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Objective: There is evidence that complex relationships exist between motor functions, brain structure, and cognitive functions, particularly in the aging population. However, whether such relationships observed in older adults could extend to other age groups (e.g., younger adults) remains to be elucidated. Thus, the current study addressed this gap in the literature by investigating potential associations between motor functions, brain structure, and cognitive functions in a large cohort of young adults. Methods: In the current study, data from 910 participants (22-35 yr) were retrieved from the Human Connectome Project. Interactions between motor functions (i.e., cardiorespiratory fitness, gait speed, hand dexterity, and handgrip strength), brain structure (i.e., cortical thickness, surface area, and subcortical volumes), and cognitive functions were examined using linear mixed-effects models and mediation analyses. The performance of different machine-learning classifiers to discriminate young adults at three different levels (related to each motor function) was compared. Results: Cardiorespiratory fitness and hand dexterity were positively associated with fluid and crystallized intelligence in young adults, whereas gait speed and handgrip strength were correlated with specific measures of fluid intelligence (e.g., inhibitory control, flexibility, sustained attention, and spatial orientation; false discovery rate [FDR] corrected, p < 0.05). The relationships between cardiorespiratory fitness and domains of cognitive function were mediated by surface area and cortical volume in regions involved in the default mode, sensorimotor, and limbic networks (FDR corrected, p < 0.05). Associations between handgrip strength and fluid intelligence were mediated by surface area and volume in regions involved in the salience and limbic networks (FDR corrected, p < 0.05). Four machine-learning classifiers with feature importance ranking were built to discriminate young adults with different levels of cardiorespiratory fitness (random forest), gait speed, hand dexterity (support vector machine with the radial kernel), and handgrip strength (artificial neural network). Conclusions: In summary, similar to observations in older adults, the current study provides empirical evidence (i) that motor functions in young adults are positively related to specific measures of cognitive functions, and (ii) that such relationships are at least partially mediated by distinct brain structures. Furthermore, our analyses suggest that machine-learning classifier has a promising potential to be used as a classification tool and decision support for identifying populations with below-average motor and cognitive functions.

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BACKGROUND: This study aimed to investigate associations of meeting 24-h movement behavior (24-HMB: physical activity [PA], screen time [ST] in the school-aged youth, and sleep) guidelines with indicators of academic engagement, psychological functioning, and cognitive function in a national representative sample of U.S. youth. METHODS: In this cross-sectional study, 1794 participants aged 6 to 17 years old were included for multivariable logistic regression to determine the above-mentioned associations, while adjusting for sociodemographic and health covariates. RESULTS: The proportion of participants who met 24-HMB guideline(s) varied greatly (PA+ ST+ sleep = 34 [weighted 1.17 %], PA + ST = 23 [weighted 1.72 %], PA + sleep = 52 [weighted 2.15 %], PA = 34 [weighted 2.88 %], ST = 142 [weighted 7.5 %], ST+ sleep = 209 [weighted 11.86 %], sleep = 725 [weighted 35.5 %], none = 575 [weighted 37.22 %]). Participants who met ST guideline alone and integrated (ST + Sleep and ST + sleep + PA) guidelines demonstrated the consistently beneficial associations with learning interest/curiosity, caring for school performance, completing required homework, resilience, cognitive difficulties, self-regulation (ps < 0.05). CONCLUSION: Meeting 24-HMB guidelines in an isolated or integrative manner was associated with improved academic engagement, psychological functioning, and reduced cognitive difficulties. These findings highlight the importance of the promotion of 24-HMB guidelines in youth with internalizing problems. Future longitudinal studies are needed to investigate whether changes or modifications of meeting specific 24-HMB guidelines (especially ST) is beneficial for youth with internalizing problems.

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BACKGROUND AND PURPOSE: Researchers have highlighted elite refugee athletes' acculturation and sport-related challenges upon transitioning into host country sports systems. Using a strength-based approach, we aimed to broaden this view through exploring the internal and external factors that have fostered refugee athletes' abilities to find meaning and growth following their transitions into a national sports system. METHODOLOGY: Data collection began with an arts-based drawing activity which was then discussed in a conversational interview. Fourteen (n = 11 male, 3 female) national and international refugee athletes participated. The interviews were analyzed using a reflexive thematic analysis, a form of qualitative analysis used to derive commonalities that connect athletes' experiences. The data is represented through polyphonic vignettes (narrative featuring multiple perspectives) to safeguard athletes' anonymity whilst showcasing varying perspectives. RESULTS: Athletes were at various phases of growth at the time of the interviews. The primary internal factor that facilitated growth was responsibility to find and pursue meaning. External factors of trust and belonging, actualized through supporting elite athletes' personal differences, were external factors that fostered their abilities to find meaning. CONCLUSION: Elite refugee athletes' growth occurred at the nexus of individual responsibility, trusting relationships, and inclusive sport environments. The findings inform individual and environmental growth-based interventions for current and future elite athletes who face varying adversities within their sports contexts.

