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Full-Text Articles in Medicine and Health Sciences

Comparison Of The Effect Of Aerobic And Resistance Exercise On Short Term Memory On Healthy Adults, Frederick P. Wijaya, Ery Hermawati M.Sc, Willy Handoko M.Biomed Oct 2022

Comparison Of The Effect Of Aerobic And Resistance Exercise On Short Term Memory On Healthy Adults, Frederick P. Wijaya, Ery Hermawati M.Sc, Willy Handoko M.Biomed

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

Background: Exercise is known to improve the cognitive function, including short-term memory. Exercise can induce structural and functional changes of the brain, i.e. synaptic plasticity. Exercise is categorized into two groups: aerobic exercise and resistance exercise. Studies have shown that both groups of exercises can improve short-term memory function.

Objectives: this research is aimed to compare the effect of aerobic and resistance exercise on short-term memory on healthy adults.

Methods: Participants were given the choice to be admitted into either exercise group, aerobic or resistance. Short-term memory (forward digit span) were measured before and after the intervention.

Results: there were …


Effects Of Ohio Opioid Prescribing Policy On Postsurgical Prescriptions Following Sports Procedures, Joseph Henningsen Md, Scott Huff Md, Andrew Schneider Md, Fady Hijji Md, Andrew Froehle Phd, Anil Krishnamurthy Md Oct 2022

Effects Of Ohio Opioid Prescribing Policy On Postsurgical Prescriptions Following Sports Procedures, Joseph Henningsen Md, Scott Huff Md, Andrew Schneider Md, Fady Hijji Md, Andrew Froehle Phd, Anil Krishnamurthy Md

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

Background: Prescribed opioid medication after orthopedic sports surgery has been shown to exceed patient requirements. In 2017, as a response to the opioid epidemic, Ohio passed Opioid Prescribing Guidelines (OPG) limiting narcotic prescriptions for acute pain. This study sought to evaluate the effects of the OPG on prescribing behavior of orthopedists following knee arthroscopy (KA), shoulder arthroscopy (SA), and anterior cruciate ligament reconstruction (ACLR). Methods: An institutional database was queried to calculate morphine equivalent dose (MED) prescribed at discharge, acute follow-up (<90 days), and chronic follow-up (>90 days) and compare MED pre- and post-OPG. Cases were identified over a 2-year period starting …


Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps Oct 2022

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

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

Clinical Scenario: Inflammatory Bowel Disease (IBD) can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities, and limit exercise/sports participation. Limited studies and a lack of standardized guidelines for physical activity (PA) and exercise are additional barriers for patients. Limited sources have determined that exercise interventions of low-to-moderate intensity are safe and feasible for IBD patients. In theory, such interventions could promote improvements in exercise capacity and overall well-being. Focused Clinical Question: Is there evidence to suggest that established safe exercise-intensities promote improvements in exercise capacity in collegiate athletes …


Effects Of A 4-Week Heart Rate Variability Biofeedback Intervention On Psychological And Performance Variables In Student-Athletes: A Pilot Study, Samantha R. Weber, Zachary K. Winkelmann, Eva V. Monsma, Shawn M. Arent, Toni Torres-Mcgehee Jun 2022

Effects Of A 4-Week Heart Rate Variability Biofeedback Intervention On Psychological And Performance Variables In Student-Athletes: A Pilot Study, Samantha R. Weber, Zachary K. Winkelmann, Eva V. Monsma, Shawn M. Arent, Toni Torres-Mcgehee

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

PURPOSE: To examine the effects of a 4-week biofeedback intervention on coherence, psychological, and performance variables in collegiate student-athletes. METHODS: Thirteen student-athletes were randomly assigned to the intervention (one weekly biofeedback session for 4-weeks) or control group (no sessions). Data were collected at pre and post-intervention using weekly averaged coherence scores, psychological measures for depression, arousal, stress, resiliency, and performance outcome measures. RESULTS: A 3 (Time) x 4 (Week average) repeated measures ANOVA was independently conducted to examine differences between time and weekly coherence average for coherence scores. No significant differences were found for “at rest”, pre, or post-practice coherence …


The Effects Of Vitamin D Supplementation On Athletic Performance And Injury Prevention, Amani Adeeb Abushamma Jun 2022

The Effects Of Vitamin D Supplementation On Athletic Performance And Injury Prevention, Amani Adeeb Abushamma

