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Articles 5431 - 5460 of 38786
Full-Text Articles in Social and Behavioral Sciences
How To Hiit While Pregnant? The Protocol Characteristics And Effects Of High Intensity Interval Training Implemented During Pregnancy – A Systematic Review, Anna Szumilewicz, Rita Santos-Rocha, Aneta Worska, Magdalena Piernicka, Hongli Yu, Simona Pajaujiene, Najmeh-Alsadat Shojaeian, Miguel Angel Moviedo-Caro
How To Hiit While Pregnant? The Protocol Characteristics And Effects Of High Intensity Interval Training Implemented During Pregnancy – A Systematic Review, Anna Szumilewicz, Rita Santos-Rocha, Aneta Worska, Magdalena Piernicka, Hongli Yu, Simona Pajaujiene, Najmeh-Alsadat Shojaeian, Miguel Angel Moviedo-Caro
Baltic Journal of Health and Physical Activity
There is strong scientific evidence that prenatal physical activity of moderate-to-high in-tensity is a prerequisite of the proper course of pregnancy, childbirth and fetus development. How-ever, to date little data have been available on high intensity interval training (HIIT) performed during pregnancy. Following the PRISMA guidelines, this systematic review aimed at: first, to characterize HIIT protocols used or planned to be implemented during pregnancy; second, to determine their training effects on participant’s health and obstetric outcomes. We included nine original works and three clinical trials in the analysis. The HIIT protocols substantially differed in terms of the training components (type, …
Psychosocial Reserve Capacity, Family Background And Selection Of An Educational Path – A Longitudinal Study From Finland, Paulyn Jean A. Claro, Leena Kristiina Koivusilta, Mari-Pauliina Vainikainen, Arja Rimpelä
Psychosocial Reserve Capacity, Family Background And Selection Of An Educational Path – A Longitudinal Study From Finland, Paulyn Jean A. Claro, Leena Kristiina Koivusilta, Mari-Pauliina Vainikainen, Arja Rimpelä
Graduate School of Business Publications
Finnish students start academic or vocational track in upper secondary education at age 16 years. Track placement is based on grades, but family background and psychosocial resources may have influences. Using 2014 survey data of Grade 9 students in Helsinki Metropolitan area linked to the Joint Application Registry data as of 2017, we fitted two-level, sex-stratified, generalized structural equation models to determine how reserve capacity (academic self-efficacy and social support), family background, and the comprehensive schools predict track placement. Adjusting for the effect of grades, low reserve capacity and disadvantaged family background increased probabilities of vocational track and non-placement of …
Evaluation Of Hippocampal Allostatic Load-Associated Factors In Animal Models Of Post-Traumatic Stress Disorder: Relevance To Human Ptsd, Dennis Parker Kelley
Evaluation Of Hippocampal Allostatic Load-Associated Factors In Animal Models Of Post-Traumatic Stress Disorder: Relevance To Human Ptsd, Dennis Parker Kelley
LSU Doctoral Dissertations
Post-traumatic stress disorder (PTSD) is associated with elevated allostatic load, nearly double the risk for metabolic syndrome, reduced hippocampal volume, and contextual memory processing deficits. Emerging evidence suggests that these stress effects may predispose individuals to the development of PTSD, and there is a known relationship between chronic stress and metabolic dysfunction. In this work, we utilized two rat models of PTSD to explore these connections. We used an acute predator odor stressor to investigate the relationship between PTSD-like behaviors and mitochondrial dysfunction in the hippocampus of rats, and we observed that conditioned place avoidance was associated with reduced mitochondrial …
Correlation Between Social Media Use And Eating Disorder Symptoms: A Literature Review, Makenna Rose Burger
Correlation Between Social Media Use And Eating Disorder Symptoms: A Literature Review, Makenna Rose Burger
Kinesiology and Public Health
Importance: Social media is a pervasive influence in modern society presenting many potential public health implications.
Objective: The purpose of this literature review is to synthesize current research regarding social media and eating disorders.
Methods: Primary research was gathered from Google Scholar and OneSearch database resulting in 7 articles. Articles were examined for common themes.
