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Articles 601 - 630 of 1381

Full-Text Articles in Kinesiology

A177: Association Between Physical Activity And The Risk Of Depression Among Middle And Older Chinese People, Yunqing Zhang Dec 2024

A177: Association Between Physical Activity And The Risk Of Depression Among Middle And Older Chinese People, Yunqing Zhang

International Journal of Physical Activity and Health

Purpose: Relevant studies have shown that insufficient physical activity (PA) is associated with the risk of depression in middle-aged and elderly populations, but the relationship between different levels of PA and the risk of depression remains unexplored. Therefore, the objective of this study was to explore the relationship between different levels of PA and depression risk among middle-aged and older adults in China.

Methods: The survey data of this study was based on the 2020 China Health and Retirement Longitudinal Study (CHARLS). A total of 13,316 middle-aged and elderly community residents aged 45 years or older with complete values of …


A178: Effect Of Aerobic Exercise Intervention On Anxiety In College Students: A Systematic Review, Yiming Chen, Shengting Dai, Xinming Ye Dec 2024

A178: Effect Of Aerobic Exercise Intervention On Anxiety In College Students: A Systematic Review, Yiming Chen, Shengting Dai, Xinming Ye

International Journal of Physical Activity and Health

Background/Purpose: The role of exercise interventions in the treatment of psychiatric disorders is receiving increased attention, and the positive protective effect of aerobic exercise on anxiety symptoms has now been extensively demonstrated. This study aimed to investigate the systematic evaluation of the effects of different aerobic exercise interventions on anxiety symptoms in college students.

Method: Using keywords such as “physical activity,” “anxiety,” and “college students” screened Randomized controlled trials (RCT) published until February 2024 in three databases: PubMed, Web of Science, and Scopus. A total of 5073 studies were retrieved after systematically searching individual databases. After removing duplicate literature, 4112 …


A173: An Experimental Study Of The Effects Of Exercise Intervention On Executive Function In Obese Adolescents, Lingling Hu, Hengchan Yin, Lei Cui, Qiqi Shen Dec 2024

A173: An Experimental Study Of The Effects Of Exercise Intervention On Executive Function In Obese Adolescents, Lingling Hu, Hengchan Yin, Lei Cui, Qiqi Shen

International Journal of Physical Activity and Health

Background: Executive function (EF) is an important component of cognitive function, referring to a higher-level cognitive process that coordinates and controls various basic cognitive processes when completing complex cognitive tasks. It includes three sub-functions: inhibition, working memory, and cognitive flexibility. Globally, high rates of overweight and obesity remain a public health issue. Previous studies have shown that, compared to adolescents with healthy weight, adolescents with obesity have poorer inhibitory function in EF. In addition, the effectiveness of the exercise intervention is seen in the normal adolescent population as well as in special adolescents with poor EF. However, there have been …


A181: The Realistic Path Of Green Sports To Boost Urban Development, Xinyu Huang Dec 2024

A181: The Realistic Path Of Green Sports To Boost Urban Development, Xinyu Huang

International Journal of Physical Activity and Health

Green sports is an emerging form of sports that pursues the integrated development and harmonious coexistence of sport, humanities, and ecology. As the interaction between the green sports industry and cities becomes increasingly closer, it is of great practical significance to explore how the development path of green sports can enhance urban development. Green sports have the characteristics of close industrial connection, environmental protection, low carbon, and a huge consumption base.

It can promote the transformation of social, economic, and ecological models of cities by bringing into play the economic vitality, social benefits, and ecological benefits of the green sports …


A180: The Effects Of Weight Control By Hypoxia On Judo Athletes With Hiit, Liying Huang Dec 2024

A180: The Effects Of Weight Control By Hypoxia On Judo Athletes With Hiit, Liying Huang

International Journal of Physical Activity and Health

Purpose: High-intensity interval training (HIIT) is recognized as an effective means of fat reduction, and HIIT is also used in the pre-competition weight control of judo. In addition, hypoxic adaptation can reduce blood lipids, maintain exercise capacity, and improve physical function. Therefore, this study explored the effects of weight control by hypoxia on judo athletes with HIIT by observing the changes of body composition, blood lipids, exercise ability and body function, so that to explore an innovative method of weight control pre-competition for judo athletes.

