Verbal coping of coaches in competition: Differences depending on emotional intelligence and self-determined motivation

Author(s):  
Carles Grijalbo ◽  
Rafael Martínez-Gallego ◽  
José F Guzmán

In this study we analysed the differences in verbal behaviour of coaches during matches. A total of 9739 verbal behaviours issued by 26 male handball coaches in 26 matches, 1 for each coach, were classified into the categories established by the Coach Analysis and Intervention System (CAIS). These behaviours in turn were grouped according to the type of coping expressed by the coach (task-oriented, emotional positive and emotional negative). Coaches were then classified into high or low emotional intelligence, and high or low self-determined motivation, using the mean of these scores. Differences in verbal behaviour percentages were analysed by Chi-square based on coach membership in groups of emotional intelligence and self-determined motivation. Coaches with greater self-determined motivation and emotional intelligence used more verbal behaviours showing positive emotional coping. Results are discussed based on the impact on the health and performance of athletes, as well as possible interventions to improve the leadership of the coach in a match situation.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19367-e19367
Author(s):  
Kerin B. Adelson ◽  
Maureen Canavan ◽  
Sophia Mun ◽  
Cary Philip Gross ◽  
Naralys Sinanis ◽  
...  

e19367 Background: The OCM is a Centers for Medicare and Medicaid Services (CMS) alternative payment model, which seeks to curb costs while improving care for patients receiving systemic cancer therapy. CMS models the expected total cost (spending target) for each 6-month episode using historical, geographic and clinical factors including CTr participation. We evaluated the relationship between CTr participation, actual cost of care and performance in the OCM. Methods: We used claims for OCM episodes attributed to the Yale Cancer Center between July 2016 and July 2018. We stratified episodes by CTr participation and used t-tests and chi-square tests to compare total cost, drug costs (Part B and D) and whether actual episode costs were above or below CMS targets. Analyses were conducted for the total sample, and among the most common cancer types. Results: Among 9,387 OCM episodes (5,270 unique patients), 815 (8.7%) episodes involved a CTr. Among non-CTr patients, the mean Medicare cost per episode ($32,909) was modestly higher than the mean episode spending target ($31,746; p < 0.001), while in the CTr group, the mean Medicare cost per episode ($36,590) was substantially lower than the mean episode spending target ($48,124 p < 0.001). Mean drug cost was lower with CTr vs without ($15,650 vs $19,587, p < 0.001). Drug costs also accounted for a lower percentage of total costs for episodes with CTr vs not (41% vs 57%). CTr episodes were more likely to meet spending targets than non-CTr episodes (66% vs 56%, p < 0.001) overall and in breast, lung, and myeloma cancers, although only statistically significant for lung cancer (76% CTr vs 48% non-CTr, p < 0.001). Mean difference between target and actual costs was greater for episodes with CTr (- $11,534) than for episodes without CTr (+ $1,163) (p < 0.001). Conclusions: On average, episodes with CTr participation had substantially lower costs compared with their spending targets, while non-CTr episodes had slightly higher costs compared with their spending targets. While total cost of care was higher for episodes with CTr (as the CMS model predicts), drug costs were significantly lower. As drugs comprise a large proportion of total cost, lower drug costs in CTr episodes likely contribute to savings. Additional research should explore whether other OCM centers with higher rates of CTr participation are more likely to meet spending targets in value-based payment models.


2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Naji J. Touma ◽  
Darren T. Beiko ◽  
Andrew E. MacNeily ◽  
Michael J. Leveridge

Introduction: Many factors impact the performance of graduating residents on certification exams. It is thought that most factors are related to the individual candidate’s ability, motivation, and work ethic. Less understood, however, is whether a training program has any impact on the preparation and performance of its graduates on certification exams. We present 20 years of results of a national preparatory exam that all graduating residents complete about three months before the Royal College of Physicians and Surgeons of Canada (RCPSC) qualifying urology exam. This exam, known colloquially as QUEST, aims to simulate the RCPSC exam with written and oral components. We aimed to analyze the impact of a training program on the performance of its residents. Methods: A retrospective review of exam results from 1997–2016 was conducted. During that time, 495 candidates from all 12 Canadian urology training programs undertook the exam. The performance of graduating residents from each individual program was grouped together for any given year. The different programs were anonymized, as the aim of this study is to assess the impact of a training program and not to rate the different programs. Statistical analysis using one-way ANOVA was conducted. Results: All training programs fall within one standard deviation of the mean for the written component, the oral component, and the overall score. The residents of four training programs had statistically better scores than the overall mean of the written component. The residents of three out of these four training programs also had statistically better scores than the overall mean of the oral component and the overall results of the exam. Conclusions: Most Canadian training programs prepare their residents adequately for this simulated certification exam in urology. However, there are some training programs that consistently prepare graduating residents to outperform their peers.


