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NUTRITION RESOURCES FOR FOOTBALL PLAYERS IN DIVISION I INSTITUTIONS: THE ATHLETIC TRAINER'S PERSPECTIVE AND ROLE
Title
NUTRITION RESOURCES FOR FOOTBALL PLAYERS IN DIVISION I INSTITUTIONS: THE ATHLETIC TRAINER'S PERSPECTIVE AND ROLE.
Creator
Giannini, Giovanna Marie, Schellhase, Kristen C., University of Central Florida
Abstract / Description
Background: The importance of nutrition on athletic performance is evident. Athletic trainers (ATs), nutritionists/RDs, strength and conditioning specialists (SCSs), and other athletic department personnel may be available to student-athletes and can be solicited for nutrition advice. Multiple studies have found that although some universities have a sports nutritionist on staff, student-athletes approached an AT most often for nutrition advice rather than an SCS, nutritionist or other person...
Show moreBackground: The importance of nutrition on athletic performance is evident. Athletic trainers (ATs), nutritionists/RDs, strength and conditioning specialists (SCSs), and other athletic department personnel may be available to student-athletes and can be solicited for nutrition advice. Multiple studies have found that although some universities have a sports nutritionist on staff, student-athletes approached an AT most often for nutrition advice rather than an SCS, nutritionist or other person. ATs have the necessary education to provide proper nutrition information to student-athletes; however, it is not the primary role of an AT. Objective: The purpose of this study was to examine the quantity, quality and variety of nutrition support offered to Division I student-athletes who participate in football. Additionally, the purpose was to gain the perspective of the AT with regard to their role in educating football players on basic nutrition principles. Design: Cross sectional. Setting: Participants completed a web-based questionnaire. Patients or Other Participants: 253 Division I institutions were identified; from those institutions 120 head ATs were randomly chosen to receive the questionnaire. Responses from 30 (25%) head ATs (Football Bowl Subdivision 53.6%; Football Championship Subdivision 46.4%) were analyzed. Results: A majority (69%, n=20) of the institutions provided access to a nutritionist/RD. When asked who they believed student-athletes would solicit nutritional advice from first, respondents ranked their answers as follows: AT (n=11, 36.7%), SCS (n=10, 33.3%), nutritionist/RD (n=7, 23.3%), and coach (n=2, 6.7%). However, in the Likert scale questions, participants felt between neutral and slight agreement regarding their own responsibility, or that overall, ATs should feel responsible to teach nutrition or promote proper eating habits. In another question, participants were asked who is responsible for educating football players about nutrition at their institution and were able to select more than one response. Participants felt that all three professionals had a fairly high level of responsibility (SCS n=26, 86.7%; AT n=23, 76.7%; nutritionist/RD n=21, 70%). ATs ranked their perception of who helped with management of specific medical issues as follows: AT (n=26, 86.7%), nutritionist/RD (n=21, 70%), physician (n=18, 60%), and SCS (n=3, 10%). FBS institutions seem to provide more nutrition services compared to FCS institutions; 73.7% of FBS institutions are providing access to a nutritionist/RD and whereas only 26.5% of FCS institution provide this service. Conclusions: ATs from our study strongly agreed that nutrition plays an important role in performance. As shown in previous studies, ATs and SCSs were found to be the primary sources of nutrition information for student-athletes in Division I settings. This study gathered the AT�s perspective and perceived roles regarding where student-athletes receive nutrition information from most often. The ATs in this study confirmed that they felt the ATs and SCSs were primarily approached for nutrition advice. Although these ATs responded that the SCSs, ATs, and nutritionist/RDs were all responsible to educate football players at their institutions, the ATs answers were conflicting when they said that they did not feel the ATs role should be responsible for educating football players on nutrition and performance. Because ATs did perceive themselves as qualified, it is suggested that they may feel another professional of the sports medicine team is more appropriate to fill this role. A sports medicine team consisting of ATs, SCSs, nutritionists/RDs and physicians should work together to promote the benefits of nutrition and provide optimal services within their professional scope of their practice. In the absence of one or more professional, effective knowledge and communication must be maintained to assure that the roles of nutrition services are still provided to football players.
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Date Issued
2016
Identifier
CFH2000014, ucf:45582
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000014
ATHLETIC TRAINERS KNOWLEDGE AND PERCEPTIONS OF TESTICULAR CANCER AND TESTICULAR CANCER PREVENTION PRACTICES
Title
ATHLETIC TRAINERS KNOWLEDGE AND PERCEPTIONS OF TESTICULAR CANCER AND TESTICULAR CANCER PREVENTION PRACTICES.