Results: Common themes found in the resulting research is the prevalence of ‘thinspiration’, gamified content, and overlap of eating disorders with other mental illnesses. Several articles found a significant correlation between social media use and the severity of eating disorder symptoms. …
The Importance Of Health Literacy: A Student-Led Workshop On Lay Communication, Sarah Jean Kamp, Jafra D. Thomas
The Importance Of Health Literacy: A Student-Led Workshop On Lay Communication, Sarah Jean Kamp, Jafra D. Thomas
Kinesiology and Public Health
The purpose of this experiential senior project workshop was to advance the knowledge and practice of health communication by (a) delivering a training workshop to Cal Poly undergraduate students and (b) by exploring the relationship between health literacy and effective communication through completion of a rapid review of the literature. The reviewed literature served the purpose of helping the student further design the workshop to elicit a foundational understanding of the elements of effective communication of health information as well as the history and evolution of health literacy as a concept. The workshop revised and delivered by the student was …
Institute For Global Health And Development : Issue 2 - March 2022, Institute For Global Health And Development
Institute For Global Health And Development : Issue 2 - March 2022, Institute For Global Health And Development
IGHD Newsletter
• Bulletin
• Research and Publications
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• Research Scientists at IGHD
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A Word From The Writing Center (March 2022), Pam Walter, Mfa, Liz Declan, Ma, Mfa
A Word From The Writing Center (March 2022), Pam Walter, Mfa, Liz Declan, Ma, Mfa
A Word From the Writing Team (Newsletter)
This issue includes:
- Quick Tip: Inclusivity and Awareness in Writing
- Upcoming Workshop Reminders
- News from the Academic Commons
R.A.C.E. To Recovery Year 1 Evaluation Summary Report, Katie Rosingana Ba, Evelyn Ali Bs, Tyler Egeland Ba, Mary Lindsey Smith Phd
R.A.C.E. To Recovery Year 1 Evaluation Summary Report, Katie Rosingana Ba, Evelyn Ali Bs, Tyler Egeland Ba, Mary Lindsey Smith Phd
Substance Use Research & Evaluation
Through a collaborative effort led by the Healthy Community Coalition, the multi-sector Rural Addiction Care Expansion (R.A.C.E.) to Recovery initiative consortium is utilizing evidence-based, community-wide response to impact and reduce the effects of the opioid epidemic in the Western Maine Public Health District/ Greater Franklin County. To assess and evaluate the implementation, successes, and challenges of the RACE to Recovery project, the Cutler Institute is collecting and analyzing data for both process and outcomes of the initiative.
In the first year of the initiative, the Cutler evaluation team utilized both primary and secondary data to assess RACE to Recovery program …
Letter From The Editors, Administrative Issues Journal Editors
Letter From The Editors, Administrative Issues Journal Editors
Administrative Issues Journal
No abstract provided.
The Transformational Leader In Nursing Practice – An Approach To Retain Nursing Staff, Anita C. Reinhardt, Teresa G. Leon, Linda Ochart Summers
The Transformational Leader In Nursing Practice – An Approach To Retain Nursing Staff, Anita C. Reinhardt, Teresa G. Leon, Linda Ochart Summers
Administrative Issues Journal
Transformational leaders have been shown to influence positive work environments and support the retention of nursing staff. While exemplars have been found in upper-level management, the implementation of these characteristics in unit-based leaders is less explained. The elements of the transformational leader on followers and the organization—individual consideration, individual stimulation, inspirational motivation, and idealized influence—can engage nursing staff to remain in an organization which will promote positive patient outcomes. This article will review the elements of the transformational leader and share two exemplars of the transformational metanarrative as demonstrated in nursing care units. Both exemplars demonstrate how the transformational leader …
Pre-Service Teachers’ Perceptions Of Preparedness And Self-Efficacy In Instructing Students From Diverse Cultural And Linguistic Backgrounds, Babafunso Adegbola
Pre-Service Teachers’ Perceptions Of Preparedness And Self-Efficacy In Instructing Students From Diverse Cultural And Linguistic Backgrounds, Babafunso Adegbola
Administrative Issues Journal
This study aims to determine a connection between the pre-service teachers’ perception of preparedness and their self-efficacy in instructing students from culturally and linguistically diverse backgrounds. The researcher was guided by three research questions: 1) What are pre-service teachers' perceptions of their abilities to teach culturally and linguistically diverse students? 2) To what degree do pre-service teachers believe their teacher education program prepared them to teach culturally and linguistically diverse students? 3) To what extent do pre-service teachers' self-efficacy influence culturally and linguistically diverse students?