Methods: 12 female athletes of the provincial judo team preparing for the 2023 Guangdong Provincial …


A018: Dual-Process Advantages Of Ball Players In Sport-Related Domains, Xuechen Mao Dec 2024

A018: Dual-Process Advantages Of Ball Players In Sport-Related Domains, Xuechen Mao

International Journal of Physical Activity and Health

Background: Based on a dual-process framework, two qualitatively different modes of processing guide human behaviour. Type 1 processes refer to automatic, unconscious processing that can be responsible for Task 1, while Type 2 processes refer to controlled, conscious processing required by Task 2. Although many existing sport psychology studies emphasize that the dual-process model can be applied to the sports domain, this application has shortcomings. The first debate of this application is whether dual-process advantages in athletes are limited to sport-specific realms. Furthermore, although the dual-process framework pays more attention to automatic processes (Type 1 processes), it loses sight of …


A027: Does Participation In Sports Competitions Enhance Medical Students' Interprofessional Teamwork?, Guochun Liu, Zhiling Shen Dec 2024

A027: Does Participation In Sports Competitions Enhance Medical Students' Interprofessional Teamwork?, Guochun Liu, Zhiling Shen

International Journal of Physical Activity and Health

Background: Healthcare systems are complex linkages, and efficient interprofessional collaboration is essential to their efficiency, safety, and quality. The ability of medical students to collaborate across professions directly impacts future healthcare delivery practices. Physical education programmes provide a simple and easy way for medical students to develop interprofessional collaboration that can be translated into future team performance in clinical settings. To test the effectiveness of the physical education programme "competition instead of examination" in improving the teamwork ability of medical students.

Method: Using a quasi-experimental intervention design, 188 students were recruited from five classes to complete a teamwork scale consisting …


A047: Research On The Structure And Scale Of Service Quality Of Sports Park, Liping Xu, Zhihua Yin, Jian Wang Dec 2024

A047: Research On The Structure And Scale Of Service Quality Of Sports Park, Liping Xu, Zhihua Yin, Jian Wang

International Journal of Physical Activity and Health

Background/Purpose: Since the "14th Five-Year Plan" period, with the vigorous promotion of China and the provincial and municipal governments, the number of sports parks has shown a continuous positive trend of growth. While accelerating the construction progress, how to improve the service quality of sports parks should become the primary issue that needs to be solved to promote the sustainable and healthy development of sports parks. Therefore, based on the perspective of public demand, this study formed a scientific assessment scale by exploring the specific content structure contained in the service quality of sports parks, to promote the high-quality development …


A Systematic Review Of The Long-Term Efficacy Of Physical Activity Interventions In Reducing Risk Factors For Obesity In Adults, Jude Ominyi, Andrew Clifton, Noreen Cushen-Brewster Nov 2024

A Systematic Review Of The Long-Term Efficacy Of Physical Activity Interventions In Reducing Risk Factors For Obesity In Adults, Jude Ominyi, Andrew Clifton, Noreen Cushen-Brewster

International Journal of Physical Activity and Health

Background: Regular physical activity (PA) provides numerous health advantages, including lowering mortality rates and preventing obesity. Despite well-established guidelines advising 150-300 minutes of moderate-intensity or 75-150 minutes of vigorous-intensity aerobic PA weekly, sedentary lifestyles remain prevalent, especially in industrialised nations. This systematic review examines the long-term effectiveness (12-24 months) of PA interventions aimed at reducing obesity risk among adults, with a particular focus on identifying strategies that promote sustained adherence.

Methods: A comprehensive literature search was performed using multiple databases, including Cochrane Library, PubMed, and Embase, focusing on studies published between January 2004 and January 2024. The inclusion …


Athletic Trainer Emergency Management Skill Assessment Via Low Fidelity Simulation, Jaclyn B. Arduini, Jennifer L. Volberding Oct 2024

Athletic Trainer Emergency Management Skill Assessment Via Low Fidelity Simulation, Jaclyn B. Arduini, Jennifer L. Volberding