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The importance of coach leadership to athlete development and performance has been identified in the literature. We respond to the call to investigate antecedents of coach transformational leadership and their indirect effects on athlete outcomes. We propose that coach extraversion as an antecedent of coach transformational leadership can indirectly impact follower cohesion and satisfaction. Building on this mediation model, we assert that educational environment (i.e., high school and university) may serve as a first-stage moderator between coach extraversion and transformational leadership. We used 48 coaches and their 570 athletes from competitive high school and university basketball teams to test this moderated mediation model. Our results indicate that coach extraversion indirectly impacts athlete cohesion and satisfaction via transformational leadership. Moreover, the indirect effects of coach extraversion on athlete outcomes via coach transformational leadership is conditionally significant only when coaches and athletes are in universities but not in high schools. Our findings highlight the importance of educational environment in determining the association between coach personality and leadership perception. Implications for research and practice are discussed.

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OBJECTIVES: This study aimed to explore differences between psychological resilience and problem-solving ability in grade one junior middle school adolescents with and without suicidal ideation, focusing on the relationship between these factors and suicidal ideation. METHODS: Ninety-nine adolescents (aged 10 to 14) were divided into Suicidal Ideation (SI, n = 49) and Non-Suicidal Ideation (NSI, n = 50) grouped by the Self-rating Idea of Suicide Scale (SIOSS). The Psychological Resilience Scale (PRS) and Tower of Hanoi task (TOH) were applied to assess psychological resilience and problem-solving ability, respectively. RESULTS: The SI group scored significantly lower than the NSI group on PRS (p < 0.001) and performed more poorly on TOH than the NSI group, with more mistakes in the number of errors index (p < 0.001) and requiring a longer time in the task completion time index (p < 0.05). Among all the participants in this study, a significant negative correlation was observed between PRS and SIOSS (r = - 0.413, p < 0.01). The sub-dimensions of PRS including emotional control, family support, and interpersonal assistance were significantly negatively correlated with the SIOSS total score (r = - 0.361, - 0.360, - 0.382; p < 0.01). CONCLUSIONS: This study profiled the characteristics and differences in psychological resilience and problem-solving ability between adolescents with and without suicidal ideation. The data suggested adolescents with SI might have deficits in psychological resilience and problem-solving ability, which may serve as potential targets for suicide intervention.

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The objectives of this study were to (a) develop a conceptualization of role acceptance, later situated within the broader concept of role commitment, pertinent to the sport environment; (b) develop a measure integrating direct perceptions of role commitment and the bases of this variable; and (c) determine if role commitment could predict athletes' intentions to return. To accomplish these objectives, multiple methods were used across 4 projects that leveraged the extant literature on acceptance and commitment perceptions from sport and organizational psychology, engaged athletes in focus groups in a think-aloud protocol, and obtained responses on iterative versions of a new role-commitment questionnaire from over 700 athletes from a variety of competitive and developmental levels. Overall, this approach captured the bases of role commitment (affective, normative, and continuance perspectives), as well as direct perceptions of role commitment, and demonstrated an important link to intentions to return to sport.

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The aim of this study was to explore the meanings of women's cardiovascular disease constructed within the Canadian Heart and Stroke Foundation Facebook page. Posts from Heart and Stroke Foundation and public user comments surrounding the launch of the Heart and Stroke Foundation re-branding were of interest. Ethnographic content analysis was employed to analyse text (n = 40), images (n = 32), videos (n = 6), user comments and replies (n = 42) from November 2016 to March 2017. Constructions (re)presented on Facebook of 'typical' women at risk and risk reduction were problematic as women most at risk were excluded through the use of consumerist, medicalized identities which also excluded promotion of healthy behaviour changes.