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

Vitamin D supplementation has numerous effects on athletic performance and plays a significant role in preventing an athlete’s risk of getting injuries. Vitamin D has an impact on numerous physiological functions such as: bone health, muscle function, inflammatory response, and immune function. An athlete’s bone and muscle health are essential for maximum performance and career success. A bone fracture due to vitamin D deficiency can delay an athlete’s training and ultimately inhibit obtaining a collegiate scholarship and/or contract. A cross sectional study found that more than half of athletic trainers did not view 25-hydroxyvitamin D(25[OH]) testing and vitamin D supplementation …


An Infrapatellar Fat Pad Tear In A High School Football Player: A Case Report, Brian D. Seiler Jun 2022

An Infrapatellar Fat Pad Tear In A High School Football Player: A Case Report, Brian D. Seiler

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

Objective: To present a clinical case exploring the occurrence and management of a tear to the infrapatellar fat pad IFP of a high school football player. Background: Acute tears to the IFP are rare. Typically, the IFP becomes impinged (i.e., Hoffa’s disease) through a fall, direct knee trauma, or surgical complications, and requires conservative treatment. Treatment: A 15-year-old high school football player reported to the athletic training clinical complaining of right knee discomfort and the inability to fully flex the knee. The patient stated that during a field goal attempt he missed the ball and hyperextended his right knee. Hoffa’s …


Effects Of Caffeine On Agility Tests On One Women's Collegiate Volleyball Team, Sarah Monnier, Erika Smith-Goodwin, Eric Dick May 2022

Effects Of Caffeine On Agility Tests On One Women's Collegiate Volleyball Team, Sarah Monnier, Erika Smith-Goodwin, Eric Dick

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

OBJECTIVE
The purpose of this study was to investigate the effects of caffeine on agility tests (3-step approach,2-hand vertical leap,5-10-5 drill) on a women’s collegiate volleyball team at one Division III institution.

MAIN OUTCOME MEASUREMENT
Vertical jump measuring device measured 3-step approach and 2-hand vertical leap measurements. A stopwatch measured the 5-10-5 drill.


Effects Of Rock Steady Boxing On Parkinsons Patients, Hannah Hall, Jennifer Walker, Erika Smith-Goodwin May 2022

Effects Of Rock Steady Boxing On Parkinsons Patients, Hannah Hall, Jennifer Walker, Erika Smith-Goodwin

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

OBJECTIVE
Rock Steady Boxing’s (non-profit organization) program goal is improving Parkinson’s patients’ quality of life through a non-contact, boxing-based fitness class. The purpose of this study was to investigate the effects of Parkinson’s patients perceived improvement on proprioception from one hospital-based Rock Steady Boxing Program. The program was led by athletic trainers and physical therapists.

MAIN.OUTCOME.MEASURE
Likert scale survey was used with one fill in the blank question.


Comfort Levels Of Male Collegiate Student Athletes In Reporting Symptoms Of Eating Disorders, Maryn Herring, Erika Smith-Goodwin, Jennifer Walker May 2022

Comfort Levels Of Male Collegiate Student Athletes In Reporting Symptoms Of Eating Disorders, Maryn Herring, Erika Smith-Goodwin, Jennifer Walker

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

OBJECTIVE
The purpose of this study was to investigate the comfort levels of male student athletes at a Division III college in reporting symptoms of eating disorders to Athletic Trainers.

MAIN OUTCOME MEASUREMENT
Likert scale questions with one open ended question.


Rodeo Athletes' Perceptions Of The Available Onsite Medical Care Provided, Rachel R. Kesterson, Erika Smith-Goodwin, Jennifer Walker, Perry Denehy May 2022

Rodeo Athletes' Perceptions Of The Available Onsite Medical Care Provided, Rachel R. Kesterson, Erika Smith-Goodwin, Jennifer Walker, Perry Denehy

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

OBJECTIVE
The purpose of this study was to investigate the medical care perceptions of rodeo athletes at one Southwest Ohio rodeo as compared to others.

MAIN.OUTCOME.MEASURE
The survey was made of 23 Likert-scale questions.


Mens' And Womens' Diii Soccer Athletes Anxiety Levels Due To Balancing Academic And Team Responsibilities, Kathleen Monnig, Jennifer Walker, Erika Smith-Goodwin May 2022

Mens' And Womens' Diii Soccer Athletes Anxiety Levels Due To Balancing Academic And Team Responsibilities, Kathleen Monnig, Jennifer Walker, Erika Smith-Goodwin

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

OBJECTIVE
The purpose of this study was to investigate anxiety levels due to balancing academic and team responsibilities in one Division III womens’ and mens’ soccer teams.