Participants were pre-service teachers (education undergraduates in their last year or last semester of graduation), …
Himmelfarb Headlines - February/March 2022, George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Headlines - February/March 2022, George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Headlines (2009 - present)
News, information, and resources relating to Himmelfarb Library that is of interest to patrons.
Vaccine Hesitancy And The Apocalypse, David M. Claborn
Vaccine Hesitancy And The Apocalypse, David M. Claborn
eJournal of Public Affairs
Some forms of vaccine hesitancy may have roots in religious beliefs about future apocalyptic events. Such beliefs engender fear of centralized governmental authority as manifest in public health mandates involving vaccines or masks. The author’s upbringing as a religious survivalist provides perspective on why some people display vaccine hesitancy. Several ways to address these fears are discussed.
Evaluation Of A Hands-On Cooking Class And Its Effects On Self-Efficacy In Relation To Healthy Eating In Type 2 Diabetics, Codi A. Jenshak-Gorzinski
Evaluation Of A Hands-On Cooking Class And Its Effects On Self-Efficacy In Relation To Healthy Eating In Type 2 Diabetics, Codi A. Jenshak-Gorzinski
DNP Scholarly Projects
The prevalence of Type 2 diabetes is alarming and poses a great threat to U.S. national health. Chronic diabetes can lead to serious conditions such as heart attack and stroke, and can result in premature mortality (World Health Organization, 2018). Diabetes can be prevented or treated by eating a healthy diet. Cooking classes are a potential way to improve American’s knowledge of nutritional principles and help them become confident that they have the capacity to eat a healthy diet. The purpose of this DNP project was to determine if participation in cooking classes enhanced self-efficacy as it pertains to healthy …
An Interactive Game With Virtual Reality Immersion To Improve Cultural Sensitivity In Health Care, Paul J. Hershberger, Yong Pei, Timothy N. Crawford, Sabrina M. Neeley, Thomas Wischgoll, Dixit B. Patel, Miteshkumar M. Vasoya, Angie Castle, Sankalp Mishra, Lahari Surapaneni, Aman A. Pogaku, Aishwarya Bositty, Todd Pavlack
An Interactive Game With Virtual Reality Immersion To Improve Cultural Sensitivity In Health Care, Paul J. Hershberger, Yong Pei, Timothy N. Crawford, Sabrina M. Neeley, Thomas Wischgoll, Dixit B. Patel, Miteshkumar M. Vasoya, Angie Castle, Sankalp Mishra, Lahari Surapaneni, Aman A. Pogaku, Aishwarya Bositty, Todd Pavlack
Health and Sport Science Faculty Publications
Purpose: Biased perceptions of individuals who are not part of one's in-groups tend to be negative and habitual. Because health care professionals are no less susceptible to biases than are others, the adverse impact of biases on marginalized populations in health care warrants continued attention and amelioration.Method: Two characters, a Syrian refugee with limited English proficiency and a black pregnant woman with a history of opioid use disorder, were developed for an online training simulation that includes an interactive life course experience focused on social determinants of health, and a clinical encounter in a community health center utilizing virtual reality …
On The Test Accuracy And Effective Control Of The Covid-19 Pandemic: A Case Study In Singapore, Guang Cheng, Sarah Yini Gao, Yancheng Yuan, Chenxiao Zhang, Zhichao Zheng
On The Test Accuracy And Effective Control Of The Covid-19 Pandemic: A Case Study In Singapore, Guang Cheng, Sarah Yini Gao, Yancheng Yuan, Chenxiao Zhang, Zhichao Zheng
Research Collection Lee Kong Chian School Of Business
This study examines the impact of coronavirus disease 2019 (COVID-19) test accuracy (i.e., sensitivity and specificity) on the progression of the pandemic under two scenarios of limited and unlimited test capacity. We extend the classic susceptible–exposed–infectious–recovered model to incorporate test accuracy and compare the progression of the pandemic under various sensitivities and specificities. We find that high-sensitivity tests effectively reduce the total number of infections only with sufficient testing capacity. Nevertheless, with limited test capacity and a relatively high cross-infection rate, the total number of infected cases may increase when sensitivity is above a certain threshold. Despite the potential for …
Adverse Childhood Experiences And Resilience In Medical School Students: A Scope Of Medical Literature, Andrea Soto Abarca, Yvette Cortino, Juan C. Lopez-Alvarenga, Maya Guevara