Creator
Mings, Christopher, Schellhase, Kristen, University of Central Florida
Abstract / Description
Context: Collegiate male athletes have a higher risk of testicular cancer due to their age group, an increased risk of testicular contusions, and a lack of secondary prevention education. As the athletic training profession increases emphasis on evidence-based practice, it is important for athletic trainers to understand testicular cancer and testicular-self examination as it is outlined within their scope of practice. A general understanding of testicular cancer and the prevention techniques...
Show moreContext: Collegiate male athletes have a higher risk of testicular cancer due to their age group, an increased risk of testicular contusions, and a lack of secondary prevention education. As the athletic training profession increases emphasis on evidence-based practice, it is important for athletic trainers to understand testicular cancer and testicular-self examination as it is outlined within their scope of practice. A general understanding of testicular cancer and the prevention techniques will be important for athletic trainers to promote awareness and health behavior practices. Objective: To examine the athletic trainers actual knowledge, concern, perceived responsibility, training, feeling of embarrassment, and professional/personal practices. Design: Cross sectional survey. Participants: 249 randomly selected athletic trainers employed in collegiate settings. 65.6% of the respondents reported being between the ages of 21 and 35 years old. Intervention: Actual knowledge, concerned, perceived responsibility, trained, embarrassed, and personal and professional practice behavior scores served as dependent variables. Main Outcome Measures: A Pearson correlation coefficient was calculated between participants actual knowledge, perceived responsibility, and concerned scores. Two one-way MANOVAs were conducted to determine if there was a difference in actual knowledge, perceived responsibility, and concerned scores that was dependent upon participants age and gender. Results: Athletic trainers in collegiate settings had a fairly high actual knowledge of testicular cancer (X=7.62 [plus or minus] 1.42 out of 10). Athletic trainers reported that they should be concerned about testicular cancer in male athletes (X=7.26 [plus or minus] .167 out of 10). Athletic trainers had a low feeling of responsibility suggested by their reported score (X=3.93[plus or minus] 0.18 out of 10). A weak correlation (r(169)=.199, P [less than] .009) was found between the actual knowledge and perceived responsibility scores, and between the actual knowledge and concerned scores (r(169)=.285, P [less than] .001). A medium to strong correlation (r(169)=.486, [less than] .001) was found between the concerned and perceived responsibility scores. Athletic trainers reported a decreased feeling of training about testicular cancer and testicular self-examination (X=2.28 [plus or minus] 2.10 out of 10). Also, athletic trainers reported (X=2.71 [plus or minus] 2.42 out of 10) that they were not embarrassed to discuss testicular cancer. Athletic trainers reported performing either a testicular self-exam or breast-self examination on themselves (X=76%). Conclusions: College athletic trainers have a low feeling of embarrassment, adequate knowledge, and a high feeling of concern regarding testicular cancer, but report a low feeling of perceived responsibility and training
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Date Issued
2014
Identifier
CFH0004564, ucf:45190
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004564
MEDICAL CLAIMS AT NCAA INSTITUTIONS: THE ATHLETIC TRAINER'S ROLE
Title
MEDICAL CLAIMS AT NCAA INSTITUTIONS: THE ATHLETIC TRAINER'S ROLE.
Creator
Killinger, Tyler P, Schellhase, Kristen C., University of Central Florida
Abstract / Description
Context: National Collegiate Athletic Association (NCAA) institutions are required to certify insurance coverage of medical expenses that result from athletically related injuries sustained while partaking in an NCAA event. This means that the student-athlete must be covered either by their parent�s/guardian�s insurance, their own personal insurance coverage, and/or the institution�s insurance program. Institutions assign this role to a variety of employees, including head athletic trainers ...