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Athletic training education requires the inclusion of emergency management (EM) best practices, however the Board of Certification (BOC) does not mandate any continuing education (CE) past Emergency Cardiac Care (ECC). With EM best practices continuing to change there is potential for a large knowledge gap to develop in practicing athletic trainers (ATs) who do not chose to engage in EM CE. The purpose of this study was to identify knowledge gaps in practicing ATs’ EM skills via low fidelity simulation. Methods: A cross-sectional study was conducted in an educational laboratory setting involving twenty-two ATs (age 36.7±10.8 years; 13 males, …


Two Lives, Shruti Trehan Mbbs Oct 2024

Two Lives, Shruti Trehan Mbbs

Journal of Wellness

A busy oncologist makes a decision to leave her busy, thriving, community practice in the Mid-West and moves to a Veterans Affairs hospital in South Florida in the quest for a better work-life balance.


Repeatability Of Alkaline Inorganic Phosphate Quantification In The Skeletal Muscle Using 31p-Magnetic Resonance Spectroscopy At 3 T, Alexs A. Matias, Corinna F. Serviente, Stephen T. Decker, Muhammet Enes Erol, Gaia Giuriato, Yann Le Fur, Rajakumar Nagarajan, David Bendahan, Gwenael Layec Sep 2024

Repeatability Of Alkaline Inorganic Phosphate Quantification In The Skeletal Muscle Using 31p-Magnetic Resonance Spectroscopy At 3 T, Alexs A. Matias, Corinna F. Serviente, Stephen T. Decker, Muhammet Enes Erol, Gaia Giuriato, Yann Le Fur, Rajakumar Nagarajan, David Bendahan, Gwenael Layec

Health and Kinesiology Faculty Publications

The detection of a secondary inorganic phosphate (Pi) resonance, a possible marker of mitochondrial content in vivo, using phosphorus magnetic resonance spectroscopy (31P-MRS), poses technical challenges at 3 Tesla (T). Overcoming these challenges is imperative for the integration of this biomarker into clinical research. To evaluate the repeatability and reliability of measuring resting skeletal muscle alkaline Pi (Pialk) using with 31P-MRS at 3 T. After an initial set of experiments on five subjects to optimize the sequence, resting 31P-MRS of the quadriceps muscles were acquired on two visits (~4 days apart) using an intra-subjects design, from 13 sedentary to moderately …


Supporting Students’ Physical Activity Self-Efficacy Within High School Physical Education, Ken Murfay, Aaron Beighle, Heather Erwin, Erin Aiello, Sarah Pyszczynski Sep 2024

Supporting Students’ Physical Activity Self-Efficacy Within High School Physical Education, Ken Murfay, Aaron Beighle, Heather Erwin, Erin Aiello, Sarah Pyszczynski

International Journal of Physical Activity and Health

Research examining physical activity (PA) is significant because of the known benefits of PA. Studying high school (HS) students is particularly important due to the consistent decline in PA as students age. One strategy to increase PA is to increase someone’s self-efficacy (confidence) to be physically active which is commonly positively associated with PA. Most of the research on how to support physical activity self-efficacy (PASE) comes from outside-of-school interventions with minimal literature on how to support students’ PASE within HS physical education (PE). This study attempted to identify and share practices that current HS PE teachers were implementing to …


Decision Making Through Gait Analysis: An Application Of The Transcendental Method, Gary Guerra Aug 2024

Decision Making Through Gait Analysis: An Application Of The Transcendental Method, Gary Guerra

San Jose - Lonergan Chair in Catholic Philosophy

Summer 2024, Decision making through gait analysis: An application of the Transcendental Method

Student in EX3304 Biomechanics participated in a Human Motion Analysis Laboratory and learn three primary values through this process


Teacher Implementation Profiles: A Response To Top-Down Mandate Of Movement Integration, Zack Beddoes, Jeanne Barcelona, Darla Castelli Aug 2024

Teacher Implementation Profiles: A Response To Top-Down Mandate Of Movement Integration, Zack Beddoes, Jeanne Barcelona, Darla Castelli

International Journal of Physical Activity and Health

This study examined teacher implementation practices to meet a state mandate requiring 135 minutes of student physical activity (PA) weekly. Teachers were required to implement a video-based movement integration (MI) program. Using an embedded mixed-methods design, provider characteristics of 42 teachers and the organizational capacity of six schools were developed from interviews, surveys, observations, and artifacts. Data analysis revealed three teacher profiles (a) Dynamic Experientialists, (b) Coachable Constructivists, and (c) Cautious Behaviorists, and three school profiles (a) Whole Child Approach, (b) Grade Level Champions, and (c) Back to Basics. Findings suggest that school, teacher, …