1988 ◽  
Vol 32 (13) ◽  
pp. 760-764
Author(s):  
Robert F. Randolph

Leaders of task-oriented production groups play an important role in their group's functioning and performance. That role also evolves as groups mature and learn to work together more smoothly. The present study uses a functional analysis of the evolving role of supervisors of underground coal mining crews to evaluate the impact of supervisors' characteristics and behaviors on their crews' efficiency and safety, and makes recommendations for improving supervisory selection and training. Data were gathered from a sample of 138 supervisors at 13 underground coal mines. Detailed structured observations of the supervisors indicated that most of their time was spent attending to hardware and paperwork, while comparatively little time was spent on person to person “leadership”. The findings point out that while group needs changed over time, the supervisors' behaviors typically did not keep pace and probably restricted group performance.


2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20509-e20509
Author(s):  
H. M. Holmes ◽  
K. T. Bain ◽  
R. Luo ◽  
A. Zalpour ◽  
E. Bruera ◽  
...  

e20509 Background: Low-molecular weight heparin (LMWH) is preferred over warfarin in patients with thromboembolic disease and active cancer, but no guidelines exist in hospice. Although warfarin may be less safe in hospice patients, hospices may prefer to provide warfarin due to lower cost and less invasiveness compared to LMWHs. We sought to identify disparities in the use of warfarin vs. LMWHs in cancer patients enrolled in hospice. Methods: We analyzed a dataset from a national pharmacy provider for more than 800 hospices. We identified patients with a terminal diagnosis of cancer who were enrolled and died in hospice in 2006 and who were prescribed warfarin or LMWH. Patient characteristics included age, gender, race, cancer diagnosis, length of hospice service, and number of comorbidities. For descriptive comparisons, the Kruskal-Wallis test was used for continuous variables, and the Chi-square test was used for categorical variables. Results: Of 54,764 patients with cancer admitted and deceased in 2006, 3874 (7.1%) were prescribed warfarin, and 1137 (2.1%) were prescribed LMWH. Patients prescribed warfarin (n=576) or enoxaparin (n=5) for treatment of atrial arrhythmias were excluded. The mean age was 70.6 years for warfarin and 64.8 years for LMWH (p<0.0001). The mean and median lengths of service, respectively, were 43.6 days and 23.0 days for warfarin and 35.0 and 18.0 days for LMWH, (p<0.0001). There were no differences for gender, and a higher proportion of white patients were prescribed warfarin. Patients prescribed warfarin had an average of 2.1 comorbid conditions, versus 1.6 conditions for LMWH (p<0.0001). Cancer diagnoses were significantly different between the two groups, with a higher proportion of patients with lung and prostate cancer taking warfarin. Conclusions: Patients prescribed warfarin were older, had more comorbidities, and a longer length of service than patients prescribed LMWHs. Further research is needed to determine the impact of anticoagulation on outcomes, especially cost and quality of life, for cancer patients in hospice. This study raises the need to establish guidelines for the appropriateness of anticoagulation in hospice patients with cancer. No significant financial relationships to disclose.


2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 2-2
Author(s):  
Kerin B. Adelson ◽  
Maureen Canavan ◽  
Sophia Mun ◽  
Cary Philip Gross ◽  
Naralys Sinanis ◽  
...  

2 Background: The OCM is a Centers for Medicare and Medicaid Services (CMS) alternative payment model, which seeks to curb costs while improving care for patients receiving systemic cancer therapy. CMS models the expected spending target for each 6-month episode using historical, geographic and clinical factors, including CTr participation. We evaluated the relationship between CTr participation, drug costs and performance in the OCM. Methods: We used claims for OCM episodes attributed to the Yale Cancer Center between July 2016 and July 2018. We stratified episodes by CTr participation and used t-tests and chi-square tests to compare total cost, drug costs (Part B, Part D and novel cancer therapies) and whether observed episode costs were above or below CMS targets. Analyses were conducted for the total sample and among the most common cancer types. Results: Among 9,387 OCM episodes (5,270 unique patients), 815 (8.7%) episodes involved a CTr. Among non-CTr patients, the mean Medicare cost per episode ($32,909) was modestly higher than the mean episode spending target ($31,746; p < 0.001), while in the CTr group, the mean Medicare cost per episode ($36,590) was substantially lower than the mean episode spending target ($48,124 p < 0.001). CTr episode costs were more likely to be under spending targets than non-CTr episodes (66% vs 56%, p < 0.001) overall and in breast, lung, and myeloma cancers, although only statistically significant for lung cancer (76% CTr vs 48% non-CTr, p < .001). Overall, non-CTr had significantly higher mean Part D drug costs per episode ($8,441 vs $3,893, p < 0.001), which was also noted among patients with lung cancer, ovarian cancer and lymphoma. Non-CTr episodes were also associated with higher mean novel therapies cost ($5,736) compared with CTr patient episodes ($4,346, p = 0.013). When comparing the sum of all other expenditures, CTr episodes were significantly associated with higher non-pharmaceutical expenditures than non-CTr episodes ($20,940 vs. $13,323, p < 0.001) overall. Conclusions: Episodes with CTr participation out-performed non-CTr episodes in achieving savings relative to CMS spending targets. Savings were driven by lower drug costs for the CTr episodes, particularly in the categories of Part D and novel cancer therapies. This suggests that CTr enrollment shifts costs for expensive pharmaceuticals away from CMS and toward the CTr study sponsor. Further research should explore whether this finding is generalizable to other cancer centers and payment models.