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We draw on the concept of the shared mental model to explain the cross-level direct and moderating effects of team trust on the relationship between coach transformational leadership and cohesion. Using hierarchical linear modelling, we analysed 597 national level high school and university volleyball players to test our research model. Our results revealed that, (a) at the individual level, coach transformational leadership has a positive effect on athletes' perceptions on cohesion and (b) team trust, a group-level construct, is positively related to social cohesion and moderates the coach transformational leadership-cohesion relationship. The moderating effect demonstrates that the positive effect of coach transformational leadership on cohesion could be enhanced when high levels of team trust are shared within the group. Implications for coach education and sport psychology in terms of theory and research are discussed.

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BACKGROUND: Social support may be beneficial for medical students who must develop adaptive strategies to respond to the demands and challenges during third-year clerkship. We provide a detailed description of the supportive behaviours experienced by third-year students during a longitudinal integrated clerkship (LIC) in the context of rural family medicine. METHODS: Informed by a social constructivist research paradigm, we undertook a qualitative study to understand from the students' perspectives the presence and characteristics of social support available during a LIC. Data were collected from conversational interviews at three points during the eight-month clerkship year, pre-, during, and post-clerkship, to explore how 12 medical students experienced social support. We employed an innovative methodological approach, the guided walk method, to gain the students' stories in the contexts where they were taking place. RESULTS: The participants described the relationships they developed with various sources of social support such as (a) preceptors, (b) peers, (c) family, (d) health professionals, and (e) community members. CONCLUSION: Various individuals representing communities of practice such as the medical profession and community members were intimately related to the longitudinal aspects of the students' experiences. The findings lend credence to the view that it really does take a community to train a future physician.

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The current submission was conceived to broaden the discussion around male athletic identities by exploring the stories told by four members of the Canadian National Boxing Team. The athletes' stories were elicited through an arts-based method followed by a conversational interview. Stories were then analyzed using an interpretive thematic analysis. Three salient themes were found-fluid masculinity, ethnicity brings an edge to boxing, and expressing identity through language. These themes present accounts that highlight how socially, culturally, and historically dominant narratives can allow athletes to feel comfortable in presenting the identities they might reveal or feel constrained from doing so due to factors outside of their control. The need to develop training and competition contexts that allow for the empowerment of athletes' individually distinct identities is highlighted as a method to ensuring the positive mental health of elite level athletes.

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Cardiovascular disease is the leading cause of death and disability among women worldwide. Narratives circulated by the media regarding women's identities and health constitute one source of meanings by which conceptualisations about risk, risk reduction, and disease prevention are formed and framed. An interpretive and integrative meta-synthesis of qualitative research was done to examine the representations of women's cardiovascular disease in traditional and user-generated Canadian and US media narratives, and explore the implications of these for gendered identities and health promotion for women. After a literature search of electronic databases, 29 qualitative peer-reviewed journal articles published since 2000 met the eligibility criteria and were included for review. The findings revealed three overarching themes: (a) the construction of who is at risk for cardiovascular disease; (b) the portrayal of certain risk-reducing strategies and acute events; and (c) the delegation of responsibility for maintaining female cardiovascular health. These meta-synthesis findings contribute towards novel understandings about the culture of women's cardiovascular disease risk and the feminisation of healthism/individual responsibility, which may limit awareness among marginalised female demographics (those from lower socio-economic and minority racial backgrounds).

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While there has been a significant expansion of continued professional development opportunities in recent years, there has often, historically, been a reluctance for sport and exercise psychologists to both share, and receive feedback on their professional practice (Cotterill, Weston and Breslin, 2016). The recent development of the new Case Studies in Sport and Exercise Psychology journal, a flagship journal of the Association for Applied Sport Psychology, supports an increasing appetite for this type of dissemination. Building upon these recent developments this paper draws on the experience of several experienced practitioners, who are also supervisors, assessors and journal editors in applied sport and exercise psychology. Guidelines for the preparation of applied case studies are offered as an aid for practitioners who are seeking to both publicise and share their work, and/or contribute to the literature and current knowledge in this area. We argue that the voices of practitioners represent an important component of any scientific literature, and we encourage practitioners to both share their work; reflect on the effectiveness of different approaches and techniques, and engage in the ongoing debate that characterizes scientific progress. In this way, we seek to help address the criticism that literature in sport and exercise psychology is too theoretically focused, and not representative of the ‘real-world’. We seek to help close the research-practice ‘gap’ (AU)