Show moreContext: National Collegiate Athletic Association (NCAA) institutions are required to certify insurance coverage of medical expenses that result from athletically related injuries sustained while partaking in an NCAA event. This means that the student-athlete must be covered either by their parent�s/guardian�s insurance, their own personal insurance coverage, and/or the institution�s insurance program. Institutions assign this role to a variety of employees, including head athletic trainers (ATs), assistant ATs, athletic administrators, business managers, secretaries, or other institution employees. In 1994 Street, Yates, Lavery, and Lavery observed that the head AT was responsible for administering medical insurance/claims payment at 51% of the institutions studied. The tasks necessary to pay athletic medical claims require a lot of paperwork and can be very time consuming. Additionally, insurance rules and regulations are complicated. Anecdotally, ATs do not always feel well suited to perform these tasks. Objective: Investigate the ways that athletic associations/departments coordinate athletic medical claims and how often an AT is assigned to be the administrator who oversees policies and procedures related to athletic medical claims. Design: Cross sectional. Setting: Participants completed a web-based questionnaire. Patients or Other Participants: Responses from 184 (38%) ATs employed in collegiate settings (Division I 26.1%; Division II 28.8%, Division III 45.1%) were analyzed. Intervention: None. Main Outcome Measures: Demographics. Results: The mean number of full-time ATs on staff was 3.8 (n=97). The head AT was primarily responsible for the payment of athletic medical claims at 48.4% (n=89) of institutions and the assistant AT was responsible at 13.6% (n=25) of institutions. A non-AT was responsible at 38% (n=70). The mean hours spent on this task by head ATs (n=86) was 6.17 hours per week and the mean hours spent by assistant ATs (n=22) was 10.32 hours per week. Most respondents (62.0%, n=103) reported no formal training in athletic medical insurance claims payments whereas 20.5% (n=34) reported the individual responsible had had formal, with 17.5% (n=29) stating they were not sure what training the individual had received. When asked where they felt it was most appropriate to learn these concepts, respondents reported: within an accredited AT program curriculum (36% n=56), on the job training (34% n=52), or CEU event (30% n=46). Conclusions: It is clear that ATs at NCAA institutions are responsible for the administration of athletic medical claims. ATs are spending a large amount of time each week on medical claims, although most have no formal training. An AT may not be the most ideal individual to handle these medical claims; but if an AT is going to continue to be responsible for this task, AT programs should increase the emphasis of this content within the curriculum and CEU opportunities should be made available to ensure athletic medical claims are handled effectively.
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Date Issued
2016
Identifier
CFH2000048, ucf:45524
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000048
EXAMINATION OF THE RELATIONSHIP BETWEEN SPORT CONCUSSION AND LONG TERM NEURODEGENERATIVE AND PSYCHOLOGICAL DISORDERS: A LITERATURE REVIEW.
Title
EXAMINATION OF THE RELATIONSHIP BETWEEN SPORT CONCUSSION AND LONG TERM NEURODEGENERATIVE AND PSYCHOLOGICAL DISORDERS: A LITERATURE REVIEW.
Creator
Rivera, Vivian, Schellhase, Kristen, University of Central Florida
Abstract / Description
Background: According to the Center for Disease Control and Prevention, approximately 1.6 to 3.8 million Americans suffer a sports related concussion each year. Concussion is defined as a transient alteration of the brain structure caused by a direct or indirect force. During the last decade, a vast amount of clinical research on the long term effects of repetitive head trauma has occurred, especially on the subject of chronic traumatic encephalopathy (CTE), depression and dementia. Objective...
Show moreBackground: According to the Center for Disease Control and Prevention, approximately 1.6 to 3.8 million Americans suffer a sports related concussion each year. Concussion is defined as a transient alteration of the brain structure caused by a direct or indirect force. During the last decade, a vast amount of clinical research on the long term effects of repetitive head trauma has occurred, especially on the subject of chronic traumatic encephalopathy (CTE), depression and dementia. Objective: The purpose of this literature review is to examine the literature pertaining to multiple concussion and the long-term effects of multiple concussion such as neurodegenerative diseases and psychological. Methods: A literature review was conducted using an electronic search of the following databases: MEDLINE, Cochrane Database of Systematic Reviews, and SportDiscus. The key search terms included were concussion, "sport concussion" and "sports concussion". One of the above three terms needed to be in conjunction with one of the following key search terms: depression, dementia, "mild cognitive impairment", "chronic traumatic encephalopathy" (CTE), or "psychological disorder". Additional inclusion criteria also included studies that targeted the adult athlete population who had sustained more than one concussion. Studies only were included if they were peer-reviewed, in the English language, and were published after 1990. To be included in the review, the study must have examined the long term effects of repetitive concussion. Results: The research completed to date suggests there is a strong correlation between the number of concussions an athlete suffers and the long-term ramifications of neurodegenerative and psychological disorders. However, more research is needed.
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Date Issued
2013
Identifier
CFH0004342, ucf:45015
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004342
AEROBIC EXERCISE AS A MEANS OF REDUCING LOW BACK PAIN: A SYSTEMATIC REVIEW
Title
AEROBIC EXERCISE AS A MEANS OF REDUCING LOW BACK PAIN: A SYSTEMATIC REVIEW.
Creator
Privett , Theresa, Schellhase , Kristen, University of Central Florida
Abstract / Description
Background: Low back pain (LBP) is considered the leading cause of inactivity and lost employment time. It can be extremely difficult to treat as most conventional therapies have poor success rates. People with LBP need to be made more aware of the diverse and economical treatments available in order to save on expenses and diminish stress. Patients and healthcare professionals have many choices when deciding on the best plan of care; however, it is often difficult to determine which option...
