Open Access. Powered by Scholars. Published by Universities.®
Health and Physical Education Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Institution
-
- Bowling Green State University (103)
- University of South Carolina (59)
- University of Mississippi (23)
- University of St Augustine for Health Sciences (12)
- Nova Southeastern University (9)
-
- Western Michigan University (8)
- Gdansk University of Physical Education and Sport (7)
- Old Dominion University (7)
- Eastern Kentucky University (6)
- Indiana State University (4)
- Medical University of South Carolina (4)
- Winthrop University (3)
- Dominican University of California (2)
- Lesley University (2)
- Marshall University (2)
- Montclair State University (2)
- University of Kentucky (2)
- University of Nevada, Las Vegas (2)
- University of Tennessee, Knoxville (2)
- Andrews University (1)
- Arkansas State University (1)
- Chapman University (1)
- City University of New York (CUNY) (1)
- East Tennessee State University (1)
- Georgia Southern University (1)
- James Madison University (1)
- Liberty University (1)
- Loma Linda University (1)
- Mississippi State University (1)
- Morehead State University (1)
- Keyword
-
- Drowning prevention (45)
- Clinical Practice in Athletic Training (17)
- Swimming (14)
- Association for Athletic Training Education 2025 Symposium (11)
- Exercise (11)
-
- Health Care Competency (11)
- Education (10)
- Water safety (10)
- Occupational therapy (9)
- Aquatic exercise (7)
- Fatal drownings (7)
- Water competence (7)
- Adapted aquatics (6)
- Children (6)
- Physical activity (6)
- Clinical reasoning (5)
- Health Professions Education (5)
- Learn-to-swim (5)
- Water rescues (5)
- Cognition (4)
- Cold water (4)
- Disabilities (4)
- Disability (4)
- Drowning (4)
- Higher education (4)
- Lifesaving (4)
- Open water (4)
- Physical therapy (4)
- Aquatic risk management (3)
- Athletic Trainers in Physician Practice Society Meeting and Conference 2025 (3)
- Publication Year
- Publication
-
- International Journal of Aquatic Research and Education (102)
- Clinical Practice in Athletic Training (58)
- Faculty and Student Publications (23)
- Baltic Journal of Health and Physical Activity (7)
- Internet Journal of Allied Health Sciences and Practice (7)
-
- Journal of Occupational Therapy Education (5)
- Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium (4)
- The Open Journal of Occupational Therapy (4)
- All-Inclusive List of Electronic Theses and Dissertations (3)
- Graduate Theses (3)
- Masters Theses (3)
- Department of Exercise Science and Physical Education Scholarship and Creative Works (2)
- Department of Occupational Therapy Entry-Level Capstone Projects (2)
- Human Movement Studies & Special Education Theses & Dissertations (2)
- Mindfulness Studies Theses (2)
- Physical Therapy Collection (2)
- Spring 2022 Virtual OTD Capstone Symposium (2)
- Theses, Dissertations and Capstones (2)
- UNLV Theses, Dissertations, Professional Papers, and Capstones (2)
- College of Education and Human Sciences: Dissertations, Theses, and Student Research (1)
- Communication Disorders & Special Education Faculty Publications (1)
- DNP Projects (1)
- Dissertations (1)
- Dissertations, Masters Theses, Capstones, and Culminating Projects (1)
- Dissertations, Theses, and Capstone Projects (1)
- Doctor of Education (Ed.D) (1)
- Doctor of Nursing Practice (DNP) Scholarly Projects - Archive (1)
- Doctoral Dissertations and Projects (1)
- Educational Specialist, 2020-current (1)
- Electronic Theses and Dissertations (1)
- Publication Type
- File Type
Articles 241 - 270 of 284
Full-Text Articles in Health and Physical Education
Bringing Home The Bodies Of Those Who Drown Abroad: The Kevin Bell Repatriation Trust, Colin Bell
Bringing Home The Bodies Of Those Who Drown Abroad: The Kevin Bell Repatriation Trust, Colin Bell
International Journal of Aquatic Research and Education
No abstract provided.