MAIN.OUTCOME.MEASURE
5-point,6-point Likert scale.


Effects Of Tiktok On The Mental Health Of Men's And Women's Soccer Teams At One Institution, Hayley Suchland, Erika Smith-Goodwin, Eric Dick May 2022

Effects Of Tiktok On The Mental Health Of Men's And Women's Soccer Teams At One Institution, Hayley Suchland, Erika Smith-Goodwin, Eric Dick

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

OBJECTIVE
The purpose of this study was to investigate the effects of the social media platform, TikTok, on the mental health of Division III Men’s and Women’s soccer players at one institution.

MAIN.OUTCOME.MEASUREMENT
Likert scale survey.


Comparison Of Rehabilitation Programs Following A Latarjet Procedure: A Level 3 Case Study, Philip Wienkamp, Lisa S. Jutte May 2022

Comparison Of Rehabilitation Programs Following A Latarjet Procedure: A Level 3 Case Study, Philip Wienkamp, Lisa S. Jutte

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

OBJECTIVE
Anterior shoulder dislocations cause chronic disability, often requiring surgery. Latarjet procedures are considered when the anterior glenoid fractures during shoulder dislocation. Latarjet procedures show positive outcomes with low dislocation recurrence rates, although rehabilitation guidelines are not well established. This Level-3 CASE report will compare two rehabilitation protocols.

UNIQUENESS
Our patient’s progress was significantly delayed compared to Murphy et al.’s patient. Although they had similar strength and ROM deficits in week 2, our patient required an additional 15 weeks to make similar gains. Also, our patient did not begin aggressive overhead activity until 10 weeks after Murphy et al.’s patient. …


A 12-Year Retrospective Analysis Of Vo2max Values In College-Aged Student Athletes, Michelle Wilson, Scott Swanson May 2022

A 12-Year Retrospective Analysis Of Vo2max Values In College-Aged Student Athletes, Michelle Wilson, Scott Swanson

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

OBJECTIVE
To examine VO2max values in a cohort of exercise physiology students over a 12-year time period.

MAIN OUTCOME MEASUREMENT
Student’s VO2max values were examined for the effects of gender (males vs. females) and athletic status (athlete vs. non-athlete). Significance was set at p


Exploring The Relationship Between Athletic Identity On Certain Coping Mechanisms In Adolescent Athletes, Jessica Steger, Laura Harris May 2022

Exploring The Relationship Between Athletic Identity On Certain Coping Mechanisms In Adolescent Athletes, Jessica Steger, Laura Harris

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

OBJECTIVE
(1) To describe athletic identity and coping mechanisms in an adolescent athletic population, and (2) to examine the relationship between athletic identity and coping mechanisms in an adolescent population.

MAIN.OUTCOME.MEASURES
Descriptive statistics were calculated for the summated AIMS-7 score and three CISS-SSC subscale scores. Pearson correlation coefficients were calculated between each AIMS-7 subscale and CISS-SSC subscale. Additionally, three independent t-tests were conducted with the independent variable, low, moderate, or high AIMS score, and the dependent variables, avoidance, emotion, or task-focused CISS-SSC score. Alpha level was set at 0.05 for all analyses.


Reliability And Utility Of A Lumbopelvic-Hip Complex Stability Assessment In Individuals With Patellofemoral Pain, Erika Zambarano, Neal Glaviano, Amanda Murray May 2022

Reliability And Utility Of A Lumbopelvic-Hip Complex Stability Assessment In Individuals With Patellofemoral Pain, Erika Zambarano, Neal Glaviano, Amanda Murray

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

OBJECTIVE
Lumbopelvic-hip complex (LPHC) stability is related to altered movement patterns that are present in individuals with PFP. Current studies measuring LPHC function in PFP primarily assess endurance and not stability. A test of isolated LPHC stability, the Seated Trunk Control Test (STCT) was recently developed and test-retest reliability for the STCT has been shown to be excellent in a healthy population. To improve the clinical usefulness of the STCT, we aimed to establish test-retest reliability for individuals with PFP. We hypothesized the STCT would show good-to-excellent reliability. We also compared STCT performance between healthy individuals and those with PFP. …


Caring For Pregnant And Postpartum Athletes: Athletic Trainers, Strength Coaches, And Athletic Coaches, Aly Matejka, Stephanie Born May 2022

Caring For Pregnant And Postpartum Athletes: Athletic Trainers, Strength Coaches, And Athletic Coaches, Aly Matejka, Stephanie Born

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

OBJECTIVE
A survey was created to assess the experience, education, and self-perceived competence of treating and/or training pregnant and postpartum athletes among athletic trainers, strength coaches, and coaches.