Aunque ha habido una expansión significativa de las oportunidades de desarrollo profesional continuado en los últimos años, históricamente ha habido una renuencia de los psicólogos del deporte y del ejercicio a compartir y recibir sugerencias y comentarios sobre su práctica profesional (Cotterill et al., 2016). El reciente desarrollo de la nueva revista de Estudios de Casos en el Deporte y la Psicología del Ejercicio, una revista emblemática de la Asociación de Psicología del Deporte Aplicado, apoya el creciente interés por este tipo de difusión entre profesionales. Basándose en estos recientes desarrollos, este trabajo se basa en la experiencia de varios profesionales experimentados, que también son supervisores de estudiantes, asesores y editores de revistas en el deporte aplicado y la psicología del ejercicio. Las guías para la preparación de estudios de casos aplicados se ofrecen como una ayuda para los profesionales que buscan publicar y compartir su trabajo y / o contribuir a la literatura y el conocimiento actual en esta área. Parecería que las voces de los practicantes representan un componente importante de cualquier literatura científica, y animamos a los practicantes a compartir su trabajo; Reflexionar sobre la eficacia de los diferentes enfoques y técnicas y participar en el debate actual que caracteriza el progreso científico. De esta manera, tratamos de ayudar a abordar la crítica de que la literatura en el deporte y la psicología del ejercicio es demasiado teórica, y no representativo del 'mundo real'. Buscamos ayudar a cerrar la 'brecha' entre la investigación y la práctica (AU)

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Researchers have identified some demands of Canadian National Hockey League (NHL) players, yet there is little direction for players hoping to reach the lucrative league. The objectives of this study were to identify the stages, statuses and demands in Canadian NHL players' careers and propose an empirical career model of Canadian NHL players. In total, 5 rookies, 5 veterans and 13 retirees had their interviews undergo an interpretive thematic analysis. Prospects face the NHL combine, training camp and minor league assignment. While developing into NHL players, rookies deal with NHL call-ups, team competition and formative production while sophomores seemed preoccupied by the opposition. Prime veterans become All-Stars by garnering point production and challenging for the Stanley Cup while seasoned veterans remain relevant through training camps. A discussion about the model's viability is followed by applications for sport psychology researchers and practitioners.

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CONTEXT: This paper describes the transition processes experienced by Year 3 medical students during their longitudinal integrated clerkship (LIC). The authors conceptualise the stages that encompass the transition through a LIC. OBJECTIVES: The purpose of this study was to understand the perspectives of 12 Northern Ontario School of Medicine (NOSM) Year 3 medical students about their transition process. METHODS: Data were collected longitudinally through three conversational interviews with each of these students, occurring before, during and after the clerkship. The authors used a guided walk methodology to explore students' everyday lives and elicit insights about the transition process, prompted by the locations and clinical settings in which the clerkship occurred. RESULTS: Participants identified three interconnected stages in the transition process: (i) shifting from classroom to clinical learning; (ii) dealing with disorientation and restoring balance, and (iii) seeing oneself as a physician. Interview data provided evidence for the adaptive strategies the participants developed in response to these stages. CONCLUSIONS: Based on these findings, the transition process during a LIC can be characterised as one of entering the unfamiliar, with few forewarnings about the changes, of experiencing moments of confusion and burnout, and of eventual gains in confidence and competence in the clinical roles of a physician. Recommendations are made regarding future research opportunities to further scholarship on transitions.

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OBJECTIVES: The purpose of this mixed methods study was to examine the quality of work life of registered nurses working in obstetrics at 4 hospitals in northeastern Ontario and explore demographic and occupational factors related to nurses' quality of work life (QWL). MATERIAL AND METHODS: A stratified random sample of registered nurses (N = 111) selected from the 138 eligible registered nurses (80.4%) of staff in the labor, delivery, recovery, and postpartum areas at the 4 hospitals participated. Logistic regression analyses were used to consider QWL in relation to the following: 1) demographic factors, and 2) stress, employment status and educational attainment. RESULTS: In the logistic regression model, the odds of a higher quality of work life for nurses who were cross trained (nurses who can work across all areas of obstetrical care) were estimated to be 3.82 (odds ratio = 3.82, 95% confidence interval: 1.01-14.5) times the odds of a higher quality of work life for nurses who were not cross trained. CONCLUSIONS: This study highlights a relationship between quality of work life and associated factors including location of cross-training among obstetrical nurses in northeastern Ontario. These findings are supported by the qualitative interviews that examine in depth their relationship to QWL. Given the limited number of employment opportunities in the rural and remote regions, it is paramount that employers and employees work closely together in creating positive environments that promote nurses' QWL.