Rlla: Surviving As A Small National Lifesaving Organisation - Progress In Lesotho: From 2004 To 2018, Colin Macdonald Obe, Ba, Ma
Rlla: Surviving As A Small National Lifesaving Organisation - Progress In Lesotho: From 2004 To 2018, Colin Macdonald Obe, Ba, Ma
International Journal of Aquatic Research and Education
No abstract provided.
The Ireland Medal Recipients 2003-2017
The Ireland Medal Recipients 2003-2017
International Journal of Aquatic Research and Education
No abstract provided.
The Lifesaving Foundation Library Collection, Kieran Cronin Ba, Mals
The Lifesaving Foundation Library Collection, Kieran Cronin Ba, Mals
International Journal of Aquatic Research and Education
No abstract provided.
Burnout Among Filipino Occupational Therapists: A Mixed Methods Analysis, Rod Charlie Delos Reyes
Burnout Among Filipino Occupational Therapists: A Mixed Methods Analysis, Rod Charlie Delos Reyes
The Open Journal of Occupational Therapy
Background: There is a shortage of practicing occupational therapists in the Philippines, with approximately one Filipino occupational therapist per 30,000 stakeholders. One of the possible consequences is the experience of burnout among therapists.
Method: A two-phase mixed methods study using a sequential explanatory approach was used. The first phase involved the administration of the Maslach Burnout Inventory – Human Services Survey (MBI-HSS) with a survey questionnaire that supplied demographic and work-related factors through an online platform. The results were analyzed using frequency distribution and measures of central tendency. Relationships were analyzed using Spearman’s Rho and Cramer’s V. The second phase …
Reestablishing A Culture Of Water Competency At An Hbcu, Knolan C. Rawlins
Reestablishing A Culture Of Water Competency At An Hbcu, Knolan C. Rawlins
International Journal of Aquatic Research and Education
African American children ages 5 – 19 years drown in swimming pools at rates of 5.5 times higher than those of whites (Gilchrist & Parker, 2014). Literature suggested culture is the culprit for this disparity. A fear of water dates to slavery (Pitts, 2007). After slavery was abolished, the memory of drowning remained part of the African American culture. In the twentieth century, the popularity of swimming grew with the increase in public pools. The era of the Jim Crow laws kept African Americans out of public pools (Pitts, 2007). Although the political landscape has shifted since the Jim Crow …
Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut
Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut
International Journal of Aquatic Research and Education
Available research clearly shows that more children who have disabilities, including those with severe disabilities, are participating in swimming programs as well as wanting to be taught in a regular aquatic class without being segregated. Aquatic instructors need to prepare lessons that include children both with and without disabilities. This means that aquatics instructors need to understand and be willing to implement unique teaching and managerial techniques that foster the safe and successful learning environment for all children. While the task of teaching children who have severe disabilities may seem difficult at first, with a little knowledge and experience, instructors …
Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins
Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins
Dissertations, Theses, and Capstone Projects
This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.
In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …
Factors Associated With Academic Performance Among Second-Year Undergraduate Occupational Therapy Students, Tore Bonsaksen, Brian J. Ellingham, Tove Carstensen
Factors Associated With Academic Performance Among Second-Year Undergraduate Occupational Therapy Students, Tore Bonsaksen, Brian J. Ellingham, Tove Carstensen
The Open Journal of Occupational Therapy
Background: Research into occupational therapy education and its outcomes for students is growing. More research is needed to determine the factors of importance for occupational therapy students’ academic outcomes. This study aimed to investigate factors associated with academic performance among second-year undergraduate occupational therapy students in Norway.
Methods: Occupational therapy students (n = 111) from two education programs completed questionnaires asking for sociodemographic, work-related, and education-related information. Hierarchical linear regression analysis was used to examine factors independently associated with the students’ academic performance.