Development Of A New Individual Interest Questionnaire In Physical Education, Minting Zhang, Bo Shen, Jin Bo Aug 2024

Development Of A New Individual Interest Questionnaire In Physical Education, Minting Zhang, Bo Shen, Jin Bo

International Journal of Physical Activity and Health

Recognizing the close interconnection between implicit-affective control and cognitive-rational aspects of individual interest, we designed this study to develop a new instrument - the Individual Interest Questionnaire in Physical Education (IIQ-PE). In study 1 (N=132), an exploratory factor analysis supported a model consisting of a single unified factor. In study 2 (N=117), Confirmatory Factor Analyses corroborated the construct validity of the IIQ-PE. Also, when examining multi-group invariance across the two study samples, no significant differences were found, suggesting that this factor structure held consistently. In study 3 (N=121), a path model further demonstrated that the individual interest significantly predicted learning …


Yoga As A Didactic Tool For Musculoskeletal Anatomy For First Year Medical Students, Jennnifer Brueckner-Collins, Scott P. Stuckey Aug 2024

Yoga As A Didactic Tool For Musculoskeletal Anatomy For First Year Medical Students, Jennnifer Brueckner-Collins, Scott P. Stuckey

Journal of Wellness

Introduction: Medical education requires students to adjust their study habits. Active learning has been shown to enhance understanding, especially regarding anatomy. Wellness has become increasingly emphasized for medical professionals; thus, it is important for medical students to develop wellness habits to mitigate burnout. Yoga is commonly practiced with a focus on wellness and flow of movements. Yoga as an educational and wellness tool integrated into medical gross anatomy is a worthwhile pursuit. This study describes a series of anatomy-based yoga videos designed to meld wellness activities with musculoskeletal anatomy review for preclinical medical students.

Approach: Six novel yoga …


Healthcare Providers' Perceptions Of Infant Physical Activity And Communication, Priyanka Chaudhary, Kailey Snyder, Shari Deveney, Danae Dinkel Jul 2024

Healthcare Providers' Perceptions Of Infant Physical Activity And Communication, Priyanka Chaudhary, Kailey Snyder, Shari Deveney, Danae Dinkel

Health and Kinesiology Faculty Publications

Background

Healthcare providers (HPs) play a critical role in disseminating information about infant health and development. Two key developmental areas for infants are physical activity (PA) and communication. Few studies have examined HPs views of these topics. Thus, HPs may need support to promote these early development outcomes in infants. Thus, the study explored HPs' perceptions of infant PA and communication.

Methods

A total of 13 HPs with a wide variety of backgrounds were recruited. Zoom semi-structured interviews were based on the Health Belief Model. Deductive content analysis was utilized to analyze data.

Results

HPs knew little about PA guidelines. …


Standardized Patient Evaluation Tool: A Valid Measure Of The Core Competencies, Lindsey E. Eberman, Jessica Edler Nye Jul 2024

Standardized Patient Evaluation Tool: A Valid Measure Of The Core Competencies, Lindsey E. Eberman, Jessica Edler Nye

Clinical Practice in Athletic Training

No abstract provided.


The Value Of Using Validated Competency-Based Assessments Across The Career Span Of An Athletic Trainer, Matthew Drescher, Lindsey Eberman Jul 2024

The Value Of Using Validated Competency-Based Assessments Across The Career Span Of An Athletic Trainer, Matthew Drescher, Lindsey Eberman

Clinical Practice in Athletic Training

No abstract provided.


The Development, Implementation, And Value Of The Athletic Training Milestones For Assessing Progressive Clinical Behaviors, Hollie Walusz, Eric Sauers, Mark Laursen, Forrest Pecha Jul 2024

The Development, Implementation, And Value Of The Athletic Training Milestones For Assessing Progressive Clinical Behaviors, Hollie Walusz, Eric Sauers, Mark Laursen, Forrest Pecha

Clinical Practice in Athletic Training

No abstract provided.


