity. Cohen's d effect sizes were also applied to determine magnitude and trends in the data. - Results Sleep latency, efficiency, total time in bed and number of awakenings were not significantly different between BASE and HT (P > 0.05). However, total time asleep was significantly reduced (P = 0.01; d = 1.46) and the duration periods of wakefulness after sleep onset was significantly greater during HT compared with BASE (P = 0.001; d = 1.14). Comparison between training groups showed latency was significantly higher for the 30HIT group compared to 90CONT (P = 0.02; d = 1.33). Nevertheless, there were no differences between training groups for sleep efficiency, total time in bed or asleep, wake after sleep onset, number of awakenings or awake duration (P > 0.05). Further, cold-water immersion recovery had no significant effect on sleep characteristics (P > 0.05). - Discussion Sleep plays an important role in athletic recovery and has previously been demonstrated to be influenced by both exercise training and thermal strain. Present data highlight the effect of HT on reduced sleep quality, specifically reducing total time asleep due to longer duration awake during awakenings after sleep onset. Importantly, although cold water recovery accelerates the removal of thermal load, this intervention did not blunt the negative effects of HT on sleep characteristics. - Conclusion Training in hot conditions may reduce both sleep quantity and quality and should be taken into consideration when administering this training intervention in the field

Implementation of multimodal computed tomography in a telestroke network: Five-year experience

AIMS: Penumbral selection is best-evidence practice for thrombectomy in the 6-24 hour window. Moreover, it helps to identify the best responders to thrombolysis. Multimodal computed tomography (mCT) at the primary centre-including noncontrast CT, CT perfusion, and CT angiography-may enhance reperfusion therapy decision-making. We developed a network with five spoke primary stroke sites and assessed safety, feasibility, and influence of mCT in rural hospitals on decision-making for thrombolysis. METHODS: Consecutive patients assessed via telemedicine from April 2013 to June 2018. Clinical outcomes were measured, and decision-making compared using theoretical models for reperfusion therapy applied without mCT guidance. Symptomatic intracranial hemorrhage (sICH) was assessed according to Safe Implementation of Treatments in Stroke Thrombolysis Registry criteria. RESULTS: A total of 334 patients were assessed, 240 received mCT, 58 were thrombolysed (24.2%). The mean age of thrombolysed patients was 70 years, median baseline National Institutes of Health Stroke Scale was 10 (IQR 7-18) and 23 (39.7%) had a large vessel occlusion. 1.7% had sICH and 3.5% parenchymal hematoma. Three months poststroke, 55% were independent, compared with 70% in the non-thrombolysed group. CONCLUSION: Implementation of CTP in rural centers was feasible and led to high thrombolysis rates with low rates of sICH.status: publishe