Adverse Childhood Experiences And Resilience In Medical School Students: A Scope Of Medical Literature, Andrea Soto Abarca, Yvette Cortino, Juan C. Lopez-Alvarenga, Maya Guevara
MEDI 9331 Scholarly Activities Clinical Years
Background: Adverse childhood experiences (ACEs) represent certain types of childhood trauma that are associated with long-term negative effects on health and wellbeing. The elevated number of ACEs can lead to depression, suicidality, alcoholism, and substance use. Factors that can protect a person from increased health risks include resilience, which is broadly defined as the ability to overcome challenges or bounce back from adversity. Few studies have analyzed the exposure of ACEs in medical students, however, there has been extensive literature on how low levels of resilience are linked to higher rates of depression, fatigue, and burnout among medical students. …
Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang
Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang
Research Collection School Of Computing and Information Systems
This paper analyzes the changes in mobility trends due to the impact of the COVID-19 pandemic in Singapore in the six different sectors: Retail and Recreation, Grocery and Pharmacy, Parks, Transit Stations, Workplaces and Residential. The period of observation is from 15 February 2020 to 18 August 2021. The observed patterns obtained from the descriptive data analysis sheds light on the effectiveness of social distancing measures in Singapore as well as the level of compliance among the country’s residents. Correlation analysis is used to explore the relationship between different sectors during the pandemic period. The results reveal a strong sense …
Younger Age Of Stroke In Low-Middle Income Countries Is Related To Healthcare Access And Quality, Mohammad H Rahbar, Martin Medrano, Franck Diaz-Garelli, Cosme Gonzalez Villaman, Sepideh Saroukhani, Sori Kim, Amirali Tahanan, Yahaira Franco, Gelanys Castro-Tejada, Sarah A Diaz, Manouchehr Hessabi, Sean I Savitz
Younger Age Of Stroke In Low-Middle Income Countries Is Related To Healthcare Access And Quality, Mohammad H Rahbar, Martin Medrano, Franck Diaz-Garelli, Cosme Gonzalez Villaman, Sepideh Saroukhani, Sori Kim, Amirali Tahanan, Yahaira Franco, Gelanys Castro-Tejada, Sarah A Diaz, Manouchehr Hessabi, Sean I Savitz
Student and Faculty Publications
Stroke is the second leading cause of mortality globally with higher burden and younger age in low-middle income countries (LMICs) than high-income countries (HICs). However, it is unclear to what extent differences in healthcare access and quality (HAQ) and prevalence of risk factors between LMICs and HICs contribute to younger age of stroke in LMICs. In this systematic review, we conducted meta-analysis of 67 articles and compared the mean age of stroke between LMICs and HICs, before and after adjusting for HAQ index. We also compared the prevalence of main stroke risk factors between HICs and LMICs. The unadjusted mean …
Counterfactual Analysis Of Differential Comorbidity Risk Factors In Alzheimer’S Disease And Related Dementias, Yejin Kim, Kai Zhang, Sean I Savitz, Luyao Chen, Paul E Schulz, Xiaoqian Jiang
Counterfactual Analysis Of Differential Comorbidity Risk Factors In Alzheimer’S Disease And Related Dementias, Yejin Kim, Kai Zhang, Sean I Savitz, Luyao Chen, Paul E Schulz, Xiaoqian Jiang
Student and Faculty Publications
Alzheimer’s disease and related dementias (ADRD) is a multifactorial disease that involves several different etiologic mechanisms with various comorbidities. There is also significant heterogeneity in the prevalence of ADRD across diverse demographics groups. Association studies on such heterogeneous comorbidity risk factors are limited in their ability to determine causation. We aim to compare counterfactual treatment effects of various comorbidity in ADRD in different racial groups (African Americans and Caucasians). We used 138,026 ADRD and 1:1 matched older adults without ADRD from nationwide electronic health records, which extensively cover a large population’s long medical history in breadth. We matched African Americans …
Himmelfarb Library Liaison Letter - March 2022, George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Library Liaison Letter - March 2022, George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Library Liaison Letters
No abstract provided.