Results: A higher age was associated with better average academic performance among the students, whereas having …
The Effects Of Emerging Technology On Healthcare And The Difficulties Of Integration, Skyler J. Pavlish-Carpenter
The Effects Of Emerging Technology On Healthcare And The Difficulties Of Integration, Skyler J. Pavlish-Carpenter
Honors Undergraduate Theses
Background: Disruptive technology describes technology that is significantly more advanced than previous iterations, such as: 3D printing, genetic manipulation, stem cell research, innovative surgical procedures, and computer-based charting software. These technologies often require extensive overhauls to implement into older systems and must overcome many difficult financial and societal complications before they can be widely used. In a field like healthcare that makes frequent advancements, these difficulties can mean that the technology will not be utilized to its full potential or implemented at all.
Objective: To determine the inhibiting factors that prevent disruptive technology from being implemented in conventional healthcare.
Methods: …
Using Foot Pressure Analysis To Predict Reoccurrence Of Deformity For Children With Unilateral Clubfoot, Juanita Jean Wallace
Using Foot Pressure Analysis To Predict Reoccurrence Of Deformity For Children With Unilateral Clubfoot, Juanita Jean Wallace
Theses and Dissertations--Kinesiology and Health Promotion
Reoccurrence of deformity can affect upwards of 64% of children with clubfoot. The ability to use foot function as a measure of reoccurrence has not been previously assessed. The purpose of this investigation was to utilize foot pressure analysis to predict the probability of reoccurrence in children with unilateral clubfoot. Retrospective foot pressure data revealed predictive algorithms detecting the probability of experiencing any type of reoccurrence (overall reoccurrence) and for experiencing a tibialis anterior tendon transfer (TATT). The equation for overall reoccurrence reported sensitivity and specificity of 0.82 and 0.81 and the equation for TATT reported values of 0.81 and …
Effects Of Aquatic And Land Plyometrics On Athletic Performance: A Systematic Review, Alissa Rhode, David C. Berry
Effects Of Aquatic And Land Plyometrics On Athletic Performance: A Systematic Review, Alissa Rhode, David C. Berry
International Journal of Aquatic Research and Education
The purpose of this study was to systematically review literature to determine whether aquatic plyometric training (APT) increases athletic performance compared to land-based plyometric training (LPT). We identified 6 articles from PubMed, CINAHL, MEDLINE, and single-citation matching from January, 1995 through January, 2017 using search words “aquatic plyometric training OR aquatic plyometric OR aquatic plyometrics.” After screening (title, abstract), 6 articles were reviewed for inclusion criteria: (1) full-report/abstract, (2) peer-reviewed RCTs/clinical trials, (3) English language, (4) focused on healthy individuals (free of current, lower-extremity, musculoskeletal injuries) ages 16-30 years, and (6) included strength, power, and/or vertical jump [VJ] dependent …
Perceived Importance Of Resistance Training In Collegiate Dancers, Kayla Major
Perceived Importance Of Resistance Training In Collegiate Dancers, Kayla Major
Graduate Theses
Dancers are artistic athletes that use their bodies as their instrument. Dance is a sport that requires significant skill and higher levels of fitness. Unfortunately, dancers are not as physically fit as sport athletes. This may not only increase their risk of injury, but also limit their maximum dance performance. Resistance training offers significant physical and psychological health benefits. But, there is very limited research regarding dancers’ resistance training habits. The results of the few studies that exist unanimously suggest that there is no detriment to the aesthetics of dance, rather improvements in dance elements as a result of improved …
Perceptions Of Ncaa Division I Baseball Pitchers On Treatment Modalities For Pitching Arm Health, Thomas Williams
Perceptions Of Ncaa Division I Baseball Pitchers On Treatment Modalities For Pitching Arm Health, Thomas Williams
Graduate Theses
Throwing athletes of all sports have similarities, even if the sport itself is very different. Throwing an object creates a great amount of stress on the body, particularly at the shoulder and the elbow. A baseball pitcher should train and compete in all three planes of movement-sagittal, frontal and transverse. Training for throwing athletes has two main goals: to increase throwing power and to reduce throwing injuries. Analyzing training habits of a throwing athlete includes an understanding of the modalities they perform in order to prevent potential injuries from occurring. Baseball pitchers are extremely susceptible to throwing injuries, and must …
High School Student Concussion Recovery Program: Teacher Involvement In Student Academic Transitions To Classroom And To Sports, Brittany Diego
High School Student Concussion Recovery Program: Teacher Involvement In Student Academic Transitions To Classroom And To Sports, Brittany Diego
Dissertations, Masters Theses, Capstones, and Culminating Projects
Many symptoms of concussions can substantially interfere with the cognitive abilities, and skills students use in school. Although students may have similar symptoms, they experience concussions differently. Students returning to the classroom from a concussion often have different needs and abilities.