Perceptions And Use Of The Athletic Training Milestones In Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie L. Van Lunen, Lindsey E. Eberman Jul 2024

Perceptions And Use Of The Athletic Training Milestones In Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie L. Van Lunen, Lindsey E. Eberman

Clinical Practice in Athletic Training

The Athletic Training Milestones (AT Milestones) were developed as an evaluation tool to capture the breadth and depth of athletic training knowledge, skills, and behavior. However, it is unclear whether athletic training programs are implementing this tool or how they are implementing it to gauge the clinical progression of students or residents in athletic training. We aimed to explore the perceptions and use of the AT Milestones among educators in athletic training programs. We used a cross-sectional, web- based survey with open-ended questions to collect data from athletic training programs on if and how they implement the AT Milestones at …


Stakeholder Involvement And Systematic Review Of Elements That Determine A Successful Return To Work For Injured Workers: A Scoping Review, Sundip Kaur Khosa, Wilma Jelley Professor Jun 2024

Stakeholder Involvement And Systematic Review Of Elements That Determine A Successful Return To Work For Injured Workers: A Scoping Review, Sundip Kaur Khosa, Wilma Jelley Professor

Internet Journal of Allied Health Sciences and Practice

Introduction: A healthy and sustainable return to work (RTW) for a worker after injury or illness has benefits for the worker, their family, the employer, and society.1 For this research we used the following definition of RTW success; return to positive and meaningful work in a position or occupation not necessarily including all the aspects of the worker’s pre-injury or pre-illness functions or tasks. Purpose: The question behind this survey-based research was, What elements are perceived as essential, to ensure return to employment of injured or ill workers, by stakeholders with experience in the RTW process? Methods: A 32 …


The Influence Of Subject Effort On Measurement Variability In Low-Stakes Tests Of Endurance Performance, Noah Wilfong May 2024

The Influence Of Subject Effort On Measurement Variability In Low-Stakes Tests Of Endurance Performance, Noah Wilfong

Masters Theses, 2020-current

Purpose: This study examined the effects of self-reported effort ratings on time trial performance variability in cyclists. Methods: Seven cyclists completed a preliminary trial and 3 identical exercise trials. Exercise trials consisted of 15 min of constant load cycling (5 min at 50% Wmax, 10 min at 70% Wmax), followed immediately by a 20-km self-paced time trial (TT). Performance was assessed as the time to complete the 20-km TT. Immediately following the exercise trial, participants completed two self-reported measures of expended effort (i.e., Student Opinion Subscale and Effort Thermometer scale) to ascertain their perceived effort during …


Ua12/2/1 College Heights Herald: Ways Of The Future, Wku Student Affairs May 2024

Ua12/2/1 College Heights Herald: Ways Of The Future, Wku Student Affairs

WKU Administration Documents

Magazine edition of the College Heights Herald for the period April 8 - May 5, 2024.

  • Anderson, Alexandria. Letter from the Editor – Science, Technology & Business
  • Anderson, Alexandria. Women in STEM Make Advances
  • Novoselia, Mariia. Turnover on Fountain Square: Local Businesses Share Concerns & Success Stories
  • SOKY Rentals Offers New Apartments
  • Walk2Campus: Where Home Meets Community
  • Bush, Camden. Can a Baseball Team Reduce Their Goals to a Math Problem?
  • Hawkins, Kaylee. Student Business Owners Share Experiences – Gatara Townsend, Andrew Garrett, Brittiny Sadler
  • Ivory, Larkin. Bikewalk BG, WKU CHHS Offer Chances for Healthy Lifestyle – Health & Human Services


Mindfulness For Middle School Students Receiving Adapted Physical Education Services: Quality Improvement Program, Kaila Mangrum May 2024

Mindfulness For Middle School Students Receiving Adapted Physical Education Services: Quality Improvement Program, Kaila Mangrum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Middle school students with disabilities are often isolated from their peers with decreased opportunities for participation, struggle with social emotional regulation, and self-efficacy. This has been evident among students with various disabilities who are from various age groups receiving special education services including adapted physical education (APE). Research has shown mindfulness amplifies learning and promotes a positive environment that supports children’s overall wellbeing. This quality improvement project focused on developing an occupational therapy centered mindfulness program to enhance social participation, self-efficacy, and social-emotional regulation. Data collection occurred pre and post program from specialized program teacher assistants (SPTAs) using the School …