The 2025 Michigan State Oral Health Plan, Ellen Sugrue Hyman Jd
The 2025 Michigan State Oral Health Plan, Ellen Sugrue Hyman Jd
The Journal of the Michigan Dental Association
This feature article explores the 2025 Michigan State Oral Health Plan (SOHP), a comprehensive initiative developed by the Michigan Oral Health Coalition (MOHC) and a statewide coalition, including the Michigan Dental Association (MDA). With a focus on enhancing oral health for all Michigan residents, the SOHP prioritizes addressing economic and racial disparities. The plan, guided by three key goals—Increasing Awareness and Education, Dental-Health Integration, and Access and Infrastructure—aims to improve oral health outcomes. The article discusses the plan's development process, key findings highlighting existing disparities, workforce challenges, and the strategic implementation of the SOHP through collaborative efforts and workgroups.
The Governor’S Budget Awareness For Dentistry, Christopher J. Smiley Dds
The Governor’S Budget Awareness For Dentistry, Christopher J. Smiley Dds
The Journal of the Michigan Dental Association
This editorial highlights the significance of the Governor's proposed budget in February, marking a substantial step forward for oral health awareness in Michigan. The budget allocates funds for long-sought oral health initiatives, including addressing barriers to hospital-based dental care, enhancing Medicaid coverage for adults, and streamlining dental plans. With a focus on workforce availability, the editorial emphasizes the critical role of oral health in employability. The proposed budget, influenced by effective MDA advocacy, reflects a notable achievement in prioritizing dentistry, underscoring the potential for future opportunities.
Staff Matters: Is Our Practice Required To Mandate Employee Vaccination For Covid-19?, Jodi Schafer Sphr, Shrm-Scp
Staff Matters: Is Our Practice Required To Mandate Employee Vaccination For Covid-19?, Jodi Schafer Sphr, Shrm-Scp
The Journal of the Michigan Dental Association
This Staff Matters Column addresses the confusion surrounding COVID-19 vaccination mandates for private dental practices. Following the U.S. Supreme Court's decision, the Centers for Medicare and Medicaid Services (CMS) vaccine mandate was upheld. However, the CMS rule, clarified through FAQs, applies to specific health care facilities accepting Medicare or Medicaid funding and does not include private dental practices. The article navigates the nuances of the CMS rule, emphasizing its impact on certain health care settings rather than private dental practices, offering clarity on vaccination requirements for dental professionals.
Harm Reduction In The Heartland: Public Knowledge And Beliefs About Naloxone In Nebraska, Usa, Allison Schlosser, Patrick Habecker, Rick A. Bevins
Harm Reduction In The Heartland: Public Knowledge And Beliefs About Naloxone In Nebraska, Usa, Allison Schlosser, Patrick Habecker, Rick A. Bevins
Department of Psychology: Faculty Publications
Background: Opioid-related overdose deaths have been increasing in the United States (U.S.) in the last twenty years, creating a public health challenge. Take-home naloxone is an effective strategy for preventing opioid-related overdose death, but its widespread use is particularly challenging in smaller cities, towns, and rural areas where it may be stigmatized and/or poorly understood.
Methods: We analyzed data on knowledge and beliefs about drug use and naloxone among the general public in Nebraska, a largely rural state in the Great Plains region of the U.S., drawing on the 2020 Nebraska Annual Social Indicators Survey.