Research shows that a formal, individualized protocol to treat suspected concussions, both academically and physically, is vital to the successful recovery of each student. Much research is available on concussions for professional athletes, specifically related to recovery and returning to their sport. However, there is little research about high school students regarding concussions. Concussion recovery programs for high school …
Mindfulness Program For Student Athletes, Daniel J. Savory
Mindfulness Program For Student Athletes, Daniel J. Savory
M.A. in Leadership Studies: Capstone Project Papers
Student athletes face challenging situations during their time at college which can cause their experience to be a negative one if they are not fully supported. This can be due to several factors; most athletes face an immense amount of pressure to succeed in the classroom as well as in their sport. Also, many athletes are moving away from home for the first time and this can be a daunting feeling. They are expected to manage all of these challenges, and if mishandled, it can lead to an overwhelming amount of negative stress resulting in an unsuccessful time as a …
Sex-Dependent Effects Of Ho-1 Deletion From Adipocytes In Mice, Peter A. Hosick, Mary Frances Weeks, Michael W. Hankins, Kyle H. Moore, David E. Stec
Sex-Dependent Effects Of Ho-1 Deletion From Adipocytes In Mice, Peter A. Hosick, Mary Frances Weeks, Michael W. Hankins, Kyle H. Moore, David E. Stec
Department of Exercise Science and Physical Education Scholarship and Creative Works
Induction of heme oxygenase-1 (HO-1) has been demonstrated to decrease body weight and improve insulin sensitivity in several models of obesity in rodents. To further study the role of HO-1 in adipose tissue, we created an adipose-specific HO-1 knockout mouse model. Male and female mice were fed either a control or a high-fat diet for 30 weeks. Body weights were measured weekly and body composition, fasting blood glucose and insulin levels were determined every six weeks. Adipocyte-specific knockout of HO-1 had no significant effect on body weight in mice fed a high-fat diet but increased body weight in female mice …
Key Points From The Updated Guidelines On Exercise And Diabetes, Sheri R. Colberg
Key Points From The Updated Guidelines On Exercise And Diabetes, Sheri R. Colberg
Human Movement Studies & Special Education Faculty Publications
From the Introduction:
No doubt remains that the adoption and maintenance of physical activity is important for overall health and blood glucose management in individuals with diabetes and prediabetes. Recently, the American Diabetes Association (ADA) published updated recommendations and precautions about physical activity and exercise in people with type 1 diabetes, type 2 diabetes, and gestational diabetes (1). Given the importance of these topics, it is worth discussing the key changes and updates included in this ADA position statement (PS).
Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White
Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White
Student Research Posters
The purpose of this study was to fill the gap in literature and further examine the use of sensory diets in the field of occupational therapy. This study investigated the use of sensory diets among California occupational therapy practitioners. A mixed-methods design was used to collect data through a SurveyMonkey survey. The survey was sent out to members of the Occupational Therapy Association of California (OTAC) and received 98 respondents within one month. Participants worked among various clinical settings and implemented sensory diets with various client populations. Practitioners reported using terms such as “sensory strategies,” “sensory tools,” and “sensory supports” …
Stability Of Isometric Strength Asymmetry And Its Relationship To Sprint And Change-Of-Direction Performance Asymmetry In Division-I Collegiate Athletes, Benjamin H. Gleason
Stability Of Isometric Strength Asymmetry And Its Relationship To Sprint And Change-Of-Direction Performance Asymmetry In Division-I Collegiate Athletes, Benjamin H. Gleason
Electronic Theses and Dissertations
The purpose of this dissertation was to evaluate the stability of strength asymmetry over a long-term period (1 year) and investigate the relationship of strength asymmetry to field test performance asymmetry in NCAA division-1 athletes. Isometric mid-thigh pull (IMTP) peak force asymmetry, ground contact time and finish time asymmetries on 10m sprint and 505 agility test performances were also observed. The impact of strength was also investigated in these studies to determine its effect on the magnitude of asymmetry.