Ua12/2/2 Talisman: Pulse, Wku Student Affairs Apr 2024

Ua12/2/2 Talisman: Pulse, Wku Student Affairs

WKU Administration Documents

Spring 2024 Talisman:

  • Hunter, Leah. Pulse
  • Muscutt, Carson. High on Bluegrass – Jordan Riehm
  • Meyers, Jeffrey. Science of Movement – Exercise Science
  • Murray, Debra. Pasture to Plate – Agriculture
  • Murray, Debra. Vegetarian Tortilla Soup
  • Coffee, Bobbi. Passion, Pain, Curiosity – Innovation Campus
  • Story, Miriam. Drafts of a Postcard (October 2023)
  • Johnston, Katelyn. Beyond Sound – Deaf
  • Hunter, Leah. One Good Week – Madison Weis
  • Alali, Cecilia. Crafted Cadence – Speech Team
  • Blankenship, Alisa. Loving You
  • Sandlin, Ellie. Here After – Death
  • Booth, Pandora. Rooted in Rhythm – Step Shows
  • Booth, Pandora. Horoscopes
  • Pulse Playlist


Attitude And Attitudinal Structures Toward Physical Education And Their Influences On Physical Activity Behavior, Yubing Wang, Yaogang Han, Pan Li, Binn Zhang Apr 2024

Attitude And Attitudinal Structures Toward Physical Education And Their Influences On Physical Activity Behavior, Yubing Wang, Yaogang Han, Pan Li, Binn Zhang

International Journal of Physical Activity and Health

Objectives: The purpose of this study was to examine middle and high school students’ cognitive and affective attitude and their cognitive-affective attitudinal structures toward physical education (PE). The effects of cognitive and affective attitude and attitudinal structures on physical activity (PA) in PE and outside of school were also examined. Methods: 1773 Chinese middle and high-school students participated in this study. SEM, Chi-square test, ANOVAs, and Contingency tables were adopted to address the research questions. Results: The results showed that most students (>90%) were holding positive cognitive and affective attitude toward PE. Students’ affective attitude significantly influences their PA …


Adaptive Sports And Fitness Night, Kendra Clary, Drew Gannon Apr 2024

Adaptive Sports And Fitness Night, Kendra Clary, Drew Gannon

SACAD: Scholarly Activities

In Health and Human Performance, an overarching objective is to address the obstacles that restrict physical activity in daily lifestyles. At Fort Hays, we are dedicated to expanding community inclusion and reaching diverse populations, promoting our commitment to diversity and inclusion excellence.

Mission Statement:

Empowering Community Through Inclusive Movement

Vision Statement:

Our adaptive sports and fitness night cultivates community engagement, builds relationships, fosters motor and skill development, and promotes health and well-being for individuals of all abilities.

A recent systematic review found that only 9% of adults with ID meet the minimum requirement of 150 min of moderate to vigorous …


Attitudes And Self-Efficacy Of Swimming Coaches Towards The Inclusion Of Swimmers With Autism Spectrum Disorder, Eleftheria Kasagianni, Dimitrios Kokaridas, Panagiotis Varsamis, Vasilis Tsimaras Mar 2024

Attitudes And Self-Efficacy Of Swimming Coaches Towards The Inclusion Of Swimmers With Autism Spectrum Disorder, Eleftheria Kasagianni, Dimitrios Kokaridas, Panagiotis Varsamis, Vasilis Tsimaras

International Journal of Aquatic Research and Education

The purpose of this study was to investigate the attitudes and self-efficacy of swimming coaches regarding the inclusion of swimmers with autism spectrum disorder (ASD). The sample consisted of 150 Greek swimming coaches with an average age of 29.58 years. Each participant completed the Swimming Coaches Attitudes towards Inclusion Questionnaire for perceptions assessment and the Biddle and Goudas (1997) self-efficacy questionnaire. The statistical analysis used SPSS 27 to calculate Cronbach’s alpha, Pearson product-moment correlations, independent t-tests, and ANOVA. The findings of the study showed that the swimming coaches expressed positive attitudes and a high percentage of perceived self-efficacy towards the …