Results: Respondents reported negative beliefs …
Artificial Intelligence And Chatbots In Psychiatry, Kay T Pham, Amir Nabizadeh, Salih Selek
Artificial Intelligence And Chatbots In Psychiatry, Kay T Pham, Amir Nabizadeh, Salih Selek
Student and Faculty Publications
The utilization of artificial intelligence (AI) in psychiatry has risen over the past several years to meet the growing need for improved access to mental health solutions. Additionally, shortages of mental health providers during the COVID-19 pandemic have continued to exacerbate the burden of mental illness worldwide. AI applications already in existence include those enabled to assist with psychiatric diagnoses, symptom tracking, disease course prediction, and psychoeducation. Modalities of AI mental health care delivery include availability through the internet, smartphone applications, and digital gaming. Here we review emerging AI-based interventions in the form of chat and therapy bots, specifically conversational …
Nonjudgmental Acceptance: Associations With Substance-Related Cue Reactivity In Adults With Substance Use Disorders And Posttraumatic Stress, Anka A Vujanovic, Heather E Webber, Margaret C Wardle, Charles E Green, Scott D Lane, Joy M Schmitz
Nonjudgmental Acceptance: Associations With Substance-Related Cue Reactivity In Adults With Substance Use Disorders And Posttraumatic Stress, Anka A Vujanovic, Heather E Webber, Margaret C Wardle, Charles E Green, Scott D Lane, Joy M Schmitz
Student and Faculty Publications
The present investigation examined the predictive utility of nonjudgmental acceptance, a facet of mindfulness defined as the ability to remain aware and nonevaluative about internal experience, in terms of substance-related cue reactivity among adults with substance use disorders (SUD) and posttraumatic stress (PTS) symptomatology. We hypothesized that higher nonjudgmental acceptance, indexed via self-report, would predict higher levels of self-reported control over oneself and safety 'in the moment', broadly, and lower levels of substance-related craving in response to substance script cues. Effects were expected after subtracting reactivity to neutral script cues from each outcome rating. PTS severity was included as a …
Sexual Coercion, Unintended Pregnancy, And Poor Reproductive Health Among Adolescent Girls (Aged 13 - 19) In Mexico, Arun Kumar Acharya, Maria Luisa Martinez
Sexual Coercion, Unintended Pregnancy, And Poor Reproductive Health Among Adolescent Girls (Aged 13 - 19) In Mexico, Arun Kumar Acharya, Maria Luisa Martinez
Dignity: A Journal of Analysis of Exploitation and Violence
In Mexico, nearly 23,000 adolescents between the ages of 12-17 years suffer sexual coercion every year. This group also has a high birth rate of 77/1,000 adolescents, which indicates that one in every five pregnant women is an adolescent. This study describes the sexual coercion of victims and their views regarding the experience based on data collected from 37 Mexican girls between the age of 13 to 19, selected purposively using the snowball method in Monterrey city, Mexico. Results indicate that sexual coercion among adolescents is a serious problem, where 70% of adolescents experienced vaginal sexual coercion, nearly 22% experienced …
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd
Antioch University Dissertations & Theses
Ecopsychology is a systems-based philosophy that expands the therapeutic lens to include client interactions with and perceptions of the natural environment as an integral element of well-being or pathology. Ecopsychology, known forward as EP, also looks at the pathology of our culture and what kind of diagnoses lead to practices that put our planet at risk. In recent decades, the field has amassed a substantial amount of empirical evidence supporting its effectiveness but remains largely underutilized. First generation EP suggested a cultural reordering shifting away from consumer culture and reordering our way of life. Second generation posits working within the …
The Athletic Identity Of Collegiate Athletic Trainers: A Descriptive Study, Christianne M. Eason, Stephanie H. Clines
The Athletic Identity Of Collegiate Athletic Trainers: A Descriptive Study, Christianne M. Eason, Stephanie H. Clines
Athletic Training Faculty Publications
Context: Empirical and anecdotal evidence suggest that many athletic trainers were former athletes and select the profession due to its affiliation with sport. Qualitative research has indicated that collegiate athletic trainers may have a strong athletic identity, but the concept of athletic identity has not been quantified in this population.
Objective: To quantitatively asses the athletic identity of collegiate athletic trainers and determine if group differences exist.
Design: Cross-sectional observational study.
Setting: Collegiate clinical setting.
Patients and other participants: A total of 257 (n = 93 (37%) males, n = 162 (63%) females) athletic trainers employed in the collegiate setting …