In the second study, peak force asymmetry over a one-year period was observed to be a rather volatile quality, with ranges …
Commentary: Considering Educational Perspectives And Their Relevance To Allied Health Professional Education: Using Physical Therapy As An Example, Jennifer Audette, Susan Roush
Commentary: Considering Educational Perspectives And Their Relevance To Allied Health Professional Education: Using Physical Therapy As An Example, Jennifer Audette, Susan Roush
Internet Journal of Allied Health Sciences and Practice
Purpose: The purpose of this article is to introduce readers to three educational perspectives: progressive, critical, and professional, and explain their relevance to allied health professional education. Faculty in allied health professional education are often solely educated as clinicians and not as teachers, entering academia with limited background in educational theory. Professional organizations and accrediting bodies, however, are highlighting the need for evidence and theory-based pedagogy and practice in educational settings. Method: An overview of three educational perspectives is provided, as is a discussion of their relevance to allied health professional education, using physical therapist education as an example. Conclusion: …
Clinical Reasoning In First- And Third-Year Physical Therapist Students, Sarah Gilliland
Clinical Reasoning In First- And Third-Year Physical Therapist Students, Sarah Gilliland
Physical Therapy Faculty Articles and Research
Background and Purpose. The development of clinical reasoning skills is a crucial component of professional physical therapist education. Prior research has described reasoning patterns in novice and expert practitioners, yet little is known about how professional physical therapist (PT) students develop clinical reasoning skills. The purpose of this study was to explore how first-year PT students perform clinical reasoning in comparison to third year PT students in their final semester.
Subjects. A simple random sample of 6 first-year (mean age 23.1 years) and 6 third-year (mean age 27 years) Doctor of Physical Therapy students were recruited.
Methods. …
Surfing Injuries Requiring First Aid In New Zealand, 2007-2012, Kevin Moran, Jonathon Webber
Surfing Injuries Requiring First Aid In New Zealand, 2007-2012, Kevin Moran, Jonathon Webber
International Journal of Aquatic Research and Education
In an island nation such as New Zealand with easy access to surf beaches, surfing activities are very popular and, while generally perceived as a healthy form of outdoor recreation, they do have attendant risks. This study reports on nondrowning, surfing-related incidents that required medical first aid on beaches during five summer seasons from 2007-2012. Retrospective descriptive analysis of data from lifeguard first aid reports found that 16% (n = 1,327) of injuries were the consequence of surfing activity. More males than females were treated for surfing injuries (68% male, 31% female). Lacerations (59%) and bruising (15%) accounted for most …
Relationship Between Program And Faculty Characteristics And Success On The Board Of Certification Examination, Nicole Chris
Relationship Between Program And Faculty Characteristics And Success On The Board Of Certification Examination, Nicole Chris
Sycamore Center for Wellness and Applied Medicine
Context: When comparing success for health care professionals on certifying exams, Athletic Trainers perform lower. Other professions have identified predictors of success on their respective exams; however, Athletic Training (AT) has yet to do so. Objective: To determine the relationship between characteristics of Athletic Training Education Programs (ATEP), Program faculty and success on the Board of Certification Examination (BOC). Design and Setting: Survey. Patients or Other Participants: We solicited responses from the program directors (PD) of all 363 entry-level ATEPs and 38-52 PDs responded to various questions. We analyzed all completed responses for each item. Data Collection: We developed an …
Organized Camp And Character Development 2013, Veronica Ripp
Organized Camp And Character Development 2013, Veronica Ripp
Master's Theses
The purpose of this study was to examine the relationship between organized camp and character development. In particular, it looked to determine to what extent organized camp affected campers' character, including how much change in character campers' experienced in a week at camp, what aspects of character were most influenced, and what factors about camp had the most impact on campers' character. The study was multimodal in design, using the Values in Action Inventory for Youth (VIA-Youth) as a pre and posttest for quantitative analysis and camper interviews, staff interviews, and researcher observations for qualitative analysis. Seven completed VIA-Youth pre …