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This article reports on a literature review of workplace interventions (i.e., creating healthy work environments and improving nurses' quality of work life [QWL]) aimed at managing occupational stress and burnout for nurses. A literature search was conducted using the keywords nursing, nurses, stress, distress, stress management, burnout, and intervention. All the intervention studies included in this review reported on workplace intervention strategies, mainly individual stress management and burnout interventions. Recommendations are provided to improve nurses' QWL in health care organizations through workplace health promotion programs so that nurses can be recruited and retained in rural and northern regions of Ontario. These regions have unique human resources needs due to the shortage of nurses working in primary care.

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BACKGROUND: The aim of this study was to determine: 1) if quality of work life (QWL), location of cross-training, stress variables, and various demographic factors in nurses are associated with work ability, and 2) nursing occupational stress, QWL, and various associated factors are related with nurses' work ability. There is limited research examining the obstetrical nursing environment. Given the amount of time and energy people expend at the workplace, it is crucial for employees to be satisfied with their lives at work. METHODS: This cross sectional study was conducted in 2012 in four hospitals in northeastern Ontario, Canada. A stratified random sample of registered nurses (n= 111) were selected. RESULTS: The majority of participants were female (94.6%) ranging in age from 24 to 64 years (M = 41.9, s.d. = 10.2). For the stress and QWL model, one variable: QWL (home-work support - see Methods for definition) (p= 0.015), cross-trained (see Methods for definition) nurses (p= 0.048), and having more than 4 patients per shift (p= 0.024) significantly contributed to the variance in work ability scores. In the logistic regression model, the odds of a higher work ability for nurses who received home-work support were estimated to be 1.32 (95% CI, 1.06 to 1.66) times the odds of a higher work ability for nurses who did not receive home-work support. CONCLUSIONS: Work ability in the work environment of obstetrical nursing is important. To be high functioning, workplaces should maximize the use of their employees' actual and potential skills.

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CONTEXT: The purpose of this paper is to provide a critical analysis of a mobile research method, the guided walk, and its potential suitability in medical education research. METHODS: The Northern Ontario School of Medicine's (NOSM) longitudinal integrated clerkship served as the research context in which the guided walk method was used to explore the lived experiences of 12 Year 3 medical students undertaking their clerkship in one of eight different communities across Northern Ontario, Canada. Informed by the social constructivist research paradigm, the guided walk method was employed to answer the research question: how do Year 3 medical students at NOSM describe their clerkship experiences as encountered in their placement and living contexts? Through an inductive thematic analysis of the data, the findings provided a rich description of the guided walk from the participants' and the researcher's perspectives. RESULTS: There were significant advantages to using the guided walk rather than other types of qualitative research approaches. The guided walk made it easier for participants to take part in the study, provided context-rich research interactions, and led to serendipitous encounters for both participants and the first author. There were also challenges and limitations associated with the guided walk method. For example, this method carries inherent challenges with reference to the safeguarding of confidentiality and anonymity for both participants and those encountered during the walk. CONCLUSIONS: The guided walk method is promising within medical education, particularly for researchers seeking to gain participants' stories in the contexts to which they refer. This method may be appropriate for use in medical education research in areas such as the evaluation and assessment of a student's clinical decision-making skills and competency development, as well as the consolidation of strategies to manage ethical and professional dilemmas.

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In this study, we explored the multifaceted concept of perceived mental and physical effort in team sport contexts where athletes must invest individual and shared efforts to reach a common goal. Semi-structured interviews were conducted with a convenience sample of 15 Catalan professional coaches (3 women and 12 men, 3 each from the following sports: volleyball, basketball, handball, soccer, and water polo) to gain their views of three perceived effort-related dimensions: physical, psychological, and tactical. From a theoretical thematic analysis, it was found that the perception of effort is closely related to how effort is distributed within the team. Moreover, coaches viewed physical effort in relation to the frequency and intensity of the players' involvement in the game. They identified psychological effort in situations where players pay attention to proper cues, and manage emotions under difficult circumstances. Tactical effort addressed the decision-making process of players and how they fulfilled their roles while taking into account the actions of their teammates and opponents. Based on these findings, a model of perceived distributed effort was developed, which delineates the elements that compose each of the aforementioned dimensions. Implications of perceived distributed effort in team coordination and shared mental models are discussed.

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