2019 ◽  
Author(s):  
Mohammad Sadati ◽  
Jafar Sadegh Tabrizi ◽  
Ramin Rezapour ◽  
Riaz Alaei Kalajahi

Abstract Background Unintentional injuries in the home are one of the threats to childhood quality of life which is considered as a social determinant of health. Regarding mother's leading role in taking care of the children in Iranian families, the present study was conducted to investigate mothers' home-injury prevention attitude and performance and its contributing factors in Sahand, Iran. Methods This was a cross-sectional study conducted in 2017. Sampling was done using random sampling method among all mothers of children less than five years old who attended the health centers to receive child care services. A valid attitude questionnaire and safety performance checklist were used for data collection. Data were analyzed through SPSS-24 software using descriptive (Frequency, mean, etc.) and inferential statistics (chi-square, Kruskal-Wallis) method. Results The Mean age of mothers was 30.58 (±5.01). About 65% of the mothers held high school diplomas or lower degrees. The mean score of mothers' attitude was calculated to be 72.12(±6.79). More than 58% of the mothers had an appropriate level of attitude. The mothers' injury prevention performance mean score was 66.59 (±12.85). Family socioeconomic status, Mother's age, educational level, and job, father's job, age and gender of the child were the contributing factors (p<0.05). Conclusions Most of the mothers had an appropriate level of home-injury prevention attitude and low level of performance. Deprived residency areas should be considered for higher support to prevent injuries. Strengthening Primary Health Care system in safe communities could have a significant role in child safety promotion through mothers KAP promotion.


2021 ◽  
Vol 31 (4) ◽  
pp. 227-235
Author(s):  
Akram Baghdadi ◽  
◽  
Mohammad Aghajani ◽  
Zohre Sadat ◽  
Neda Mirbagher Ajorpaz ◽  
...  

Introduction: Death anxiety is one of the main elements in mental health in older adults. Objective: This study aimed to determine the effects of improving emotional intelligence on death anxiety in older adults in Kashan City, Iran. Materials and Methods: This quasi-experimental study was carried out on 60 older adults referred to health clinics in Kashan City, Iran, in 2019. The participants were randomly allocated to the control and experimental groups. Before the intervention, a demographics data questionnaire and death anxiety scale was filled out by the two groups. The experimental group received emotional intelligence education in eight sessions (twice a week). The control group received no intervention. The study measures included a demographic checklist and the Templer Death Anxiety Scale (TDAS). Immediately and one month after the intervention, both groups filled out the death anxiety scale again. The collected data were analyzed using descriptive and analytical tests such as t test, the Chi-square, and repeated-measures Analysis of Variance (ANOVA). Results: The results showed that 22 participants (73.3%) and 17 (56.7%) were in the 61-65 age range in the experimental and control groups, respectively. Based on the Chi-square test, there was no significant difference between the two groups regarding demographical data, including age, gender, marital status, education, and job. The results of repeated-measures ANOVA in the experimental group showed that the mean scores of death anxiety decreased over the 3 time points (P<0.05). Also, the post hoc test showed a significant difference in death anxiety scores at different time points in the experimental group (P<0.05). The t test results showed no statistically significant difference in the mean score of death anxiety before the intervention between the two groups, but at the end of the sessions (P=0.006) and one month after the intervention (P=0.001), this difference was significant. Conclusion: The results indicated that improving emotional intelligence in older adults decreased their death anxiety. It is recommended that nurses use this method to decrease death anxiety in older adults.


1983 ◽  
Vol 47 (2) ◽  
pp. 59-67 ◽  
Author(s):  
Gary L. Frazier ◽  
Roy D. Howell

This paper evaluates the impact of variations in business definition within an industry. The manner in which organizations are defined is linked to the existence of strategic groups. Data collected across strategic groups of wholesalers in the medical supply and equipment channel are used to illustrate that the nature of the firms’ business definition is related to (1) the mean level of the firms’ income statement variables and performance criteria and (2) the significance of strategic and operational variables in explaining firm performance.


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