Too Much Puff, Not Enough Push? Surf Lifeguard Simulated Cpr Performance, Kevin Moran, Jonathon Webber
Too Much Puff, Not Enough Push? Surf Lifeguard Simulated Cpr Performance, Kevin Moran, Jonathon Webber
International Journal of Aquatic Research and Education
The purpose of this paper is to report on the technical competency of volunteer surf lifeguards to perform CPR on a manikin in light of their lifeguard experience, age, and gender. The CPR skills of surf lifeguards on patrol at the beginning of the 2010-11 summer season were tested on manikins by observation of CPR procedures and electronic recording of compression and ventilation skills. Almost all lifeguards (n=252) made the appropriate initial checks for responsiveness (98%). Compression skills were generally performed accurately with few technical errors (such as incomplete release). Most lifeguards (87%) over-ventilated the lungs (> 600ml) on each …
Surf Lifeguard Perceptions And Practice Of Cardiopulmonary Resuscitation (Cpr), Kevin Moran, Jonathon Webber
Surf Lifeguard Perceptions And Practice Of Cardiopulmonary Resuscitation (Cpr), Kevin Moran, Jonathon Webber
International Journal of Aquatic Research and Education
While the importance of lifeguards in providing immediate and effective basic life support (BLS) in drowning has been well reported, not a lot is known about how lifeguards perceive the relative value of CPR as a lifeguard skill, their training in it, and the likelihood of resuscitation being successful. A self-complete questionnaire was completed by 252 volunteer surf lifeguards at 16 surf beaches in the Greater Auckland,NZ region. Results show that most lifeguards (65%) had received training in the 3 months before the survey, 83% were willing to perform CPR, few (9%) had used CPR in an emergency, and many …
The Instructor’S Role In Aquatic Education: Some Personal Observations, Leland Yarger, Steven P. Dalcher
The Instructor’S Role In Aquatic Education: Some Personal Observations, Leland Yarger, Steven P. Dalcher
International Journal of Aquatic Research and Education
No abstract provided.
International Perspective Of Aquatic Instructors’ Attitudes Toward Teaching Swimming To Children With Disabilities, Phillip Conatser
International Perspective Of Aquatic Instructors’ Attitudes Toward Teaching Swimming To Children With Disabilities, Phillip Conatser
International Journal of Aquatic Research and Education
The purpose of this study was to examine attitudes of aquatic instructors (N = 23) toward teaching swimming to children with mild and severe disabilities in an inclusive setting. Aquatic instructors from 23 cities in 7 countries participated in the study. Data were collected by mail survey using the Aquatic Instructors Attitudes Toward Teaching Swimming to Individuals With Disabilities questionnaire (Conatser, Block, & Lapore, 2000). A correlated t test showed that aquatic instructors were significantly more favorable toward teaching aquatics to children with mild disabilities than children with severe disabilities. Instructors agreed they should include children with mild disabilities and …
Motivations And Reasons For Exercising In Water: Gender And Age Differences In A Sample Of Spanish Exercisers, Juan Antonio Moreno Murcia, Celestina Martínez Galindo, Pablo Marcos Pardo
Motivations And Reasons For Exercising In Water: Gender And Age Differences In A Sample Of Spanish Exercisers, Juan Antonio Moreno Murcia, Celestina Martínez Galindo, Pablo Marcos Pardo
International Journal of Aquatic Research and Education
The purposes of this study were, on the one hand, to relate the reasons for exercising with self-determination and, on the other, to check gender and age differences with a sample of 311 exercisers in water. The data were collected using the Behavioral Regulation in Exercise Questionnaire–2 and Motives for Physical Activities Measure–Revised. A positive and significant correlation was seen between self-determination and the reasons for exercise, with self-determination predicting 22% by enjoyment and 8% by fitness/health reasons. Similarly, the multivariate analysis showed that the women had more self-determination than the men and that they also rated fitness/health, social, enjoyment, …