Academic Resilience Of Athletic Training Students During Covid-19 Pandemic, Brandon J. Gallimore, Laura Harris, Janet E. Simon May 2022

Academic Resilience Of Athletic Training Students During Covid-19 Pandemic, Brandon J. Gallimore, Laura Harris, Janet E. Simon

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

OBJECTIVE
(1) To describe resilience in athletic training students enrolled in professional coursework during the spring 2020 semester, and (2) to determine the association between resilience and academic performance during the spring 2020 semester.

MAIN OUTCOME MEASURES
Descriptive statistics for GPA were calculated for Fall 2019, Spring 2020, cumulative Fall 2019, cumulative Spring 2020 (ie., current), change in cumulative GPA, and ARS-30 total score. The primary analysis was a Pearson correlation between change in cumulative GPA and ARS-30 total score. A secondary analysis was conducted to evaluate change in cumulative Fall 2019 and Spring 2020 GPA with a paired t-test. …


The Effects Of A 6-Week Intrinsic Foot Morphology, Kinematics, And Kinetics In Individuals With Pes Planus, Rebecca Marszalek, Janet E. Simon, Robert Wayner May 2022

The Effects Of A 6-Week Intrinsic Foot Morphology, Kinematics, And Kinetics In Individuals With Pes Planus, Rebecca Marszalek, Janet E. Simon, Robert Wayner

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

CONTEXT
The intrinsic foot muscles are vital in supporting the medial longitudinal arch of the foot. Individuals with pes planus have poor foot morphology, strength, and biomechanics, warranting an intervention.

MAIN OUTCOME MEASURES
At pre-intervention, foot posture and arch height were assessed via the Foot Posture Index-6 and the Navicular Drop test, respectively. Cross-sectional area of the abductor hallucis was assessed using ultrasound as an indirect measure of strength. Biomechanical measures, including peak rearfoot eversion, peak tibial internal rotation, peak rearfoot eversion moment, and center of pressure excursion, were collected using 3D-motion capture and an instrumented treadmill. At post-intervention, these …


The Relationship Between Sport Specialization And Coping Mechanisms In Adolescent Athletes, Sara Kusner, Laura Harris May 2022

The Relationship Between Sport Specialization And Coping Mechanisms In Adolescent Athletes, Sara Kusner, Laura Harris

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

OBJECTIVE
(1) To describe the coping mechanisms of adolescent athletes as emotion-focused, problem-focused, or avoidant-focused coping before and after injury or illness, and (2) to compare the perceived adolescent coping mechanisms across sport specialization levels (i.e., low, moderate, or high).

MAIN OUTCOME MEASUREMENT
Demographic information was reported for the entire sample. A one-way ANOVA was conducted for each dependent variable (i.e., coping strategy) by sport specialization. For the secondary analysis the independent variable time and the dependent variable coping mechanism (i.e., task, emotion, and avoidance) were analyzed by paired t-tests. Hedge’s g effect size was calculated for any significant comparisons …


Adolescent Injury Rates, Laura Harris, Erin Gordon, Lyn M. Meyerhoff, Boden Miller, Matallyn E. Overmyer, Jordyn R. Williams May 2022

Adolescent Injury Rates, Laura Harris, Erin Gordon, Lyn M. Meyerhoff, Boden Miller, Matallyn E. Overmyer, Jordyn R. Williams

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

OBJECTIVE
To describe the frequency of adolescent athlete injury based upon injury location, injury diagnosis, activity, playing surface, weather condition, and sport.

MAIN.OUTCOME MEASUREMENT
Injury frequency per injury location, diagnosis, activity, and playing surface were determined. Injury location and diagnosis frequency were reported by weather condition. Injuries per 1000 athletic exposures were analyzed by sport.


Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps May 2022

Establishing Safe Thresholds To Improve Exercise Capacity In Collegiate Athletes With Inflammatory Bowel Disease (Ibd): A Critically Appraised Topic, Emily C. Roberts, Jenny Toonstra, Andrea Cripps

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

CLINICAL SCENARIO
Crohn’s Disease (CD), Ulcerative Colitis (UC), and Indeterminate Colitis (IC) are forms of Inflammatory Bowel Disease (IBD), a complex auto-immune disorder of the GI tract. IBD can present several challenges to athletic participation due to unpredictable disease activity and uncontrollable systemic symptoms that severely impact daily activities and limit exercise/sports participation. Limited studies and a lack of standard guidelines for physical activity (PA) and exercise are additional barriers for patients. The limitation of studies and absence of standard guidelines are a particular concern for Athletic Trainers who may encounter collegiate athletes with IBD and must navigate the return-to-play …


In This Issue (13:4), Stephen J. Langendorfer Ph.D. Mar 2022

In This Issue (13:4), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

Greetings, IJARE readers and welcome to the fourth issue of Volume 13. I admit being quite excited about this issue. It is jam-packed with outstanding papers from six different countries that deserve your readership and attention.