Show moreBackground: Low back pain (LBP) is considered the leading cause of inactivity and lost employment time. It can be extremely difficult to treat as most conventional therapies have poor success rates. People with LBP need to be made more aware of the diverse and economical treatments available in order to save on expenses and diminish stress. Patients and healthcare professionals have many choices when deciding on the best plan of care; however, it is often difficult to determine which option is best. Objectives: The purpose of this systematic review was to determine if aerobic exercises play a role in reducing pain in the low back. Methods: A computerized electronic search was performed using CINAHL, Medline, and Cochrane Central Register of Controlled Trials with key words including low back pain or lumbar pain combined with aerobic and exercise. Inclusion criteria consisted of studies that were randomized controlled trials or controlled clinical trials, peer reviewed, published in the English language, identified low back pain as the primary concern, and identified aerobic exercises as one of the treatment options. Results: The initial search of the database revealed a total of 40 studies. Hand searching of the references had also revealed an additional 7. Of those 47 studies, 13 were selected as potentially meeting the inclusion criteria. Ultimately, 10 studies were retained for the final results of the systematic review. Conclusion: The evaluations provided evidence to suggest that aerobic exercise has positive effects on subjects with LBP. Aerobic exercise encourages strength, flexibility, and muscular endurance. This outcome has also shown to promote levels of activity, leaving the subject feeling better both physically and mentally.
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Date Issued
2012
Identifier
CFH0004174, ucf:44847
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004174
ARE APPROACHES TO TEACHING AND/OR STUDENT EVALUATION OF INSTRUCTION SCORES RELATED TO THE AMOUNT OF FACULTY FORMAL EDUATIONAL COURSEWORK?
Title
ARE APPROACHES TO TEACHING AND/OR STUDENT EVALUATION OF INSTRUCTION SCORES RELATED TO THE AMOUNT OF FACULTY FORMAL EDUATIONAL COURSEWORK?.
Creator
Schellhase, Kristen, Boote, David, University of Central Florida
Abstract / Description
The purpose of this study was to investigate if there are correlations among an instructor's approach to teaching, student evaluation of instruction outcomes, and the amount of formal coursework in education a teacher has completed. Three research questions provided the focus for the study: (1) to determine if there is a correlation between the number of formal educational courses taken by athletic training educational program (ATEP) faculty and their approach to teaching; (2) to...
Show moreThe purpose of this study was to investigate if there are correlations among an instructor's approach to teaching, student evaluation of instruction outcomes, and the amount of formal coursework in education a teacher has completed. Three research questions provided the focus for the study: (1) to determine if there is a correlation between the number of formal educational courses taken by athletic training educational program (ATEP) faculty and their approach to teaching; (2) to determine if there is a correlation between the amount of formal educational courses taken by ATEP faculty and their students' evaluations of instruction; and (3) to determine if there is a relationship between faculty's approach to teaching and students' evaluations of instruction. The population for the study was certified athletic trainers working as full-time faculty in ATEPs in the State of Florida. Data were generated using all eligible faculty from 10 of the 13 universities in Florida that offer Athletic Training Educational Programs. The study included faculty who teach in large and small ATEPs. Faculty from public and private, large and small universities were also represented. The faculty completed questionnaires that included demographic information, the Approaches to Teaching Inventory (ATI-R) and the Students' Evaluation of Educational Quality (SEEQ) questionnaire. Based on the research findings, there is clear evidence that there is a lack of uniformity among ATEP faculty in the area of formal exposure to pedagogy and curriculum. 17.6% (n = 3) of respondents earned a bachelor's degree in physical education and 18.8% (n = 3) of respondents earned a master's degree in education, health education, or physical education. Of the 77.8% (n = 14) of respondents who completed or were in progress with a doctoral degree, 42.9% (n = 6) degrees were related to education. Faculty reported completing a mean of 9.25 courses related to education (SD = 7.39). The number of educational courses taken ranged from 0 to 25 courses. The study demonstrates that there is a correlation of large effect size between the amount of formal educational coursework and the SEEQ subscale value of "Assignments/Readings." In addition, the "Assignments/Readings" and "Learning/Academic Value" subscale scores on the SEEQ were significantly higher when instructors had completed more than 10 educational courses. The study found moderate and large correlations and medium and large effect sizes between the scores of 7 of the 8 remaining SEEQ subscales and the number of education courses taken by faculty. In addition, there was a moderate correlation and medium effect size between the total score of the SEEQ and the number of education courses taken by faculty. Though statistically non-significant, each of these correlations were positive and may demonstrate a need for the study to be replicated using greater statistical power.
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Date Issued
2009
Identifier
CFE0002767, ucf:48128
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002767