Employment With The Northwest Territories Aquatics Program: A Significant Life Event?, Sebastien Denize, Audrey R. Giles Mar 2022

Employment With The Northwest Territories Aquatics Program: A Significant Life Event?, Sebastien Denize, Audrey R. Giles

International Journal of Aquatic Research and Education

For over 60 years, the Northwest Territories Aquatics Program (NWTAP) has employed university students from southern Canada with little to no exposure to northern Canada to run seasonal swimming pools and waterfronts in isolated northern communities. In this article, we examine the impact that working for this program had on nine former employees’ lives and whether or not working for the NWTAP could be categorized as a significant life experience. We used thematic analysis of the data from retrospective semi-structured interviews and open-ended questionnaires and identified four themes: (1) employment by the NWTAP enhanced the employees’ self-confidence, independence, and self-efficacy; …


Content, Construct, And Criterion Validity, Reliability, And Objectivity For Aquatic Readiness Assessment For Brazilian Children, Nadia C. Valentini, Keila R G Pereira, Glauber C. Nobre Mar 2022

Content, Construct, And Criterion Validity, Reliability, And Objectivity For Aquatic Readiness Assessment For Brazilian Children, Nadia C. Valentini, Keila R G Pereira, Glauber C. Nobre

International Journal of Aquatic Research and Education

The Aquatic Readiness Assessment (ARA) is an assessment instrument for measuring children's aquatic readiness. The objective of the study was to translate the English version into Portuguese and to investigate the content, construct, and criterion validity as well as the reliability and rater objectivity of the ARA for Brazilian children. Twenty-three professionals and 464 children, newborn to 13 years-old participated in the study. We found strong content (94% to 100% of judges’ agreement) and criterion validity, internal consistency (α from .96 to .97), and inter-rater objectivity (ICC from .81 to .98), and test-retest reliability (ICC from .94 to .98). Appropriate …


Effect Of Water Depth On Heart Rate And Core Temperature During Underwater Treadmill Walking, Carrie E. Bajenski, Brianna R. Brandon, Cailey A. Curry, Leslie Fajardo, Ryan T. Conners Feb 2022

Effect Of Water Depth On Heart Rate And Core Temperature During Underwater Treadmill Walking, Carrie E. Bajenski, Brianna R. Brandon, Cailey A. Curry, Leslie Fajardo, Ryan T. Conners

International Journal of Aquatic Research and Education

Exercising using an underwater treadmill (UTM) has become a popular modality; however, few studies have focused on the physiological demands of UTM walking at varying water depths. Thus, the objective of this study was to investigate changes in heart rate (HR) and core temperature (CT) values in college-aged males and females while exercising at different water immersion depths using an UTM. Twenty participants (age = 21.50 ± 2.19 years; height = 169.04 ± 10.85cm; weight = 75.56 ± 22.28kg) walked at water depths of 10cm below the xiphoid process and at the level of the superior iliac crest (I.C.). Each …


Examining Youth Conceptualizations Of Water Safety Behaviors Among Participants In A Learn-To-Swim Program, Austin R. Anderson, Kristina R. Anderson, William D. Ramos, Angela K. Beale-Tawfeeq Feb 2022

Examining Youth Conceptualizations Of Water Safety Behaviors Among Participants In A Learn-To-Swim Program, Austin R. Anderson, Kristina R. Anderson, William D. Ramos, Angela K. Beale-Tawfeeq

International Journal of Aquatic Research and Education

Drowning represents a leading cause of unintentional deaths among children. Concomitantly, while formal swim instruction often incorporates water safety practices, the efficacy of these messages remains largely unexplored. This qualitative-based study sought to evaluate how youth apply learned water safety concepts when posed with a hypothetical aquatic scenario. Semi-structured interviews, augmented by use of a visual illustration prompt, were conducted with 29 participants of a youth Learn-to-Swim (LTS) program. Interviews assessed participants’ expressed water safety behaviors and were coded based on emergent themes. Findings indicated that most participants were able to identify a “struggling” swimmer in the dramatized illustration. When …